Challenges of Acquiring Patient iPSC Lines

The Power of Patient iPSC Lines for Drug Discovery

The revolutionary breakthrough of Induced Pluripotent Stem Cells (iPSCs) has opened exciting new avenues in regenerative medicine and drug discovery. Among the various applications, patient-specific iPSC lines offer immense potential for personalized medicine and disease modeling, allowing researchers to study neurodegenerative diseases and other conditions in a more relevant and patient-specific context. However, obtaining patient iPSC lines for research purposes presents a unique set of challenges. In this article, we will delve into the obstacles that researchers may encounter during the acquisition of patient iPSC lines and explore case studies based on real experiences from Elixirgen Scientific.

What Researchers Need to Know Before Beginning to Use Patient iPSCs

Appropriate Intellectual Property Licenses:

Many iPSC lines may be protected by patents or other proprietary rights. Prior to initiating the acquisition process for patient iPSC lines, researchers must ensure that they hold the necessary intellectual property licenses. Failure to secure the appropriate licenses could lead to legal complications and impede the progress of research projects. It is essential to verify the licensing status of the iPSC lines and carefully review the material transfer agreements to avoid any potential legal liabilities.

Your Institutional Review Board (IRB) Requirements:

Ethical considerations play a paramount role when using patient-derived cells. Researchers must adhere to the guidelines set by their Institutional Review Board and ensure appropriate informed consent was obtained from patients before acquiring and using iPSC lines. For instance, certain IRBs may impose restrictions on the use of biological samples from compensated donors, prohibiting their use for research purposes. Adhering to these ethical guidelines ensures responsible research conduct and upholds patient privacy and autonomy.

Operating Body of iPSC Line Provider:

Selecting a reliable and reputable iPSC line provider is of utmost importance. Researchers should thoroughly investigate the operating body behind the iPSC bank or repository. iPSC banks can be operated by for-profit companies, academic institutions, or non-profit organizations, each having its pros and cons. Familiarity with the provider's background, track record, and data sharing policies empowers researchers to make informed decisions. It is important to be aware that some iPSC banks may exhibit slow responsiveness or may not respond at all, hindering the acquisition process. A recent endeavor of one of our clients took nearly a year from the initiation of the order to the actual receipt of the lines. It's essential to exhibit patience and factor potential delays into your project timeline.

Understanding of the Provider Requirements:

Certain iPSC banks may have restrictions on providing iPSC lines to for-profit organizations. Awareness of the specific requirements and restrictions imposed by the provider is crucial for a seamless acquisition process. Clear communication with the provider and thorough comprehension of their requirements will prevent misunderstandings and potential delays in obtaining the iPSC lines. For instance, in theory, all commercial entities should possess an iPS Academia Japan license even for in-house research. Nevertheless, this requirement may vary as some banks mandate it, while others do not.

Variances in iPSC Line Quality:

The quality of iPSC lines can profoundly impact research outcomes. Researchers must consider factors such as the source of somatic cells used for reprogramming, the reprogramming method, and the validation procedures employed by the iPSC line provider. Variability in cell quality can influence experimental reproducibility and hinder the generation of reliable data. For example, Elixirgen Scientific has encountered multiple iPSC lines contaminated with differentiated cells, necessitating the selection of appropriate iPSC colonies for further differentiation projects. Additionally, some iPSC banks may not provide information on the growth rate of the iPSC lines, which is crucial in assessing yield from iPSCs to differentiated cells, highlighting the need for standardized growth rate measurement.

Case Studies from Elixirgen Scientific’s Experience

1. Fast Turnaround with For-Profit Company Operated iPSC Bank:

Elixirgen Scientific had successful experiences acquiring patient iPSC lines from a reputable for-profit company operated iPSC bank. The iPSC lines were quickly acquired and provided a streamlined route from culture generation, harvesting, and effective differentiation through our patented process. However, despite the quick turnaround time,  we found up to 20% of received iPSC lines contaminated with differentiated cells after initial thawing (see image below). Such a situation required iPSC colony picking for multiple passages. Even if you receive a new vial, it may be similarly contaminated and requires additional workload. 

