Stem Cell Research &        Therapy201910:59      
        https://doi.org/10.1186/s13287-019-1154-8      
         The Author(s).2019      
        The regulatory mechanism of insulin-producing cells (IPCs)        differentiation from induced pluripotent stem cells (iPSCs)        in vitro is very important in the phylogenetics of        pancreatic islets, the molecular pathogenesis of diabetes,        and the acquisition of high-quality pancreatic -cells        derived from stem cells for cell therapy.      
        miPSCs were induced for IPCs differentiation. miRNA        microarray assays were performed by using total RNA from        our iPCs-derived IPCs containing undifferentiated iPSCs and        iPSCs-derived IPCSs at day 4, day 14, and day 21 during        step 3 to screen the differentially expressed miRNAs        (DEmiRNAs) related to IPCs differentiation, and putative        target genes of DEmiRNAs were predicted by bioinformatics        analysis. miR-690 was selected for further research, and        MPCs were transfected by miR-690-agomir to confirm whether        it was involved in the regulation of IPCs differentiation        in iPSCs. Quantitative Real-Time PCR (qRT-PCR), Western        blotting, and immunostaining assays were performed to        examine the pancreatic function of IPCs at mRNA and protein        level respectively. Flow cytometry and ELISA were performed        to detect differentiation efficiency and insulin content        and secretion from iPSCs-derived IPCs in response to        stimulation at different concentration of glucose. The        targeting of the 3-untranslated region of Sox9 by miR-690        was examined by luciferase assay.      
        We found that miR-690 was expressed dynamically during IPCs        differentiation according to the miRNA array results and        that overexpression of miR-690 significantly impaired the        maturation and insulinogenesis of IPCs derived from iPSCs        both in vitro and in vivo. Bioinformatic prediction and        mechanistic analysis revealed that miR-690 plays a pivotal        role during the differentiation of IPCs by directly        targeting the transcription factor sex-determining region Y        (SRY)-box9. Furthermore, downstream experiments indicated        that miR-690 is likely to act as an inactivated regulator        of the Wnt signaling pathway in this process.      
        We discovered a previously unknown interaction between        miR-690 and sox9 but also revealed a new regulatory        signaling pathway of the miR-690/Sox9 axis during        iPSCs-induced IPCs differentiation.      
      Type 1 diabetes (T1D) is defined as dysregulation of      homeostatic control of blood glucose due to an absolute      insulin deficiency caused by autoimmune destruction of      insulin-secreting pancreatic -cells [1]. The transplantation of -cells from      a pancreatic donor or augmentation of endogenous -cells      regeneration may lead to a cure for T1D. Unfortunately, these      methods are restricted by donor tissue availability and      tissue rejection and are thus far from being widely applied      [2]. Insulin-producing cells (IPCs)      derived from pluripotent stem cells in vitro may provide an      alternative source of -cells [3]; however, the rate of development of      functional and mature IPCs is very low according to the      present protocols [4], which will be improved      by a thorough understanding of pancreatic organogenesis,      including proliferation, differentiation, migration, and      maturation of pancreatic progenitor cells.    
      Considerable evidence has verified that microRNAs (miRNAs) in      pancreatic cells regulate gene expression through      post-transcriptional modulation [5, 6]. Recently, the      global influence of miRNAs on pancreatic development has been      assessed by Dicer-knockout mouse embryos.      Dicer deficiency      resulted in alterations of islet architecture and      differentiation markers, accompanied by enhanced apoptosis      and defects in all types of endocrine cell formation,      particularly that of -cells [7]. Similarly, miR-375 is expressed      specifically in pancreatic islets and regulates the      proliferation and insulin secretion of -cells by targeting      myotrophin (MTPN) and phosphoinositide-dependent protein      kinase-1 [8]. Knockdown of miR-375 in      ob/ob mice led to a disproportionate ratio of -cells to      -cells, high plasma glucagon levels, or even diabetes      [9]. In addition, other miRNAs, such as      miR-7 and miR-199b-5p, have been studied functionally and      reported to selectively affect the development of pancreatic      islets, promoting the proliferation of -cells and miR-124a      and regulating Foxa2 expression and intracellular signaling      in -cells [1012]. These findings, as highlighted      above, encouraged us to identify different layers of miRNA      regulatory networks, which will provide greater insights into      the roles of noncoding RNAs and help further elucidate -cell      biology, pancreas formation, and the molecular mechanisms of      diabetes etiopathogenesis.    
