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IDENTIFICATION OF SURFACE MARKERS OF DENTAL EPITHELIAL-LIKE CELLS DERIVED FROM INDUCED PLURIPOTENT STEM CELLS FINAL SCIENTIFIC ASSIGNMENT INTERNATIONAL DENTAL COURSE PROGRAM PHAM DO THANH THANH DEPARTMENT OF BIOMATERIALS FACULTY OF DENTISTRY HIROSHIMA UNIVERSITY 2016 i APPROVAL SHEET We certify that we have approved the final scientific assignment: Prepared by : Pham Do Thanh Thanh Entitled : Identification of surface markers of dental epithelial-like cells derived from induced pluripotent stem cells …………………………………… Professor Koichi Kato Department of Biomaterials Institute of Biomedical & Health Sciences Hiroshima University i This final scientific assignment has been presented at Faculty of Dentistry, Hiroshima University through the teleconference system with the sister universities (University of Medicine and Pharmacy in Ho Chi Minh City, Vietnam and Airlangga University, Indonesia) on June 4, 2016 JUDGES: Prof Koichi Kato, PhD Prof Kotaro Tanimoto, DDS., PhD Assistant Prof Isao Hirata, PhD Assoc Prof Ngo Thi Quynh Lan, DDS., PhD Assoc Prof Nguyen Thi Hong, DDS., PhD ii TABLE OF CONTENTS APPROVAL SHEET i TABLES OF CONTENTS iii LIST OF FIGURES v LIST OF TABLE v ACKNOWLEDGEMENT vi ABBREVIATIONS x ABSTRACT xiii CHAPTER 1: INTRODUCTION CHAPTER 2: LITERATURE REVIEW 2.1 Induced pluripotent stem cells (iPSCs) 2.2 Embryoid body (EB) 2.3 Dental epithelial cell 2.3.1 Characteristics 2.3.2 Function in tooth development 2.4 Tumor protein p63 2.4.1 Location and isoforms 2.4.2 Functions 2.5 Cytokeratin 14 2.6 CD49f 2.7 Epithelial cadherin iii CHAPTER 3: CONCEPTUAL MAPPING AND HYPOTHESIS 10 3.1 Conceptual mapping 10 3.2 Hypothesis 11 CHAPTER 4: RESEARCH METHODOLOGY 12 4.1 Research type 12 4.2 Experimental design 12 4.3 Materials and methods 12 4.3.1 Cell culture 12 4.3.1.1 Feeder layer 12 4.3.1.2 Maintenance of undifferentiated state of miPSCs 12 4.3.2 Formation of EBs 13 4.3.3 Dental epithelial differentiation of miPSCs 14 4.3.4 Immunofluorescence and surface labelling (two steps) 14 4.3.5 Flow cytometry 15 CHAPTER 5: RESULTS AND DISCUSSION 17 5.1 Derivatization of DE-like cells from miPSCs 17 5.2 Correlation between intracellular markers (p63, CK14) and surface antigens (CD49f, E-cadherin) studied by immunofluorescent staining 21 5.3 Correlation between p63 and surface antigens (CD49f, E-cadherin) studied by flow cytometry 24 CHAPTER 6: DISCUSSION 26 CHAPTER 7: CONCLUSION 30 REFERENCES 31 iv LIST OF FIGURES Figure 5.1.1 Page Maintenance of undifferentiated state of miPSCs on MMC-treated SNL feeder layer……………………………………………………………………… 18 5.1.2 EB formation………………………………………………………………… 19 5.1.3 Differentiation of DE-like cells……………………………………………… 20 5.2.1 Fluorescent micrographs of cells stained with antibodies against p63 and E-cadherin or CD49f………………………………………………… 5.2.2 Fluorescent micrographs of cells stained with antibodies against CK14 and E-cadherin or CD49f……………………………………………… 5.3 23 The results of flow cytometry for quantitatively analyzing correlation between p63 and surface antigens (CD49f, E-cadherin) …………………… 6.1 22 25 Scheme for the relationship between integrin α6β4 and laminin-5 and -10/11…………………………………………………………………………… 29 LIST OF TABLE Table Page Summary of double staining immunofluorescence findings………………… v 24 ACKNOWLEDGEMENT This final scientific assignment was carried out to fulfill the requirement for completion of the bachelor degree from Faculty of Odonto-stomatology, University of Medicine and Pharmacy at Ho Chi Minh city, Vietnam The contents of this final scientific assignment were obtained from research work at Department of Biomaterials, Faculty of Dentistry, Hiroshima University, Japan during participating in the International Dental Course Program from 20122016 I would like to dedicate my acknowledgement of gratitude towards the following people for all their support and encouragement during my academic study and research assignment at Hiroshima University Firstly, I would like to express my deep gratitude to Professor Koichi Kato, Dean of Faculty of Dentistry, Hiroshima University; to Professor Takashi Takata, former Dean and Founder of International Dental Course program and to Professor Motoyuki Sugai, former Dean; for giving me a chance to study abroad in the dental field It is also with immense gratitude that I acknowledge Associate Professor Ngo Thi Quynh Lan, Dean of Faculty of Odonto-Stomatology, University of Medicine and Pharmacy at Ho Chi Minh City and Associate Professor Le Duc Lanh, former Dean, for the development of collaboration between the two universities to implement this program and thank you for selecting me as a candidate for this program and continuously supporting me vi I also want to extend my appreciation to Faculty of Dentistry, Hiroshima University and NGO Hiroshima for the scholarship they provided me monthly during four years Without this grant, it would have been difficult for me to live and study in Japan I owe my deepest gratitude to Professor Koichi Kato, Chair of Department of Biomaterials, for giving me the chance to join his department and experiments on the stem cell field He continuously supported me throughout my research His professional guidance, encouragement, recommendation and vision helped me a lot in designing and developing my research work He also spent a lot of time to read and provide helpful comments and correction for