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Posters on specific applications using Propagenix technology ! Poster 1: Using Conditional Reprogramming technology to expand patient-derived xenografts (PDX) for in vitro profiling and creating master cell banks ! Poster 2: Ex vivo expansion and preservation of functionality of human islet β-cells using Conditional Reprogramming technology ! Poster 3: A Manufacturing- and Regulatory-Friendly Cell Expansion Technology Allowing for Trillion-Fold Expansion of Primary Airway Epithelial Cells ! Poster 4: A Feeder-Independent and Serum-Free Cell Culture Technology that Allows for Over Trillion-Fold Expansion of Diverse Primary Epithelial Cells Use of conditional reprogramming to develop and characterize cell cultures from patient-derived xenograft (PDX) models of human lung and ovarian cancer Alexandra Borodovsky1, Travis J. McQuiston2, Brian Dougherty1, Ambar Ahmed1, David Whitston1, Daniel Stetson1, Gretchen K. Hubbard2, Sharon S. Challberg2, Mike Zinda1, Brian A. Pollok2 and Celina M. D’Cruz1 1 AstraZeneca 641 Pharmaceuticals PLC, Oncology Bioscience, Waltham, MA USA, 2 Propagenix Inc, Gaithersburg MD Abstract Introduction • Development of stable PDX cell lines remains a challenge due to murine stromal outgrowth, lineage commitment and limited differentiation potential. Tumor Volume (mm3) 1400 Figure 1. Propagation and immortalization of human adult epithelial cells3 1000 800 600 Vehicle 400 Savolitinib 0 0 Figure 3. CR-PDX cell lines are amenable to in vitro chemosensitivity screens. CR-PDX cells were treated with indicated inhibitors and in vitro drug sensitivity was compared to in vivo response. Results CR-PDX models are amenable to chemosensitivity screens • Compounds with known in vivo drug response were selected for chemosensitivity screening, including the BRD4 inhibitor AZD5153, selumetinib (AZD6244, ARRY-142886), savolitinib (AZD6094, HMP-504, Volitinib) and docetaxel. • In some cases, in vitro/in vivo discrepancy can exist, similar to what is observed in conventional cell line xenografts models. Table 1. PDX model characteristics Model Indication Pathology Parental Mutations CR-PDX mutations Average doubling time/day OV0857F Ovarian Serous Carcinoma TP53 (R248Q) TP53 (R248Q) 0.27 KRAS (G12C) TP53 (R273C 0.37 LG0567F Lung KRAS (G12C) Adenocarcinoma TP53 (R273C) HLXF036LN Lung Adenocarcinoma TP53 (P152L) TP53 (P152L) 0.54 HLXF-056 Lung Adenocarcinoma KRAS (G12R) TP53 (K292*) KRAS (G12R) TP53 (K292*) 0.16 Conditional reprogramming expands PDX cells and maintains key mutations • Conditional reprogramming expands lung and ovarian PDX cells • Human cells were enriched by through magnetic murine cell depletion. • Sequencing analysis identified that the CR-PDX cell lines maintained mutations of the parental PDX. 140 120 100 80 60 40 20 0 Relative MET mRNA expression CR-HLXF-036LN 1.6 1.4 1.2 1 0.8 0.6 0.4 Figure 2. CR technology expands PDX explants. Representative images of PDX cells growing in co-culture with GFP-expressing irradiated fibroblast cells (arrows). Left: HLXF-036LN, P1 10X, right: OV0857F, P4, 10X. 0 CR-PDX cells can be utilized for gene knockdown studies • To determine if CR-PDX models can be utilized for genetic manipulation studies and confirm sensitivity to MET signaling, siRNA transfection was used to knockdown MET expression in CR-HLXF-036LN cells. Knockdown efficiency was confirmed by qPCR. • MET knockdown significantly reduced viability of CR-HLXF036LN cells in vitro, as compared to controls. Presented at the AACR Annual Meeting, New Orleans, LA, 17 April, 2016 2 4 7 9 11 14 16 Days Figure 5. CR-PDX cells form tumors and retain drug sensitivity in vivo CR-PDX cells form tumors in vivo, retain drug sensitivity • Approximately 3 weeks following implantation, CR-HLXF-036LN tumors formed and had similar growth kinetics to the parental PDX model. • AZD6094 induced regressions in CR-HLXF-036LN tumors, similar to the parental PDX response, resulting in >100% tumor growth inhibition (Figure 3). Conclusions • CR technology generates stable explant cell lines from PDX models • CR-PDX