      During pancreatic development, the sex-determining region Y      (SRY)-box9 (Sox9) factor, which is known to function in      campomelic dysplasia, XY sex reversal, and skeletal      malformations, has been linked to the proliferation and      differentiation of endocrine progenitors [13, 14]. Analysis of      cases with Sox9 loss in pancreatic progenitor cells      demonstrated a proportional reduction in FoxA2 and Onecut1      expression, along with upregulation of Hnf1b (TCF2), which      resulted in a dramatic decrease in endocrine cells without      changes in exocrine compartments [15]. Despite a fair understanding of      the molecular mechanism by which Sox9 controls pancreatic      development, only a few pathways regulated by Sox9 are known.      Wnt/-catenin signaling (WNT) has been demonstrated to      participate broadly in the differentiation of stem cells,      showing a negative regulatory relationship with Sox9 in      various contexts [16, 17]. Furthermore, both CTNNB1      (-catenin) and pGSK3 act as downstream target genes,      increasing transcriptional activity and decreasing      degradation by overexpression of Sox9 [14].    
      In this study, we identified miR-690 as a differentially      expressed transcript during induced pluripotent stem cell      (iPSCs)-induced IPCs differentiation in vitro. Surprisingly,      predicted mRNA targets, such as Sox9, CTNNB1 (-Catenin), and      Stat3, were found to be crucial during the specification of      pancreatic progenitor cells and terminal maturation of      endocrine cells. Furthermore, the augmentation of miR-690      destabilized IPCs differentiation through direct binding to      Sox9 and was likely to have a repressive effect on the Wnt      pathway, suggesting an unreported role of miR-690 in      modulating key transcription factors and signaling pathways.    
      C57BL/6J mice were from the animal center of Nantong      University. All animal experiments were performed according      to the Institutional Animal Care guidelines and were approved      by the Animal Ethics Committee of the Medical School of      Nantong University.    
      Mouse GFP-iPSCs were obtained from the Innovative Cellular      Therapeutics, Ltd. (Shanghai, China), maintained on feeders      in mESC culture conditions, and induced to differentiate into      pancreatic IPCs via a three-step protocol as previously      described.    
      Total RNA was isolated using RNAiso Plus (TaKaRa). The      first-strand cDNA synthesis for miRNA was performed by using      the RevertAid First Strand cDNA Synthesis Kit (Thermo      Scientific) and following the manufacturers instructions.      The relative expression levels of each miRNA and mRNA were      calculated by the 2Ct method as previously      described, and GAPDH and U6 were used as the internal      normalization controls. Each experiment was performed      independently and repeated three times. The qRT-PCR primer      sequences were designed and synthesized by GenScript Biotech      Corp. (Nanjing, China).    
      miRNA profiling of iPSC-derived IPCs was carried out by the      Professional Oebiotech Corporation (Shanghai, China). In      brief, total extracted RNA was labeled with the Agilent miRNA      Complete Labeling and Hyb kit (Agilent, Santa Clara, CA, USA)      and hybridized to an Agilent Mouse microRNA microarray V21.0.      Then, a Gene Expression Wash Buffer kit (Agilent) was used to      wash the microarray. Differentially expressed miRNAs      (DEmiRNAs) were identified using GeneSpring software (version      13.1, Agilent Technologies, fold change 1.5, P value 0.05). TargetScan      and microRNA.org were used to      select target genes of DEmiRNAs (P0.05 for both gene ontology      (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG)      analysis). The feasible regulatory relationships between      miRNAs and target genes were analyzed using Cytoscape      software (http://www.cytoscape.org/).    
