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R3 Stem Cell International Now Offering Full Program for Rheumatoid Arthritis in Mexico – PR Web

Stem Cell Therapy for Rheumatoid Arthritis in Mexico (888) 988-0515

SAN DIEGO (PRWEB) June 11, 2020

R3 Stem Cell International is now offering a full treatment program for rheumatoid arthritis that includes upward of 200 million stem cells. All inclusive treatment starts at only $8975 and has shown immense effectiveness for RA and other autoimmune disorders.

Rheumatoid arthritis affects millions of individuals, with traditional treatment options often not working well and containing numerous side effects. For instance, Methotrexate is used often for RA patients and while it can help, it has significant toxic effects.

Stem cell therapy for rheumatoid arthritis in Mexico, on the other hand, offers excellent outcomes while being extremely safe. R3's Center in Tijuana has successfully performed hundreds of regenerative cases for arthritis, neuropathy, stroke, dementia, COPD, organ failure and autoimmune diseases.

According to R3 Founder David Greene, MD, MBA, "Our new stem cell therapy program for RA includes upwards of 200 million stem cells. Numbers matter when it comes to outcomes for autoimmune disease, so we've made sure that patients receive what's needed in a safe manner with expert providers!"

The process is not only straightforward, but also easy for patients. Starting with a free phone consultation, patients will find out if they are a candidate. Then there are two programs to choose from, one involves a five day treatment, and the other one involves four treatments over a year.

R3 International offers VIP escort transportation from San Diego to and from the treatment center. The biologics used are exceptionally safe, with the lab quality assurance standards exceeding FDA standards in the US. In addition, no preservative is necessary which means cell viability exceeds 95%!

When it comes to pricing, Dr. Greene added, "I created R3 International so we could offer effective treatment with very large cell numbers for a fraction of the cost in the US or Panama. The quality of care is phenomenal, cost effective and very safe!"

To learn more about R3 International, conditions treated, the process and getting set up for a free consultation, call (888) 988-0515 or visit https://stemcelltreatmentclinic.com for more information.

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R3 Stem Cell International Now Offering Full Program for Rheumatoid Arthritis in Mexico - PR Web

Saanich father dies of leukemia after battle to find mixed-race stem cell donor – Saanich News

A Saanich father who fought to grow the data bank of mixed-race stem cell donors has died of leukemia.

Jeremy Chow was diagnosed with acute myeloid leukemia in November 2018. While chemotherapy treatment worked and Jeremy entered remission, doctors advised that stem cell therapy would be the best possible treatment to eradicate the risk of returning cancer cells.

But when Jeremy and his wife Evelyn Chow began their quest to find a match, they learned there were virtually no donors in the national or worldwide registry who matched Jeremys genetic makeup a requirement for a successful stem cell transplant.

READ ALSO: In a fight against cancer, Victoria mans only stem cell match was his own donation

Ironically, Jeremy had applied to become a stem cell donor years earlier. When doctors searched the database they found one unusable match: his own donation. Shocked and saddened by the lack of options, the family spearheaded the Match4Jeremy campaign, organizing stem cell drives and raising awareness of the dire need for mixed race and Asian donors.

On Aug. 8, 2019, the family learned that Jeremys cancer had returned. But the Chows battle to find a match didnt slow down. They worked with the Otherhalf-Chinese Stem Cell Initiative to host an emergency stem cell drive in Vancouver that month.

Despite their tireless efforts, Jeremy did not recover from the second round of cancer. The father of two died on May 30 with his wife at his side.

On a GoFundMe page aimed at raising money for his daughters educations, family friend Jenny Leung says Jeremy fought hard and did it with grace, humour and a positive attitude.

READ ALSO: Stem cell donor with rare genetic makeup needed to save Saanich man after cancer returns

Jeremys priority was always being able to provide and take care of his family, Leung writes. He was so involved with his girls lives, from driving them to their extracurricular activities to attending school fairs, to braiding their hair and explaining to them the importance of a good education.

He was always looking for a way to care for those around him whether it meant sharing knowledge, offering a helping hand, or just being there in any way he could, she added. Jeremy was truly someone to look up to and although he was always supporting others, he rarely asked for anything in return.

While the Chow family fought for a match for Jeremy, their crusade for stem cell donors gained momentum when they realized just how dire the situation was for mixed-race and Asian Canadians. Only three per cent of the Canadian Blood Services stem cell registry is mixed race.

In March 2019, Jeremy spoke with Black Press Media.

If all of this goes well [and] I stay in remission, and the awareness is out there and other people sign up to be donors and other people are getting the help they need, then thats a win, he said.

Donations are being accepted via GoFundMe to support Jeremys family and his daughters future education.

READ ALSO: Victoria couple continues fight for increased diversity in Canadian stem cell registry

Do you have something to add to this story, or something else we should report on? Email:nina.grossman@blackpress.ca

@NinaGrossmanLike us on Facebook and follow us on Twitter

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Saanich father dies of leukemia after battle to find mixed-race stem cell donor - Saanich News

Study finds little evidence to back cord-blood therapy for autism – Spectrum

Infusion in question: Cord-blood therapies have failed to ease autism traits in a series of ongoing clinical trials.

Burger / Science Photo Library

An infusion of umbilical cord blood does not improve social skills in autistic children, according to results from the largest clinical trial of the therapys effectiveness for autism to date1.

Independent experts say the findings are unfortunate but not unexpected. Doubts have surrounded the trial since its start at Duke University in Durham, North Carolina, in 2014.

Its not a surprise; it is nonetheless a disappointment, says Arnold Kriegstein, professor of neurology at the University of California, San Francisco, who was not involved in the study. Ive been skeptical of this kind of treatment from the beginning.

The new study took a rigorous approach: The Duke team randomly assigned 180 autistic children aged 2 to 7 to receive a single infusion of cord blood or a placebo. Neither the researchers nor caregivers knew which children had received cord blood when the team evaluated them six months later. But at that point, the participants traits remained largely unchanged. The results were published in May in the The Journal of Pediatrics.

The work is very good quality, and they are honest in their results, says Michael Chez, a pediatric neurologist at the Sutter Institute for Medical Research in Sacramento, California, who conducted a small trial in 2018 showing cord-blood therapy was safe in children with autism2.

Despite the new trials failure, the Duke researchers are moving ahead with a study using cells derived from umbilical cords, building on the observation that the treatment may have improved social behavior among the participants with the highest intellectual abilities.

I feel encouraged by the results, says co-lead investigator Joanne Kurtzberg, director of Dukes Marcus Center for Cellular Cures. It wasnt a home run, but there are reasons why we gained valuable information.

Umbilical cord blood contains a wide variety of cells, including immune cells known as monocytes and blood-producing stem cells involved in proven therapies for blood cancers.

The researchers theorize that molecules released by the monocytes quell brain inflammation. Studies show that inflammation in the womb can shape brain development and may boost the odds of autism. Some researchers have proposed that an overactive immune response might ease autism traits in some children.

Longtime skeptics of the Duke study, including Kriegstein, point out that a single infusion of these cells is unlikely to have a lasting impact or reverse damage already done.

In response to rising demand from parents for unproven stem-cell therapies, Kurtzberg, who is a cord-blood pioneer, launched the trial together with Geraldine Dawson, director of Duke Universitys Center for Autism and Brain Development, with funding from the Marcus Foundation.

The researchers tested two types of cord blood: 56 children received cord blood banked at their own birth, and 63 received cord blood from an unrelated donor. The analyses found no statistically significant differences between the groups six months later. The children who had injections were comparable to controls in terms of social skills, as reported by their parents, and overall autism traits, measured in a clinical evaluation.

The treatment may have had a small effect in some individuals, particularly those receiving donated cord blood, the researchers say. Children with the highest intelligence quotient (IQ) scores appeared to show some improvements in social skills following the infusions.

The results are, at best, only suggestive in a subgroup of patients, says Gahan Pandina, an autism researcher at Janssen Research and Development in New Jersey.

One shortcoming of the study is that it includes too few autistic children without intellectual disability, Dawson and Kurtzberg say. They used medical records and video to screen participants before they were enrolled and then invited them to travel to Duke for on-site evaluations. But this strategy meant they initially overlooked intellectual disability in some children, particularly in the younger ones, and so they ended up with fewer high-IQ participants than expected.

In the new trial they have launched, dubbed the Duke IMPACT trial, they are enrolling a slightly older cohort to improve their ability to track participants without intellectual disability, and they are conducting all evaluations on site prior to recruitment. They will also use mesenchymal stromal cells (MSC) grown from donated cord tissue rather than monocyte-containing cord blood. Like monocytes, MSCs release molecules that might decrease inflammation, the researchers say.

Continued here:
Study finds little evidence to back cord-blood therapy for autism - Spectrum

‘Schumacher will be in surgeory again’ – GPblog

Since his skiing accident at the end of 2013, there has been speculation about Michael Schumacher's state of health for over six years. The family has released some information about this, but has never really gone into detail. That leaves room for rumours, this time about a new operation that the seven-time world champion may undergo.

Last September it was already known that Schumacher had been transferred to the Georges-Pompidou hospital in Paris for a 'secret' operation. There he would have received an experimental stem cell treatment. According to the Italian Contro Copertina, he now probaby get a second stem cell transplant.

This operation will be performed by the same doctor. Philippe Menasche is his name and he has previously stated that the purpose of the operation is to 'repair Michael's nervous system'. It is still unclear to what extent this was achieved during the first operation. The science behind this is still in its infancy.

"Over the past 20 years, science has made tremendous progress in stem cell treatment, but that doesn't change the fact that we still know little about the human brain. We are not able to say what results it will bring," said neurosurgeon Nicola Acciari, who says that Schumacher suffers from muscle atrophy and osteoporosis.

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'Schumacher will be in surgeory again' - GPblog

HMGA1 Regulates the Stem Cell-Like Properties of Circulating Tumor Cel | OTT – Dove Medical Press

Ming Chen,1,2,* Kangjing Xu,1,2,* Bowen Li,1,2,* Nuofan Wang,1,2 Qiang Zhang,3 Liang Chen,4 Diancai Zhang,1,2 Li Yang,1,2 Zekuan Xu,1,2,* Hao Xu1,2,*

1Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, Peoples Republic of China; 2Jiangsu Key Laboratory of Cancer Biomarkers, Prevention and Treatment, Jiangsu Collaborative Innovation Center for Cancer Personalized Medical University, Nanjing, Jiangsu 211166, Peoples Republic of China; 3Department of Gastrointestinal Surgery, The Second Peoples Hospital of Lianyungang, Lianyungang, Jiangsu 222000, Peoples Republic of China; 4Department of General Surgery, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, Jiangsu 210009, Peoples Republic of China

*These authors contributed equally to this work.

