Recent advances in our ability to generate cell models of human disease come from the area of regenerative medicine. Patient cells have been reprogrammed to a stem cell like state by the introduction of genes encoding proteins involved in the regulation of gene expression in stem cells, also called transcription factors. A cocktail of four such genes, when introduced into human skin cells, turns these cells into induced pluripotent stem (iPS) cells. By manipulation of the environment in which these iPS cells are grown, using a combination of proteins and small molecules, researchers have been able to generate many different types of cells found in the human body. These cell types can be those that are affected in human diseases, thus allowing researchers to probe the basis for these diseases, and to test possible therapeutics. One limitation of this approach, however, is the poor efficiency of reprogramming and the length of time necessary to induce pluripotency. To circumvent these obstacles, several labs have looked for small molecules that will either replace components of the four-transcription factor cocktail used for reprogramming or enhance the efficiency of reprogramming. Recent studies have shown that a compound called valproic acid improves the efficiency of generation of iPS cells from fibroblasts, and can allow reprogramming with only two transcription factors. This molecule acts by changing the chromosome environment of genes, thereby activating silent genes. However, valproic acid is a relatively weak and non-selective compound. We propose to identify more selective and efficient small molecules that improve the efficiency of reprogramming human cells, with the long-term goal of identifying small molecules that can reprogram cells by activating endogenous cellular genes involved in reprogramming differentiated cells to the pluripotent state. Our laboratory has extensive experience with a class of molecules called histone deacetylase (or HDAC) inhibitors, and we have on hand a library of such molecules, and small interfering RNAs that also reduce the levels of the HDAC enzymes in cells. We will screen these libraries in order to identify the HDAC enzymes that regulate the master genes for pluripotency and to identify small molecule HDAC inhibitors to improve on our ability to generate iPS cells. We will also collaborate with JST researchers in Japan. Since only a single transcription factor (POU5F1/OCT4) is sufficient for generation of iPS cells from neural stem cells, they will focus on the reactivation of POU5F1/OCT4 in neural stem cells by using similar approaches. Once we have identified these enzymes and small molecule inhibitors, this information will advance our understanding of the cellular control mechanism that govern stem cells, and will also make the generation of stem cells from patient samples to be a more efficient process. It will also link to a new pathway to regenerate the human brain.
A major obstacle in the development of new drugs for human diseases is our lack of cell models that represent the tissues or organs that are affected in these diseases. While cancer cells can be grown in the laboratory, and are available for drug testing, the cell types that are affected in many diseases are not readily available. Two familiar examples are brain cells from Parkinson’s and Alzheimer’s disease patients, or cells of the pancreas from diabetic patients, neither of which are available for experimentation and drug screening. However, recent advances in stem cell biology now make it possible to generate such cells, starting from patient skin cells. Skin cells can be turned into stem cell-like cells (induced pluripotent stem cells), which can then give rise to just about any cell type in the human body. However, the process to generate these cell models is time consuming and inefficient. The studies proposed in this application will yield information on how to improve of generation of patient-specific induced pluripotent stem cells, and will likely speed up the process of generating these cell models and screening for new drugs. Development of therapeutics for neurological diseases such as Parkinson’s and Alzheimer’s disease or diabetes would be a major benefit to the people of the State of California, and the nation as a whole.