      Cells were washed with PBS and lysed on ice for 30min with      RIPA buffer (high) (Solarbio). Protein concentrations were      detected using the BCA Protein Assay (Thermo Fisher      Scientific). Total proteins were separated by SDS-PAGE,      blotted on PVDF membranes (Millipore, Bedford, MA, USA), and      probed with primary antibody in Antibody Dilution Buffer      (Solarbio) at 4C overnight. After three washes in TBST, the      membranes were incubated with HRP-conjugated secondary      antibodies for visualization. Primary antibodies and      HRP-conjugated secondary antibodies are listed:      anti-Sox9      antibody (Abcam), anti-beta catenin antibody (Abcam),      anti-beta actin antibody as a loading control (Abcam),      anti-phospho-GSK-3 (Ser9) rabbit mAb (Cell Signaling      Technology), anti-phospho-CyclinD1 (Ser90) antibody      (affinity), and goat anti-rabbit HRP antibody (affinity).    
      iPSCs-derived IPCs were transferred into new 24-well plates      for 12h. After preincubation in Krebs-Ringer bicarbonate      buffer (KRB) without glucose for 120min, the cells were      stimulated with KRB containing 0, 5, 15, 30, and 45mM      glucose for 120min. The supernatant was collected. Insulin      content and secretion from iPSC-derived IPCs were assessed by      ELISAs, which were carried out using an ultrasensitive mouse      insulin assay kit (Mercodia) following the manufacturers      instructions.    
      iPSCs-derived IPCs grown on glass coverslips were washed with      PBS and fixed with 4% paraformaldehyde for 15min at room      temperature. Then, these cells were washed thrice (10min      every time) and permeabilized with 0.5% (v/v) Triton X-100 for 15min at room      temperature. Next, 5% donkey serum was added for 60min, and      the cells were stained with different primary antibodies at      4C overnight. Then, the cells were stained with      fluorescence secondary antibodies for 1h and DAPI (Solarbio)      for 15min. Images were acquired using a Zeiss LSM 510 META      confocal microscope (Carl Zeiss, Ltd.). Primary antibodies      are listed as follows: anti-insulin antibody (Abcam),      anti-C-peptide antibody (Abcam), anti-PDX1 antibody (Abcam),      anti-SOX9 antibody (Abcam), antibody-beta catenin antibody      (Abcam), anti-NKX6.1 (D804R) rabbit mAb (Cell Signaling      Technology). Secondary antibodies included donkey anti-rabbit      (Alexa Fluor 647, Abcam), donkey anti-rabbit (Alexa Fluor      555, Abcam), goat anti-guinea pig (Alexa Fluor 647, Abcam),      donkey F(ab,)2 anti-goat (Alexa Fluor 594, Abcam), and      donkey anti-goat (Alexa Fluor 647, Abcam) antibodies.    
      For identification of the insulin-positive population,      1106 iPSCs-derived IPCs were digested with      trypsin, washed with PBS, and resuspended as single cells by      incubation in Reagent 1: Fixation (Beckman Coulter) for      15min. Then, the cells were washed once in PBS, incubated in      Reagent 2: Permeabilization (Beckman Coulter) for 20min, and      washed once in PBS. Next, the cells were resuspended in PBS      with primary antibody and incubated for 30min. The cells      were then washed with PBS twice and analyzed with the BD      FACSCalibur system (BD Biosciences). The results were      analyzed using FlowJo software. All procedures were carried      out at room temperature. The primary antibody was anti-h/b/m      insulin APC-conjugated rat IgG2A (R&D Systems). The      isotype antibody was rat IgG2A control APC-conjugated.    
      A luciferase reporter assay was performed to observe      interactions between miR-690 and Sox9. Wild-type Sox9 and the      mutant Sox9 were cloned into the Pezx-FR02 reporter vector      for miR-690 targeting. Pezx-FR02 or Pezx-FR02-Sox9-MUT was      co-transfected with miR-690 mimic or miRNA mimic control.      Firefly and Renilla luciferase activities were assayed with a      Dual-Luciferase Assay (Promega, Madison, USA) at 48h      post-transfection according to the manufacturers      instructions.    
      Data are presented as the meanstandard deviation (SD) from      at least three independent experiments. Significant      differences in the relative miRNA or mRNA levels between the      experimental groups and their negative controls were      determined via Students t test using GraphPad Prism 7.0      (GraphPad Software, Inc.). A P value <0.05 was considered      significant.    