Correspondence: Hao Xu; Zekuan XuDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, Jiangsu Province 210029, Peoples Republic of ChinaTel +86 25 68306863Fax +86 25 83781992Email hxu@njmu.edu.cn; xuzekuan@njmu.edu.cn

Background: Gastrointestinal stromal tumor (GIST) is the most common sarcoma of the digestive system. Circulating tumor cells (CTCs) have been proven to be critical in the recurrence and metastasis of diseases; however, the characteristics of CTCs of GIST are still unclear.Methods: We sorted out and verified the validity of CTCs from peripheral blood of gastrointestinal stromal tumor (GIST) patients with or without heterochronous liver metastasis using flow cytometry (FCM). Differential genes were analyzed between the GIST patients with and without liver metastasis using next-generation sequencing (NGS).Results: The preliminary study on the characteristics of CTCs revealed that CTCs of GIST patients with heterochronous liver metastasis had stronger stem cell-like properties (SC-like properties) than CTCs of those without liver metastasis. Furthermore, NGS followed with a series of assays revealed that HMGA1 played a critical role in regulating the SC-like properties of CTCs. Mechanistically, HMGA1 could activate Wnt/-catenin pathway in vitro and vivo. Moreover, we found that the expression level of HMGA1 in CTCs was an independent risk factor probably influencing the prognosis of GIST patients.Conclusion: Our findings indicate the significant role of HMGA1 in SC-like properties, IM resistance and eventually hepatic metastasis formation of CTCs. Targeting HMGA1 in CTCs may be a therapeutic strategy for GIST patients with hepatic metastasis.

Keywords: circulating tumor cells, gastrointestinal stromal tumor, stem cell-like properties, heterochronous liver metastasis, HMGA1, Wnt/-catenin

This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License.By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

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HMGA1 Regulates the Stem Cell-Like Properties of Circulating Tumor Cel | OTT - Dove Medical Press

New Trends: Covid-19 impact on Stem Cell Therapy Market Regional Outlook, Analysis and Competitive Analysis by 2026 – 3rd Watch News

Stem Cell Therapy Industry Amid Global COVID-19 Crisis: Report Hive Viewpoint

Los Angeles, United States, June 2020: The Stem Cell Therapy market has been garnering remarkable momentum in the recent years. The steadily escalating demand due to improving purchasing power is projected to bode well for the market. Report Hives latest publication, Titled [Stem Cell Therapy Market Research Report 2020], offers an insightful take on the drivers and restraints present in the market. It assesses the historical data pertaining to the Stem Cell Therapy market and compares it to the current market trends to give the readers a detailed analysis of the trajectory of the market. A team subject-matter experts have provided the readers a qualitative and quantitative data about the market and the various elements associated with it. Additionally, this report encompasses an accurate competitive analysis of major market players and their strategies during the projection timeline.

The research study includes the latest updates about the COVID-19 impact on the Stem Cell Therapy sector. The outbreak has broadly influenced the global economic landscape. The report contains a complete breakdown of the current situation in the ever-evolving business sector and estimates the aftereffects of the outbreak on the overall economy. Key players in this market are Osiris Therapeutics, NuVasive, Chiesi Pharmaceuticals, JCRPharmaceutical, Pharmicell, Medi-post, Anterogen, Molmed, Takeda (TiGenix), etc.

>>> To know How COVID-19 Pandemic Will Impact This Market/Industry | Request a sample copy of the Stem Cell Therapy Market report:

There are 10 Chapters to deeply display the Stem Cell Therapy market:

Chapter 1, is executive summary of Stem Cell Therapy Market; Chapter 2, is definition and segment of Stem Cell Therapy; Chapter 3, to show info and data comparison of Stem Cell Therapy Players; Chapter 4, to explain the industry chain of Stem Cell Therapy; Chapter 5, to show comparison of regions and courtiers(or sub-regions); Chapter 6, to show competition and trade situation of Stem Cell Therapy Market; Chapter 7, to show comparison of applications; Chapter 8, to show comparison of types; Chapter 9, to show investment of Stem Cell Therapy Market; Chapter 10, to forecast Stem Cell Therapy market in the next years.

Global Stem Cell Therapy Market is estimated to reach xxx million USD in 2020 and projected to grow at the CAGR of xx% during 2020-2026. According to the latest report added to the online repository of Report Hive Research the Stem Cell Therapy market has witnessed an unprecedented growth till 2020. The report also emphasizes the initiatives undertaken by the companies operating in the market including product innovation, product launches, and technological development to help their organization offer more effective products in the market. It also studies notable business events, including corporate deals, mergers and acquisitions, joint ventures, partnerships, product launches, and brand promotions.

The Stem Cell Therapy Market study address the following queries:

How has the Stem Cell Therapy Market evolved during the historic period 2014-2019? What proprietary technologies are the players using in the Stem Cell Therapy Market? What are the factors hindering the growth of the Stem Cell Therapy Market? Why region remains the top consumer of Stem Cell Therapy ? By end use, which segment currently leads the Stem Cell Therapy Market?

Global Stem Cell Therapy Market: Competitive Rivalry

The segmentation is used to decide the target market into smaller sections or segments like product type, application, and geographical regions to optimize marketing strategies, advertising techniques, and global as well as regional sales efforts of Global Stem Cell Therapy Market. Common characteristics are being considered for segmentation such as global market share, common interests, global demand and access control unit supply. Moreover, the report compares the production value and growth rate of the Global Stem Cell Therapy market across different geographies.

On the basis on the end users/applications, this report focuses on the status and outlook for major applications/end users, shipments, revenue (Million USD), price, and market share and growth rate for each application.

Autologous, Allogeneic

On the basis of product type, this report displays the shipments, revenue (Million USD), price, and market share and growth rate of each type.

Musculoskeletal Disorder, Wounds & Injuries, Cornea, Cardiovascular Diseases, Others

Stem Cell Therapy Market Regional Analysis Includes:

Asia-Pacific (Vietnam, China, Malaysia, Japan, Philippines, Korea, Thailand, India, Indonesia, and Australia) Europe (Turkey, Germany, Russia UK, Italy, France, etc.) North America (the United States, Mexico, and Canada.) South America (Brazil etc.) The Middle East and Africa (GCC Countries and Egypt.)

Our exploration specialists acutely ascertain the significant aspects of the global Stem Cell Therapy market report. It also provides an in-depth valuation in regards to the future advancements relying on the past data and present circumstance of Stem Cell Therapy market situation. In this Stem Cell Therapy report, we have investigated the principals, players in the market, geological regions, product type, and market end-client applications. The global Stem Cell Therapy report comprises of primary and secondary data which is exemplified in the form of pie outlines, Stem Cell Therapy tables, analytical figures, and reference diagrams. The Stem Cell Therapy report is presented in an efficient way that involves basic dialect, basic Stem Cell Therapy outline, agreements, and certain facts as per solace and comprehension.

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Table of Content

1 Study Coverage1.1 Stem Cell Therapy Product Introduction1.2 Key Market Segments in This Study1.3 Key Manufacturers Covered: Ranking of Global Top Stem Cell Therapy Manufacturers by Revenue in 20191.4 Market by Type1.4.1 Global Stem Cell Therapy Market Size Growth Rate by Type1.4.2 Autologous, Allogeneic1.5 Market by Application1.5.1 Global Stem Cell Therapy Market Size Growth Rate by Application1.5.2 Musculoskeletal Disorder, Wounds & Injuries, Cornea, Cardiovascular Diseases, Others1.5.4 Others1.6 Coronavirus Disease 2019 (Covid-19): Stem Cell Therapy Industry Impact1.6.1 How the Covid-19 is Affecting the Stem Cell Therapy Industry1.6.1.1 Stem Cell Therapy Business Impact Assessment Covid-191.6.1.2 Supply Chain Challenges1.6.1.3 COVID-19s Impact On Crude Oil and Refined Products1.6.2 Market Trends and Stem Cell Therapy Potential Opportunities in the COVID-19 Landscape1.6.3 Measures / Proposal against Covid-191.6.3.1 Government Measures to Combat Covid-19 Impact1.6.3.2 Proposal for Stem Cell Therapy Players to Combat Covid-19 Impact1.7 Study Objectives1.8 Years Considered

2 Executive Summary2.1 Global Stem Cell Therapy Market Size Estimates and Forecasts2.1.1 Global Stem Cell Therapy Revenue Estimates and Forecasts 2015-20262.1.2 Global Stem Cell Therapy Production Capacity Estimates and Forecasts 2015-20262.1.3 Global Stem Cell Therapy Production Estimates and Forecasts 2015-20262.2 Global Stem Cell Therapy Market Size by Producing Regions: 2015 VS 2020 VS 20262.3 Analysis of Competitive Landscape2.3.1 Manufacturers Market Concentration Ratio (CR5 and HHI)2.3.2 Global Stem Cell Therapy Market Share by Company Type (Tier 1, Tier 2 and Tier 3)2.3.3 Global Stem Cell Therapy Manufacturers Geographical Distribution2.4 Key Trends for Stem Cell Therapy Markets & Products2.5 Primary Interviews with Key Stem Cell Therapy Players (Opinion Leaders)

3 Market Size by Manufacturers3.1 Global Top Stem Cell Therapy Manufacturers by Production Capacity3.1.1 Global Top Stem Cell Therapy Manufacturers by Production Capacity (2015-2020)3.1.2 Global Top Stem Cell Therapy Manufacturers by Production (2015-2020)3.1.3 Global Top Stem Cell Therapy Manufacturers Market Share by Production3.2 Global Top Stem Cell Therapy Manufacturers by Revenue3.2.1 Global Top Stem Cell Therapy Manufacturers by Revenue (2015-2020)3.2.2 Global Top Stem Cell Therapy Manufacturers Market Share by Revenue (2015-2020)3.2.3 Global Top 10 and Top 5 Companies by Stem Cell Therapy Revenue in 20193.3 Global Stem Cell Therapy Price by Manufacturers3.4 Mergers & Acquisitions, Expansion Plans

