Aerosol Masks Market to Witness Huge Growth by 2030 – KSU | The Sentinel Newspaper

Aerosol Masks Market: Introduction

Masks are used as protective coverings over the mouth and nose so that one can breathe properly without sneezing or coughing

Aerosol mask is used for administration of a nebulized solution and has a large-bore inlet and an exhalation port. These masks are available in different sizes for pediatric and adult populations. These masks can be used with a nebulizer for humidification and oxygen therapy.

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Key Drivers and Restraints of Global Aerosol Masks Market

The global aerosol masks market is primarily driven by exponential increase in demand for aerosol masks owing to COVID-19 pandemic, rise in emphasis on effective aerosol delivery, and surge in investment in respiratory devices & consumables by health care centers

Increase in the geriatric population and growth of the medical consumables & accessories industry are the other factors projected to drive the global market during the forecast period

Coronavirus has affected 114 countries, accounting for over 156,520 reported cases, and over 5,835 deaths globally by March 15, 2020. By March 31, 2020, there were 799,723 reported cases and over 38,721 deaths globally. Later by August 2020, there were 21,105,322 cases, which rose exponentially from March 2020. This included 758,066 deaths worldwide. This has increased the demand for aerosol masks.

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Standard Aerosol Masks Segment to Account for Major Share of Global Market

In terms of type, the global aerosol masks market can be bifurcated into elongated and standard

The standard segment is anticipated to dominate the global aerosol masks market during the forecast period, due to rise in prevalence of chronic respiratory disorders, increase in adoption of standard aerosol masks for oxygen therapy, and surge in number of patients needing administration of nebulized solution

Hospitals & Clinics to be Highly Lucrative Segment

Based on end-user, the global aerosol masks market can be categorized into hospitals & clinics, ambulatory surgical centers, home care, and others

The hospitals & clinics segment is likely to account for major share of the global aerosol masks market by 2030, owing to improvement in effectiveness of respiratory care provided in health care centers such as hospitals & clinics and increase in patient acceptance of aerosol masks

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North America to Dominate Global Aerosol Masks Market

In terms of region, the global aerosol masks market can be segmented into North America, Europe, Asia Pacific, Latin America, and Middle East & Africa

North America is projected to dominate the global aerosol masks market during the forecast period. The market in the region is anticipated to be driven by increase in number of suppliers of consumables & accessories for respiratory care, rise in awareness about respiratory care for high-risk population such as the elderly, and surge in number of COVID-19 cases in the U.S.

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Key Players Operating in Global Market

The global aerosol masks market is highly fragmented, with a large number of domestic players accounting for major market share. Key players operating in the global aerosol masks market are:

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Aerosol Masks Market to Witness Huge Growth by 2030 - KSU | The Sentinel Newspaper

Global Clinical Laboratory Services Market Analysis With Key Players, Applications, Trends And Forecasts 2028 – KSU | The Sentinel Newspaper

DBMR has added a new report titled Global Clinical Laboratory Services Market with analysis provides the insights which bring marketplace clearly into the focus and thus help organizations make better decisions. The Global Clinical Laboratory Services Market research report offers the market insights from the statistics, gathered from the reliable market information such as manufacturers, channel partners, decision-makers and regulatory bodies. It outlines segment of the market investigates progression such as drivers, limitations and opportunities that at present strongly affect the market and could impact the market in future, Market share analysis mentioned in this report with a specific end goal to clarify the intensity of rivalry between driving market players working over the globe. It validated primary and secondary research methodology and data sources that are implied to collect key information like market size, trends, revenue and analysis.

The main objective of this Global Clinical Laboratory Services Market report is to analyze the opportunities, threats and market drivers. Key insights like competitive industry scenario, gross margin analysis, price structure and cost analysis. It correctly calculates the global market share of important sections, regions and businesses. This research report examines the international market on the business plan based on numerous business verticals.

Clinical laboratory services market is expected to gain market growth in the forecast period of 2020 to 2027. Data Bridge Market Research analyses that the market is growing with a CAGR of 6.2% in the forecast period of 2020 to 2027 and expected to reach USD 217,941.33 million by 2027 from USD 134,692.52 million in 2019. Rising demand for early and accurate disease diagnosis is the factors for the market growth.

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Clinical laboratory services is playing significant role to enable doctors to make appropriate clinical and diagnostic decisions across various levels of health care services. Increasing demand for diagnostic tests is augmenting the market growth as they are used for clinical diagnoses tests.

The major players covered in the report are:-

Mayo Foundation for Medical Education and Research (MFMER), Laboratory Corporation of America Holding, Quest Diagnostics Incorporated, Spectra Laboratories (A Subsidiary of Fresenius Medical Care AG & Co. KGaA), DaVita Inc., Eurofins Scientific, UNILABS, SYNLAB International GmbH, MIRACA HOLDINGS Inc., Sonic Healthcare, ACM Global Laboratories, amedes Group, LifeLabs, Alere (A Subsidiary of Abbott), Charles River, Siemens Healthineers AG, BioReference Laboratories, Inc., NeoGenomics Laboratories, Inc., KingMed Diagnostics, Genomic Health, among other players domestic and global. Clinical laboratory services market share data is available for Global, North America, Europe, Asia-Pacific, Middle East and Africa and South America separately. DBMR analysts understand competitive strengths and provide competitive analysis for each competitor separately.

Many business expansion and developments are also initiated by the companies worldwide which are also accelerating the growth of global clinical laboratory services market.

For instance,

Partnership, joint ventures and other strategies enhances the company market share with increased coverage and presence. It also provides the benefit for organisation to improve their offering for Clinical Laboratory Services through expanded model range.

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Global Clinical Laboratory Services Market By Specialty (Clinical Chemistry Testing, Hematology Testing, Microbiology Testing, Immunology Testing, Drugs of Abuse Testing, Cytology Testing, Genetic Testing), Provider (Hospital-Based Laboratories, Independent & Reference Laboratories, Nursing and Physician Office-Based Laboratories), Application (Bioanalytical & Lab Chemistry Services, Drug Development Related Services, Drug Discovery Related Services, Toxicology Testing Services, Cell & Gene Therapy Related Services, Preclinical & Clinical Trial Related Services, Other Clinical Laboratory Services), Geography (North America, Europe, Asia-Pacific, South America, Middle East and Africa) Market Trends and Forecast to 2027

Rising demand of clinical laboratory services across the world is one of the prominent factors for increasing demand of clinical chemistry testing. For instance, yearly in the U.K., the usually citizen has 14 tests completed by a laboratory specialist. However in the U.S., laboratory testing is the only highest-volume medical activity and approximately 13,000 million tests are performed per year. Hence, this factor has led the patients to shift towards clinical chemistry testing because it offers a wide range of tests which are performed in the clinical laboratory testing. In the current scenario the technological advancements boost the patients reach to laboratory testing, which is becoming gradually more precise and affordable. For instance, point-of-care testing (POCT) is regularly applied in hospitals and other healthcare practices, so the patients not need to travel to the clinical laboratories for testing. The increasing use of point-of-care testing has reduced demand tests which are conventionally executed at industry laboratories.

Rising demand of early and accurate disease diagnosis across the globe is one of the prominent factors for an upsurge demand of clinical laboratory services. For instance, in 2018, World Health Organization projected that projected that an estimated 1.8 million new cases and almost 861,000 deaths occur due to colorectal cancer (CRC). This factor has increased the number of clinical laboratories around the globe as Delays in accessing cancer care are very common in the late-stage presentation, especially in lower vulnerable populations and resource settings.