        The differentiation protocol has been described by Huang et        al. (Fig.      
        a, b) [      
        ,      
        ]. The iPSCs obtaining from the Innovative Cellular        Therapeutics, Ltd., were identified        (Additionalfile      
        : Figure S1). Importantly, pancreatic -cells are the only        IPCs in humans and animals. C-peptide is the active form of        insulin. We detected these two markers of mature -cells in        iPSC-derived IPCs on day 21 of step 3 to evaluate the        efficiency of these insulin-secreting cells.        Immunofluorescence assays showed that the majorities of the        cells were positive for insulin and C-peptide (Fig.      
        c). The flow cytometry results also showed that        41.3%0.35% of iPSCs-derived IPCs at the final stage were        insulin      
        (Fig.      
        d). To determine whether the differentiated cells respond        to glucose stimulation, we assessed insulin secretion by        exposing IPCs to glucose at different concentrations (0, 5,        15, and 30mM). Treatment with glucose increased insulin        secretion in these IPCs, with a peak at the 15mM glucose        concentration. No more insulin was induced when the glucose        concentration increased to 30mM, suggesting that these        IPCs reached the upper limit of their insulin secretion        capacity in response to glucose (Fig.      
        e).      
          Overview of the differentiation protocol. a Summary of the three-step          differentiation protocol. EBs embryoid bodies, MPs          multilineage progenitor. b Morphologies of          differentiating iPSCs into IPCs at different time points          during differentiation. Scale bar: 20m. c Immunofluorescence assay of          iPSCs at step 3 on day 21. Co-immunostaining of insulin          (red) with C-peptide (green); nuclear DAPI staining is          shown in blue. Scale bar: 75m. d Flow cytometry plots          illustrating the protein expression of insulin in          populations of iPSC-derived IPCs. Black text indicates          the percentage of insulin. e Glucose-stimulated insulin          secretion in vitro. iPSC-derived IPCs on day 21 of the          three-step protocol were exposed to different glucose          concentrations (0, 5, and 15mM). The insulin          concentration levels were determined        
        To screen the differentially expressed miRNAs (DEmiRNAs)        related to IPCs differentiation, we performed miRNA        microarray assays by using total RNA from our iPSCs-derived        IPCs containing undifferentiated iPSCs and iPSCs-derived        IPCs at day 4 (early stage), day 14 (middle stage), and day        21 (late stage) during step 3. A Venn diagram was used to        compare several miRNAs differentially expressed during the        three-step induction. The results showed that there were 13        common miRNAs during the three-step induction (Fig.      
        a). The miRNA expression levels at different time points        were clustered and are shown graphically (Fig.      
        b).      
          Differentially expressed miRNA profiling and          bioinformatic analysis. Differentially expressed miRNAs          (P<0.05) were          analyzed by hierarchical clustering of log2 values.          a Venn diagram          showing separate and overlapping differential expression          of miRNAs during iPSCs-derived IPCs at the early, middle,          and late stages of step 3 compared to that of iPSCs.          b Heatmap shows          selected differentially expressed miRNAs (fold change 1.5          and P value          <0.05). c          The regulatory network of miRNA-target genes. Green          circles represent target genes, and purple circles          represent differentially expressed miRNAs. d Differentially expressed          pathways were analyzed by gene ontology (GO) analysis.          e KEGG pathway          enrichment analysis for target genes. The size of the          bubbles represents the number of target genes associated          with each pathway        
      To further understand the role of 13 common DEmiRNAs in      iPSCs-derived IPCs, we performed the bioinformatics      prediction analysis using two databases (TargetScan and      miRanda) respectively to search for putative target genes.      There were 332 common target genes after combining data      predicted by two databases (miRanda threshold value: binding      energy 16.0, align score 158, TargetScan threshold      value: context score percentile 30, data not shown). We      explored the connections between the DEmiRNAs and putative      target genes by building a regulatory network for      miRNA-target genes using Cytoscape software      (Fig.2c). Then, we investigated the target      genes in the KEGG pathways to further study the biological      function of the DEmiRNAs (Fig.2d). Interestingly,      the WNT signaling pathway was located at the top of the 20      most enriched pathways. Our pathway analysis partly revealed      the function of the signature miRNAs, and signal-related      function was highlighted among all the subsystems, which was      consistent with GO function analyses of the target genes      (Fig.2e). To verify the bioinformatic results,      we performed qPCR, showing that miR-296, miR-331, miR-345,      and miR-690 levels were consistent with the previous trends      (Additionalfile2: Figure S2). Of the transcripts that      we identified, miR-690, which was persistently highly      expressed in the full step 3, drew our attention, as it was      reported to regulate Runx2-induced osteogenic      differentiation of myogenic progenitor cells; these findings      suggest that it may mediate organism differentiation and      development. Then, we concentrated on the miR-690 functions      during IPCs differentiation.    
