OCT4 induces long-lived dedifferentiated kidney progenitors poised to redifferentiate in 3D kidney spheroids

Dorit Omer, Osnat Cohen Zontag, Yehudit Gnatek, Orit Harari-Steinberg, Oren Pleniceanu, Michael Namestnikov, Ayelet Hashahar Cohen, Malka Nissim-Rafinia, Gal Tam, Tomer Kalisky, Eran Meshorer, Benjamin Dekel

Research output: Contribution to journalArticlepeer-review

Abstract

Upscaling of kidney epithelial cells is crucial for renal regenerative medicine. Nonetheless, the adult kidney lacks a distinct stem cell hierarchy, limiting the ability to long-term propagate clonal populations of primary cells that retain renal identity. Toward this goal, we tested the paradigm of shifting the balance between differentiation and stemness in the kidney by introducing a single pluripotency factor, OCT4. Here we show that ectopic expression of OCT4 in human adult kidney epithelial cells (hKEpC) induces the cells to dedifferentiate, stably proliferate, and clonally emerge over many generations. Control hKEpC dedifferentiate, assume fibroblastic morphology, and completely lose clonogenic capacity. Analysis of gene expression and histone methylation patterns revealed that OCT4 represses the HNF1B gene module, which is critical for kidney epithelial differentiation, and concomitantly activates stemness-related pathways. OCT4-hKEpC can be long-term expanded in the dedifferentiated state that is primed for renal differentiation. Thus, when expanded OCT4-hKEpC are grown as kidney spheroids (OCT4-kSPH), they reactivate the HNF1B gene signature, redifferentiate, and efficiently generate renal structures in vivo. Hence, changes occurring in the cellular state of hKEpC following OCT4 induction, long-term propagation, and 3D aggregation afford rapid scale-up technology of primary renal tissue-forming cells.

Original languageEnglish
Pages (from-to)329-346
Number of pages18
JournalMolecular Therapy Methods and Clinical Development
Volume29
DOIs
StatePublished - 8 Jun 2023

Bibliographical note

Publisher Copyright:
© 2023 The Authors

Funding

We wish to thank Prof. Zohar Dotan from the Department of Urology, Sheba Medical Center, Tel Hashomer, for providing human kidney tissue samples. The work is supported by ISF (Israel Science Foundation) grants 910/11 and 2071/17, the Israel Ministry of Industry “NOFAR” program, Wolfoson Clore Mayer, and the Sagol Center for Regenerative Medicine, School of Medicine, Tel Aviv University (B.D.); an NIH-NIDDK Diabetic Complications Pilot & Feasibility grant (DK076169), the NephroTools FP7 Marie Curie Initial Training Network (project 289754), and The Lisa and David Pulver Family Foundation (B.D.). E.M. is the Arthur Gutterman Family Chair for Stem Cell Research. This work was partially supported by a generous gift from Arthur Gutterman to E.M. and B.D. D.O. conducted and designed the experiments and wrote the paper, O.H.-S. conducted and designed the experiments, O.C.Z. performed bioinformation analysis, O.P. wrote the paper, Y.G. performed experiments and analysis, M.N. performed experiments and analysis, A.-H.C. performed experiments and analysis, M.N.-R. performed experiments and analysis, G.T. performed experiments and analysis, T.K. designed experiments and analysis, E.M. designed experiments and wrote the paper, and B.D. conducted and designed the experiments and wrote the paper. The authors declare no competing interests. We wish to thank Prof. Zohar Dotan from the Department of Urology, Sheba Medical Center, Tel Hashomer, for providing human kidney tissue samples. The work is supported by ISF (Israel Science Foundation) grants 910/11 and 2071/17 , the Israel Ministry of Industry “NOFAR” program, Wolfoson Clore Mayer , and the Sagol Center for Regenerative Medicine , School of Medicine , Tel Aviv University (B.D.); an NIH - NIDDK Diabetic Complications Pilot & Feasibility grant ( DK076169 ), the NephroTools FP7 Marie Curie Initial Training Network (project 289754 ), and The Lisa and David Pulver Family Foundation (B.D.). E.M. is the Arthur Gutterman Family Chair for Stem Cell Research. This work was partially supported by a generous gift from Arthur Gutterman to E.M. and B.D.

FundersFunder number
Israel Ministry of Industry
Lisa and David Pulver Family Foundation
NIH-NIDDK
Sagol Center for Regenerative Medicine , School of Medicine , Tel Aviv University
Sagol Center for Regenerative Medicine, School of Medicine, Tel Aviv University
National Institutes of Health
National Institute of Diabetes and Digestive and Kidney DiseasesDK076169
Seventh Framework Programme289754
Israel Science Foundation2071/17, 910/11

    Keywords

    • CKD
    • cell therapy
    • chronic kidney disease
    • dedifferentiation
    • kidney organoid
    • kidney progenitor
    • kidney regeneration
    • kidney spheroid
    • long-term expansion
    • redifferentiation
    • reprogramming
    • tubuloid

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