Low quality iPSC after thawing

2. Stricter Document Requirements:

In another case, Elixirgen Scientific encountered challenges when dealing with a provider with stringent document requirements. While ensuring proper compliance is essential, overly burdensome paperwork can cause delays in the acquisition process and impede research progress.

3. Canceled Order with Cross-Border iPSC Procurement:

Cross-border procurement of patient iPSC lines can introduce unforeseen complications. Elixirgen Scientific faced a slow response and eventually canceled an order due to inconsistent messaging and communication issues. Researchers must be prepared for potential complexities when acquiring iPSC lines from international sources, and clear communication channels with the iPSC bank or its distributor are crucial. Unfortunately researchers cannot always believe and use provided information on websites. There could be logistical challenges and varying degrees of customer support.

4. Blind Order with a Non-Profit Institute Based iPSC Bank:

Elixirgen Scientific’s client encountered communication challenges with a non-profit institute-based iPSC bank, resulting in an unclear order requirement and prolonged delays. After some time, it became clear that the bank subjectively chooses who to provide iPSC lines to, even when their disclosed Material Transfer Agreement (MTA) does not require any special conditions. Unfortunately, the institute's interests may supersede enabling wider industry use, impacting researchers' access to the iPSC lines.

Potential alternatives to the procurement from iPSC banks

Gene-Edited iPSCs as an Alternative to Patient iPSC Lines

Considering the challenges associated with acquiring patient-specific iPSC lines, researchers have explored gene-edited iPSCs as a viable alternative. Leveraging gene editing technologies such as CRISPR-Cas9, researchers can introduce disease-specific mutations into healthy iPSC lines, creating disease models that closely resemble patient-specific iPSCs. While these gene-edited iPSCs may not entirely replicate the patient's genetic background, they offer valuable insights into disease mechanisms and potential therapeutic targets. Also, for those looking for more relevant controls, using gene-editing to create wild-type or corrected rescues for an isogenic control can help.

Viral Transduction to Introduce Target Disease State

Another alternative researchers could consider is engineering existing cell lines. Elixirgen Scientific's iPSC-differentiated neurons are highly viable and can be transduced with lentivirus to introduce disease-like states. For instance, GFP-tagged lentiviral transductions of Elixirgen Scientific neurons have been successfully demonstrated after thawing, providing researchers with a flexible and effective tool for studying disease mechanisms.

Conclusion

Patient-specific iPSC lines serve as a potent resource for advancing drug discovery and personalized medicine, especially in disease modeling and iPSC drug screening applications. However, researchers must be aware of the challenges involved in acquiring these valuable resources. Ensuring proper compliance with intellectual property licenses and ethical guidelines, selecting reputable providers, and considering alternatives like gene-edited iPSCs and viral transduction will contribute to a more successful and impactful iPSC-based research journey. Collaborative efforts among iPSC banks, researchers, and ethical governing bodies will unlock the full potential of patient iPSC lines, fostering transformative medical advancements in neurodegenerative diseases and beyond.

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List of diseases and mutations.

Transform how you study disease with Quick-Tissue™ technology
With Quick-Tissue™ technology, you can study disease state from multiple angles in vitro. Thanks to advance in iPSC reprogramming technology, there are thousands of iPSC lines available for your disease study. Look through the iPSC line database below to find out your diseases in interest exist. The database also lists identified mutant genes. Feel free to reach us to how we can help getting differentiated cells derived from iPSC lines in your interest.