        To explore the specific function of miR-690 in the        progression of the three-step induced differentiation, we        constructed an agomir vector targeting miR-690        (miR-690-agomir), and miR-690 was overexpressed in MPCs on        day 4. The overexpression efficiency of agomir-miR-690 was        confirmed by qPCR analysis (Fig.      
        a). Upregulated miR-690 in MPCs reduced the mRNA expression        of several key transcription factors critical for early        pancreatic development such as Pdx1, Ngn3, Nkx6.1, Gata4,        and Pax4, although the deletion of these nonspecific        factors alone was enough to abrogate pancreatic lineage        induction (Fig.      
        b). Immunostaining assays partially verified the results of        quantitative RT-PCR analysis (Fig.      
        c). As expected, IPCs overexpressing miR-690 showed a weak        response to glucose stimulation, and high expression of        these markers was correlated with the maturation of        -cells. Moreover, flow cytometry showed that the        population of insulin      
        cells significantly decreased from 42.4%0.25% to        22.8%0.007% from cells with NC-agomir compared to cells        with miR-690-agomir (Fig.      
        a). The ELISA results of mature IPCs (late stage/day 21)        showed that insulin secretion decreased after glucose        stimulation (Fig.      
        b), indicating that IPCs were unable to reduce their        glucose concentrations compared with NC cells. Also, we        found that IPCs generated after overexpression of miR-690        showed significantly lower mRNA levels of mature -cell and        mature -cell markers, such as insulin 1, insulin 2,      
        ,      
        , and      
        , than NC-agomir-transfected cells on day 21 of the late        stage through quantitative RT-PCR analysis. Interestingly,      
        expression of -cells was opposite to that of mature        -cells and mature -cells, and Mafa expression showed no        significant difference between the two groups of cells        (Fig.      
        c). In addition, immunostaining assays confirmed that the        co-expression of insulin/C-peptide, insulin/Nkx6.1, and        insulin/Pdx1 was consistent with the results from previous        quantitative RT-PCR assays (Fig.      
        d). All these findings showed that miR-690 suppressed the        maturation and endocrine functions of IPCs derived from        iPSCs, indicating that miR-690 might be a critical        regulator of -cells differentiation.      
          Overexpression of miR-690 inhibits pancreatic          differentiation potential. This group of experiments          tested the functions of iPSCs-derived IPCs on day 4 of          the second step. Quantitative RT-PCR analysis of the          expression levels of a miR-690 and b several key transcription          factors during the development of pancreatic -cells          (Pdx1, NGN3, Nkx2.2, Nkx6.1, Gata4, Gata6, Pax4, Pax6).          GAPDH was used as the internal control. Error bars show          meanstandard deviation (SD) (n=3). *P<0.05, **P<0.01, ***P<0.001, ****P<0.0001. c Immunofluorescence assay          (Nkx6.1 and Pdx1, green; nuclear, blue; scale bar 75m)          for protein expression level of Nkx6.1 and Pdx1        
          Overexpression of miR-690 impaired the functions of          terminal iPSCs-derived IPCs. This group of experiments          tested the functions of iPSCs-derived IPCs on day 21 of          the second step. a Flow cytometry plots          illustrating the protein expression of insulin in          populations of iPSCs-derived IPCs. Black text indicates          the percentage of insulin. b Glucose-stimulated insulin          secretion in vitro. iPSCs-derived IPCs on day 21 of the          third step were exposed to different glucose          concentrations (0, 5, 15, and 45mM). The insulin          concentration levels were determined. c Quantitative RT-PCR          analysis of the mRNA expression levels of key endocrine          markers (insulin1, insulin2, GCG, SST, GCK, Mafa, ISL,          Glut2). GAPDH was used as the internal control. Error          bars show meanstandard deviation (SD) (n=3). *P<0.05, **P<0.01, ***P<0.001. d Immunofluorescence assays          of protein expression levels of some key markers.          Co-immunostaining of insulin (red) with C-peptide          (green), insulin (red) with Pdx1 (green), insulin with          Nkx6.1 (green); nuclear DAPI staining is shown in blue.          Scale bar 75m        
        To further dissect the molecular mechanism of the        inhibitory effect of miR-690 on IPCs differentiation, we        performed the bioinformatics prediction analysis by using        TargetScan and miRanda and combined with the results from        RNA-seq (Huang, et al.) to predict the target genes of        DEmiRNAs. miR-690 has 15 putative target genes (Prkca,        Nedd4l, Ulk2, Prkcz, Csnk1g1, Mllt3, Enah, Pcgf3, Impa1,        Stat3, Grm5, Cnot6, Sox9, Wasl, and Ctnnb1). Then, we built        a regulatory network to show the connections between        DEmiRNAs and target genes (Fig.      