models retain parental mutations and are amenable to high throughput chemosensitivity screening and genetic manipulation • CR-PDX models form tumors in vivo and maintain drug response 0.2 Figure 4. CR-PDX cells can be utilized for gene knockdown studies. CR-HLXF-036LN cells were treated with siRNAs for MET MYC (positive control ) and non-targeting control (left). Knockdown efficiency was confirmed by qPCR (right). • CR cell technology is dependent upon the combination of feeder cell-derived factors and Rho Kinase (ROCK) inhibitor2. Supported by 1200 200 • CR technology is a novel cell culture system facilitating the generation of stable cultures without genetic manipulation. • The purpose of this study was to identify the potential applications of CR technology for derivation of PDX cell lines. CR-HLXF-036LN 1600 Relative Percent Viability Patient-derived xenografts (PDX) are widely recognized as a more physiologically relevant preclinical model to standard cell line xenografts. PDX models faithfully recapitulate the original patient genetic profile, gene expression patterns and tissue histology. Despite their benefits, PDX models are limited by their inherent variability, lower throughput and lack of growth in vitro. The ability to generate cell lines from PDX models would enable high throughput chemosensitivity screens, ex vivo genetic manipulation and the development of novel orthotopic models. Development of stable PDX cell lines remains a challenge due to murine stromal outgrowth, lineage commitment and limited differentiation potential. Conditional reprogramming (CR) cell technology is a novel cell culture system facilitating the generation of stable cultures without genetic manipulation. The success of CR cell technology is dependent upon the combination of feeder cellderived factors and Rho Kinase (ROCK) inhibitor. CR cells, therefore, represent a new class of progenitor-like cells, distinct from the phenotype of embryonic stem (ES) cells and induced pluripotent stem (iPS) cells. The purpose of this study was to identify the advantages, limitations and potential applications of CR technology for derivation of PDX explant cell lines. Early passage human lung and ovarian PDX tumors were cultured in CR conditions to create stable explant cell lines. Cell lines were established from 5/8 (63%) PDX tumors and were expanded over 6 months in culture with varying morphologies and growth kinetics. Due to normal outgrowth of murine stromal cells, early CR cultures contained mixed populations and required murine depletion to enrich for human cells. Key oncogenic mutations in a model of ovarian papillary serous adenocarcinoma were preserved in the enriched tumor cell population. While purified CR PDX cell lines were amenable to high throughput chemosensitivity screens, in vitro chemosensitivity did not consistently predict response in in vivo murine models. The CR PDX cell lines were additionally assessed for genetic manipulation and ability to form tumors in vivo. Collectively, these results demonstrate the applications of CR technology for the generation of stable explant cell lines from PDX models for preclinical studies. References 1. Saebz FR et al. (2014). Conditionally Reprogrammed Normal and Transformed Mouse Mammary Epithelial Cells Display a Progenitor-Cell–Like Phenotype. PLOS One. 15;9(5). 2. Palechor-Ceron N et al. (2013). Radiation Induces Diffusible Feeder Cell Factor(s) That Cooperate with ROCK Inhibitor to Conditionally Reprogram and Immortalize Epithelial Cells. Am J Pathol. 183(6):1862-70. 3. Liu X et al. (2012). ROCK Inhibitor and Feeder Cells Induce the Conditional Reprogramming of Epithelial Cells. Am J Pathol. 