4 Stem Cell Therapy Production by Regions4.1 Global Stem Cell Therapy Historic Market Facts & Figures by Regions4.1.1 Global Top Stem Cell Therapy Regions by Production (2015-2020)4.1.2 Global Top Stem Cell Therapy Regions by Revenue (2015-2020)4.2 North America4.2.1 North America Stem Cell Therapy Production (2015-2020)4.2.2 North America Stem Cell Therapy Revenue (2015-2020)4.2.3 Key Players in North America4.2.4 North America Stem Cell Therapy Import & Export (2015-2020)4.3 Europe4.3.1 Europe Stem Cell Therapy Production (2015-2020)4.3.2 Europe Stem Cell Therapy Revenue (2015-2020)4.3.3 Key Players in Europe4.3.4 Europe Stem Cell Therapy Import & Export (2015-2020)4.4 China4.4.1 China Stem Cell Therapy Production (2015-2020)4.4.2 China Stem Cell Therapy Revenue (2015-2020)4.4.3 Key Players in China4.4.4 China Stem Cell Therapy Import & Export (2015-2020)4.5 Japan4.5.1 Japan Stem Cell Therapy Production (2015-2020)4.5.2 Japan Stem Cell Therapy Revenue (2015-2020)4.5.3 Key Players in Japan4.5.4 Japan Stem Cell Therapy Import & Export (2015-2020)

5 Stem Cell Therapy Consumption by Region5.1 Global Top Stem Cell Therapy Regions by Consumption5.1.1 Global Top Stem Cell Therapy Regions by Consumption (2015-2020)5.1.2 Global Top Stem Cell Therapy Regions Market Share by Consumption (2015-2020)5.2 North America5.2.1 North America Stem Cell Therapy Consumption by Application5.2.2 North America Stem Cell Therapy Consumption by Countries5.2.3 U.S.5.2.4 Canada5.3 Europe5.3.1 Europe Stem Cell Therapy Consumption by Application5.3.2 Europe Stem Cell Therapy Consumption by Countries5.3.3 Germany5.3.4 France5.3.5 U.K.5.3.6 Italy5.3.7 Russia5.4 Asia Pacific5.4.1 Asia Pacific Stem Cell Therapy Consumption by Application5.4.2 Asia Pacific Stem Cell Therapy Consumption by Regions5.4.3 China5.4.4 Japan5.4.5 South Korea5.4.6 India5.4.7 Australia5.4.8 Taiwan5.4.9 Indonesia5.4.10 Thailand5.4.11 Malaysia5.4.12 Philippines5.4.13 Vietnam5.5 Central & South America5.5.1 Central & South America Stem Cell Therapy Consumption by Application5.5.2 Central & South America Stem Cell Therapy Consumption by Country5.5.3 Mexico5.5.3 Brazil5.5.3 Argentina5.6 Middle East and Africa5.6.1 Middle East and Africa Stem Cell Therapy Consumption by Application5.6.2 Middle East and Africa Stem Cell Therapy Consumption by Countries5.6.3 Turkey5.6.4 Saudi Arabia5.6.5 U.A.E

6 Market Size by Type (2015-2026)6.1 Global Stem Cell Therapy Market Size by Type (2015-2020)6.1.1 Global Stem Cell Therapy Production by Type (2015-2020)6.1.2 Global Stem Cell Therapy Revenue by Type (2015-2020)6.1.3 Stem Cell Therapy Price by Type (2015-2020)6.2 Global Stem Cell Therapy Market Forecast by Type (2021-2026)6.2.1 Global Stem Cell Therapy Production Forecast by Type (2021-2026)6.2.2 Global Stem Cell Therapy Revenue Forecast by Type (2021-2026)6.2.3 Global Stem Cell Therapy Price Forecast by Type (2021-2026)6.3 Global Stem Cell Therapy Market Share by Price Tier (2015-2020): Low-End, Mid-Range and High-End

7 Market Size by Application (2015-2026)7.2.1 Global Stem Cell Therapy Consumption Historic Breakdown by Application (2015-2020)7.2.2 Global Stem Cell Therapy Consumption Forecast by Application (2021-2026)

8 Corporate Profiles8.1 Company18.1.1 Company1 Corporation Information8.1.2 Company1 Overview and Its Total Revenue8.1.3 Company1 Production Capacity and Supply, Price, Revenue and Gross Margin (2015-2020)8.1.4 Company1 Product Description8.1.5 Company1 Recent Development8.2 Company28.2.1 Company2 Corporation Information8.2.2 Company2 Overview and Its Total Revenue8.2.3 Company2 Production Capacity and Supply, Price, Revenue and Gross Margin (2015-2020)8.2.4 Company2 Product Description8.2.5 Company2 Recent Development8.3 Company38.3.1 Company3 Corporation Information8.3.2 Company3 Overview and Its Total Revenue8.3.3 Company3 Production Capacity and Supply, Price, Revenue and Gross Margin (2015-2020)8.3.4 Company3 Product Description8.3.5 Company3 Recent Development8.4 This Report Covers Leading Companies Associated in Worldwide Stem Cell Therapy Market (Osiris Therapeutics, NuVasive, Chiesi Pharmaceuticals, JCRPharmaceutical, Pharmicell, Medi-post, Anterogen, Molmed, Takeda (TiGenix).)

9 Production Forecasts by Regions9.1 Global Top Stem Cell Therapy Regions Forecast by Revenue (2021-2026)9.2 Global Top Stem Cell Therapy Regions Forecast by Production (2021-2026)9.3 Key Stem Cell Therapy Production Regions Forecast9.3.1 North America9.3.2 Europe9.3.3 China9.3.4 Japan

10 Stem Cell Therapy Consumption Forecast by Region10.1 Global Stem Cell Therapy Consumption Forecast by Region (2021-2026)10.2 North America Stem Cell Therapy Consumption Forecast by Region (2021-2026)10.3 Europe Stem Cell Therapy Consumption Forecast by Region (2021-2026)10.4 Asia Pacific Stem Cell Therapy Consumption Forecast by Region (2021-2026)10.5 Latin America Stem Cell Therapy Consumption Forecast by Region (2021-2026)10.6 Middle East and Africa Stem Cell Therapy Consumption Forecast by Region (2021-2026)11 Value Chain and Sales Channels Analysis11.1 Value Chain Analysis11.2 Sales Channels Analysis11.2.1 Stem Cell Therapy Sales Channels11.2.2 Stem Cell Therapy Distributors11.3 Stem Cell Therapy Customers12 Market Opportunities & Challenges, Risks and Influences Factors Analysis12.1 Market Opportunities and Drivers12.2 Market Challenges12.3 Market Risks/Restraints12.4 Porters Five Forces Analysis13 Key Finding in The Global Stem Cell Therapy Study14 Appendix14.1 Research Methodology14.1.1 Methodology/Research Approach14.1.2 Data Source14.2 Author Details14.3 Disclaimer

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New Trends: Covid-19 impact on Stem Cell Therapy Market Regional Outlook, Analysis and Competitive Analysis by 2026 - 3rd Watch News

Trending Now: Longevity and Anti-senescence Therapy Market Share, Growth, Demand, Trends, Region Wise Analysis of Top Players and Forecasts – Cole of…

Longevity and Anti-senescence TherapyMarket 2020: Inclusive Insight

Los Angeles, United States, May 2020:The report titled Global Longevity and Anti-senescence Therapy Market is one of the most comprehensive and important additions to Alexareports archive of market research studies. It offers detailed research and analysis of key aspects of the global Longevity and Anti-senescence Therapy market. The market analysts authoring this report have provided in-depth information on leading growth drivers, restraints, challenges, trends, and opportunities to offer a complete analysis of the global Longevity and Anti-senescence Therapy market. Market participants can use the analysis on market dynamics to plan effective growth strategies and prepare for future challenges beforehand. Each trend of the global Longevity and Anti-senescence Therapy market is carefully analyzed and researched about by the market analysts.

Longevity and Anti-senescence Therapy Market competition by top manufacturers/ Key player Profiled: CohBar, TA Sciences, Unity Biotechnology, AgeX TherapeuticsInc, PowerVision Inc.

Get PDF Sample Copy of the Report to understand the structure of the complete report:(Including Full TOC, List of Tables & Figures, Chart) : https://www.alexareports.com/report-sample/869763

Global Longevity and Anti-senescence Therapy Market is estimated to reach xxx million USD in 2020 and projected to grow at the CAGR of xx% during 2020-2026. According to the latest report added to the online repository of Alexareports the Longevity and Anti-senescence Therapy market has witnessed an unprecedented growth till 2020. The extrapolated future growth is expected to continue at higher rates by 2026.

Longevity and Anti-senescence Therapy Market Segment by Type covers: Hemolytic Drug Therapy, Gene Therapy, Immunotherapy, Other Stem Cell Therapies

Longevity and Anti-senescence Therapy Market Segment by Application covers:Hospital, Medical Service Institution, Drug and Device Sales

After reading the Longevity and Anti-senescence Therapy market report, readers get insight into:

*Major drivers and restraining factors, opportunities and challenges, and the competitive landscape*New, promising avenues in key regions*New revenue streams for all players in emerging markets*Focus and changing role of various regulatory agencies in bolstering new opportunities in various regions*Demand and uptake patterns in key industries of the Longevity and Anti-senescence Therapy market*New research and development projects in new technologies in key regional markets*Changing revenue share and size of key product segments during the forecast period*Technologies and business models with disruptive potential

Based on region, the globalLongevity and Anti-senescence Therapy market has been segmented into Americas (North America ((the U.S. and Canada),) and Latin Americas), Europe (Western Europe (Germany, France, Italy, Spain, UK and Rest of Europe) and Eastern Europe), Asia Pacific (Japan, India, China, Australia & South Korea, and Rest of Asia Pacific), and Middle East & Africa (Saudi Arabia, UAE, Kuwait, Qatar, South Africa, and Rest of Middle East & Africa).

Key questions answered in the report:

What will the market growth rate of Longevity and Anti-senescence Therapy market?What are the key factors driving the global Longevity and Anti-senescence Therapy market size?Who are the key manufacturers in Longevity and Anti-senescence Therapy market space?What are the market opportunities, market risk and market overview of the Longevity and Anti-senescence Therapy market?What are sales, revenue, and price analysis of top manufacturers of Longevity and Anti-senescence Therapy market?Who are the distributors, traders, and dealers of Longevity and Anti-senescence Therapy market?What are the Longevity and Anti-senescence Therapy market opportunities and threats faced by the vendors in the global Longevity and Anti-senescence Therapy industries?What are sales, revenue, and price analysis by types and applications of Longevity and Anti-senescence Therapy market?What are sales, revenue, and price analysis by regions of Longevity and Anti-senescence Therapy industries?