        c). Among these predicted genes,      
        , a marker of pancreatic progenitor cells, and the genes        encoding key transcription factors for the development of        -cells were notable. Next, we performed a dual-luciferase        reporter assay to experimentally determine whether miR-690        targeted Sox9 directly. We transfected HEK293T cells with a        luciferase plasmid containing the wild-type 3 UTRs of Sox9        or its mutant version downstream of the firefly luciferase        cDNA in the pEZX-FR02 vector (Fig.      
        a). The results showed that the co-transfection of miR-690        mimics into 293T cells led to a decrease of up to 83% in        luciferase activity by miR-690 but had nearly no effect on        the mutant reporter activity (Fig.      
        b). Furthermore, knockdown of miR-690 reversed the        repressive effects of siRNA-Sox9 on the mRNA and protein        levels of Sox9 (Fig.      
        ce). These findings indicated that Sox9 was the authentic        target of miR-690 in our induced IPCs.      
          miR-690 directly targeted Sox9 in iPSCs-derived IPCs.          a Predicted          miR-690 targeting sequence in the 3UTR of Sox9 (Sox9          WT-3UTR) and the mutant form of the Sox9 3UTR (Sox9          MUT-3UTR). b          Dual-luciferase reporter assays to determine the          influence of miR-690 on Sox9 3UTR activity in          iPSCs-derived IPCs. Data are the meanSD of three          independent assays. ce Quantitative RT-PCR and          Western blotting analyses of the effects of miR-690          knockdown (miR-690 inhibitor) on the expression level of          Sox9 and the effects of miR-690 knockdown (miR-690) on          the repressive effects of Sox9 knockdown (Sox9 siRNA).          -Actin was used as the loading control. GAPDH was used          as the internal control for mRNA. Error bars show the SD          (n=3)        
        Sox9 has been reported to play a role in regulating Wnt        signaling, which influences pancreatic development and        modulates mature -cell functions, such as insulin        secretion, survival, and proliferation. Sox9 was chosen for        further analysis in our study and validated by both qPCR        analysis at the mRNA level and Western blot and        immunostaining assays at the protein level (Fig.      
        ac and h). Because the phosphorylation and inactivation of        GSK3- may lead to activation and nuclear translocation of        -catenin, we detected the level of GSK3- phosphorylation        when miR-690 was overexpressed. As expected, a more than        1.5-fold decrease in phosphorylated GSK3- and a more than        2-fold decrease in -catenin activity were observed        (Fig.      
        dh). We speculated that in our induced models, miR-690 may        inactivate the WNT signaling pathway through Sox9 which        will be the focus of our future research (Fig.      
        i).      
          miR-690 may affect the differentiation of IPCs by          inactivating the expression of the Wnt signaling pathway.          a Quantitative          RT-PCR analysis of the expression levels Sox9 and          -catenin. The scale bar represents 100m. Western          blotting analysis of the effects of miR-690          overexpression on Sox9 (b, c), p-GSK3          (phosphorylated-GSK3) (d, e), and -catenin          (f,          g) (690-OE          means 690 overexpression/miR-690 agomir). -Actin was          used as the loading control. h Immunofluorescence assay          (Sox9 and -catenin, red; nuclei, blue; scale bar 75m)          of the protein level of Sox9 and -catenin.          i Schematic          diagram of the supposed role of miR-690 in iPSCs-derived          IPCs differentiation.        