180(2):599-607. Acknowledgements The authors would like to Theresa Prioia, Evan Barry, Danielle Greenawalt and Kelsey Biely for their help with this work. Functional and molecular characterization of human b-cells propagated using the CR cell technology platform Joseph R. Blasic1*, Travis McQuiston1, Kelsey Bieley1, Xiaobo Ma2, Lijuan Fan2,Guoling Chen2, Wanxing Cui2 1Propagenix Inc., 2Medstar Georgetown University Hospital, Transplantation Institute Abstract Propagenix has licensed Conditional Reprogramming (CR) technology, developed at Georgetown University, which enables extensive ex vivo expansion of primary epithelial cells without genetic modification or complex re-differentiation protocols. The CR-expanded cells remain lineage committed and can spontaneously revert to their differentiated phenotype when removed from the expansion media. Here we show that CR technology allows for over a billion-fold expansion of primary β-cells. Furthermore, these cells continue to express key β-cell markers (PDX-1, Neuro D1, MafA, and Insulin C-peptide) and regain expression of glucose sensing machinery (Glut-2 and glucokinase) after removal from expansion. Expanded cells also have the ability to secrete insulin in response to glucose stimulation. We are currently investigating the ability of these expanded cells to restore euglycemia to STZ-treated diabetic SCID mice. 48-72 hours 96-120 hours 120 hours no EdU control Expanding islets were labeled for 20-24 hours with Click-iT EdU reagent (Thermofisher). In this assay, the modified thymidine analogue EdU is efficiently incorporated into newly synthesized DNA and fluorescently labeled with a bright, photostable Alexa Fluor dye in a fast, highly-specific click reaction. By 48-72 hours some of the cells within the islet are beginning to divide, though the majority of the cells that have migrated out are not yet dividing. By 96-120 hours, many cells are dividing both within the original islet body as well as those that have migrated out in monolayer culture. P L001 M *0 0 1 M *0 0 2 20 M *0 0 3 M *0 0 4 M *0 0 5 10 0 20 40 60 D a y s i n C u lt u r e Figure 3. Growth curves of islet cultures. Each curve represents an individual donor. PL001 was obtained from Prodo Laboratories, while M*001-M*006 were isolated by the Islet Transplantation Program at MedStar Georgetown University. After initiation most cultures expand for 20-30 population doublings or a 1 million to 1 billion fold increase in cell number. Typical growth rates are between 0.6-0.7 PD/day. Isolated islets are typically received within 2-5 days after isolation. Overall, β-cell cultures have been established from 11 of 15 primary islet samples we have received. 4 days Figure 5. Proliferation of insulin-positive cells. Cells at passage 5 were labeled with Click-iT EdU reagent for 18 hours, removed from co-culture, fixed and stained for the incorporated proliferation label (green) and counter stained with an antibody against human insulin C-peptide (red) in solution. Cells were then deposited on glass slides using a CytoSpin (Shandon) A) Phase contrast overlay with Click-iT EdU staining. B) Human insulin C-peptide staining with Click-iT EdU label. This culture had a doubling time of 34 hours (0.7 PD/day). Based on this approximately 53% of cells would be expected to be labeled. Direct counts of labeled cells show that 53.5% of cells are EdU (n=200) and >90% were insulin positive. 30 0 3 days 10 days Figure 6. Expression of b-cell markers. CR-expanded cells were immunostained for the expression of key b- and a-cell markers. A-D were seeded onto chamber slides and allowed to attach and grow for 72 hours before fixing and staining. Cells were all positive for PDX-1, NKX6.1, NEUROD1, and MafA, important markers of mature bcells. E-F are aggregated cells that were removed from expansion for 3 days and allowed to attach overnight to a collage glass slide. G is a 5mm section of 5 day differentiated aggregates. The expression of Glut2 (F) and glucokinase (G) are only detectable after the cells have been aggregated and removed from the expansion media. Human Insulin (mU/1,000 cells Sequential Glucose Challenge Figure 1. Example of human islet cell outgrowth. Human islets plated in CRM with irradiated feeders begin to migrate out of the islets and expand across the plate. By 10 days post-plating, a large colony characterized by small tightly packed cells has formed. Colonies continue to expand and can be passaged and re-plated using standard tissue culture techniques. 