my research proposal, presentation and thesis writing even though he was very busy Without his precious patience and support, I could have not accomplished my research My sincere thank also goes for Assistant Professor Isao Hirata, who taught me the fundamental knowledge about research from the very first day that I entered the Biomaterials Laboratory He kindly provided me with a concrete overview of all the research themes in the department so that I could choose the one that I liked the most Besides that, he also kindly provided technical support and answered the questions from me Especially, I would like to express my warmest love and very great appreciation to my supervisor, Aimi Naim Abdullah, PhD She spent a lot of time to teach me patiently and dedicatedly and also give helpful comments for my proposal, presentation and thesis Additionally, she always tried to find the best solutions for all the difficulties I encountered during research Not only did she provide the insightful comments and evaluation for my research activity but also enthusiastically encourage, motivate and inspire me to my best vii With her help, I could deepen my knowledge to be able to go through and accomplish the research work I am very happy to be guided by a patient and caring supervisor like her Besides that, I would like to sincerely thank Professor Kotaro Tanimoto, DDS, PhD and Associate Professor Nguyen Thi Hong, DDS, PhD who stimulated me to gain insights into my research and widen my prospective through their insightful questions as a judge They also encouraged me a lot for my thesis defense I also want to thank the members in Biomaterials department, iPS cells research groups including Satoshi Miyauchi, MA and Assistant Professor Ryo Nishikiori, who kindly and patiently helped me with flow cytometry procedure and analysis and Azusa Onishi, who always helped me when I had any difficulties during research Additionally, they always encouraged and motivated me a lot during research I also owe a great debt of gratitude to department of International Collaboration Development for Dentistry: Professor Makiko Fujii, Associate Professor Hiroko Oka, Assistant Professor Nguyen Thi Phuong Thao and Associate Professor Maretaningtias Dwi Ariani They kindly provided a lot of useful information for my academic and daily life in Japan They always try their best to understand, help the international dental students and make the International Dental Course program better day by day I wish to offer thanks to my lovely classmates and students of all generation of International Dental Course and Short Stay programs who shared great memories with me during four years For the lab mates in department of Biomaterials: Ms Prak Malina, Ms Chihiro Matsuda, Mr Eiji Imado and Mr Hiroki Yoshii, I am really thankful for all the discussion and the fun we have had I am so happy to be surrounded by supportive and kind friends like them viii They made me have a lot of fun during research activity I will never forget the good time we shared together Last but not least, I want to thank my family, my friends for their spiritual supports during my research and thesis writing My sincere thanks go to my beloved father and mother, who gave birth to me and unconditionally love me, continuously encourage and support me throughout my life regardless of the geographical distance I might have not included all the supporting people who have helped me in various aspects I sincerely apologized to whom whose name was not cited in the above lines Hiroshima, July 2016 Pham Do Thanh Thanh ix surface marker for dental epithelial stem cells, which give rise to dental epithelial cells, derived from cervical loops.64 The aforementioned findings prompted me to investigate the correlations between intracellular markers of DE cells (p63, CK14) and two surface antigens (CD49f, Ecadherin) by double staining immunofluorescence and flow cytometry for miPSC-derived DElike cells Based on the results, the control cells exhibited no correlation between p63 and CD49f or E-cadherin On the contrary, the NT-4 treated cells demonstrated a weak correlation between p63 and E-cadherin, while a strong correlation was seen between p63 and CD49f For the correlation between CK14 and E-cadherin, both control and NT-4 treated samples exhibited no correlation Although the expression of CK14 can be detected in both samples, there is a possibility that cells in both samples are different in nature One of the possibilities is that the control cells can be considered as transit amplifying cells (TACs) derived from asymmetric division of pluripotent cells On the other hand, the NT-4 treated cells can be regarded as DE-like cells but not TACs, because NT-4 is known to bind to p75 neurotrophin receptor and induce the apoptosis in TACs.73,74 The finding for CK14 and E-cadherin expression in control samples can be supported by the previous study reporting that strong expression was observed for CK14, but not Ecadherin in the TACs.75,76 In the case of correlation between CK14 and CD49f, the control cells, which had similar characteristics to TACs, showed no correlation, while the NT-4 treated cells, which could be considered as DE-like cells, showed weak correlation Although there is no previously reported data available regarding the expression of CD49f in TACs, several studies have demonstrated that in TACs there was no expression