DiseaseMutant genes (# of iPSC lines)Number of total patient iPSC lines
ABCA1 heterozygousABC1 (2)2
AbetalipoproteinemiaMTP (2)2
Acromesomelic dysplasiaNPR2 (1)1
Acute encephalopathy with biphasic seizures and late reduced diffusion (AESD)1
Adrenoleukodystrophy (ALD)1
Adult-onset Still’s disease (AOSD)1
Age-related macular degeneration (AMD)121
Aicardi syndrome1
Alexander diseaseGFAP (3)6
Allergic granulomatous angiitis1
Alzheimer's disease (AD)APOE (10), APOE4 (3), APP (4), C9ORF (1), CD33 (2), MAPT (2), PSEN1 (14), PSEN2 (1), TBK1 (1), TREM2 (3)180 (Available Differentiated cells)
Alzheimer's disease (AD) (Gene-edited)APP (6), PSEN1 (8)14
Alzheimer's disease (AD) (familial)APP (3), APPV7171 (4), PSEN1 (1), PSEN2 (1)11
Amyotrophic lateral sclerosis (ALS)ASYMPTOMATIC C9ORF72 CARRIER (1), C9ORF72 (46), FIG4 (1), FUS (3), SETX (1), SETX, SOD1 (1), SOD1 (36), SOD1 > D90A (1), TARDBP (5), VCP (1)532
Anemia (phenotype)1
Angelman syndromeUBE3A (2)10
Aplastic anemia3
Arrhythmogenic right ventricular cardiomyopathy2
Arteriolosclerosis2
Associated pulmonary arterial hypertension18
Ataxia-telangiectasia3
Atrial fibrillation14
Atrial tachycardia1
Autism spectrum disorder (ASD)110 (Available Differentiated cells)
Autoimmune hemolytic anemia (AHA) / Idiopathic warm (AHA)1
Bardet-biedl syndrome22
Batten disease (cln3)CLN3 (23)23
Batten disease (cln6)8
Behçet’s disease2
Beta thalassemiaHBB (2)2
Bethlem myopathy2
Bilateral frontoparietal polymicrogyriaGPR56 (1)1
Bipolar disorder30
Blinding eye disease18
Borderline NASH (fatty liver disease)2
Breast cancerBRCA1 (3)3
Brugada syndrome6
Buerger’s disease1
Cardiomyopathy48
Carpal tunnel syndrome18
Catecholaminergic polymorphic ventricular tachycardiaRYR2 (2)2
Ccanavan DiseaseASPA (1)1
Cchoroideremia (CHM)CHM (1), NGLY1 (1)4
Cerebral creatine deficiency syndrome 1 (CCDS1)SLC6A8 (1)1
Cerebral palsy (CP)19
Cerebrovascular disease4
Ceroid lipofuscinosisCHM (1), CLN2 (1)2
Charcot-Marie-Tooth diseaseFIG4 (1), MFN2 (10), MPZ (2), PMP22 (7), VCP (1)22
Chromosome 16p11.2 deletion syndrome5
Chronic inflammatory demyelinating polyneuropathy (CIDP)2
Chronic myeloid leukemia1
Congenital disorder of deglycosylation (CDDG)CFTR (1)1
Congenital heart block2
Congenital ichthyosis / Ichthyosis syndrome1
Congenital insensitivity to pain with anhidrosis (CIPA)2
Congenital myasthenic syndromeGFPT1 (1)7
Congenital myopathyMTM11 (1)1
ControlC9ORF72 (5), CCR5 (1), GFAP CORRECTED (2), HBB (1), HD (5), HNF1A (1), MECP2 (2), NGN2 (2), SNCA (1), SOD1 > D90A CORRECTED (1), TAF1 VARIANT CORRECTED (4)25
Coronary artery disease43
Corticobasal degeneration (CBD)1
Crohn's disease3
Crow‐Fukase syndrome2
Cystic Fibrosis (CF)DMPK (1)1
Cystinosis1
DMDDMD (5)5
DMRV / GNE myopathy2
Danon disease1
Definite NASH (fatty liver disease)32
DiabetesHNF1A (2)3
Diabetes mellitus60
Diabetes mellitus type II12
Diabetes type I21
Diabetes type II95
Diabetes type unknown4
Diabetic retinopathy (DR)32
Diamond-Blackfan anemia1
Dilated cardiomyopathy (DCM)303
Distal Myopathy3
Down syndrome47,XX,+21 (4), 47,XY,+21 (3)8
Dravet syndromeSCN1A (11)11
Drug-induced liver injury (DILI)4