9 8 7 6 5 4 3 2 1 0 Sample 1 Conditional Reprogramming (CR) technology is based on our conditional reprogramming media (CRM) and irradiated feeder cells. CRM combines a Rho kinase inhibitor in F12-DMEM media with other growth factors. When mature epithelial cells are introduced into CR culture conditions, they adopt a tissue-specific progenitor phenotype and become proliferative. Primary epithelial cells from airway tissues, retina, prostate, breast, intestine, pancreas, and other tissues replicate for extended periods under CR conditions. On removal from the CR culture conditions, these cells re-adopt their original differentiation state. No genetic manipulation is involved in the switch between the replicative and differentiated phenotypes, and no complex re-differentiation strategy is required for the cells to return to their normal functional phenotype. The technology has also been employed successfully to propagate cells from primary tumors, metastatic tumors and patient-derived xenografts A E PDX-1 Insulin C-peptide F B Glut2 NKX6.1 NeuroD1 G C NEUROD1 Glucokinase D MafA Conclusions 2mM Conditional Reprogramming of islet cells. B A Figure 2.Click-iT EdU labeling of expanding cells. P o p u la tio n D o u b lin g s Type I diabetes (T1D) is an autoimmune disorder that targets and destroys the insulin-producing β-cells of the pancreas, leaving patients dependent on injected insulin to regulate their blood glucose levels. A true cure for T1D could be achieved by replacing the lost β-cells with new functional insulin producing cells. To this point, patients transplanted with human cadaver islets have become insulin-independent for up to 5 years and show control of blood glucose. The main impediment to this approach is that the supply of donor islets is inadequate to meet the demand of diabetic patients, as each patient can require the islets of 2-3 cadaveric donors. An unlimited supply of functional human β-cells would allow for increased access to this therapy as well as allow for further study of basic biology and growth characteristics of these cells to improve and develop other treatment options. 20mM Sample 2 2mM 20mM Figure 4. Formation of 3D aggregates for differentiation and functional characterization. Cells were expanded in 2D culture with irradiated feeder cells, and then formed into spherical aggregates by overnight incubation in a low attachment dish on an orbital shaker at 370C 5% CO2 in CRM. A) Example of aggregated spheres with an average distribution of 251um+/- 57 (n=250) with aggregates ranging in size from 90 to 400um. B) Results from a sequential glucose stimulated insulin secretion assay. Aggregates were washed twice in PBS to remove media and incubated in prewarmed 2mM glucose buffer for 1.5 hours in the incubator. Aggregates were recovered, washed briefly in 2mM glucose buffer and returned to 2mM glucose buffer for 30 min. Aggregates were recovered and washed as before and then place in 20mM glucose buffer for 30 min. The cycle was repeated once more, and the aggregates were recovered, dissociated with trypsin and counted. The buffer from each 30 min incubation was analyzed in triplicate for human insulin by ELISA (Mercodia) and normalized to the cell count. Glucose stimulation index is typically between 1.5 and 2.5 for our preparations. Propagenix Conditional Reprogramming technology is able to significantly expand b-cell populations from human islets that can be readily returned to functional mature state. These cells express many important mature cell markers and secrete insulin in a controlled manner in response to changing glucose concentrations. Given these results CR-driven expansion of islet cell populations, with attendant preservation of cell functionality, may offer a unique approach to increasing the biomass of functional cell equivalents for allogeneic and/or autologous transplantation. For more information visit www.propagenix.com References ROCK Inhibitor And Feeder Cells Induce The Conditional Reprogramming Of Epithelial Cells. Ory V, Chapman S, Yuan H, Albanese C, Kallakury B, Timofeeva OA, Nealon C, Dakic A, Simic V, Haddad