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      Derivation of Peripheral Nociceptive, Mechanoreceptive, and Proprioceptive Sensory Neurons from the same Culture of Human Pluripotent Stem Cells

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          Summary

          The three peripheral sensory neuron (SN) subtypes, nociceptors, mechanoreceptors, and proprioceptors, localize to dorsal root ganglia and convey sensations such as pain, temperature, pressure, and limb movement/position. Despite previous reports, to date no protocol is available allowing the generation of all three SN subtypes at high efficiency and purity from human pluripotent stem cells (hPSCs). We describe a chemically defined differentiation protocol that generates all three SN subtypes from the same starting population, as well as methods to enrich for each individual subtype. The protocol yields high efficiency and purity cultures that are electrically active and respond to specific stimuli. We describe their molecular character and maturity stage and provide evidence for their use as an axotomy model; we show disease phenotypes in hPSCs derived from patients with familial dysautonomia. Our protocol will allow the modeling of human disorders affecting SNs, the search for treatments, and the study of human development.

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          Highlights

          • Efficient differentiation protocol for functional, DRG-like peripheral sensory neurons

          • Enrichment of nociceptors, mechanoreceptors, and proprioceptors via immunopanning

          • Generation of mechanoreceptors via the first wave of SN development

          • Disease phenotypes in iPSC-derived SNs from familial dysautonomia and axotomy model

          Abstract

          In this article, Zeltner and colleagues describe an efficient protocol to differentiate functional peripheral sensory neurons that resemble the human dorsal root ganglia. Methods are provided to isolate nociceptors, mechanoreceptors, and proprioceptors individually using immunopanning or by catching progeny from developmental waves, i.e., mechanoreceptors. This protocol was used as a model to study axotomy and familial dysautonomia using patients' induced pluripotent stem cells.

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          Most cited references39

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          The capsaicin receptor: a heat-activated ion channel in the pain pathway.

          Capsaicin, the main pungent ingredient in 'hot' chilli peppers, elicits a sensation of burning pain by selectively activating sensory neurons that convey information about noxious stimuli to the central nervous system. We have used an expression cloning strategy based on calcium influx to isolate a functional cDNA encoding a capsaicin receptor from sensory neurons. This receptor is a non-selective cation channel that is structurally related to members of the TRP family of ion channels. The cloned capsaicin receptor is also activated by increases in temperature in the noxious range, suggesting that it functions as a transducer of painful thermal stimuli in vivo.
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            Neurotrophins: roles in neuronal development and function.

            Neurotrophins regulate development, maintenance, and function of vertebrate nervous systems. Neurotrophins activate two different classes of receptors, the Trk family of receptor tyrosine kinases and p75NTR, a member of the TNF receptor superfamily. Through these, neurotrophins activate many signaling pathways, including those mediated by ras and members of the cdc-42/ras/rho G protein families, and the MAP kinase, PI-3 kinase, and Jun kinase cascades. During development, limiting amounts of neurotrophins function as survival factors to ensure a match between the number of surviving neurons and the requirement for appropriate target innervation. They also regulate cell fate decisions, axon growth, dendrite pruning, the patterning of innervation and the expression of proteins crucial for normal neuronal function, such as neurotransmitters and ion channels. These proteins also regulate many aspects of neural function. In the mature nervous system, they control synaptic function and synaptic plasticity, while continuing to modulate neuronal survival.
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              Combined small molecule inhibition accelerates developmental timing and converts human pluripotent stem cells into nociceptors

              There has been considerable progress in identifying signaling pathways directing the differentiation of human pluripotent stem cells (hPSCs) into specialized cell types including neurons. However, extrinsic factor-based differentiation of hPSCs is a slow, step-wise process mimicking the protracted timing of normal human development. Using a small molecule screen we identified a combination of five small molecule pathway inhibitors sufficient to yield hPSC-derived neurons at >75% efficiency within 10 days of differentiation. The resulting neurons express canonical markers and functional properties of human nociceptors including TTX-resistant, SCN10A-dependent sodium currents and response to nociceptive stimuli including ATP and capsaicin. Neuronal fate acquisition occurs three-fold faster than during in vivo 1 development suggesting that use of small molecule pathway inhibitors could develop into a general strategy for accelerating developmental timing in vitro. The quick and high efficiency derivation of nociceptors offers unprecedented access to this medically relevant cell type for studies of human pain.
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                Author and article information

                Contributors
                Journal
                Stem Cell Reports
                Stem Cell Reports
                Stem Cell Reports
                Elsevier
                2213-6711
                04 February 2021
                09 March 2021
                04 February 2021
                : 16
                : 3
                : 446-457
                Affiliations
                [1 ]Center for Molecular Medicine, University of Georgia, 325 Riverbend Road, Athens, GA 30602, USA
                [2 ]Department of Biochemistry and Molecular Biology, Franklin College of Arts and Sciences, University of Georgia, GA, USA
                [3 ]Department of Cellular Biology, Franklin College of Arts and Sciences, University of Georgia, GA, USA
                Author notes
                []Corresponding author nadja.zeltner@ 123456uga.edu
                Article
                S2213-6711(21)00002-3
                10.1016/j.stemcr.2021.01.001
                7940146
                33545066
                5a91a3cb-3ae1-46f0-8b46-2b8edc615663
                © 2021 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 3 June 2020
                : 2 January 2021
                : 4 January 2021
                Categories
                Report

                pluripotent stem cells,induced pluripotent stem cells,neural crest,sensory neurons,nociceptors,mechanoreceptors,proprioceptors,dorsal root ganglia,axotonomy,immunopanning

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