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Table of Contents-Snapshot Executive Summary Chapter 1 Industry Overview Chapter 2 Industry Competition by Manufacturers Chapter 3 Industry Production Market Share by Regions Chapter 4 Industry Consumption by Regions Chapter 5 Industry Production, Revenue, Price Trend by Type Chapter 6 Industry Analysis by Applications Chapter 7 Company Profiles and Key Figures in Industry Business Chapter 8 Industry Manufacturing Cost Analysis Chapter 9 Marketing Channel, Distributors and Customers Chapter 10 Market Dynamics Chapter 11 Industry Forecast Chapter 12 Research Findings and Conclusion Chapter 13 Methodology and Data Source

Country Level Analysis, By Provider

North America dominates the clinical laboratory services market as the U.S. is leader in clinical laboratory services. In North America due to better advancement in products and services, this region is dominating the clinical laboratory services. North America accounts higher healthcare expenditure, especially in U.S. Asia-Pacific is growing with the highest CAGR due to increase in medical tourism as well as increase in population. Numbers of companies in emerging countries are increasing due to increase in demand for disease diagnosis in clinics, hospitals and other areas. Additionally, the increasing number of healthcare expenditure and increasing number of hospitals and clinical diagnostic laboratories in China and India upsurge demand of clinical laboratory services. The Asia-Pacific region is expected to grow with the highest growth rate in the forecast period of 2020 to 2027 because of increasing infectious diseases.

The country section of the report also provides individual market impacting factors and changes in regulation in the market domestically that impacts the current and future trends of the market. Data points such as new sales, replacement sales, country demographics, regulatory acts and import-export tariffs are some of the major pointers used to forecast the market scenario for individual countries. Also, presence and availability of global brands and their challenges faced due to large or scarce competition from local and domestic brands, impact of sales channels are considered while providing forecast analysis of the country data.

Huge Investment by laboratory for Clinical Laboratory Services and New Technology Penetration

Global clinical laboratory services market also provides you with detailed market analysis for every country growth in life science industry with clinical laboratory services demand impact of technological development in laboratory services and changes in regulatory scenarios with their support for the clinical laboratory services market. The data is available for historic period 2010 to 2018.

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Global Clinical Laboratory Services Market Analysis With Key Players, Applications, Trends And Forecasts 2028 - KSU | The Sentinel Newspaper

Breakthrough motor neurone disease study finds way to reverse damage – The National

SCIENTISTS in Scotland have made a very exciting breakthrough in the race to find a cure for motor neurone disease.

Researchers at the University of Edinburgh identified a key cause of the illness which could be combatted by repurposing drugs approved for other diseases.

There is no known cure for MND, a condition which stops signals from the brain reaching the muscles, damaging them over time. More than 1500 people in the UK are diagnosed with the disease every year.

The new study was carried out at the Euan MacDonald Centre for MND Research.

The team there discovered that the damage to nerve cells caused by MND could be repaired by improving the energy levels in mitochondria the power supply to the motor neurons.

They found that in human stem cell models of MND, the axon the long part of the motor neuron cell that connects to the muscle was shorter than in healthy cells. The movement of the mitochondria, which travel up and down the axons, were also impaired.

The scientists showed that this was caused by a defective energy supply from the mitochondria and that by boosting the mitochondria, the axon reverted back to normal.

Dr Arpan Mehta, who led the study at Euan MacDonald Centre for MND research said: "The importance of the axon in motor nerve cells cannot be understated.

"Our data provides hope that by restoring the cell's energy source we can protect the axons and their connection to muscle from degeneration.

"Work is already under way to identify existing licensed drugs that can boost the mitochondria and repair the motor neurons. This will then pave the way to test them in clinical trials."

Dr Arpan Mehta led the research at Edinburgh University's Euan MacDonald Centre

The study was welcomed by by charities including the foundation set up by Scots rugby legend Doddie Weir.

My Name'5 Doddie foundation described it as "a very exciting breakthrough".

The researchers used stem cells taken from people with the C9orf72 gene mutation that causes both MND and frontotemporal dementia.

They used the stem cells to generate motor neuron cells in the lab.

The study also used human post-mortem spinal cord tissue from people with MND.

Although the research focused on the people with the commonest genetic cause of MND, the researchers said they were hopeful the results would also apply to other forms of the disease.

The results of the study are now being used to look for existing drugs that boost mitochondrial function.

Craig Stockton, the chief executive of MND Scotland, also welcomed the news.

"We look forward to seeing if these positive results can be replicated for patients," he said.

"Once researchers have identified a drug they believe could have the desired effect, this treatment could then be fast-tracked for human trials using the pioneering MND-SMART clinical trial platform into which MND Scotland has invested 1.5m.

"Researchers, clinicians, charities and supporters are all working hard to take us closer to finding a cure and by joining together we'll get to that day even sooner."

The study was funded by the Medical Research Council, Motor Neurone Disease Association, Euan MacDonald Centre for MND Research, My Name'5 Doddie Foundation, UK Dementia Research Institute and Anne Rowling Regenerative Neurology Clinic.

Continued here:
Breakthrough motor neurone disease study finds way to reverse damage - The National

Bone Therapeutics, Rigenerand Ink Cell Therapy Deal – Contract Pharma

Bone Therapeutics, a cell therapy company addressing unmet medical needs in orthopedics and other diseases, and Rigenerand SRL, a biotech company that both develops and manufactures medicinal products for cell therapy applications, primarily for regenerative medicine and oncology, have signed an agreement for a process development partnership. Allogeneic mesenchymal stem cell (MSC) therapies are currently being developed at a fast pace and are evaluated in numerous clinical studies covering diverse therapeutic areas such as bone and cartilage conditions, liver, cardiovascular and autoimmune diseases in which MSCs could have a significant positive effect. Advances in process development to scale up these therapies could have major impacts for both their approval and commercial viability. This will be essential to bring these therapies to market to benefit patients as quickly as possible, said Miguel Forte, chief executive officer, Bone Therapeutics. While Bone Therapeutics is driving on its existing clinical development programs, we have signed a first formal agreement with Rigenerand as a fellow MSC-based organization. This will result in both companies sharing extensive expertise in the process development and manufacturing of MSCs and cell and gene therapy medicinal products. Bone Therapeutics also selected Rigenerand to partner with for their additional experience with wider process development of advanced therapy medicinal products (ATMPs), including the conditioning and editing of MSCs. The scope of collaborations between Bone Therapeutics and Rigenerand aims to focus on different aspects of product and process development for Bone Therapeutics expanding therapeutic portfolio. Rigenerand will contribute to improving the processes involved in the development and manufacture of Bone Therapeutics MSC based allogeneic differentiated cell therapy products as they advance towards patients. The first collaboration between the two organizations will initially focus on augmented professional bone-forming cellscells that are differentiated and programmed for a specific task. There is also potential for Bone Therapeutics to broaden its therapeutic targets and explore new mechanisms of action with potential gene modifications for its therapeutic portfolio. In addition to Rigenerands MSC expertise, Bone Therapeutics also selected Rigenerand as a partner for Rigenerands GMP manufacturing facility. This facility, situated in Modena, Italy, has been designed to host a number of types of development processes for ATMPs. These include somatic, tissue engineered and gene therapy processes. These multiple areas of Rigenerand capabilities enable critical development of new processes and implementation of the gene modification of existing processes. In addition, Rigenerand has built considerable experience in cGMP manufacturing of MSC-based medicinal products, including those that are genetically modified. Process development and manufacturing is a key part of the development for ATMPs internationally. Navigating these therapies through the clinical development phase and into the market requires a carefully considered process development pathway, said Massimo Dominici, scientific founder, Rigenerand, professor of medical oncology, and former president of the International Society for Cell & Gene Therapy (ISCT). This pathway needs to be flexible, as both the market and materials of these therapies continues to evolve alongside an improved clinical efficacy. Giorgio Mari, chief executive officer, Rigenerand, said, Rigenerand will offer considerable input from its experience of MSC-based therapies to enable Bone Therapeutics to keep and further accelerate the pace in development of the product processes of its MSC based allogeneic differentiated cell therapy as they advance towards patients. We will continue to use our MSC expertise in the development of Rigenerands own products, as well as in process development and manufacturing cell and gene therapies for partner organizations across the globe.