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Table of ContentsSection 1 Longevity and Anti-senescence Therapy Product DefinitionSection 2 Global Longevity and Anti-senescence Therapy Market Manufacturer Share and Market Overview2.1 Global Manufacturer Longevity and Anti-senescence Therapy Shipments2.2 Global Manufacturer Longevity and Anti-senescence Therapy Business Revenue2.3 Global Longevity and Anti-senescence Therapy Market Overview2.4 COVID-19 Impact on Longevity and Anti-senescence Therapy IndustrySection 3 Manufacturer Longevity and Anti-senescence Therapy Business Introduction3.1 CohBar Longevity and Anti-senescence Therapy Business Introduction3.1.1 CohBar Longevity and Anti-senescence Therapy Shipments, Price, Revenue and Gross profit 2014-20193.1.2 CohBar Longevity and Anti-senescence Therapy Business Distribution by Region3.1.3 CohBar Interview Record3.1.4 CohBar Longevity and Anti-senescence Therapy Business Profile3.1.5 CohBar Longevity and Anti-senescence Therapy Product Specification3.2 TA Sciences Longevity and Anti-senescence Therapy Business Introduction3.2.1 TA Sciences Longevity and Anti-senescence Therapy Shipments, Price, Revenue and Gross profit 2014-20193.2.2 TA Sciences Longevity and Anti-senescence Therapy Business Distribution by Region3.2.3 Interview Record3.2.4 TA Sciences Longevity and Anti-senescence Therapy Business Overview3.2.5 TA Sciences Longevity and Anti-senescence Therapy Product Specification3.3 Unity Biotechnology Longevity and Anti-senescence Therapy Business Introduction3.3.1 Unity Biotechnology Longevity and Anti-senescence Therapy Shipments, Price, Revenue and Gross profit 2014-20193.3.2 Unity Biotechnology Longevity and Anti-senescence Therapy Business Distribution by Region3.3.3 Interview Record3.3.4 Unity Biotechnology Longevity and Anti-senescence Therapy Business Overview3.3.5 Unity Biotechnology Longevity and Anti-senescence Therapy Product Specification3.4 AgeX TherapeuticsInc Longevity and Anti-senescence Therapy Business Introduction3.5 PowerVision Inc. Longevity and Anti-senescence Therapy Business IntroductionSection 4 Global Longevity and Anti-senescence Therapy Market Segmentation (Region Level)4.1 North America Country4.1.1 United States Longevity and Anti-senescence Therapy Market Size and Price Analysis 2014-20194.1.2 Canada Longevity and Anti-senescence Therapy Market Size and Price Analysis 2014-20194.2 South America Country4.2.1 South America Longevity and Anti-senescence Therapy Market Size and Price Analysis 2014-20194.3 Asia Country4.3.1 China Longevity and Anti-senescence Therapy Market Size and Price Analysis 2014-20194.3.2 Japan Longevity and Anti-senescence Therapy Market Size and Price Analysis 2014-20194.3.3 India Longevity and Anti-senescence Therapy Market Size and Price Analysis 2014-20194.3.4 Korea Longevity and Anti-senescence Therapy Market Size and Price Analysis 2014-20194.4 Europe Country4.4.1 Germany Longevity and Anti-senescence Therapy Market Size and Price Analysis 2014-20194.4.2 UK Longevity and Anti-senescence Therapy Market Size and Price Analysis 2014-20194.4.3 France Longevity and Anti-senescence Therapy Market Size and Price Analysis 2014-20194.4.4 Italy Longevity and Anti-senescence Therapy Market Size and Price Analysis 2014-20194.4.5 Europe Longevity and Anti-senescence Therapy Market Size and Price Analysis 2014-20194.5 Other Country and Region4.5.1 Middle East Longevity and Anti-senescence Therapy Market Size and Price Analysis 2014-20194.5.2 Africa Longevity and Anti-senescence Therapy Market Size and Price Analysis 2014-20194.5.3 GCC Longevity and Anti-senescence Therapy Market Size and Price Analysis 2014-20194.6 Global Longevity and Anti-senescence Therapy Market Segmentation (Region Level) Analysis 2014-20194.7 Global Longevity and Anti-senescence Therapy Market Segmentation (Region Level) AnalysisSection 5 Global Longevity and Anti-senescence Therapy Market Segmentation (Product Type Level)5.1 Global Longevity and Anti-senescence Therapy Market Segmentation (Product Type Level) Market Size 2014-20195.2 Different Longevity and Anti-senescence Therapy Product Type Price 2014-20195.3 Global Longevity and Anti-senescence Therapy Market Segmentation (Product Type Level) AnalysisSection 6 Global Longevity and Anti-senescence Therapy Market Segmentation (Industry Level)6.1 Global Longevity and Anti-senescence Therapy Market Segmentation (Industry Level) Market Size 2014-20196.2 Different Industry Price 2014-20196.3 Global Longevity and Anti-senescence Therapy Market Segmentation (Industry Level) AnalysisSection 7 Global Longevity and Anti-senescence Therapy Market Segmentation (Channel Level)7.1 Global Longevity and Anti-senescence Therapy Market Segmentation (Channel Level) Sales Volume and Share 2014-20197.2 Global Longevity and Anti-senescence Therapy Market Segmentation (Channel Level) AnalysisSection 8 Longevity and Anti-senescence Therapy Market Forecast 2019-20248.1 Longevity and Anti-senescence Therapy Segmentation Market Forecast (Region Level)8.2 Longevity and Anti-senescence Therapy Segmentation Market Forecast (Product Type Level)8.3 Longevity and Anti-senescence Therapy Segmentation Market Forecast (Industry Level)8.4 Longevity and Anti-senescence Therapy Segmentation Market Forecast (Channel Level)Section 9 Longevity and Anti-senescence Therapy Segmentation Product Type9.1 Hemolytic Drug Therapy Product Introduction9.2 Gene Therapy Product Introduction9.3 Immunotherapy Product Introduction9.4 Other Stem Cell Therapies Product IntroductionSection 10 Longevity and Anti-senescence Therapy Segmentation Industry10.1 Hospital Clients10.2 Medical Service Institution Clients10.3 Drug and Device Sales ClientsSection 11 Longevity and Anti-senescence Therapy Cost of Production Analysis11.1 Raw Material Cost Analysis11.2 Technology Cost Analysis11.3 Labor Cost Analysis11.4 Cost OverviewSection 12 Conclusion

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Osteonecrosis Treatment Market Investment Opportunities By 2020-2027 | Leading Key Players Bone Therapeutics, Enzo Biochem Inc., and K-Stemcell Co…

Global Osteonecrosis Treatment Market has witnessed continuous growth in the past few years and is projected to grow even further during the forecast period (2020-2027). The research presents a complete assessment of the market and contains Future trends, Current Growth Factors, attentive opinions, facts, historical data, and statistically supported and industry-validated market data. This is the latest report, covering the current COVID-19 impact on the market. The pandemic of Coronavirus (COVID-19) has affected every aspect of life globally. It delivers important information to identify and analyze the market need, market growth, and competition.

This all-inclusive Osteonecrosis Treatment Market research report includes a detailed on these trends, share, size that can help the businesses operating in the industry to figure out the market and strategize for their business development accordingly. The research report analyses the growth, market size, key segments, industry share, application, and key drivers.

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The major manufacturers covered in this report: Bone Therapeutics, Enzo Biochem Inc., and K-Stemcell Co Ltd. Hospitals, clinics, universities,

Key players in the Osteonecrosis Treatment market have been identified through secondary research, and their market shares have been determined through primary and secondary research. All measurement shares split, and breakdowns have been resolute using secondary sources and verified primary sources. The Osteonecrosis Treatment Market report begins with a basic overview of the industry lifecycle, definitions, classifications, applications, and industry chain structure, and all these together will help leading players understand the scope of the Market, what characteristics it offers, and how it will fulfill customers requirements.

Regional Analysis for Osteonecrosis Treatment Market:

For comprehensive understanding of market dynamics, the Global Osteonecrosis Treatment Market is analyzed across key geographies namely North America, Europe, China, Japan, Southeast Asia, India, Central & South America. Each of these regions is analyzed on basis of market findings across major countries in these regions for a macro-level understanding of the market.

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The complete knowledge of the Osteonecrosis Treatment Market is based on the latest industry news, opportunities, and trends. The Osteonecrosis Treatment Market research report offers a clear insight into the influential factors that are expected to transform the global market in the near future. Both top-down and bottom-up approaches have been used to estimate and validate the market size of the Osteonecrosis Treatment market, to estimate the size of various other dependent submarkets in the overall market.

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Part 3:Product Segment Overview and Market Status

Part 4:Application / End-User Segment Overview and Market Status

Part 5:Region Segment Overview and Market Status

Part 6:Product & Application Segment Production & Demand by Region

Part 7:Market Forecast by Product, Application & Region

Part 8:Company information, Products & Services and Business Operation (Sales, Cost, Margin, etc.)

Part 9:Market Competition and Environment for New Entrants

Part 10:Conclusion,In the end, the report makes some important proposals for a new project of Osteonecrosis Treatment Market before evaluating its feasibility. Overall, the report covers the sales volume, price, revenue, gross margin, historical growth, and future perspectives in the Osteonecrosis Treatment market. It offers facts related to the mergers, acquirement, partnerships, and joint venture activities widespread in the market.

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Stem Cells Industry 2020 Includes The Major Application Segments And Size In The Global Market To 2026 – 3rd Watch News

A detailed research study on the Stem Cells Market was recently published by IndustryGrowthInsights. This is a latest report, covering the current COVID-19 impact on the market. The pandemic of Coronavirus (COVID-19) has affected every aspect of life globally. This has brought along several changes in market conditions. The rapidly changing market scenario and initial and future assessment of the impact is covered in the report. The report puts together a concise analysis of the growth factors influencing the current business scenario across various regions. Significant information pertaining to the industry analysis size, share, application, and statistics are summed in the report in order to present an ensemble prediction. Additionally, this report encompasses an accurate competitive analysis of major market players and their strategies during the projection timeline.