BR, Rhim JS, Dritschilo A, Riegel A, McBride A, Schlegel R (2012) Am J Pathol 180(2):599-607. Radiation Induces Diffusible Feeder Cell Factor(S) That Cooperate With ROCK Inhibitor To Conditionally Reprogram And Immortalize Epithelial Cells Palechor-Ceron N, Suprynowicz FA, Upadhyay G, Dakic A, Minas T, Simic V, Johnson M, Albanese C, Schlegel R, Liu X (2013) Am J Pathol 183(6): 1862-1870. A Manufacturing- and Regulatory-Friendly Cell Expansion Technology Allowing for Trillion-Fold Expansion of Primary Airway Epithelial Cells Anura Shrivastava, Chengkang (CK) Zhang Propagenix Inc., Rockville, Maryland, United States Trillion-fold expansion of primary airway epithelial cells in EpiX™ medium Genetic engineering in EpiX™-expanded airway epithelial cells and single cell cloning Mucociliary differentiation of EpiX™-expanded cells upon withdrawal from proliferation G r o w t h o f t r a n s g e n ic E x p a n s io n o f p r im a r y t r a c h e o b r o n c h ia l e p it h e lia l c e lls in E p iX R F P - e x p r e s s in g a ir w a y e p it h e lia l c e lls m e d iu m 35 H B E C in E p iX D H B E - C F in E p iX 10 18 10 16 Karyotype @ P4 10 14 30 25 20 15 10 5 0 10 12 0 10 T e s te d fo r K a r y o ty p e 10 10 20 30 40 50 Day1 60 Day6 Day10 D a y s in c u lt u r e A stable RFP-expressing transgenic cell line is derived by lentivirus transduction and used for single cell cloning in EpiX™ medium. 10 8 10 6 10 20 30 40 50 60 70 D a y s in c u lt u r e Karyotype @ P16 Primary human bronchial epithelial cells from a normal donor (HBEC) and a diseased donor (cystic fibrosis, DHBE-CF) can be expanded in EpiX™ medium to generate biomass (>1020 cells) far beyond the conventional BEGM (Lonza). The cells retain normal karyotypes after extended expansion. M e a n F lu o r e s c e n c e In t e n s it y K n o c k d o w n R F P e x p r e s s io n b y s iR N A 0 Transient transfection of two independent siRNAs targeting the coding region of RFP gene effectively suppresses RFP protein expression in the airway epithelial cells, using Lipofectamine® with standard protocol provided by ThermoFisher. 150000 50000 0 s iR N A # 1 E x p a n s io n o f a ir w a y e p it h e lia l c e lls in a C D & A C F s iR N A # 2 Air-liquid-interface Gene Name Description HBEC in EpiX ITGA6 Integrin, Alpha 6 0.015 0.22 0.21 ITGB4 Integrin, Beta 4 0.0019 0.034 0.026 KRT14 Keratin 14, Type I 0.00021 1.19 1.21 KRT5 Keratin 5, Type II 0.0028 1.47 1.03 TP63 Tumor Protein P63 0.00057 0.066 0.03 NGFR Nerve Growth Factor Receptor 0.00011 0.0046 0.0022 LIN28A Lin-28 Homolog A 0.00031 ND ND NANOG Nanog Homeobox 0.00057 0.00044 ND POU5F1 POU Class 5 Homeobox 1, OCT4 0.00066 0.00036 0.00039 SOX2 SRY (Sex Determining Region Y)-Box 2 0.00021 0.0026 0.00097 CFTR Cystic Fibrosis Transmembrane Conductance Regulator 0.00069 ND ND FOXJ1 Forkhead Box J1 0.0043 ND ND SCGB1A1 Secretoglobin, Family 1A, Member 1 0.18 ND ND SFTPB Surfactant Protein B 0.082 ND ND SFTPD Surfactant Protein D 0.038 ND ND AXIN2 Axin 2 0.0029 ND ND P2 p8 Cell Acquisition Tissue engineering Serum-free, Feeder-free >1012-fold expansion Applications ND ND ND Prominin 1, CD133 0.085 ND ND 0.0017 600 ALI on 9605 Medical Center Drive, Suite 325 | Rockville, MD 20850 W e ll # 1 Day 6 Gene expression levels are examined by qRT-PCR, and expressed as relative levels to that of actin-B (whose level is set as 1). ND, not detected. Human primary bronchial epithelial cells from a normal donor are expanded in EpiX™ medium for more than 8 passages, and examined for the expression of basal epithelial cell markers. The cells ubiquitously express the transcription factor TP63. Other basal epithelial cell markers (Integrin α6, Integrin β4, KRT5, KRT14) are also expressed at high levels. Pluripotent stem cells or other tissue-specific stem cells markers are not detected. 