Original post:
Bone Therapeutics, Rigenerand Ink Cell Therapy Deal - Contract Pharma

Bone Therapeutics and Rigenerand sign partnership for cell therapy process development – GlobeNewswire

January 14, 2021 01:00 ET | Source: Bone Therapeutics SA

multilang-release

Gosselies, Belgium and Modena, Italy, 14January 2021, 7am CET BONE THERAPEUTICS (Euronext Brussels and Paris: BOTHE), the cell therapy company addressing unmet medical needs in orthopedics and other diseases, and Rigenerand SRL, the biotech company that both develops and manufactures medicinal products for cell therapy applications, primarily for regenerative medicine and oncology, today announce the signing of a first agreement for a process development partnership.

Allogeneic mesenchymal stem cell (MSC) therapies are currently being developed at an incredible pace and are evaluated in numerous clinical studies covering diverse therapeutic areas such as bone and cartilage conditions, liver, cardiovascular and autoimmune diseases in which MSCs could have a significant positive effect. Advances in process development to scale up these therapies could have major impacts for both their approval and commercial viability. This will be essential to bring these therapies to market to benefit patients as quickly as possible, said Miguel Forte, CEO, Bone Therapeutics. Hence, whilst Bone Therapeutics is driving on its existing clinical development programs, we have signed a first formal agreement with Rigenerand as a fellow MSC-based organization. This will result in both companies sharing extensive expertise in the process development and manufacturing of MSCs and cell and gene therapy medicinal products. Bone Therapeutics also selected Rigenerand to partner with for their additional experience with wider process development of advanced therapy medicinal products (ATMPs), including the conditioning and editing of MSCs. Rigenerand was founded by Massimo Dominici, a world opinion leader in the cell therapy with an unparalleled MSC expertise and knowledge.

The scope of collaborations between Bone Therapeutics and Rigenerand aims to focus on different aspects of product and process development for Bone Therapeutics expanding therapeutic portfolio. Rigenerand will contribute to improving the processes involved in the development and manufacture of Bone Therapeutics MSC based allogeneic differentiated cell therapy products as they advance towards patients. The first collaboration between the two organizations will initially focus on augmented professional bone-forming cells cells that are differentiated and programmed for a specific task. There is also potential for Bone Therapeutics to broaden its therapeutic targets and explore new mechanisms of action with potential gene modifications for its therapeutic portfolio.

In addition to Rigenerands MSC expertise, Bone Therapeutics also selected Rigenerand as a partner for Rigenerands GMP manufacturing facility. This facility, situated in Modena, Italy, has been designed to host a number of types of development processes for ATMPs. These include somatic, tissue engineered and gene therapy processes. These multiple areas of Rigenerand capabilities enable critical development of new processes and implementation of the gene modification of existing processes. In addition, Rigenerand has built considerable experience in cGMP manufacturing of MSC-based medicinal products, including those that are genetically modified.

Process development and manufacturing is a key part of the development for ATMPs internationally. Navigating these therapies through the clinical development phase and into the market requires a carefully considered process development pathway, said Massimo Dominici, scientific founder, Rigenerand, professor of medical oncology, and former President of the International Society for Cell & Gene Therapy (ISCT). This pathway needs to be flexible, as both the market and materials of these therapies continues to evolve alongside an improved clinical efficacy.

Rigenerand will offer considerable input from its experience of MSC-based therapies to enable Bone Therapeutics to keep and further accelerate the pace in development of the product processes of its MSC based allogeneic differentiated cell therapy as they advance towards patients, said Giorgio Mari, CEO, Rigenerand. We will continue to use our MSC expertise in the development of Rigenerands own products, as well as in process development and manufacturing cell and gene therapies for partner organizations across the globe.

About Bone Therapeutics

Bone Therapeutics is a leading biotech company focused on the development of innovative products to address high unmet needs in orthopedics and other diseases. The Company has a, diversified portfolio of cell and biologic therapies at different stages ranging from pre-clinical programs in immunomodulation to mid-to-late stage clinical development for orthopedic conditions, targeting markets with large unmet medical needs and limited innovation.

Bone Therapeutics is developing an off-the-shelf next-generation improved viscosupplement, JTA-004, which is currently in Phase III development for the treatment of pain in knee osteoarthritis. Consisting of a unique combination of plasma proteins, hyaluronic acid - a natural component of knee synovial fluid, and a fast-acting analgesic, JTA-004 intends to provide added lubrication and protection to the cartilage of the arthritic joint and to alleviate osteoarthritic pain and inflammation. Positive Phase IIb efficacy results in patients with knee osteoarthritis showed a statistically significant improvement in pain relief compared to a leading viscosupplement.

Bone Therapeutics core technology is based on its cutting-edge allogeneic cell therapy platform with differentiated bone marrow sourced Mesenchymal Stromal Cells (MSCs) which can be stored at the point of use in the hospital. Currently in pre-clinical development, BT-20, the most recent product candidate from this technology, targets inflammatory conditions, while the leading investigational medicinal product, ALLOB, represents a unique, proprietary approach to bone regeneration, which turns undifferentiated stromal cells from healthy donors into bone-forming cells. These cells are produced via the Bone Therapeutics scalable manufacturing process. Following the CTA approval by regulatory authorities in Europe, the Company has initiated patient recruitment for the Phase IIb clinical trial with ALLOB in patients with difficult tibial fractures, using its optimized production process. ALLOB continues to be evaluated for other orthopedic indications including spinal fusion, osteotomy, maxillofacial and dental.

Bone Therapeutics cell therapy products are manufactured to the highest GMP (Good Manufacturing Practices) standards and are protected by a broad IP (Intellectual Property) portfolio covering ten patent families as well as knowhow. The Company is based in the BioPark in Gosselies, Belgium. Further information is available at http://www.bonetherapeutics.com.

About Rigenerand

Rigenerand SRL is a biotech company that both develops and manufactures medicinal products for cell therapy applications, primarily for regenerative medicine and oncology and 3D bioreactors as alternative to animal testing for pre-clinical investigations.

Rigenerand operates through three divisions:

Rigenerand is developing RR001, a proprietary ATMP gene therapy medicinal product for the treatment of pancreatic ductal adenocarcinoma (PDAC). RR001 has been granted an Orphan Drug Designation (ODD) by US-FDA and from the European Medicine Agency. The Clinical trial is expected to start in Q2 2021.