Duchenne Muscular dystrophy (DMD)DMD (1)2
Dystrophia myotonica 1 (DM1)DMPK (1)1
Ehlers-Danlos syndromeCOL3A1 (1)2
Eosinophilic granulomatosis with polyangiitis (EGPA)1
Eosinophilic sinusitis1
Epidermolysis bullosa1
EpilepsyALG13 (1), GABRA1 (1), KCNC1 (1), PCDH19 (2), SCN2A (1)57 (Available Differentiated cells)
Fabry disease3
Facioscapulohumeral muscular dystrophy 1 (FSHD1)LRIF1 (1)6
Familial Mediterranean fever1
Fatty liver disease - steatosis (not NASH)2
Focal cortical dysplasia (FCD)2
Focal segmental glomerulosclerosis20
Fragile X syndromeFMR1 (4)4
Friedreich ataxia 1 (FRDA)FXN (2)2
Frontotemporal degenerationC9ORF72 (4), GRN (4), MAPT (10), PGRN (2), VCP (1)25
Frontotemporal dementia (FTD)C9ORF72 (6), MAPT (15)30
Frontotemporal lobar degeneration (FTLD)2
GM1-gangliosidosis1
Galactosialidosis1
Gaucher diseaseGBA (1)2
Giant cell arteritis (GCA)2
Glaucoma20
Glut1 deficiency syndrome 1 (Glut1DS1)SLC2A1 (1)1
Glycogen storage disease / GSD type V (muscle glycogen phosphorylase deficiency)1
Glycosylphosphatidylinositol(GPI) anchor deficiency3
Granulomatosis with polyangiitis (GPA)1
Hemiconvulsion-hemiplegia-epilepsy syndrome2
Hemimegalencephaly1
Hepatitis C (HCV)91
Hereditary dystonia1
Homozygous familial hypercholesterolemiaLDLR (6)6
Hunter syndrome2
Huntington's disease (HD)HD (14), HTT (36), IT15 (1), SMN1 (1)58
Hurler syndromeIDUA (1)1
Hutchinson-gilford progeria syndrome (HGPS)2
HyperalphalipoproteinemiaSR-BI (2)2
Hypertrophic cardiomyopathyTNNT2 (1)83
Idiopathic aplastic anemia1
Idiopathic pulmonary arterial hypertension16
Idiopathic pulmonary fibrosis (IPF)182
Idiopathic thrombocytopenic purpura1
IgG4-related disease1
IgG4-related thyroid disease1
Inappropriate sinus tachycardia1
Infantile neuroaxonal dystrophy (INAD)PLA2G6 (5)5
Intellectual disability (ID)60
Interstitial lung disease1
Isaacs syndrome1
Isogenic control3
Kearns-sayre syndrome (KSS)1
Keratoconus2
Krabbe diseaseGALC (1)1
Landau-Kleffner syndrome1
Left ventricular hypertrophy15
Left ventricular non-compaction cardiomyopathy10
Lennox-Gastaut syndrome (LGS)2
Lesch-nyhan syndrome (LNS)HPRT1 (1)1
Lewy body dementia8
Lewy body dementia (LBD)1
Limb-girdle muscular dystrophyDYSF (5)5
Limb-girdle muscular dystrophy (LGMD2b)DYSF (15)15
LissencephalyDCX (1)1
Long QT syndrome3
Long QT syndrome (familial)13
Long QT syndrome 1 (LQT1)3
Long QT syndrome 2 (LQT2)KCNH2 (1)1
Long QT syndrome 3 (LQT3)SCN5A (1)1
MELAS1
Malignant rheumatoid arthritis (MRA)1
Mental illnessDISC1 EXON 8 WILD-TYPE (2)2
Mental retardationCHAMP1 (2), SYNGAP1 (1)3
Mesial temporal lobe epilepsy with hippocampal sclerosis2
Microscopic polyangiitis (MPA)1
Migraine disorderMAJOR CHR17 AMPLIFCATION; MINOR CHR7 DELETION (1)28
Mild left ventricular hypertrophy1
Miller-dieker lissencephaly syndrome (MDLS)1
Mitochondrial diseases1
Mixed Connective-Tissue Disease (MCTD)1
Monogenic diabetes13
Mortor dominant1
Moyamoya disease3
Mucopolysaccharidosis (MPS)SGSH (1)3
Multifocal motor neuropathy (MMN)1
Multiple sclerosis (MS)4
Multiple system atrophy (MSA)6
Muro disease (Kii ALS/PDC)3
Muscular dystrophyDMD (5), LAMA2 (1), POMT2 (1)9