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High-throughput intracellular biopsy of microRNAs for dissecting the temporal dynamics of cellular heterogeneity – Science Advances

Abstract

The capability to analyze small RNAs responsible for post-transcriptional regulation of genes expression is essential for characterizing cellular phenotypes. Here, we describe an intracellular biopsy technique (inCell-Biopsy) for fast, multiplexed, and highly sensitive profiling of microRNAs (miRNAs). The technique uses an array of diamond nanoneedles that are functionalized with size-dependent RNA binding proteins, working as fishing rods to directly pull miRNAs out of cytoplasm while keeping the cells alive, thus enabling quasi-single-cell miRNA analysis. Each nanoneedle works as a reaction chamber for parallel in situ amplification, visualization, and quantification of miRNAs as low as femtomolar, which is sufficient to detect miRNAs of a single-copy intracellular abundance with specificity to single-nucleotide variation. Using inCell-Biopsy, we analyze the temporal miRNA transcriptome over the differentiation of embryonic stem cells (ESCs). The combinatorial miRNA expression patterns derived by inCell-Biopsy identify emerging cell subpopulations differentiated from ESCs and reveal the dynamic evolution of cellular heterogeneity.

Embryonic stem cells (ESCs) are self-renewable and can differentiate into all types of cells in an adult organism. They are increasingly used in disease modeling, drug discovery, and regenerative medicine (13). More recently, the emergence of induced pluripotent stem cells (iPSCs) eludes the potential of patient-specific regeneration of damaged or diseased tissues (4, 5) and brings stem cellbased therapy to the forefront of the development of previously unidentified treatments for many diseases that are challenging for traditional methods. One of the issues for these efforts is the development of protocols to ensure directed differentiation of stem cells both in vitro and in vivo (6), which relies on the understanding and controlling of the cellular heterogeneity generated from stem cell differentiation and is critical for the clinical adoption of relevant therapeutic strategies (7).

MicroRNAs (miRNAs), a class of noncoding small RNAs, were reported to be involved in the regulation of self-renewal and differentiation of many stem cells (8). They regulate gene expression by binding to specific mRNA targets to promote mRNA degradation or translational inhibition. Many recent studies have shown a close relationship between miRNA transcriptome and cellular heterogeneity in different tissues (9, 10) or over stem cell differentiation (11, 12). However, in situ profiling of miRNAs in living cells is still challenging, hindering the adoption of miRNA as a therapeutic indicator in clinical practices (13). The trace amount of miRNAs in cytoplasm requires a profiling technique to be highly specific and sensitive (13, 14). A size selection step is typically required, following the isolation of total RNA from cellular homogenate (13, 15). Because of the short length of miRNAs, small primers are required in polymerase chain reaction (PCR) and often cause reduced priming efficiency, nonspecific hybridization, and, thus, erroneous results (14).

Among the tools for miRNA profiling, quantitative reverse transcription PCR (qRT-PCR) is the gold standard, but it is rather a validation instead of discovery tool. Deep sequencing resolves miRNA transcriptome with an extremely high throughput, but it is, however, disadvantaged by high cost, long turnover time, and complex data analysis (13). Both methods inherit similar issues from the required PCR process as mentioned above. Alternatively, microarray provides multiplexed miRNA analysis based on probe-target hybridization but has lower specificity and sensitivity (13, 14). All these commonly used techniques require isolation of RNA sample from cellular lysates, providing only average measurements of miRNAs for all cells. Consequently, important information about the heterogeneity of the cell populations would be missing and is only accessible by using single cellbased analytical techniques (16). Some in situ miRNA assay tools were recently reported by combining high-resolution microscopy with nanotechnology (17, 18), which are less quantitative and sometimes limited by toxicity issues.

Here, we describe an intracellular biopsy (inCell-Biopsy) technique for multiplexed in situ profiling of miRNAs in living cells. An array of diamond nanoneedles were functionalized with RNA binding protein (p19) and were used as fishing rods to directly pull multiple targeted miRNAs out of cell cytoplasm in a few minutes, leaving the cells alive. After the inCell-Biopsy operation, each nanoneedle then worked as a separated reaction plant for parallel in situ amplification, visualization, and quantification of miRNAs. The detection limit can reach as low as 1015 M, which is almost three orders of magnitude lower than the abundance of a single copy in a cell. Using inCell-Biopsy, we demonstrated multiplexed profiling of miRNAs in living cells and analyzed the temporal miRNA transcriptome over the differentiation of ESCs toward motor neurons, revealing the cellular heterogeneity and associated evolutionary dynamics of the differentiated cell populations based on miRNA expression.

The inCell-Biopsy technique is based on the continuous development of a molecular fishing system (19), which uses an array of diamond nanoneedles as fishing rods for minimum-invasive and reversible access of cytoplasmic regions of mammalian cells (Fig. 1A and movie S1). Specifically, for fishing miRNAs, a size-dependent RNA binding protein, p19, was cross-linked to functionalize the nanoneedles, working as the fishing hook to capture double-strand RNAs (dsRNAs) (Fig. 1A; more details in fig. S1). P19 can selectively bind to all dsRNAs of 20 to 22 base pairs (bp) (20, 21), which is a range covering almost all miRNAs in mammalian cells. As mature intracellular miRNAs are mostly single stranded (22), in this study, for each targeted miRNA, a bait RNA sequence was delivered to the cytoplasm to hybridize with the targets for p19 to capture. When the functionalized diamond nanoneedles are interfaced with live cells using a centrifugation facilitated procedure, the fishing rods can penetrate the cell membrane to access the cytoplasmic region via a temporary membrane disruption, which simultaneously facilitates the intracellular delivery of the bait RNAs (fig. S1) (19, 23). Upon the retrieval of the nanoneedles, the targeted miRNAs are isolated, leaving the cells alive (viability, 96.2 1.5%; means SD, n = 3).

(A) Schematic illustration of intracellular biopsy of miRNAs from live cells. (B) On-needle amplification of miRNA signals by hybridization chain reaction (HCR). (C) DNase-assisted multiple rounds of signal visualization. (D) Image processing and informatic approaches for miRNA transcriptome analysis.

After the inCell-Biopsy operation, a hybridization chain reaction (HCR) was performed on the nanoneedles to amplify the miRNAs. The HCR is featured by two single-strand DNAs (ssDNAs) with a stem-loop structure (hairpin 1 and 2), which can cyclically hybridize with each other if the stem part of one sequence is open (Fig. 1B) (24). For each miRNA target, the corresponding bait RNA contains the complementary sequence plus a small encoding overhang part at its 3 end, which binds to a small DNA sequence (initiator) to trigger the HCR (Fig. 1B). To enhance the detection sensitivity, one of the hairpins (hairpin 1) was fluorescently labeled and was quenched until its stem opening in the HCR. For multiplexing, the overhang part of the bait sequence was uniquely encoded for different miRNA targets, so that multiple miRNA targets can be visualized by different fluorophores (table S1). While the number of optically separable fluorophores may be limited (e.g., four channels), we implemented multiple rounds of HCR by removing the DNA hairpins after collecting the signals at the end of each round using deoxyribonuclease I (DNase I) enzyme, so that a new set of miRNAs could be examined to improve the analytical throughput of the inCell-Biopsy technique (Fig. 1C). Three rounds of HCR enabled us to examine 12 miRNAs after each biopsy. To enhance assay reliability, we dedicated one of the four channels to a reference miRNA (Fig. 1D), cel-miR-39, which does not exist in human or rodent cells and was artificially introduced to the cell cytoplasm, thus to eliminate potential systemic errors caused by experimental variations. The expression level of a targeted miRNA was indicated by the normalized fluorescence (with respect to the reference) acquired by confocal microscopy. While the nanoneedles could not be correlated to each cell with one-to-one mapping, the scattered signal from thousands of nanoneedles still retains the rich information about the cell population based on their miRNA expression (Fig. 1D).

To characterize the detection limit of our inCell-Biopsy technique, we first performed a mock experiment by profiling miRNAs from medium containing a premixed dsRNA (miR-34a and corresponding bait sequence) at different concentrations varying from 1016 to 1010 M. A nanoneedle chip was incubated in the solution and then rinsed before proceeding to further analysis. For every chip, signals from more than 1000 nanoneedles were collected and quantified (Fig. 2, A and B). Our results showed reliable differentiation of dsRNA of tested concentrations down to 1015 M (Fig. 2C). The overall profile of the fluorescence intensities was observed to positively associate with the miRNA concentrations (Fig. 2D), and the ratio of positive nanoneedles also exhibited an association with the miRNA concentration, roughly following the Langmuir isotherm model (Fig. 2E; also see note S1) (25). To test the detection specificity, we performed an assay to detect the synthetic let-7a miRNA over sequences with 1nucleotide (nt) mismatch (let-7c) or 2-nt mismatches (let-7b), and showed that the inCell-Biopsy technique is specific to single-nucleotide variation by successfully discriminating closely related miRNA sequences (Fig. 2F). The inCell-Biopsy was then implemented to detect miRNAs (let-7a or miR-34a) in cultured A549 cells (Fig. 2G). The two miRNAs were reported to express with different abundance in the cells: Let-7a is highly expressed, and miR-34a is of relatively low intracellular level (26). The nanoneedle chip was interfaced with A549 cells using a centrifugation-controlled method to initiate the intracellular biopsy (19, 23) and to deliver the two bait sequences to the intracellular domain. After a 15-min fishing reaction, the chip was retrieved from cells for analysis. For successful miRNA biopsy, the nanoneedles were identified to colocalize with the fluorescence signals from HCR amplification (Fig. 2H), which is significantly higher than different controls (Fig. 2, I and J; also see fig. S2A). The HCR amplification is especially useful in the detection of miRNAs of low intracellular abundance (e.g., miR-34a), which would otherwise be unobservable without the on-needle HCR amplification (fig. S2B).