Rigenerand is headquartered in Medolla, Modena, Italy, with more than 1,200 square metres of offices, R&D and quality control laboratories and a cell factory of 450 square metres of sterile cleanroom (EuGMP Grade-B) with BSL2/BSL3 suites for cell and gene therapies manufacturing. It combines leaders and academics from biopharma and medical device manufacturing sectors.

For further information, please contact:

Bone Therapeutics SA Miguel Forte, MD, PhD, Chief Executive Officer Jean-Luc Vandebroek, Chief Financial Officer Tel: +32 (0)71 12 10 00 investorrelations@bonetherapeutics.com

For Belgian Media and Investor Enquiries: Bepublic Catherine Haquenne Tel: +32 (0)497 75 63 56 catherine@bepublic.be

International Media Enquiries: Image Box Communications Neil Hunter / Michelle Boxall Tel: +44 (0)20 8943 4685 neil.hunter@ibcomms.agency / michelle@ibcomms.agency

For French Media and Investor Enquiries: NewCap Investor Relations & Financial Communications Pierre Laurent, Louis-Victor Delouvrier and Arthur Rouill Tel: +33 (0)1 44 71 94 94 bone@newcap.eu

Certain statements, beliefs and opinions in this press release are forward-looking, which reflect the Company or, as appropriate, the Company directors current expectations and projections about future events. By their nature, forward-looking statements involve a number of risks, uncertainties and assumptions that could cause actual results or events to differ materially from those expressed or implied by the forward-looking statements. These risks, uncertainties and assumptions could adversely affect the outcome and financial effects of the plans and events described herein. A multitude of factors including, but not limited to, changes in demand, competition and technology, can cause actual events, performance or results to differ significantly from any anticipated development. Forward looking statements contained in this press release regarding past trends or activities should not be taken as a representation that such trends or activities will continue in the future. As a result, the Company expressly disclaims any obligation or undertaking to release any update or revisions to any forward-looking statements in this press release as a result of any change in expectations or any change in events, conditions, assumptions or circumstances on which these forward-looking statements are based. Neither the Company nor its advisers or representatives nor any of its subsidiary undertakings or any such persons officers or employees guarantees that the assumptions underlying such forward-looking statements are free from errors nor does either accept any responsibility for the future accuracy of the forward-looking statements contained in this press release or the actual occurrence of the forecasted developments. You should not place undue reliance on forward-looking statements, which speak only as of the date of this press release.

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Bone Therapeutics and Rigenerand sign partnership for cell therapy process development - GlobeNewswire

DiNAQOR Acquires EHT Technologies GmbH to Advance Engineered Heart Tissue R&D Capabilities – PRNewswire

PFFFIKON, Switzerland, Jan. 19, 2021 /PRNewswire/ -- DiNAQOR, a gene therapy platform company,today announcedthat it has acquired EHT Technologies GmbH, a Germany-based engineered heart tissue (EHT) technology platform company. Financial terms of the transaction were not disclosed.

EHT Technologies was founded in 2015 based upon research on human induced pluripotent stem cells (hiPSC) at the University Medical Center Hamburg-Eppendorf. Cardiomyocytes derived from hiPSC are an innovative research technology for cardiac drug development programs. Engineered heart tissues are three-dimensional, hydrogel-based muscle constructs that can be generated from isolated heart cells of chicken, rat, mouse, human embryonic stem cells and hiPSC. Proof-of-concept studies have shown that EHT can be transduced efficiently with adeno-associated virus (AAV) vectors, including AAV9, validating the use of this platform for gene therapy applications.

"EHT Technologies' proprietary hiPSC platform for disease modeling is a perfect complement to DiNAQOR's research and development efforts and leaps forward our ability to develop creative approaches for treating heart diseases in the future. EHT's intellectual property and know-how is industry-leading and we are excited to be able to harness its platform at DiNAQOR," commented Johannes Holzmeister, M.D., Chairman and CEO at DiNAQOR.

"After more than 25 years of development, I'm very excited that our engineered heart tissue technology is making the transition from an academic research model to a drug development tool. The combined application of human cardiomyocytes and a versatile, 3D in vitro assay will facilitate development and reduce reliance on animal studies. The hiPSC-derived EHT assay has great potential for the development of innovative cardiovascular therapeutics and DiNAQOR is the perfect fit for this enterprise," commented Professor Thomas Eschenhagen, M.D., co-founder of EHT Technologies. Professor Eschenhagen serves on DiNAQOR's Scientific Advisory Board.

"The EHT technology will accelerate the advancement of our discovery pipeline and bridge the translational gap between the animal model and human disease. We are proud that DiNAQOR is on the forefront of implementing this innovative technology to expedite new therapies into the clinic," said Valeria Ricotti, M.D., Chief Medical Officer at DiNAQOR.

About DiNAQORFounded in 2019,DiNAQOR is a global gene therapy platform company focused on advancing novel solutions for patients suffering from heart disease.The company is headquartered in Pfffikon, Switzerland, with additional presence in London, England and Hamburg, Germany. For more information visitwww.dinaqor.com.

ContactKWM Communications Kellie Walsh [emailprotected] or Stephanie Marks [emailprotected]

SOURCE DiNAQOR

DiNAQOR: A global gene therapy platform company

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DiNAQOR Acquires EHT Technologies GmbH to Advance Engineered Heart Tissue R&D Capabilities - PRNewswire

TBC1D3 promotes neural progenitor proliferation by suppressing the histone methyltransferase G9a – Science Advances

INTRODUCTION

The expansion of the cerebral cortex during primate evolution is assumed to be associated with the acquisition of higher intelligence especially in the human species (1, 2). This process involves increased proliferative ability of cortical neural progenitors (NPs), including the ventricular radial glial cells (vRGs), the intermediate progenitors, and basal or outer RGs (bRGs or oRGs) (3, 4), which give rise to neurons or glia cells directly or indirectly. By contrast, disruption of the proliferative capacity of RGs has been shown to cause malformations of the cortex, which usually leads to intellectual disability (5). It has been shown that the epigenetic mechanisms, especially modifications of chromatin, play a critical role in regulating transcriptional programs that govern the stemness of NPs (6). However, the role of epigenetic factors in the process of cortical expansion during human evolution remains to be explored.

The epigenetic regulation at the level of chromatin is tightly controlled by posttranslational histone modification (7). The mono- or dimethylation of lysine 9 (K9) site at histone 3 (H3) (H3K9me1 and H3K9me2) mediated by histone methyltransferases G9a [also known as EHMT2 (euchromatic histone-lysine N-methyltransferase 2)] and G9a-like protein (GLP, also known as EHMT1) marks transcriptionally repressive genomic loci, which symbolize gene silencing in mammals (8). Notably, genetic ablation of G9a or GLP in the forebrain of adult mice has been shown to reactivate NP genes, leading to defects in cognitive and adaptive behaviors (9). Deletions or mutations of G9a/GLP genes are a cause of Kleefstra syndrome, a rare genetic disorder characterized by intellectual disability, autistic-like features, childhood hypotonia, and distinctive facial features (10). In addition, the differentiation of retinal progenitor cells requires G9a-mediated silencing of genes that sustain a proliferative state (11). It would be of interest to determine how the G9a activity is tightly controlled in neural stem cells during proliferation, in particular in human cortical NPs, which exhibit increased numbers of mitotic cell division compared with mice.

