All experiments were conducted with approval from the Ethics Committee of the Second Hospital of Tianjin Medical University. All participants gave written informed consent.
Culture of hPESCs and the stepwise differentiation of hPESCs into IESCs
hPESCs (cell line chHES-32) were cultured with human foreskin fibroblasts (hFFs) used as the feeder cells as previously reported.(Wang et al.2015) Briefly, hPESCs were cultured in the medium containing 50 ng/ml activin A (R&D, Emeryville, CA, USA) and 25 ng/ml Wnt3a (R&D, Emeryville, CA, USA) for 0, 24, 48, 72, 96, and 120 hours. hPESCs cultured in the medium without activin A and Wnt3a for 0, 24, 48, 72, 96, and 120 hours were used as the control group. After the DE differentiation of hPESCs, the culture medium was replaced with medium containing 40 ng/ml EGF and cells were cultured for 0 day, 1 day, 3 days, 5 days, 7 days, and 9 days. DE cultured in the medium without EGF for 0 day, 1 day, 3 days, 5 days, 7 days, and 9 days was used as the control group. The differentiation of hPESCs into DE was performed as previously reported.(Liang et al.2020) Briefly, cell morphology was observed under an inverted microscope. Karyotype analysis was conducted to detect the karyotype of cultured cells. Alkaline phosphatase (AKP) staining was also performed to detect the undifferentiated hPESCs as previously reported (Wang et al.2015).
Flow cytometry
After the 0-, 24-, 48-, 72-, 96-, and 120-hour culture of hPESCs in the medium with and without activin A and Wnt3a, flow cytometry was performed to examine the expression of DE markers, i.e., C-X-C motif chemokine receptor 4 (CXCR4) and E cadherin (ECD). Briefly, a single-cell suspension was collected and washed twice with PBS. Next, 10 µl PE-conjugated anti-human CXCR4 monoclonal antibodies (R&D) and APC-conjugated anti-human ECD monoclonal antibodies (R&D) was added into a 200 µl single-cell suspension (106 cells/ml in PBS), respectively. After 30-min incubation with antibodies at 4°C, unconjugated antibodies were removed by washing with PBS and samples were analyzed using a FACSC Canto II cytosorter (BD Bioscience Pharmingen Inc., San Diego, CA, USA). Data were recorded and analyzed by using FACSDiva V6.1.3 (BD Bioscience).
Real time quantitative PCR
After the 0-, 24-, 48-, 72-, 96-, and 120-hour culture of hPESCs in the medium with and without activin A and Wnt3a, qPCR was performed to examine the expression of DE markers, i.e., SRY-box 17 (Sox17) and Goosecoid(GSC). Briefly, total RNA was extracted from cultured cells using the Trizol reagent (Invitrogen). Then cDNA was synthesized by reverse transcription. The DE markers Sox17 and Gsc were then measured by qPCR. All primers were synthesized by TaKaRa Biotechnology Co., Ltd (Dalian, China) and the sequences of primer are listed in Table 1. The cycling conditions and annealing temperature are shown in Table 2.
Table 1 Primer sequences
Gene
|
Forward (5ʹ-3ʹ)
|
Reverse (5ʹ-3ʹ)
|
Length (bp)
|
β-actin
|
TGGCACCCAGCACAATGAA
|
CTAAGTCATAGTCCGCCTAGAAGCA
|
186
|
Sox17
|
CTGCAGGCCAGAAGCAGTGTTA
|
CCCAAACTGTTCAAGTGGCAGA
|
153
|
Gsc
|
ACCTCCGCGAGGAGAAAGTG
|
GACGACGACGTCTTGTTCCA
|
121
|
Table 2 qPCR cycling conditions and annealing temperature
Gene
|
Cycling conditions
|
Annealing temperature(°C)
|
β-actin
|
94°C, 30 s —[94°C, 30 s —64°C, 30 s]×40 cycles
|
64
|
Sox17
|
94°C, 5 min —[94°C, 30 s —59°C, 30 s —72°C, l min]×40 cycles
|
59
|
Gsc
|
94°C, 5 min —[94°C, 30 s —61°C, 30 s —72°C, l min]×40 cycles
|
61
|
Similarly, after the 0-day, 1-day, 3-day, 5-day, 7-das, and 9-day culture of DE in the medium with and without EGF, qPCR was performed to examine the expression of IESCs markers, i.e., hairy and enhancer of split 1 (Hes1) and Musashi-1 (Msi1). Briefly, total RNA was extracted from cultured cells using the Trizol reagent (Invitrogen). Then cDNA was synthesized by reverse transcription. The IESCs markers Hes1 and Msi1 were measured by qPCR. The primers were synthesized by TaKaRa Biotechnology Co., Ltd (Dalian, China) and the sequences of primer are listed in Table 3. The PCR cycling conditions and annealing temperature are shown in Table 4.
