1.1. Introduction
Human pluripotent stem cells (hPSCs), including human embryonic stem cells (hESCs) and human induced pluripotent stem cells (hiPSCs), have the ability to self-renew and can differentiate into any somatic cell type in the adult body [1–4], endowing them as a powerful tool to study human organogenesis, to model human disease, and to provide unlimited cell sources for regenerative medicine. During the past 20 years, rapid methodological developments for creating de novo somatic cells, including neural cells [5–7], cardiomyocytes [8–11], endothelial cells [12–16], hematopoietic cells [17–19], and epithelial cells [20,21], from hPSCs have been made, with a strong focus on applications for drug discovery, safety pharmacology, and cell therapy. While methods for generating specific cell types from hPSCs are continually evolving in the laboratory, significant hurdles remain for generation of robust and consistent high-quality hPSC-derived products at scalable quantities before successful clinical transplantation or commercial translation. In addition, reproducible protocols for specific differentiation of hPSCs are prerequisites to study the fundamental molecular and cellular mechanisms responsible for normal lineage development and disease phenotype.
Genetic engineering of hPSCs herein provides a robust approach to generate high yields of the desired, fully differentiated cell type in a controlled and reproducible manner due to the accessibility to genetic manipulation of hPSCs and their ability to clonally expand after modifications. For example, the incorporation of fluorescent reporter genes under the control of specific promoters enables the fast identification and viable purification of desired cell types during direct differentiation, whereas traditional methods have employed time-consuming immunofluorescence analysis of targeted gene expression, resulting in a significant loss of desirable cells. In addition to directing hPSC differentiation, the importance of genetic manipulation of hPSCs has been extended to broader applications including, but not limited to, labeling and selection of desired lineages [15,22,23], silencing or overexpressing targeted genes [9,16,17], monitoring endogenous signaling activity [8,24,25], reducing or eliminating immunogenicity [26,27], cell tracking in vivo [28,29], and notably, the correction of mutated genes in patient-specific hiPSCs for regenerative therapy [30–33].
Advances in genetic engineering in mammalian cells have opened up new avenues for manipulating the fate and functionality of hPSCs, as well as understanding the regulatory mechanisms responsible for their cellular transformation. This chapter provides a review of different genetic manipulation approaches that have been applied to engineer hPSCs and discusses their strengths and limitations. Gene delivery systems will also be discussed, providing insights on suitable approaches for different applications.
1.2. Genetic Manipulation Approaches in Human Pluripotent Stem Cells
Genetic manipulation of hPSCs is the process of generating genetically modified stem cell lines and their progeny by introducing a foreign gene or silencing an endogenous gene in the host genome. The ability to precisely modify the genome of hPSCs increases their usefulness for both cell-based therapies and fundamental research applications. Currently, genetic manipulation methods applied to hPSCs can be classified into three categories: random integration via transgenic approaches, targeted integration or disruption via knock-in or knock-out approaches, and bacterial artificial chromosome (BAC) introduction. Each of these three approaches has its own strengths and limitations and the selection of a suitable strategy should be determined by experimental conditions or clinical requirements. With recent advances in genetic engineering techniques, it is now possible to suit almost any particular application by using an appropriately selected strategy.
1.2.1. Transgenic Approaches
Transgenic methods involve the random integration of a gene construct that uses a cell- or tissue-specific promoter fragment to drive the expression of an exogenous gene or DNA fragment. Transgenes can be introduced into the hPSC genome via gene transfer methods including transfection, infection, and electroporation, methods which will be reviewed later. Due to its convenience and experimental feasibility, this transgenic approach has been widely used in applications including monitoring the differentiation status of hPSCs with fluorescence reporters, silencing endogenous genes with short hairpin RNA (shRNA), and overexpressing master regulatory genes with constitutively expressing promoters. In 2005, Gerrard et al. [34] generated transgenic hESCs expressing the enhanced green fluorescent protein (eGFP) reporter gene under control of the OCT4 promoter, enabling the identification and selection of pluripotent stem cells from their differentiated pro...