The cross-species analyses of epigenetic modifications between primate species and rodents have revealed major phenotypic changes during mammalian evolution (12, 13). Notably, comparative epigenetic analysis of human, rhesus macaque, and mouse genomes has identified the gained activity of promoters and enhancers in humans, which are substantially enriched in modules crucial for neural proliferation (14). Nevertheless, the factors responsible for these epigenetic differences underlying human brain development remain unclear.

Recently, we have found that the expression of the hominoid-specific gene TBC1D3 promotes production of cortical NPs, leading to expansion and folding of the cortex in mice (15). Here, we report a regulatory role of TBC1D3 for G9a-mediated H3K9me2 modification in human cortical NPs. We found that TBC1D3 physically interacted with G9a and inhibited G9a activity. Down-regulation of G9a promoted the proliferation of human NPs, resulting in expansion of human cerebral organoids. Disruption of TBC1D3/G9a interaction up-regulated the level of H3K9me2 and suppressed the expansion of human cerebral organoid. These results indicate that the inhibition of G9a by TBC1D3 ensures enhanced proliferation of human NPs and the expansion of human cerebral cortex.

In line with the hypothesis that duplication of specific genes in human might contribute to brain evolution, we found that expression of TBC1D3 gene, which is duplicated to form multiple paralogs in human genome and present in the chimpanzee genome as a single copy (16, 17), promoted cortex expansion and folding in mice (15). To assess whether the copy number correlated with the expression level of TBC1D3 in the chimpanzee and human, we analyzed accessible online datasets of RNA-sequencing (RNA-seq) information in NPs and differentiated neurons derived from induced pluripotent stem cells (18). Notably, the expression of TBC1D3 in chimpanzee cells was barely detectable, while it exhibited a substantial level in human cells, both in NPs and neurons (fig. S1A). To further determine the role of TBC1D3 in human cellular contexts, we generated human cerebral organoids by using guided differentiation of the H9 human embryonic stem cells (hESCs) into neuroectoderm with the addition of inhibitors for transforming growth factor (TGF-) or bone morphogenetic protein (BMP) pathway (19), as well as matrix embedding to promote neuroepithelium formation and organoid assembling (20). The quantitative polymerase chain reaction (PCR) analysis of organoids at different cultured stages revealed the expression of TBC1D3 since cultured day 16 (D16) as well as the appearance of forebrain marker FOXG1 (fig. S1, B and C). Then, we analyzed the effect of TBC1D3 up-regulation on organoid development by transducing hESCs with lentivirus encoding TBC1D3 (rLV-TBC1D3) or vehicle alone (rLV-Ctrl) (Fig. 1A). As shown in fig. S1D, the level of TBC1D3 mRNA in hESCs transduced with rLV-TBC1D3 was significantly higher than that in control cells. Intriguingly, the organoids with TBC1D3 up-regulation were markedly larger in size compared with control organoids at either the neuroectodermal stage (D12) or 6 days after induction for neuronal differentiation (D18) (Fig. 1B). Further analysis showed that the percentage of cells positive for KI67, a marker for proliferative cells, or phospho-vimentin (P-VIM), which marks mitotic radial glia cells, as well as PAX6, a typical marker for cortical NPs, among total DAPI+ (4,6-diamidino-2-phenylindolepositive) cells markedly increased in TBC1D3 organoids (Fig. 1C and fig. S1E). Thus, TBC1D3 up-regulation promotes the proliferation of NPs in human cerebral organoids.

(A) Schematic diagram for human cerebral organoid culture. (B) Analysis for the size of organoids (Ctrl, 6 organoids in D12 and 15 in D18; TBC1D3, 11 organoids in D12 and 17 in D18). Scale bars, 100 m. (C) Analysis for the percentage of KI67+ or P-VIM+ cells in D18 organoids (14 neuroepithelial rosettes from 6 control organoids; 16 rosettes from 8 TBC1D3 organoids). Scale bar, 20 m. (D) Analysis for the percentage of PAX6+ (white arrowheads) or DCX+ (yellow arrowheads) cells among GFP+ cells in D40 organoids infected with adenovirus (AV) expressing shTBC1D3 or shCtrl. Scale bar, 20 m. shCtrl, 23 rosettes from 15 organoids; shTBC1D3, 19 rosettes from 13 organoids. (E) TBC1D3 distribution in ReN cells. Scale bar, 10 m. (F) Immunostaining for PAX6, TBR2, and TBC1D3 in GW15.5 fetal human cortex. Scale bars, 200 m (left) and 5 m (magnified). Histograms show the percentage of cells with TBC1D3 enriched in cytoplasm/membrane (Cyt/Mem; gray arrows) or nucleus (Nuc; red arrows). Five regions for cortical plate (CP) or OSVZ; six regions for VZ/ISVZ from three slices. Data are presented as means SD, unpaired Students t test. **P < 0.01; ***P < 0.001.

To determine TBC1D3s loss-of-function effects, organoids at D37 were infected by adenovirus encoding small hairpin RNA sequence against TBC1D3 (AV-shTBC1D3) or scrambled control sequence (AV-shCtrl) (15), with vector-encoded green fluorescent protein (GFP) marking infected cells. As shown in Fig. 1D, the shTBC1D3 organoids at D40 exhibited marked decrease in the percentage of PAX6+ cells among GFP-marked infected cells, whereas the percentage of newborn differentiated neurons positively labeled by doublecortin (DCX) increased significantly (Fig. 1D). Furthermore, the shTBC1D3 organoids at D60 also exhibited a marked reduction in the percentage of cells labeled by HOPX (fig. S1F), a marker for oRGs (21). Thus, down-regulation of TBC1D3 impeded NP proliferation and caused precocious neuronal differentiation in human cerebral organoids.

Previous studies have shown the cytoplasmic or membrane localization of TBC1D3 in several non-neuronal cell types (2224). To reveal the molecular mechanism of TBC1D3 in human cortical development, we determined the subcellular localization of TBC1D3 in human neural cells. First, immunostaining of cultured human neural stem cell ReN showed that albeit TBC1D3 was widely distributed in the whole cell, it was enriched in the nuclei, which were marked by DAPI and devoid of -tubulin (Fig. 1E). Next, we determined the expression of TBC1D3 in human fetal brain at gestation week 15.5 (GW15.5) and found that TBC1D3 was expressed widely in PAX6- or TBR2-labeled NPs in ventricular zone (VZ)/inner subventricular zone (ISVZ) or outer subventricular zone (OSVZ) regions (fig. S1G). Intriguingly, while the signal of TBC1D3 was distributed dominantly in cytoplasmic and membrane regions in cells located in the cortical plate, it was enriched in the nuclei of a majority of TBR2+ cells in the OSVZ and a fraction of PAX6+ cells in VZ/ISVZ (Fig. 1F). The nuclear localization of TBC1D3 was also confirmed by immunoblot analysis for the biochemical fractions of human fetal brain tissues and ReN cells (fig. S1H). Substantial TBC1D3 signals were also observed in the nuclei of cells in cultured human cerebral organoids at D16 or D24, and the cells in organoids at D40 exhibited much less TBC1D3 signals in the nuclei (fig. S1I). The immunofluorescence signals for TBC1D3 were specific because cells in organoids infected by AV-shTBC1D3 exhibited markedly decreased TBC1D3 signals compared with uninfected cells, while AV-shCtrl had no effect (fig. S1J). These results suggest that the subcellular localization of TBC1D3 is dynamic, and its nuclear distribution in human NPs suggests a mechanism underlying its role in regulating NP proliferation.