Table 3 Primer sequences
Gene
|
Forward (5ʹ-3ʹ)
|
Reverse (5ʹ-3ʹ)
|
Length (bp)
|
β-actin
|
TGGCACCCAGCACAATGAA
|
CTAAGTCATAGTCCGCCTAGAAGCA
|
186
|
Msil
|
CGTTTGAGCTGAGTCCTGAGACAC
|
GCTGGCTTCGAAACACCATGTA
|
164
|
Hesl
|
GGACATTCTGGAAATGACAGTGA
|
AGCACACTTGGGTCTGTGCTC
|
87
|
Table 4 qPCR cycling conditions and annealing temperature
Gene
|
Cycling conditions
|
Annealing temperature (°C)
|
β-actin
|
94°C, 30 s —[94°C, 30 s —64°C, 30 s]×40 cycles
|
64
|
Msil
|
94°C, 5 min —[94°C, 30 s —61°C, 30 s —72°C, 40 s]×40 cycles
|
61
|
Hesl
|
94°C, 5 min —[94°C, 30 s —62°C, 30 s]×40 cycles
|
62
|
Double immunocytochemical staining
The expression of IESCs markers, i.e., Msi1 and Hes1, was also measured by double immunochemical staining to identify the IESCs. Cultured cells were collected and suspended in PBS at a final density of 1x105 cells/ml. Two drops of the cell suspension were placed on a clean glass slide, followed by 10-min fixation with absolute ethanol at room temperature. The slides were then air-dried at room temperature and stored at 4 °C. Normal adult small intestine was used as positive control tissue samples. The tissues were processed routinely with formalin fixation and paraffin embedding. Next, 3µm-thick sections were mounted on poly-L-lysine coated slides. For immunochemical staining, endogenous peroxidase activity was blocked with peroxidase blocking reagent for 5 min. Sections were subsequently treated with normal nonimmunone serum for 10 min. The sections were incubated with Msi1 antibody at room temperature for 1 hour, followed by the biotin-labeled secondary antibody for 10 min. After a 5-min wash in PBS for 3 times, Streptavidin-Alkalinephosphatase was applied for 10 min. After a 5-min wash in PBS for 3 times, sections were incubated in 5-bromo-4-chloro-3-inodlyl-phosphat / Nitro-Blue-Tetrazolium chromogenic solution. After a 5-min wash in PBS for 3 times, double dye enhancer was applied for 10 min. After a 5-min wash in PBS for 3 times, sections were subsequently treated with normal nonimmunone serum for 10 min. Next, sections were treated with Hes1 antibodies for 60 min at room temperature, followed by biotin-labeled secondary antibody for 10 min. After a 5-min wash in PBS for 3 times, Streptavidin-Alkalinephosphatase was applied for 10 min. After a 5-min wash in PBS for 3 times, sections were treated by fresh 3-amino-9-ethylcarbazole solution. Sections were finally stained by hematoxylin and observed under microscope. The positive expression of Msil was determined when purple black were found within the cell nucleus, and the positive expression of Hesl was determined when red cytoplasm was observed. 1000 cells were randomly selected and the percentages of Msil+Hesl- cells, Msil-Hesl+ cells and Msil+Hesl+ cells were calculated, respectively.
Statistical analysis
All analyses were performed with the Statistical Package for Social Science (SPSS19.0 for Windows, Stanford University, CA, USA) and data were analyzed using the t-test and ANOVA. A value of P<0.05 was considered statistically significant.