(A) SEM image of the diamond nanoneedles; scale bar, 50 m. (B) Fluorescence images (top view) showing miRNA signals (red) on the nanoneedles (green); scale bar, 50 m. For (A) and (B), the boxed region is enlarged below; scale bars, 10 m. (C) Analysis of detection limit with violin plots showing the distribution of miRNA signals from all nanoneedles. *P < 0.005 by Kruskal-Wallis test. a.u., arbitrary units. (D) Relationship between miRNA concentration and fluorescence averaged from all nanoneedles. The red line indicates logarithmic fit (R2 = 0.99, P < 0.001 by F test). (E) Relationship between miRNA concentration and ratio of signal+ nanoneedles. The blue dashed line indicates a nonlinear fit by Langmuir isotherm model (R2 = 0.98, P < 0.001 in F test). (F) Analysis of detection specificity. NC, no target included. *P < 0.001 by ANOVA test. (G) Image of A549 cells after treatment; scale bar, 50 m. (H) Fluorescence visualization of miRNAs (red, let-7a or miR-34a) on the nanoneedles (green); scale bars, 10 m for three-dimensional and top view, 1 m for enlarged view. (I) Comparison of miRNA (let-7a or miR-34a) signals from different controls. (J) Ratio of signal+ nanoneedles for experiments with or without HCR amplification. For (D), (E), (I), and (J), n = 3; the error bar indicates SEM; *P < 0.001 by ANOVA test.

The capability to capture the dynamics of miRNA expression is extremely important for a profiling technique, as intracellular miRNAs play a key regulatory role in gene expression networks and change when cells switch their status (27). We then applied inCell-Biopsy to characterize relevant miRNAs in cells undergoing DNA damage or at different stages of a cell cycle to show its potential as a technique for probing cellular dynamics. Upon ultraviolet-induced DNA damage, let-7a was significantly down-regulated, and miR-16 and miR-26 were significantly up-regulated within just several minutes (fig. S3). In an extended temporal window as the cells progress to different division cycles, let-7a, miR-21, and miR-34a were observed to gradually increase from G1, to S, to G2 stage, while miR-24 remained stable at these stages (fig. S4). These results echo well with the literature (28, 29) and demonstrated inCell-Biopsys capability to monitor the fluctuation of miRNAs expression associated with cellular activity. In addition, the technique not only provides an overall assessment of miRNA expression in the cells but also captures the dynamic heterogeneity of cell populations, as confirmed by flow cytometry (fig. S4D) and qRT-PCR analysis (fig. S4, F and G).

After the above technical validations, we next applied inCell-Biopsy to investigate the temporal miRNA transcriptome and its relationship to cellular heterogeneity over the differentiation of mouse ESCs (mESCs) (HB9: GFP) toward motor neurons. We chose to profile nine different miRNAs in these cells at day 0, day 7, and day 14 from the induction of differentiation (Fig. 3, A and B). By using a custom-developed processing streamline and program (fig. S5), the expression of the nine miRNAs at various differentiation stages were obtained (Fig. 3C). When all the data were pooled together blindly, t-distributed stochastic neighbor embedding (t-SNE) (30) quantification showed the overall evolutionary change of the cells by the appearance of three self-organized clusters along with ESC differentiation, suggesting the validity of using combinatory miRNA expression pattern to indicate cell identity in this process (Fig. 3D).

(A) Experimental design of monitoring miRNA dynamics over the differentiation of embryonic stem cells (ESCs). RA, retinoic acid; and SAG, smoothened agonist. (B) Phase (Ph)contrast and fluorescence (green fluorescence indicates GFP) images showing morphological change of the cells along with differentiation. Scale bars, 50 m. (C) Confocal fluorescence image (top view) of diamond nanoneedles after fishing and HCR amplification. Scale bar, 20 m. The boxed region is enlarged below to show the expression of nine miRNAs from three rounds of amplification and visualization. Scale bars, 2 m. (D) t-SNE clustering of the pooled multidimensional miRNA vectors that resulted from inCell-biopsy at all three stages, showing the overall evolution of miRNA expression along with ESC differentiation.

Cells generated from ESC differentiation are typically heterogeneous (31), the inCell-Biopsy technique provides us the possibility to decipher this heterogeneity and biogenic evolution by using temporal miRNA dynamics (16). For each of the nine miRNA targets, we quantified its fold change at later differentiation stages with respect to the initial stem cell level, performed a self-diffusionbased spectral clustering (details in Materials and Methods Section) for the multidimensional miRNA measurements from thousands of nanoneedles pooled from six independent replicates, and determined the optimal numbers of clusters by eigengap (fig. S6A) (32). It was found that stable subpopulations were clearly observed at both 7 and 14 days after differentiation, and the cells appeared to be more scattered at the later stage (Fig. 4, A and B). The clustering results were also confirmed by t-SNE analysis (Fig. 4C) as well as principle component analysis (fig. S6B). The heatmaps and violin plots of the nine miRNAs showed the unique expression pattern of each cluster at a specific differentiation stage (Fig. 4, D, E, G, and H and fig. S7) and also suggested some similarities of particular clusters across different stages (e.g., cluster 3 at day 7 versus cluster 5 at day 14), implicating potential evolutionary correlation between them. Statistically, we were able to identify cluster-specific miRNA expression signatures (table S2). The shared signature between clusters of day 7 and day 14 supports our speculation of their evolutionary relationship. For instance, cluster 3 of day 7 and cluster 5 of day 14 shared the similar signature miRNAs of miR99a, miR218, and miR9. miR24, miR218, and miR219 are the shared signature miRNAs of cluster 4 of day 7 and cluster 3 of day 14. The discovery of these clusters was made by statistical analysis of signals from thousands of nanoneedles that were interfaced with a large population of cells. The proportion of a particular cluster (out of all nanoneedles) was also evaluated as an indicator for the percentage of a cell subpopulation, assuming an even distribution of the nanoneedles on a uniform culture of cells (Fig. 4F). This scattering information would be lost if averaged miRNA measurements were performed with cell lysate as what are mostly done by existing methods.

Self-diffusionbased spectral clustering and associated similarity network for the multidimensional miRNA measurements from thousands of nanoneedles at day 7 (A) or day 14 (B) of differentiation. (C) Separation of cellular subpopulations indicated by t-SNE analysis at day 7 or day 14. Heatmap showing distinct miRNA expression patterns between different clusters obtained from unsupervised classification at day 7 (D) or day 14 (E). (F) Sector graph showing the proportion of nanoneedles in each cluster out of the total number of nanoneedles on day 7 or day 14. Radar plots (left) and associated violin plots (right) show the averaged expression of the nine miRNAs for each of the identified clusters at day 7 (G) or day 14 (H).

To study the evolutionary correlation among different cell subpopulations (represented by the clusters) over differentiation, we used the multidimensional miRNA data from inCell-Biopsy to study the statistical association between the clusters of day 7 and day 14 to determine the closest pairs. Each cluster of day 14 can be uniquely traced back to link with a cluster of day 7 (P < 0.001, hypergeometric tests; Fig. 5A). For example, cluster 3/4/5 of day 14 was respectively found to be most correlated with cluster 4/2/3 of day 7; these paired clusters also showed similar miRNA expression patterns as shown in the violin plots (Fig. 4, G and H). Clusters 1 and 2 of day 14 both traced back to cluster 1 of day 7, suggesting cluster 2 of day 14 to be a newly differentiated subpopulation derived from cluster 1 of day 7 (Fig. 5B).

(A) Hypergeometric tests for determining the closest pair of clusters from the two differentiation stages. Significant associations are labeled by red squares, colored in proportion to log10(P value) (all P < 0.001). (B) The phylogenetic tree shows the evolutionary relationship among the clusters (cell subpopulations) as differentiation proceeds. The widths of the branches are proportionate to transformed P values [log10(P values)] derived from hypergeometric tests. (C) Correlation between the cluster miRNA pattern (derived from inCell-biopsy) with the results acquired by miR-seq for sorted motor neurons/progenitors. *P < 0.001. (D) Quantitative analysis of the averaged expression of the nine miRNAs for motor neuronlike clusters at day 7 and day 14. Error bars indicate SEM from six independent experiments. (E) Density histograms and associated violin plots showing the variation and distribution of nine miRNAs expression for motor neuronlike clusters at day 7 and day 14.

To figure out the relationship between the identified cluster based on miRNA expression and the cell type identity, we then focused on differentiated motor neuron/progenitors (GFP+) and compared the inCell-Biopsyacquired miRNA profile for each cluster to the data acquired by miRNA sequencing (miR-seq) for sorted motor neuron/progenitors at various differentiation stages. We found that the majority of the nine-dimensional miRNA vectors in cluster 3 of day 7 or cluster 5 of day 14 showed significantly higher correlation to the miR-seqmeasured miRNA expression pattern (P < 0.001, Wilcoxon signed-rank test; Fig. 5C), which was not observed for the other clusters of the same differentiation stage, suggesting that the nanoneedles in cluster 3 of day 7 or cluster 5 of day 14 mostly sampled motor neurons/progenitors in the miRNA biopsy operation. Taking a closer look at the two clusters, we further observed dynamic changes of different miRNAs (Fig. 5, D and E). For example, miR-294, a stem cellspecific miRNA (33), was significantly reduced from day 7 to day 14, whereas the motor neuronenriching miR-9 and miR-218 (34) were significantly increased over the same period (Fig. 5D). In addition, for the two motor neuron-like clusters, the miRNA expression was generally more scattered at day 14 (compared with day 7; Fig. 5E), which suggested an increased variation of the cell status as differentiation progresses.

Here, we develop a highly versatile and powerful technique, inCell-Biopsy, for in situmultiplexed profiling of miRNAs in living cells. The technique is capable of cherry picking targeted miRNAs from cell cytoplasm while leaving the samples intact afterward. For quantitative analysis of cellular RNAs, most of the existing techniques (e.g., qRT-PCR, microarray, RNA sequencing) started with RNA samples extracted from a population of cells and only provide an averaged measurement of the cell population (13, 14). InCell-Biopsy, on the other hand, isolates targeted miRNAs from a large number of individual cells within just a few minutes by using a diamond nanoneedlefacilitated molecular fishing system (19), and parallels in situ amplification, visualization, and quantification of miRNAs using each nanoneedle as a separated reaction chamber. In this way, our method not only detects averaged miRNA expression level but also captures the cellular heterogeneity of a cell population based on miRNA profiling, which is typically missed in other methods and only accessible using single-cell RNA sequencing (scRNA-seq) analysis (16). In this study, the density of the diamond nanoneedles was roughly controlled at ~5 nanoneedles per 10 by 10 m2 region. Although we cannot establish an exact one-to-one (or multiple-to-one) contacting map between the nanoneedles and each individual cell, the inCell-Biopsy technique enables a quasisingle-cell analysis to provide rich information for characterizing cell mixtures by using multidimensional miRNA profiles. As a proof of concept, we used the inCell-Biopsy technique to dissect cellular heterogeneity over the differentiation of ESCs and investigated the evolution of the cells with a dynamic temporal miRNA transcriptome analysis.