To gain further insights into molecular mechanisms by which TBC1D3 executes its functions in human cortex development, we searched for proteins that directly interact with TBC1D3 using the yeast two-hybrid (Y2H) system (Fig. 2A). A screen of human fetal brain complementary DNA (cDNA) library using as bait the full length of TBC1D3 led to the identification of around 20 hits. Among them, G9a was the only candidate that has been shown to control transcriptional regulation in nervous system (9). Three cDNA clones in Y2H encoded fragments of G9a, with the sequences covering a part of ankyrin repeats (ANK) and the entire SET domain, which has the methyltransferase activity (Fig. 2B) (8, 25). To determine whether TBC1D3 and G9a interact in mammalian cells, hemagglutinin (HA)tagged G9a and Myc-TBC1D3 were cotransfected into human embryonic kidney (HEK) 293 cells, and cell lysates were subjected to immunoprecipitation (IP). We found that IP of HA-G9a caused co-IP of Myc-TBC1D3, and vice versa (Fig. 2C). Furthermore, we observed the interaction between endogenous TBC1D3 and G9a, as IP with G9a antibody caused co-IP of TBC1D3 in homogenates of the GW15 human cortical tissue (Fig. 2D). In the human fetal brain, the TBC1D3 signals were colocalized with that of G9a in the nucleus of cells in the OSVZ (fig. S2A). The direct interaction between TBC1D3 and G9a was further verified using a pull-down assay. HEK293T cells were transfected with a construct encoding Myc-tagged TBC1D3 (Myc-TBC1D3), and then the cell lysates were incubated with beads containing glutathione S-transferase (GST) protein or GST-tagged recombinant fragment of 649 to 1210 amino acids of G9a, which contained C-terminal ANK and SET domains and thus was shortened as G9a-CF (CF represents C-terminal fragment). As shown in Fig. 2E, G9a-CF, but not GST alone, interacted with TBC1D3. The truncated CF containing the catalytic SET domain (879 to 1210 amino acids), but not the ANK domain (649 to 879 amino acids), was able to bind TBC1D3 directly (fig. S2B). These results indicate that TBC1D3 directly interacts with G9a in the developing human cortex.

(A) Schematic diagram for Y2H screening assay. (B) Domain structure of human G9a protein and sequences of positive clones. (C) IB analysis of reciprocal co-immunoprecipitation (co-IP) results in HEK293T cells transfected with HA-G9a or HA-G9a plus Myc-TBC1D3. (D) Homogenates of GW15 human fetal cortical tissues were subjected to IP with anti-G9a antibody with immunoglobulin G (IgG) as a control and IB with antibodies against TBC1D3 or G9a. Shown is an example of two independent experiments with similar results. (E) Homogenates of HEK293cells transfected with Myc-TBC1D3 were subjected to pull-down with beads coupled with GST or GST-G9a-CF [649 to 1210 amino acids (aa)], followed by IB with anti-Myc antibody. (F) Addition of 6xHis-TBC1D3 attenuates the Histone3 methylation activity of G9a. Relative levels of H3K9me2 with respect to that of Histone3 from three independent experiments were quantified. (G) Levels of H3K9me2 in ReN cells transfected with control (Myc-Ctrl) or Myc-TBC1D3 plasmid (six independent experiments). (H) Levels of H3K9me2 in human cerebral organoids infected with AV-shCtrl or AV-shTBC1D3 (three independent experiments). The quantified data are presented as means SD by unpaired Students t test. *P < 0.05; **P < 0.01. bp, base pair.

Having shown the interaction between TBC1D3 and G9a, we next investigated whether this interaction regulates the methyltransferase activity of G9a. To this end, we used the in vitro histone methylation system. Because the full length of G9a was difficult to be purified, we generated G9a-CF as the catalytic enzyme instead. As shown in fig. S2C, in the presence of methyl group donor SAM (S-adenosyl-l-methionine), purified G9a-CF was capable of mediating H3K9me2 modification. Addition of TBC1D3 to the histone methylation system significantly decreased the level of H3K9me2 (Fig. 2F, lanes 3 and 4), suggesting the inhibitory effect of TBC1D3 on G9a activity. TBC1D3 itself had no effect on H3K9me2 modification (Fig. 2F, lanes 1 and 2).

We then determined whether TBC1D3 regulates histone methylation in human neural stem cells. We found that transfection with Myc-TBC1D3 in ReN cells caused a marked decrease in the level of H3K9me2 but had no effect on some other histone modifications such as H3K9me3, H3K27me2, and H3K36me2, compared with the vehicle control group (Fig. 2G and fig. S2D). In addition, H9 hESCs transduced with rLV-TBC1D3 as well as later induced cerebral organoids also showed markedly decreased H3K9me2 compared with vehicle control group (fig. S2, E and F). By contrast, down-regulation of TBC1D3 by small interference RNA in D40 human cerebral organoids caused a marked increase in the level of H3K9me2 (Fig. 2H). Thus, the level of TBC1D3 is reversely correlated with that of H3K9me2, supporting the hypothesis that TBC1D3 suppresses the activity of G9a.

Our previous study has demonstrated that the TBC1D3 transgenic (TG) mice show increased cortical expansion and folding (15). We determined levels of H3K9me2 in wild-type and TG mice and found that TG mice exhibited a decreased level of H3K9me2 at embryonic days 14.5 (E14.5) and 17.5 (E17.5) (fig. S2, G and H). These results suggest a correlation between the states of H3K9me2 modification and cortex expansion during evolution.

Next, we determined whether inhibition of G9a had any effect on cortex development by using compound UNC0638, a specific and competitive inhibitor of G9a with high efficiency and low cytotoxicity (26). First, we treated ReN cells with different concentrations of UNC0638 for 24 hours and found that these treatments reduced the level of H3K9me2 in a dose-dependent manner (fig. S3A). Then, an optimized concentration of UNC0638 (1 M) was added into the medium during organoid induction (D12) with dimethyl sulfoxide (DMSO) as control, with drug-containing medium renewed every other day. Again, UNC0638 treatment resulted in notable reduction in the level of H3K9me2, as measured by either immunoblotting (IB) (Fig. 3A) or immunostaining (fig. S3B). UNC0638-treated organoids exhibited a marked increase in size at different culture stages as exampled in D30 and D40 (Fig. 3B). Then, different molecular markers were used for detailed immunochemistry analysis for NPs and differentiated neurons. We found that the percentage of cells labeled by KI67 or the expression of PAX6 increased significantly in UNC0638-treated organoids at D18 (fig. S3, C and D). The augmentation of NPs in UNC0638-treated organoids persisted until later stages at D30, as reflected from increased percentage of cells labeled by PAX6, P-VIM, or KI67 (Fig. 3, C, D, and E to G). The cortical identity of cultured organoids was further confirmed by the appearance of TBR2-marked intermediate progenitors and DCX-labeled differentiated neurons, which were also increased in UNC0638-treated samples (Fig. 3, C, D, F, and I). We believe that G9a inhibition might have promoted replenishment of NPs, subsequently leading to enhanced neurogenesis.