of integrin beta 1, a subunit that forms a heterodimer with CD49f.77 This also suggests the possibility of negative expression of CD49f in TACs, in accordance with the finding obtained in this study 27 Flow cytometry results showed that p63 had a better correlation with CD49f than Ecadherin for both control and NT-4-treated samples, being in accordance with the immunofluorescence results Nonetheless, the control cells demonstrated a slightly higher percentage of double-positive cells (p63/CD49f and p63/E-cadherin) than NT-4-treated cells Namely, there is discrepancy between data from flow cytometry and immunofluorescence One of the reasons for this discrepancy may have implications in the fact that these two methods focused on different cell populations: In flow cytometry, total cells consisting of cells in EBs and those migrated from EBs were all used for the analysis Because most of the DE-like cells are likely present in migrated populations that seem to be a quite minor fraction in total cells Therefore, it is rather reasonable that the percentages of p63-positive DE-like cells determined by flow cytometry are quite small at the level comparable to the detection limit In addition, it may be probable that the localization of p63 has also influence on the flow cytometry data Because p63 transcription factor is synthesized in a cytosol and translocated into a nucleus, fluorescent labeling must be done intracellularly together with labeling of antigens present on a cell membrane (CD49f or E-cadherin) It is still challenging to detect both intracellular and surface proteins in flow cytometry with double staining technique, because of difficulties in preserving the integrity of surface antigens during membrane permeabilization using Triton-X and in detecting fluorescence emitted from the intracellular space These potential difficulties may cause the underestimation of intracellular and surface proteins Although the observed percentages were relatively low, the data obtained from this study clearly showed that there is a stronger correlation between p63 and CD49f compared to p63 and E-cadherin in the NT-4 treated cells This correlation may be due to the reason that p63 regulates the expression of cell adhesion molecules such as CD49f integrin in epithelial cells.78 Even so, 28 the mechanism is still unclear and thus further investigation is needed to understand the direct implications of p63 in CD49f expression With all the aforementioned evidences, p63 expression has strong correlation with CD49f expression in NT-4 treated cells, and CD49f may serve as a better surface marker than Ecadherin for DE-miPSCs E-cadherin is classified as a general marker for all types of epithelial cells, and thus may not be a suitable candidate as a specific marker of DE-like cells On the other hand, the presence of CD49f on DE-like cells led us to consider the important function of this protein in these cells CD49f forms integrin α6β4, a receptor for laminin and 10/11, and activates PI3K/AKI and downstream molecules Rac1/cdc42 and RhoA GTPases for the polarity, spreading and filopodia formation of DE cells.79-86 Laminin and 10/11 are abundantly found in a basement membrane and needed for growth and polarization of DE cells as well as development and shape of tooth bud.65 During tooth development, the dental epithelium and mesenchyme coordinately and reciprocally interact across the basement membrane Figure 6.1 Scheme for the relationship between integrin α6β4 and laminin-5 and -10/11 29 CHAPTER 7: CONCLUSION The present study demonstrates that p63 and CD49f in NT-4 treated cells exhibit higher correlation than any other combinations of intracellular markers and surface antigens (p63/Ecadherin, CK14/CD49f, or CK14/E-cadherin) Accordingly, it may be concluded that CD49f serves as a better surface marker for DE-miPSCs than E-cadherin In the light of these findings, it is worth testing CD49f as a surface marker to purify and enrich DE-like cells derived from iPSCs by fluorescence-activated cell sorting (FACS) or magnetic-activated cell sorting (MACS) for further exploring their potentials in tooth regeneration 30 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cells J Cell Biol 1998; 143:1749-1760 40 84 Clark EA, King WG, Brugge JS, Symons M, Hynes RO Integrin-medicated signals regulated by members of the rho family of GTPases J Cell Biol 1998; 142:573-586 85 Price LS, Leng J, Schwartz MA, Bokoch GM Activation of Rac and Cdc42 by integrins mediates cell spreading Mol Biol Cell 1998; 9:1863-1871 86 Van Leeuwen FN, van Delft S, Kain HE, van der Kammen RA, Collard JG Rac regulates phosphorylation of the myosin-II heavy chain, actinomyosin disassembly and cell spreading Nat Cell Biol 1999; 1:242-248 41 ... help the international dental students and make the International Dental Course program better day by day I wish to offer thanks to my lovely classmates and students of all generation of International. .. this final scientific assignment were obtained from research work at Department of Biomaterials, Faculty of Dentistry, Hiroshima University, Japan during participating in the International Dental. .. Takata, former Dean and Founder of International Dental Course program and to Professor Motoyuki Sugai, former Dean; for giving me a chance to study abroad in the dental field It is also with immense

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