Myasthenia Gravis (MG)1
Myocardial infarction18
Myoclonic epilepsyCHD2 (1)1
Myotonic dystrophyCNBP (4), DMPK (1)9
Nescav syndromeKIF1A (5)6
Neurodegeneration with brain iron accumulation 5 (NBIA5)WDR45 (1)1
Neurodevelopmental disorderDHPS (1)1
Neuroferritinopathy1
Neurofibromatosis type1 (NF1)1
Neurofibromatosis type2 (NF2)1
Neuromyelitis Optica4
Neuromyelitis Optica Spectrum Disorders (NMOSD)1
Neuronal migration disorderPIK3R2 (1)3
NeuropathyGARS (2), SCN9A (6)39
Niemann-pick diseaseNPC1 (1), SMPD1 (3)5
Non-als motor neurone disease1
Ohtahara syndromeSTXBP1 (1)1
Ornithine transcarbamylase deficiency (OTCD)1
Osteogenesis imperfecta type iv (OI4)COL1A2 (1)1
PACS1 (Schuurs-Hoeijmakers) syndromePACS1 (2)2
Pain agnosiaSCN11A (2)2
ParkinsonismGBA (2), LRRK2 (6), MAPT (1), PARK2 (4), PINK1 (1), SNCA (3)26
Parkinson’s disease (PD)GBA (18), LRRK2 (8), SNCA (9)99
Paroxysmal nocturnal hemoglobinuria (PNH)1
Pemphigoid (including epidermolysis bullosa acquisita)2
Pemphigus2
Periodic paralysis1
PhenylketonuriaPAH PAH (1)2
Pick's disease1
Pitt-hopkins syndrome (PTHS)TCF4 (1)1
Polyarteritis nodosa (PAN)2
Polymicrogyria1
Pompe’s disease (adult type)1
Primary antiphospholipid syndrome2
Primary erythromelalgiaSCN9A (2)4
Primary immunodeficiency syndrome3
Primary lateral sclerosis (PLS)7
Primary open angle (POAG)20
Primary progressive aphasia (PPA)1
Progressive multifocal leukoencephalopathy (PML)1
Progressive supranuclea palsy (PSP)1
Prolonged QT interval6
Pulmonary arterial hypertension ALK1 (2), BMPR2 (4)6
Pulmonary atresia1
Pustular psoriasis1
Pyogenic sterile arthritis / Pyoderma gangrenosum and acne syndrome1
Rasmussen encephalitis2
Relapsing polychondritis (RP)1
Resolved systolic anterior motion1
Restrictive cardiomyopathy1
Retinitis pigmentosa5
Rett syndromeFOXG1 (5), MECP2 (6), SHANK3 (1)15
Right ventricular outflow tract premature ventricular contractions2
Ring chromosome 20 syndrome2
Sanfilippo syndrome / MPS IIIC (acetyl-CoA:heparan-α-D-glucosaminide N-acetyltransferase deficiency)1
Schizophrenia4
Semantic Dementia2
Severe combined immunodeficiencyADA (2)2
Sickle cell anemiaHBB (55)55
Sjögren’s syndrome1
Skeletal displasia4
Small atrial septal defect1
Smith-magenis syndrome (SMS)1
Spinal muscular atrophySMN1 (14)18
Spinal-Bulbar Muscular Atrophy (SBMA)10
Spinocerebellar Degeneration14
Spinocerebellar ataxia type 12
Spinocerebellar ataxia type 3ATXN3 (4)4
Spondylometaphyseal displasia2
Stevens-Johnson syndrome (SJS)1
Sturge-Weber syndrome1
Subacute sclerosing panencephalitis (SSPE)2
Syringomyelia1
Systemic amyloidosis2
TNF receptor-associated periodic syndrome1
Takayasu arteritis3
Tangier diseaseABC1 (2), ABCA1 (4)6
Tay-sachs disease (TSD)HEXA (1)1
Thrombotic thrombocytopenic purpura (TTP)1
Tricuspid atresia1
Tuberous sclerosisTSC2 (2)3
Ventricular tachycardia5
Vertebrobasilar insufficiency(VBI)1
Vici syndrome (VICIS)EPG5 (1)1
Werner syndrome1
West syndrome1
Wilson’s disease4
Wolfram syndrome1
Wolman disease1
X-linked creatine transporter deficiency1
X-linked dystonia ParkinsonismTAF1 VARIANT (34)34
Xeroderma pigmentosum2