While the intracellular biopsy strategy has been previously reported (19, 3537), in this study, such a concept was further elaborated with specific biochemical design targeting multiple miRNAs, along with a complete framework for multiplexed in situ signal amplification, visualization, and quantification, which altogether are formulated as a quasisingle-cell miRNA profiling platform. Notably, the diamond nanoneedles are rigid enough to puncture cell membrane and remain ultraelastic at nanoscale to sustain the deformation without fracture during an inCell-biopsy operation (38). Although different nanostructures were recently developed as tools to isolate intracellular materials from living cells (3537) and may have the potential to be used for detecting miRNAs when combined with sequencing techniques, our inCell-biopsy technique stands out with a balanced combination of in situ capability, high throughput, ease of use, and independence of expensive equipment.

As one of the core merits, the inCell-Biopsy does not involve any cell lysis and RNA preparation procedures; therefore, the examined cells can be preserved for further longitudinal analysis. This feature also markedly simplifies the experimental operation, reduces the processing time, and provides the opportunity to quantitatively examine the temporal dynamics of miRNA expression for the same batch of cells receiving external stimuli or undergoing internal switch of cellular programs. It would be extremely useful when miRNA profiling is used as a characterization or quality control for cell-based therapeutic treatment (39). Meanwhile, the capability to directly fish miRNAs from the cytoplasm of an individual cell effectively bypasses the dilution of low-abundance miRNAs and prevents sample loss during cell lysing and RNA extraction procedures. Although only a single copy of miRNA is presented in a cell, the actual concentration for nanoneedle-assisted inCell-Biopsy would be around 1013 to 1012 M, which is well tolerated by the detection limit of the technique (1015 M).

Our inCell-Biopsy is based on an intracellular molecular fishing system, in which diamond nanoneedles are used as the fishing rod and RNA binding protein (p19) is used as the fishing hook, which specifically binds to dsRNA (not to ssRNA or dsDNA) in a size-dependent manner (20). For an inCell-Biopsy operation, the dsRNA complexes are formed by the hybridization between the targeted single-strand miRNA and a complementary bait sequence, which was thought to diffuse into cell cytosol via the nanopuncture-induced reversible membrane disruption (23). It is also possible that cytosolic materials could diffuse to cells outside, but this should not be an issue for the treated cells in this study, as the nanoneedles were tightly interfaced with the mobile lipid bilayer membrane (fig. S1), making it less likely for intracellular components (e.g., miRNAs) to leak out and be captured. Notably, intracellular pri-miRNAs or pre-miRNAs that lead to false positive in traditional PCR-based detections (13) would not interfere with our assay, because their structures would prohibit bait hybridization and subsequent binding to p19 proteins. The introduction of an encoded bait sequence for each miRNA target further enhances the specificity of the inCell-Biopsy technique. Practically, p19 can bind to all available dsRNAs of the right length, so that multiplexed detection (e.g., nine miRNAs in this study) can be easily implemented by effortless intracellular delivery of multiple bait sequences (20). Compared with scRNA-seq, the throughput of the inCell-Biopsy technique may be lower at the current stage, but it has, undoubtedly, advantages in substantially lower cost and more efficient experimental protocol. For improvement, the fluorescence labeling system can also be fine-tuned to include more channels to improve the assay throughput. For example, if the hairpin sequences were labeled with quantum dots, it would be easy to achieve an eight-channel imaging system, and three rounds of imaging would increase the throughput to 21 miRNA targets. In addition, the incorporation of certain barcoding strategy (e.g., nanostring system) (40) can further increase the analytical throughput to allow the analysis of hundreds of miRNA targets within a single visualization cycle.

As we had demonstrated, a nine-dimensional miRNA vector space produced by inCell-Biopsy already carries rich information for the identification of heterogeneous clusters that represent the cellular subpopulations differentiated from ESCs. The clustering was autonomously derived from a quasisingle-cell analysis of the miRNA expression patterns, which have recently been reported to be a good indicator for cellular heterogeneity (11, 12). While we cannot spatially determine the contacting relationship of each nanoneedle to an individual cell, statistically, the miRNA profiling by inCell-Biopsy can still reflect the compositional nature of examined cells, assuming a random but uniform distribution of the diamond nanoneedles over an evenly cultured cell. The multidimensional miRNA vector derived from each nanoneedle is treated as an input to a huge miRNA vector space, which effectively created a quasisingle-cell analysis framework for miRNA transcriptome analysis. Particularly, in this study, the correspondence between nanoneedle clusters and identity of specific cell subpopulation was verified to further confirm the validity of the analytical results acquired by inCell-Biopsy. For example, we used a protocol to direct motor neuron differentiation and blindly identified a major nanoneedle cluster (out of all nanoneedles) that was highly correlated to motor neuron identity at both day 7 and day after differentiation. However, when the same mESCs (HB9: GFP) were undergoing spontaneous differentiation without the induction compounds (retinoic acid and smoothened agonist), the motor neuron-like cluster was not discoverable (fig. S8).

The capability to retain cell sample after inCell-Biopsy operation enables multiround miRNA profiling at different time points, thus providing a temporal miRNA transcriptome analysis. Our results show that the inCell-Biopsy not only creates a quick snapshot of the heterogeneity of the examined live cells based on their miRNA profiles but also captures the temporal dynamics of miRNA expression, and it subsequently gives the cellular evolutionary path, as well as the biogenic relationship among heterogeneous emerging cell populations, which is especially informative for clinical applications (7).

In summary, we demonstrate a novel and powerful technique, inCell-Biopsy, for profiling miRNAs in living cells. The temporal miRNA dynamics captured by this technique can be used to reveal the evolution of cellular heterogeneity in mixed cell populations over extended culture periods, potentially providing a quick and convenient evaluation platform for the quality control of the emerging therapeutic strategies involving cell components.

HB9: GFP mESCs were acquired from the Stem Cell Core Facility of Columbia University. ESCs were seeded in a petri dish coated with 0.1% gelatin and were further cultured in an incubator at 37C with 5% CO2 for proliferation. After 3 days, ESCs were trypsinized for cell seeding. Typically, 250 ml of ESC culture medium consisted of 200 ml of EmbryoMax Dulbecco's modified Eagle's medium (DMEM) (Millipore), 37.5 ml of fetal bovine serum (FBS; Hyclone), 2.5 ml of EmbryoMax MEM Nonessential Amino Acids (Millipore), 2.5 ml of nucleosides (Millipore), 2.5 ml of 200 mM l-glutamine (Invitrogen), 2.5 ml of penicillin/streptomycin (pen/strep) (10,000 U/ml penicillin and 10,000 g/ml streptomycin, Invitrogen), 180 l of diluted 2-mercaptoethanol [diluted 1:100 in phosphate-buffered saline (PBS) with Mg and Ca; Invitrogen], and 25 l of leukemia inhibitory factor (LIF)/ESGRO (Millipore). Afterward, the embryonic stem medium was replaced by differentiation medium. Typically, 450 ml of differentiation medium consisted of 200 ml of Advanced DMEM/F12 (Invitrogen), 200 ml of Neurobasal Medium (Invitrogen), 46 ml of KnockOut Serum Replacement (Invitrogen), 4.6 ml of pen/strep, 4.6 ml of l-glutamine, and 320 l of diluted 2-mercaptoethanol. After 2 days, retinoic acid (RA; diluted 1:1000 in differentiation medium; Sigma-Aldrich) and smoothened agonist (SAG; dilutes 1:1000 in differentiation medium; Sigma-Aldrich) were added into the medium for a strong induction to motor neuron differentiation. After 3 days of in vitro differentiation, the differentiation medium supplemented with 4.5 l of glial-derived neurotrophic factor (Invitrogen), 9 ml of B27 (Invitrogen), and 4.5 ml of N2 supplement (Invitrogen) was used for a better motor neuron growth.

A549 cancer cells were maintained in DMEM (Life Technologies) supplemented with 10% FBS, l-glutamine, and pen/strep. Before molecular fishing experiments, cells were seeded in a four-well multidish (Nunclon) and allowed to grow until ~80% confluence.

The fabrication of diamond nanoneedles follows a protocol as previously described (19), involving the deposition of nanodiamond film and subsequent bias-assisted reactive ion etching (RIE) by electron cyclotron resonance microwave plasma chemical vapor deposition (ECR-MPCVD). N-type (001) silicon wafers of 3-inch diameter were used as a substrate. Before nanodiamond deposition, the substrate was soaked in ultrasonic bath for 60 min in ethanol, containing a suspension of nanodiamond powders with a grain size of 5 nm. Nanodiamond films 7 m thick were then deposited using a commercial ASTeX MPCVD equipped with a 1.5-kW microwave generator. The nanodiamond deposition was performed in the plasma induced in 10% CH4/H2 mixture at a total pressure of 30 torr and total gas flow rate of 200 standard cubic centimeter per minute (SCCM). The microwave power and deposition temperature were maintained at 1200 W and 800C, respectively. After the nanodiamond film deposition, RIE was performed using ECR-MPCVD. The ASTeX microwave source used a magnetic field of 875 G generated by an external magnetic coil. The RIE used a mixture of 45% Ar and 55% H2 as the reactive gases, which were supplied at a total flow rate of 20 SCCM. The substrate bias was 200 V, and the reactant pressure was 7 103 torr. The etching duration was 3 hours, and the input microwave power was 800 W. The morphology of the resulted diamond nanoneedles was characterized by scanning electron microscopy (SEM; Philips FEG SEM XL30), and the sample was tilted 90 for SEM.