        We next sought to explore whether miR-690 could modulate        glucose homeostasis by transplanting miR-690-overexpressing        IPCs and negative control cells into anemic capsule kidneys        of mice treated with streptozotocin (STZ), which        specifically destroys mouse -cells (Fig.      
        a). After transplantation, populations from the NC group        needed nearly 28days to reverse the hyperglycemia.        Although the blood glucose level was decreased, mice        transplanted with the miR-690 agomir still showed glycemia        (Fig.      
        b). Not surprisingly, the body weight of transplanted mice        in the miR-690 overexpression group was significantly lower        than that of the control group and healthy mice (data has        not shown). At 40days post-transplant, excised        iPSCs-derived IPCs grafts were highly compact and        homogenous and did not have regions of expanded ducts        (Fig.      
        c). Immunofluorescence staining revealed insulin-positive        clusters of cells in the graft surrounded by connective        tissue producing endocrine hormones (Fig.      
        d).      
          iPSCs-derived IPCs reverse diabetes in vivo.          a Image of the          entire kidney with iPSCs-derived IPCs engrafted under the          kidney capsule and harvested at 25days post-transplant.          (~1106 cells/mouse,          n=6 /group).          b Blood glucose          levels were measured pre- and post-transplantation for          over 30days. c          Hematoxylin and eosin (H&E) staining image of          iPSCs-derived IPCs grafts in the kidney capsule 25days          after transplantation. Scale bar 200m. d Immunofluorescence staining          of whole grafts for insulin (red); nuclear DAPI staining          is shown in blue. Scale bar 75m        
      iPSCs, which are derived from somatic cells, allow for the      patient-specific functional -cells in vitro that will free      diabetic populations from daily insulin injections and      prevent life-threatening complications, generate sufficient      -cells for transplantation, and also avert immune      suppression to repress auto- and allo-immunity [1, 19]. Although many      attempts have been made to acquire mature, glucose-responsive      IPCs entirely in vitro, the results of these studies lacked      convincing evidence [19]. Multiple core      transcription factors, signaling pathways, and noncoding RNAs      have been confirmed to be required for pancreatic -cells      differentiation potential in potent stem cells [10, 2024]. Increasing evidence shows that      miRNAs, as important epigenetic factors that regulate gene      expression and determine cell fate in pancreatic -cells,      mediate -cells biological activities, including      differentiation, proliferation, apoptosis, and insulin      secretion [6, 25]. However, the mechanisms of miRNAs      in -cells differentiation of iPSCs remain unknown.    
      This study adopted a three-step protocol mimicking normal      pancreatic formation to screen for differentiation-associated      miRNAs during iPSCs-induced IPCs differentiation in culture.      According to the miRNA array analysis data, 13 miRNAs with      markedly different expression levels were identified      (Additionalfile1: Figure S1), and we found that miR-690      was significantly upregulated in step 3 compared to that in      iPSCs. To explore the specific function of miR-690 in IPCs      differentiation, we overexpressed miR-690 in progenitor cells      on day 4 of step 3 and found that pancreatic progenitor      markers, such as Pdx1 and Sox9, and the early endocrine      progenitors NGN3, Nkx6.1, and Pax4 were downregulated after      48h. At the final stage of our protocol, miR-690      overexpression significantly impaired the maturation and      endocrine function of IPCs (Fig.3). However, the      mRNA level of SST increased unexpectedly after miR-690      overexpression, suggesting that this miRNA may promote the      differentiation of -cells.    