(A) Levels of H3K9me2 in D16 cerebral organoids treated with G9a inhibitor UNC0638 or DMSO control, determined by IB. (B) Representative images of D30 and D40 cerebral organoids treated with UNC0638 or vehicle control and quantification for the average diameter. Numbers of organoids analyzed: D30, 19 organoids for control and 20 organoids for UNC0638 group; D40, 11 organoids for control and 12 organoids for UNC0638 group. Scale bar, 1000 m. (C) Immunostaining for signals of PAX6, TBR2, and DAPI in D30 organoids treated with UNC0638 or DMSO. Scale bar, 50 m. (D) Immunostaining for signals of KI67, P-VIM, and DCX in D30 organoids treated with UNC0638 or DMSO control, with DAPI marking cell nucleus. Scale bar, 50 m. (E and F) Quantification for the percentage of PAX6+ cells (E) or TBR2+ cells (F) among DAPI+ cells (20 rosettes from 14 control organoids; 31 rosettes from 17 UNC0638-treated organoids). (G to I) Quantification for the percentage of KI67+ (G), P-VIM+ (H), or DCX+ cells (I). Twenty-three rosettes from 15 organoids were analyzed in each group. Data are presented as means SD, unpaired Students t test. ***P < 0.001.

To investigate the proliferation and neuronal competency of NPs, D30 organoids were infected with GFP-expressing retrovirus, followed by culture for an additional 3 days in virus-free medium, to label dividing cells and the daughter progeny (fig. S3E). We found that the percentage of GFP+ cells among DAPI+ cells increased in UNC0638-treated organoids (fig. S3F), while the percentage of KI67+ GFP+ or DCX+ GFP+ among total GFP+ cells had no difference (fig. S3, G and H). These results suggest that G9a inhibition expanded the pool of dividing NPs without altering cellular lineage composition and neuronal competency. The effect induced by UNC0638 is reminiscent of the expansion of the human cerebral organoids with overexpression of TBC1D3 as well as a mutation of PTEN (27).

To precisely manipulate the interaction between TBC1D3 and G9a and seek the functional relevance, we mapped the TBC1D3 region that is essential for the interaction. We generated a battery of truncated forms of TBC1D3 tagged with Myc at the N terminus (Fig. 4A) and cotransfected each of them with HA-G9a into HEK293 cells. Then, the cell lysates were subjected to IP with anti-HA antibody. In the first round of domain mapping, we generated mutated forms of TBC1D3 with sequential deletion of a quarter of full length and found that the mutant with the deletion of C terminus (TBC1D3413549) failed to be associated with G9a, whereas other mutants maintained the binding activity (Fig. 4B). This result suggests that the C terminus of TBC1D3 is essential for the interaction with G9a. Based on this, we did other rounds of narrowing down to pinpoint the regions essential for the interaction (Fig. 4, C to E). Last, the minimal region was mapped to 465 to 481 amino acids, because TBC1D3465481 did not interact with G9a (Fig. 4E), but further partitioning had no effect (Fig. 4F).

(A) Schematic representation for full length of TBC1D3 protein and mutated forms with indicated fragment deletions. (B to F) HEK293 cells were cotransfected with constructs encoding HA-tagged G9a and Myc-tagged full-length or mutated forms of TBC1D3. Cell homogenates were subjected to IP with antibody against HA, followed by IB with antibody against Myc or HA. Data shown are blots of representative experiments performed for at least three times with similar results.

Because the 465 to 481amino acid segment of TBC1D3 was essential for the interaction with G9a, we asked whether the peptide covering this sequence is able to interfere with TBC1D3-G9a interaction. We synthesized the peptide composed of the cell-penetrating TAT sequence derived from the trans-activator of transcription of human immunodeficiency virus (28) and the 465 to 481 amino acids of TBC1D3 (shortened as T-T) or scrambled sequence (shortened as T-S) (Fig. 5A) and tested their effect on TBC1D3/G9a interaction. As shown in fig. S4A, the association between Myc-TBC1D3 and HA-G9a was attenuated in transfected HEK293 cells treated with T-T, but not T-S. Furthermore, the efficiency of GST-G9a-CF in pulling down Myc-TBC1D3 was markedly decreased in reactions with the presence of T-T, but not T-S (fig. S4B). Next, we asked whether the blockade of TBC1D3/G9a interaction changed the level of H3K9me2 or proliferation of NPs in human cerebral organoids. For this purpose, the organoids at D12 were treated with T-T or T-S for 4 days, followed by immunostaining with various antibodies. Notably, we found that the volume of human cerebral organoids reduced significantly in the T-T group (Fig. 5A). Moreover, the level of H3K9me2 was markedly increased, whereas the percentage of KI67+ cells or the intensity of PAX6+ signals was markedly decreased in T-Ttreated organoids (Fig. 5, B to D). These results were unlikely caused by a direct effect of peptides on G9a, because addition of T-T to the in vitro histone methylation assay did not change the level of H3K9me2 (fig. S4C). In addition, treatment of mouse neural stem cell N2A, which does not harbor TBC1D3, with T-T had no effect on H3K9me2 modification (fig. S4D). These results were in line with the idea that TBC1D3 interaction with G9a represses its histone dimethylation activity and thus maintains H3K9me2 at a low level, which may ensure high proliferative potency of human cortical NPs.

(A) Blockade of TBC1D3/G9a interaction with peptides suppresses organoid growth. At least 14 organoids were analyzed in each group. Scale bar, 200 m. (B) H3K9me2 signals in D16 organoids. Data are represented as means SD of 25 rosettes from 9 T-S organoids and 33 rosettes from 12 T-T organoids, with average value of T-S group normalized as 1. Scale bar, 20 m. (C) Analysis for the percentage of KI67+ in D16 organoids (29 rosettes from 7 T-S organoids; 16 rosettes from 6 T-T organoids). Scale bar, 40 m. (D) PAX6 signals in D16 organoids. Normalized intensity of PAX6 was quantified with the value of T-S group set as 1 (79 rosettes from 6 T-S organoids; 49 rosettes from 6 T-T organoids). Scale bar, 40 m. (E) Proliferative cells marked by EdU in mouse cortex transfected with indicated plasmids and yellow fluorescent protein (YFP). Histograms indicate percentage of EdU+ cells among YFP+ cells (9 embryos in the Myc-Ctrl or Myc-TBC1D3465481 group; 10 embryos in the Myc-TBC1D3 group). Scale bar, 20 m. Data are presented as means SD, unpaired Students t test. **P < 0.01; ***P < 0.001; ns, no significant difference.

We have shown previously that TBC1D3 expression promoted the generation and proliferation of basal cortical progenitors, leading to cortex expansion in mice (15). We wondered whether these effects were attributable to the TBC1D3 regulation of G9a. The fetal mice at E13.5 were subjected to in utero electroporation (IUE) to introduce various constructs into NPs in the VZ, followed by analysis of cell proliferation at E15.5. We first examined the effects of full-length (Myc-TBC1D3) and the mutated form of TBC1D3 with the deletion of 465 to 481 amino acids (Myc-TBC1D3465481) on NP proliferation by calculating the proportion of cells in the S phase determined by incorporation of pyrimidine analog 5-ethynyl-2-deoxyuridine (EdU) (Fig. 5E). Consistent with previous observation (15), we found that the Myc-TBC1D3 IUE mice exhibited an increase in EdU+ proliferating cells, as compared with control mice subjected to IUE with vesicle plasmid, while IUE with Myc-TBC1D3465481 had no effect on NP proliferation (Fig. 5E). These effects were evident in both apical and basal regions (Fig. 5E, right). Unlike the full length of TBC1D3, forced expression of TBC1D3465481 in ReN cells did not reduce the level of H3K9me2 (fig. S4E). These results suggest that the suppression of G9a-mediated histone dimethylation by TBC1D3 underlies its role in promoting NP proliferation.

