Sufficiency for inducible Caspase-9 safety switch in human pluripotent stem cells and disease cells

Gene Ther. 2019 Nov;27(10-11):525-534. doi: 10.1038/s41434-020-0179-z. Epub 2020 Jul 23.

Abstract

Embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs) have promising potential for opening new avenues in regenerative medicine. However, since the tumorigenic potential of undifferentiated pluripotent stem cells (PSCs) is a major safety concern for clinical transplantation, inducible Caspase-9 (iC9) is under consideration for use as a fail-safe system. Here, we used targeted gene editing to introduce the iC9 system into human iPSCs, and then interrogated the efficiency of inducible apoptosis with normal iPSCs as well as diseased iPSCs derived from patients with acute myeloid leukemia (AML-iPSCs). The iC9 system induced quick and efficient apoptosis to iPSCs in vitro. More importantly, complete eradication of malignant cells without AML recurrence was shown in disease mouse models by using AML-iPSCs. In parallel, it shed light on several limitations of the iC9 system usage. Our results suggest that careful use of the iC9 system will serve as an important countermeasure against posttransplantation adverse events in stem cell transplantation therapies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apoptosis
  • Caspase 9 / genetics
  • Caspase 9 / metabolism
  • Cell Differentiation
  • Cell Line
  • Humans
  • Induced Pluripotent Stem Cells* / metabolism
  • Mice
  • Pluripotent Stem Cells* / metabolism

Substances

  • Caspase 9