10 13 10 11 10 9 10 7 10 5 TM m e d iu m HBEC D H B E -C F 0 .8 0 .6 0 .4 0 .2 0 .0 10 20 30 40 50 1 2 3 4 5 6 7 8 9 10 Passages Summary “Dome-like” formations indicate epithelial cells differentiate to polarized epithelium with trans-epithelial solute transport capability W e ll # 2 2 ND Leucine-Rich Repeat Containing G Protein- 0.00073 Coupled Receptor 5 PROM1 v e r s io n o f E p iX 1 .0 HBEC A chemically defined, animal-component free version of EpiX™ medium supports trillion-fold expansion of primary airway epithelial cells cm ) CD34 Molecule LGR5 E x p a n s io n o f a ir w a y e p it h e lia l c e lls in a C D & A C F m e d iu m D H B E -C F D a y s in c u lt u r e TEER ( TP63 CD34 TM 15 0 R e s is t a n c e a c r o s s T r a n s w e ll m e m b r a n e Genetic engineering 10 C e ll d iv is io n p e r d a y Human Lung EpiX™-expanded airway epithelial cells form an intact barrier upon withdrawal from proliferation C a lc u la t e d T o t a l C e ll N u m b e r v e r s io n o f E p iX Lung Frozen cells Upon withdrawal from proliferation, the EpiX™-expanded airway epithelial cells (the RFPexpressing cell line) readily undergo mucociliary differentiation in two in vitro formats – bronchosphere (left) and air-liquid interface (middle and right, top-down view) Performance of a chemically defined, animalcomponent free version of EpiX™ medium 100000 C o n tr o l EpiX™-expanded airway epithelial cells express basal cell markers At-A-Glance OR MUC5AC H B E C in B E G M ( L o n z a ) 10 20 acetylated tubulin 10 22 P o p u la t io n d o u b lin g s The availability of serum-free and feeder-free cell culture media for human airway epithelial cells has existed for over 20 years. However, these culture systems generally support less than a million-fold expansion (i.e., less than 20 population doublings) of normal primary airway epithelial cells before they succumb to cellular senescence. The limited expansion potential of conventional media not only greatly restricts the use of primary airway epithelial cells for research purposes, but also thwarts the development of cell replacement regenerative therapy for respiratory diseases. We have developed a novel serum-free and feeder-free culture medium (EpiX™ medium) that allows for >1012-fold expansion of several types of airway epithelial cells without using viral or oncogenic factors. Airway epithelial cells maintain normal chromosome karyotype even after more than 40 population doublings (i.e., trillion-fold expansion) in the EpiX™ medium. In addition, EpiX™-expanded airway epithelial cells can differentiate into intact mucociliary epithelia monolayers as reflected by elevated trans-epithelial electric resistance (TEER) in air-liquid-interface conditions. Second-generation versions of EpiX™ medium lacking animal-derived components now enable us to address attaining sufficient biomass needed for cell replacement therapy for lung diseases. C a lc u la t e d T o t a l C e ll N u m b e r Abstract 400 200 0 ZO-1 0 5 10 15 20 25 30 35 40 D a y s in c u lt u r e Barrier function are also examined by the expression of tight junction marker ZO-1 and functional measurement (trans-epithelial electric resistance, TEER) | Phone: 240.713.3300 | www.propagenix.com We have developed a novel serum-free and feeder-free culture method (PCT patent pending) that allows for >1012 folds expansion of primary airway epithelial cells in a short timeframe without using any genetic manipulations. The cells quickly revert to tissue-specific differentiation states upon withdrawal from the expansion phase. This method enables us to address attaining enough biomass for regenerative cell replacement therapy in the respiratory area. The long runway and single cell cloning capability supported by the EpiX™ medium opens the door to develop phenotype-relevant airway models using diverse genetic engineering tools. A Feeder-Independent And Serum-Free Cell Culture Technology That Allows For Over Trillion-Fold Expansion Of Various Primary Epithelial Cells Chengkang (CK) Zhang, Anura Shrivastava Propagenix Inc., Rockville, Maryland, United States We have developed a novel serum-free and feeder-free culture medium (EpiX™ medium) that allows for greater than 1012-fold expansion of several types of primary epithelial cells without using viral or oncogenic factors. Primary epithelial cells maintain normal chromosome karyotype even after more