To functionalize the diamond nanoneedles with p19 protein, a patch was first bathed in piranha (3:1, v/v; 98% H2SO4:27.5% H2O2) solution at 90C for 1.5 hours and then cleaned by distilled water, methanol, methanol/dichloride methane (DCM) mixture (3:1, v/v), and DCM sequentially. The nanoneedle patch was dried with nitrogen and then immersed in (3-aminopropyl)triethoxysilane solution (20% in DCM, v/v) overnight in a nitrogen-protected environment. Ethanol, isopropyl alcohol, and distilled water were sequentially used to rinse the nanoneedle patch, which would be further dried by nitrogen blow. The nanoneedle patch was then bathed in NHS-biotin solution (1 g/ml in PBS; Sigma-Aldrich) for 1 hour, streptavidin (20% of the streptavidin was labeled by fluorescent dye, Alexa Fluor 488) solution (10 g/ml in PBS; Invitrogen) for 2 hours, and biotinylated p19 siRNA binding protein solution (1 g/ml in PBS; New England Biolabs) for 1 hour. The nanoneedle patch was rinsed with distilled water between adjacent bath steps. After each experiment, the nanoneedle patch was soaked in hot (~90C) piranha solution (3:1, v/v; 98% H2SO4:27.5% H2O2) to remove all cross-linked materials (protein, nucleotides, etc.) on the nanoneedle surface, and SEM images were taken ensure the integrity of the nanoneedle structure. In this way, one patch can be used for at least 20 times. All the materials were acquired from Sigma-Aldrich unless otherwise specified.

Intracellular delivery of RNA bait sequences and miRNA fishing were performed using a centrifugation-controlled process (19). For cells in adherent culture, the medium was first removed, and 100 l of RNA bait sequence solution (10 nM for every bait sequence in serum-free medium) was applied to the cells. A nanoneedle patch was then placed facing toward the cells in a four-well petri dish. The whole complex was then placed in a centrifuge with a plate rotor and spun at 400 revolutions per minute (rpm) (22.8 g) for 4 min. After first centrifugation, the setup was placed in an incubator for 10 min to allow the bait sequences to diffuse into cytoplasm and to form dsRNA with their intracellular targets. Afterward, a second centrifugation was performed to enhance miRNA fishing results. During a centrifugation, the ramping speed was controlled to maintain a smooth acceleration to avoid any movement of the nanoneedle patch on cells. For acceleration and deceleration, 3 and 6 rpm/s were, respectively, selected.

Each RNA bait sequence used in the inCell-Biopsy has a unique 10-bp overhang sequence that can be used to amplify the signal coupling with the HCR (41). To perform the on-needle HCR amplification of miRNAs, the initiator sequences were diluted in the hybridization buffer containing 5 sodium citrate (SSC; Invitrogen) with 0.05% tween (pH 7.4; Invitrogen) to a final concentration of 10 nM; the hairpins were diluted in reaction buffer to a final work concentration of 20 nM. After a rinse with 0.05% SDS for 15 min, the nanoneedle patch was immersed in the initiator solution for hybridization between the dsRNAs and the initiator sequences. Following a quick rinse with the wash buffer (1 SSC, 0.05% tween), the patch was further incubated at 37C for 3 hours in hybridization buffer containing different hairpin DNAs (20 nM) with FAM, JOE, CY3, or CY5 fluorescent labels and black hole quencher. After the initiation of the HCR, the heterodimer was separated, and the absorption/emission of the fluorophore was restored. To guarantee the separation and reduce the requenching effect after the binding of hairpins 1 to 2, a short unmatched sequence was included in the hairpin sequences to work as a spacer. All hairpin and initiator oligonucleotides were acquired from BGI (Shenzhen, China) and summarized in table S1.

After first imaging, the HCR-amplified nanoneedle patch was immersed into DNase I solution for 1 hour in 37C to fully elute the DNA hybridized on the needle surface, followed by washing three times with wash buffer. After that, the nanoneedle patch was enabled to perform the HCR amplification to detect another four miRNA targets.

After each HCR amplification process, confocal microscopy (Leica SP8, 40 objective with 1.3 numerical aperture, water immersion) was performed to visualize and quantify the miRNAs captured on the surface of diamond nanoneedles. A nanoneedle patch was scanned with 0.3-m z resolution to get a stack of 45 to 55 slices, and both three-dimensional reconstruction and maximal projection of the stack were acquired. As a result of the HCR amplification, the fluorescent speckles (from DNA hairpin sequences) on nanoneedle surface was quantified and used to analyze the fishing of miRNA targets from the cells inside. After three rounds of amplification, images were projected and aligned to get a 12-channel image stack containing the fluorescence intensity and relative position information. To differentiate the positive signals from background noises or debris, fluorescent speckles of 0.4 to 1.5 m in diameter were firstly selected as nanoneedle regions, and a fluorescence threshold was then applied to sort out the positive nanoneedles with captured miRNAs. For each nanoneedle patch, we lastly obtained a matrix of intensities representing miRNA expression levels, where the columns are miRNA targets and the rows are different nanoneedles.

After obtaining the miRNA expression matrix, we divided the expression data of day 7 and day 14 by matched average value of that at embryo stem cell stage followed by log2 transformation to derive miRNA expression fold change data. To make sure that the miRNA expression data are comparable between different replicates, quantile normalization was subsequently performed for day 7 and day 14, respectively.

Having performed the preprocessing, the miRNA expression fold change data from all the replicates were combined as input for unsupervised classification at day 7 and day 14, respectively. We performed self-diffusion analysis (42), which was implemented by propagating the affinity matrices to improve sample similarities learning, followed by spectral clustering (32) for its relatively better adaptability to data distribution and the lower time consumption. We calculated eigengap (32) based on local scaling affinity, which infers the self-tuning affinity of sample-by-sample distances, and chose the optimal number (k) of clusters for clustering (fig. S6A). The sample-by-sample similarity matrices and similarity networks for day 7 and day 14 are shown in Fig. 4 (A and B), respectively.

For each miRNA profiling at day 7 (or day 14), we calculated Pearson correlation coefficients (PCCs) between its miRNA expression and the average expression levels of nanoneedles in different clusters at day 14 (or day 7). The nanoneedle at day 7 was subsequently assigned to the most correlated cluster at day 14 and vice versa. A confusion matrix was constructed to summarize the total number of nanoneedles classified simultaneously to each pair of clusters at day 7 and day 14, and a hypergeometric test was subsequently performed to evaluate the statistical significance of their association. First, we calculated the average expression profile of probes in each cluster of day 7. Second, for each nanoneedle in day 14, we calculated PCC with the average profile of each cluster of day 7, and the nanoneedle (day 14) was paired to the cluster (day 7) with the highest PCC. Third, all paired day 14day 7 nanoneedle relationships were counted, summarized, and followed by a hypergeometric test for overrepresentation of nanoneedles in day 14 paired to a cluster in day 7. Last, P values derived from the hypergeometric tests were adjusted for multiple hypothesis testing using the Benjamini-Hochberg procedure and illustrated as a heatmap. Similarly, using clusters of day 14 as a reference, we did association tests for the nanoneedles of day 7, and the conclusion is highly consistent.

To illustrate the potential evolutionary relationship between clusters at different stages, a phylogenetic tree was generated on the basis of the statistical associations between clusters at day 7 and day 14, where the branch width represents the transformed P value [log10(P)] derived from the hypergeometric tests. For validation, motor neuron cells (GFP+) were isolated with Sony SH800S cell sorter; the total RNA of sorted cells was extracted using the TRIzol reagent kit (Life Technologies) for miR-seq analysis (BGI). To investigate the potential cell type identities of nanoneedle clusters, we calculated PCCs between the inCell-Biopsyacquired miRNA profiles and the expression levels of the nine miRNAs measured by miR-seq.

To measure miRNAs (let-7a, miR-21, miR-24, miR-34a, and RNU43) using qRT-PCR, the total RNA was extracted from A549 cells using the TRIzol reagent kit (Life Technologies). For 15-l reactions, 10 ng of total RNA was reverse-transcribed and analyzed by the TaqMan miRNA Assays kit (product no. 4366596; Life Technologies). The expression of a particular miRNA was analyzed using the Applied Biosystems real-time PCR instrument following the manufacturers protocol.

At least three independent biological replicates were used for all experiments (n 3); for each replicate, signals from at least 250 nanoneedles were collected for analysis. For Fig. 2C, the bin size along the y axis was 60 (fluorescence, arbitrary units) for the violin plots; the whisker range of the overlaying boxplots is 1 to 99%, and each box shows 25, 50, and 75% percentile of the data. Kruskal-Wallis analysis was performed to determine the statistical significance among different dsRNA concentrations, and P < 0.005 indicates a significant difference. For Fig. 2 (H and I), analysis of variance (ANOVA) was performed to determine the statistical significance; P < 0.05 indicates a significant difference. The error bars indicate SEM from three independent experiments. For Fig. 4 (G and H), the bin size along the y axis was 0.1 (fold change of the expression level) for the violin plots. To identify cluster-specific miRNA expression signatures, a two-tailed Students t test was performed to assess whether each miRNA is differentially expressed between a specific cluster and the other clusters of day 7 (or day 14). For each cluster of day 7 (or day 14), the miRNA expression signatures were prioritized on the basis of the absolute log2 expression level (|log2EL| > = 0.75) and Benjamini-Hochbergadjusted P value (P < 0.001). For Fig. 5C, Wilcoxon signed-rank test was performed to determine the statistical significance; P < 0.001 indicates a significant difference. For Fig. 5D, the error bars indicate SEM from six independent experiments. For Fig. 5E, the bin size along the y axis was 0.1 (fold change of the expression level) for the violin plots.

This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial license, which permits use, distribution, and reproduction in any medium, so long as the resultant use is not for commercial advantage and provided the original work is properly cited.

Acknowledgments: Funding: This work was supported by the National Natural Science Foundation of China (81871452, 81802384, and 51772318), by the Science, Technology and Innovation Committee of Shenzhen Municipality (JCYJ20170818100342392, JCYJ20180507181624871, and JCYJ20170413141236903), by the General Research Fund (11278616, 11203017, 11102317, 11103718, and 11103619) from the Research Grants Council of Hong Kong SAR, and by the Health and Medical Research Fund (06172336) from the Food and Health Bureau of Hong Kong SAR. Author contributions: P.S. conceived the project, designed, and supervised the research. Z.W., X.Z., and K.X. carried out the experiments and analyzed the data. L.Q. and X.W. performed the statistical and bioinformatics analysis. Y.Y. and W.Z. provided the diamond nanoneedle array. M.L., E.H.C.C., X.J., and L.H. helped with the experiments. All authors contributed to the writing of the manuscript. Competing interests: P.S., W.Z., L.H., X.W., and Z.W. are inventors on a pending patent related to this work (no. US15/875,385, filed 18 January 2018). The authors declare that they have no competing interests. Data materials and availability: All data needed to evaluate the conclusions in the paper are present in the paper and/or the Supplementary Materials. Additional data related to this paper may be requested from the authors.

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