      To elaborate on the mechanism by which miR-690 regulates IPCs      formation, we used bioinformatic analysis. Combined with the      RNA-seq data detected previously, these results identified      Sox9 as an underlying target gene of miR-690. Sox9 is widely      known as a pancreatic progenitor marker that influences      endocrine pancreatic development and modulation of mature      -cells functions [14]. The prevailing theory      is that miRNAs regulate gene expression      post-transcriptionally by binding to the 3 untranslated      sequence of the targeted mRNA to silence its corresponding      target genes [26, 27]. Then, we demonstrated that Sox9      was a direct target of miR-690 using a luciferase reporter      assay (Fig.5). Furthermore, overexpression of miR-690      decreased the protein levels of Sox9 and -catenin      (Fig.6), indicating that this noncoding RNA may      regulate the Wnt signaling pathway, which has been thoroughly      investigated and is necessary for controlling the development      of -cells and their function [16, 28, 29]. These findings suggested that the      important function of miR-690 during IPCs differentiation was      predominantly regulated by the miR-690/Sox9 and -catenin      axes, confirming that the interactions of miRNAs and      transcription factors were involved in the differentiation of      mouse iPSCs to IPCs. -catenin is an important effector of      the Wnt pathway [30]. To date, the role of      Wnt signaling in pancreatic development has been disputed.      The majority of studies have noted the primary role of Wnt      signaling in the development of the exocrine compartments of      the pancreas and confirmed that abolishment of the signaling      pathway resulted in an almost complete lack of exocrine      cells; however, the influence of Wnt signaling on endocrine      cells, especially on pancreatic -cell development, is still      undefined [31]. Previous studies have      reported that knockdown of the Sox9 gene in human islet      epithelial cells significantly decreases the expression of      phosphorylated GSK3- at the protein level, leading to a      prominent decline in the expression of cyclin D1 and other      target genes of the Wnt signaling pathway [14]. Therefore, we examined the Wnt      signaling activity by detecting the expression of p-GSK3-.      Interestingly, the results showed that miR-690 overexpression      simultaneously decreased Sox9 and phosphorylated GSK3- at      the protein level. We speculated that miR-690 may mediate the      Wnt signaling pathway via binding to Sox9 and lead to a      decline in phosphorylation of GSK3- and a decrease in      -catenin, which are the effectors of this pathway.      Furthermore, other researchers have shown that pancreatic      -cells differentiation is complex and a result of the      interaction of multiple signaling pathways, such as Notch,      Fgf, Wnt, and others. Thus, the specific regulatory mechanism      between miR-690 and the Wnt signaling pathway and whether      other signaling pathways are regulated by miR-690 require      further exploration.    
      Recently, miR-690 was reported to mediate osteogenic      differentiation of human myogenic progenitor cells through      its target NF-kappaB p65, indicating that miR-690 may play      different roles in the development and differentiation of      different organs and tissues [32]. Many studies have shown that Sox9      downregulation is important for early lineage bifurcation of      endocrine progenitors and pancreatic -cells development      [15, 3336]. In our study, the expression of      miR-690 at an appropriate level is vital to the maturation      and differentiation of IPCs. However, prematurely upregulated      Sox9 resulted in deficient IPC differentiation in vitro,      indicating that miR-690 activity may need to be within a      narrow range to avoid detrimental consequences. Therefore,      further exploration of the function of the miR-690/Sox9/Wnt      signaling pathway in pancreatic -cells differentiation,      development, and maturation may be required to systematically      uncover the critical function and mechanism of miR-690 in      vitro and in vivo.    
      We found that miR-690, a rarely studied noncoding RNA, played      an important role in the differentiation of iPSCs-derived      IPCs. MiR-690 regulates the expression of transcription      factor Sox9 and may have an influence on Wnt signaling      pathway in the differentiation process. These findings not      only indicate that miR-690 mediates differentiation of      iPSCs-derived IPCs through Sox9 and affects Wnt signaling      pathway, but also provide novel evidence for the regulatory      potential mechanisms of miRNAs in development associated with      insulin-producing cells derived from induced pluripotent      cells.    
      Yang Xu, Yan Huang and Yibing Guo contributed equally to this      work.    
            Differentially expressed miRNAs          
            Embryoid Bodies          
            GATA binding protein 4          
            GATA binding protein 6          
            Glucagon          
            Glucokinase          
            Facilitated glucose transporter, member 2          
            Gene ontology          
            Hematoxylin and eosin          
            Insulin-producing cell          
            Induced pluripotent stem cell          
            ISL LIM homeobox          
            Kyoto Encyclopedia of Genes and Genomes          
            v-maf musculoaponeurotic fibrosarcoma oncogene family,            protein A          
            MicroRNA          
            Multilineage precursor stem cell          
            Negative control          
            Neurogenin 3          
            NK2 homeobox 2          
            NK6 homeobox 1          
            Paired box 4          
            Paired box 6          
            Pancreatic and duodenal homeobox 1          
            Phosphorylated glycogen synthase kinase-3          
            Real-time quantitative polymerase chain reaction          
Original post:
microRNA-690 regulates induced pluripotent stem cells (iPSCs ...