than 40 population doublings (i.e., over trillion-fold expansion) in the EpiX™ medium. The epithelial cells retain basal cells characteristics and low levels of genes that are associated with stress response and senescence. Upon exiting the proliferation conditions, the epithelial cells expanded in EpiX™ medium readily differentiate into epithelial structures resembling original tissues. Furthermore, second-generation versions of EpiX™ medium lacking animal-derived components now provide us unique manufacturing- and regulatory-friendly solutions, and enable us to address attaining clinically relevant biomass needed for cell replacement therapy for various diseases affecting epithelial tissues. Epithelial cells remain normal after extended expansion in the EpiX™ medium EpiX™-expanded epithelial cells differentiate into structures resembling original tissues Expansion of Keratinocytes TP63 10 25 >1024 fold HFKn in EpiX HFKn in KSFM HEKa in EpiX HEKa in KSFM 10 20 10 15 >1016 fold 10 10 10 5 10 0 0 10 20 30 40 50 60 70 80 Days in culture ZO-1 Donor Age Early Passage Late Passage HFKn 2 days P3 (13.5 PD), 46,XY P19 (62.0 PD), 46,XY HBEC 49 yrs P4 (11.1 PD), 46,XX P16 (45.1 PD), 46,XX PrEC 26 yrs P3 (13.5 PD), 46,XY P13 (41.1 PD), 46,XY Tumorigenicity in nude mice 4200 2200 200 Differentiated HFKn (<20 PDs) Proliferating HFKn (>50 PDs) Differentiated HFKn (>50 PDs) Negative control Positive control 60 40 20 Epithelial tissues Air-liquid-interface Genetic engineering OR 0 7 14 21 28 35 42 49 56 63 70 77 84 Days HFKn, p19 Primary epithelial cells expanded in EpiX™ medium for more than 40 PDs still retain normal karyotypes. HFKn, neonatal foreskin keratinocytes; HBEC, human bronchial epithelial cells; PrEC, prostate epithelial cells. The cells also show homogenous strong expression of TP63. To evaluate the tumorigenicity of keratinocytes expanded in EpiX™ medium, 10 x 106 keratinocytes are injected s.c. into nude mice and monitored for 3 months. No tumor outgrowth is observed in the samples. Frozen cells Tissue engineering Serum-free, Feeder-free Applications >1012-fold expansion Over trillion-fold expansion of various primary epithelial cells in the EpiX™ medium Population doublings HFKn/KSFM (p1) KSFM (p2) HBEC/BEGM (p1) EpiX (p2 early) EpiX (p2, early) EpiX (p13, mid) KSFM (p6) Gene Name ITGA6 ITGB4 KRT14 KRT5 TP63 NGFR EpiX (p23, late) Description Integrin, Alpha 6 Integrin, Beta 4 Keratin 14, Type I Keratin 5, Type II Tumor Protein P63 Nerve Growth Factor Receptor LIN28A NANOG POU5F1 SOX2 Lin-28 Homolog A Nanog Homeobox POU Class 5 Homeobox 1 SRY(Sex Determining Region Y)-Box 2 Gene Name AKT1 ATM CDKN2A GADD45A Description Protein Kinase B ATM Serine/Threonine Kinase p16, INK4A Growth arrest and DNA-damageinducible, alpha GLB1 Galactosidase, beta 1 PLAU Plasminogen activator, urokinase SERPINE1 Plasminogen activator inhibitor 1 1000 Stratum Basale 0 0 5 10 15 Days in culture EpiX™-expanded keratinocytes (RFP-expressing cell line) form tight barrier upon differentiation, and readily differentiate into stratified structure on air-liquid-interface HBEC in EpiX P2 P8 0.22 0.21 0.034 0.026 1.19 1.21 1.47 1.03 0.066 0.03 0.0046 0.0022 ND 0.0004 0.0003 0.002 Bronchosphere acetylated tubulin ND ND 0.0003 0.001 P2 0.17 0.031 2.53 1.52 0.092 0.0018 0.0001 ND 0.0004 ND HFKn in EpiX P13 P23 0.21 0.39 0.027 0.018 2.19 2.63 1.53 1.66 0.047 0.033 0.0009 0.00009 ND ND 0.0005 ND 0.0001 0.0001 0.001 ND HFK in KSFM P2 P6 0.009 0.22 0.007 0.041 0.002 0.04 0.01 0.07 P2 0.003 0.002 0.001 0.002 0.004 0.02 0.04 0.005 0.001 0.002 HFKn in EpiX P13 P23 0.003 0.003 0.004 0.002 0.006 0.004 0.003 0.008 Performance of a chemically defined, animalcomponent free version of EpiX™ medium Expansion of airway epithelial cells in a CD&ACF version of EpiXTM medium 10 15 DHBE-CF HBEC 10 13 10 11 10 9 10 7 10 5 0 10 20 30 40 Source Medium Fold expansion achieved (in days) Neonatal Gibco KSFM 122,295 (34 days) 16.9 HFKn Neonatal Gibco EpiX > 3 x 1021 (95 days) 71.4 HFKn Neonatal In-house isolation EpiX > 1 x 1026 (70 days) 87.1 HEKa Adult Gibco KSFM 2,896 (35 days) 11.5 HEKa Adult Gibco EpiX > 6 x 1016 (79 days) 55.9 HMEC Adult Lonza MEGM 244,589 (39 days) 17.9 HMEC Adult Lonza EpiX > 1 x 1013 (63 days) 43.8 PrEC Adult Lonza PrGM 4,390 (42 days) 12.1 PrEC Adult Lonza EpiX > 7 x 1012 (57 days) 42.8 HBEC Adult Lonza BEGM 2,097,152 (37 days) 21.1 50 HBEC Adult Lonza EpiX > 2 x 1014 (65 days) 47.7 40 DHBE-CF Adult Lonza (cystic fibrosis) EpiX > 5 x 1015 (69 days) 52.2 30 Day 1 Expansion of neonatal keratinocytes in a CD&ACF version of EpiXTM medium 10 18 10 16 10 14 0.02 0.07 0.13 0.004 0.002 0.002 0.005 0.001 0.003 Day 6 Day 10 Stable RFP-expressing transgenic cell lines are derived by lentivirus transduction and used for single cell cloning in EpiX™ medium. Growth of transgenic RFP-expressing epithelial cells HBEC/nRFP PrEC/nRFP HFKn/nRFP 20 10 0 0 10 20 30 40 50 60 70 50 Days in culture A chemically defined, animal-component free version of EpiX™ medium supports over trillion-fold expansion of primary airway epithelial cells (top) and neonatal foreskin keratinocytes (bottom) 10 12 10 10 10 8 10 6 10 4 10 2 10 0 0 10 20 30 40 50 60 80 Days in culture Transient transfections of several siRNAs targeting the coding region of RFP gene effectively suppress RFP protein expression in transgenic epithelial cells, using Lipofectamine® with standard protocol provided by ThermoFisher. 70 Days in culture Genetic engineering in EpiX™-expanded epithelial cells and single cell cloning Donor Age HFKn MUC5AC EpiX™-expanded bronchial epithelial cells (RFP-expressing cell line) readily undergo mucociliary differentiation in two in vitro formats – bronchosphere (left) and air-liquid-interface (top-down view) EpiX (p8, late) Gene expression levels are expressed as relative to actin-B (whose level is set as 1). ND, not detected. Cell Type Primary epithelial cells derived from various tissues are expanded in conventional culture media or in EpiX™ medium. The epithelial cells acquired from commercial suppliers generally reach <20 population doublings in the recommended media. The same cells could be expanded for more than 40 population doublings in the EpiX™ medium. Notably, keratinocytes isolated in EpiX™ medium reach more PDs in a significant shorter timeframe. Stratum granulosum Stratum spinosum 2000 Gene expression signatures of epithelial cells expanded in EpiX™ medium Low levels of genes associated with stress response and senescence Cell Acquisition Stratum Corneum 3000 0 EpiX™-expanded epithelial cells maintain basal cell characteristics At-A-Glance “Dome”-like structure Barrier function of HFKn 4000 cm2) Cells TEER ( Abstract Feeder-independent and serum-free cell culture media for primary epithelial cells have been available for over 20 years. However, these culture systems generally support less than a million-fold expansion (i.e., less than 20 population doublings) of primary epithelial cells before they succumb to stress-associated cellular senescence during in vitro expansion. The limited expansion potential of conventional media not only greatly restricts the use of primary epithelial cells for research purposes, but also thwarts the development of cell replacement regenerative therapy utilizing the potentials of primary epithelial cells. Summary We have developed a novel feeder-independent and serum-free culture method (patent pending) that allows for >1012-fold expansion of various primary epithelial cells in a short timeframe without using any genetic manipulations. The cells quickly revert to tissue-specific differentiation states upon withdrawal from the expansion phase, and form epithelial structures that bear resemblance to the original tissues. This method enables us to generate clinically relevant biomass for regenerative cell replacement therapies targeting numerous diseases affecting epithelial tissues. The long runway and single cell cloning capabilities supported by the EpiX™ medium also open the door to develop phenotype-relevant in vitro epithelial cell biology models and precision diagnostics using diverse genetic engineering tools. 9605 Medical Center Drive, Suite 325 | Rockville, MD 20850 | Phone: 240.713.3300 | www.propagenix.com