As H3K9me2 modification is considered to be a typical repressive transcription mark (7), we analyzed the gene expression networks regulated by TBC1D3/G9a interaction. First, we compared global transcriptome profiles between human cerebral organoids (D16) treated with T-S or T-T using RNA-seq information. We conducted two replicates in each group to validate experimental consistency in terms of peptide treatment and sequencing process. The hierarchical clustering and Pearson correlation analysis revealed similar patterns in duplicates of either T-S (T-S-1 and T-S-2) or T-T (T-T-1 and T-T-2) duplicates (fig. S5, A and B). Among the differentially expressed genes (DEGs), the significantly changed ones were selected (fig. S5C) for further analysis. Gene ontology (GO) analysis showed that the down-regulated genes in T-T organoids were enriched in functional forebrain development or neuronal differentiation, while the up-regulated genes were enriched in apoptotic signaling pathways (fig. S5D). Further analysis based on the Kyoto Encyclopedia of Genes and Genomes (KEGG) database showed that DEGs were enriched in pathways involved in cell proliferation, such as AKT, WNT, or MAPK (mitogen-activated protein kinase) signaling, as well as pluripotency of stem cells (Fig. 6A). Among down-regulated genes, we found several genes that encode WNT ligands and receptor FZD10, FGF receptors, or PAX6 (Fig. 6B). Quantitative gene expression analysis using real-time reverse transcription PCR (RT-PCR) also validated the down-regulation of these representative genes in T-Ttreated organoids (Fig. 6C). These results support the conclusion that TBC1D3 interaction with G9a down-regulates the level of H3K9me2 and, hence, promotes the expression of genes involved in the proliferation of NPs.

(A) Top six enriched KEGG pathways by clustering analysis of down-regulated genes in T-T groups compared with T-S groups. (B) Heatmap showing representative down-regulated genes in T-Ttreated organoids. (C) Relative mRNA levels of indicated genes to GAPDH measured by quantitative PCR analysis for D16 organoids treated with T-T or T-S peptides. Data are presented as means SD of at least five experiments in each group with values from T-S group normalized as 1. Unpaired Students t test. **P < 0.01; ***P < 0.001. (D) ChIP-seq showing the count and distribution of peaks around TSSs in T-S or T-Ttreated organoids at D16. (E) H3K9me2-binding peaks increase in T-Ttreated organoids. (F) Genomic tracks showing differential H3K9me2 enrichment regions near TSS of FZD10 and WNT4. (G and H) Venn diagrams (G) and GO biological enrichment analysis (H) of genes corresponding to ChIP-seq peaks and DEGs identified by RNA-seq. (I) A proposed model showing a role of TBC1D3 in promoting NP proliferation and cortex expansion through down-regulating the level of H3K9me2. PI3K, phosphatidylinositol 3-kinase.

To identify the genomic locus associated with H3K9me2, we performed the genome-wide H3K9me2 chromatin immunoprecipitation sequencing (ChIP-seq) in human cerebral organoids treated with T-S or T-T peptides. The peak reads of H3K9me2 binding on transcriptional start sites (TSSs) were markedly increased in D16 organoids treated with T-T (Fig. 6, D and E, and fig. S5E). For example, many differential peaks appeared to be enriched in promoter regions of regulated genes, such as FZD10 or WNT4 (Fig. 6F, see the red peaks). Moreover, the comprehensive analysis showed that 253 genes were overlapped between the DEGs of RNA-seq and differential peaks observed in ChIP-seq (Fig. 6G). Further GO analysis indicated that the overlapped genes were mainly enriched in proliferative pathways, such as PI3K-Akt and MAPK signaling (Fig. 6H). These results support the conclusion that blockade of the TBC1D3/G9a interaction reactivates G9a activity, leading to increased level of H3K9me2, which marks suppressive gene expression. Together, the inhibitory role of TBC1D3 in G9a activity through direct interaction may maintain H3K9me2 at a low level, which allows expression of genes involved in NP proliferation and hominoid cortical expansion (Fig. 6I).

The expansion in human cerebral cortex is believed to facilitate emergence of higher cognitive skills (1). Prolonged duration of cortical neurogenesis may contribute to cortical expansion and folding, and this process involves markedly increased proliferation capacity of cortical NPs. Recently, several human-specific genes have been shown to promote cortical progenitor proliferation and expansion, and the underlying mechanisms varied from cell cycle transition (29) to glutaminolysis regulation (30). In this study, we found that the level of H3K9me2 modification is reversely correlated with the proliferation capacity of cortical NPs. The hominoid-specific protein TBC1D3 inhibits G9a-mediated H3K9me2 modification, and this regulation underlies TBC1Ds role in promoting the proliferation of cortical NPs. The down-regulation of H3K9me2 caused by TBC1D3 interaction with G9a may derepress the expression of genes involved in the proliferation of NPs, which, in turn, resulted in cortical expansion. This study shows an epigenetic mechanism underlying enhanced stemness of NPs during the evolution of neocortex.

Compared with rodents, the human cortex exhibits increased radial and tangential expansion and more abundant cortical progenitors, which have sustained capability of multiple rounds of division and prolonged neurogenic period (4, 31). Interspecies comparisons have led to identification of specific genomic changes on the human linage, including individual nucleotide variation, insertion-deletions, gene duplications, and a few purely de novo human-specific genes (32). Besides coding regions, many forms of variants in regulatory regions or epigenetic elements, such as human-specific microRNAs (33) and differential histone methylation compared with other nonhuman primates, have been identified (34). Nevertheless, connecting these changes to functions in human brain development has been challenging due to the limitation of ethical issues and the lack of appropriate experimental approaches. In this study, we have established a link between TBC1D3 and H3K9me2 modification in cultured human cerebral organoid system.

Previous studies have shown that the level of H3K9me2 is dynamically regulated in the contexts of memory formation, addiction, and stress (3537). G9a-deficient mice display severe growth retardation and early lethality, and H3-K9 methylation is decreased markedly in G9a-deficient embryos (38). In humans, haploinsufficiency or disruption of the GLP gene has been shown to be associated with congenital intellectual disability, including Kleefstra syndrome and autism spectrum disorder (10). In mice, heterozygous ablation of GLP gene caused developmental delay and abnormal behavior (39). It would be of interest to determine whether TBC1D3 is involved in any intellectual disability or neural developmental disorders. Given that many mammals without TBC1D3 also have cortical expansion compared with rodents, this study does not preclude other mechanisms governed by multiple genetic elements underlying cortex expansion during evolution.

TBC1D3 has been shown to be involved in RAB guanosine triphosphatase signaling, vesicle trafficking, and tissue repair (16, 2224). All these functions seem to rely on its cytosolic and/or membrane localization. Notably, TBC1D3 can also shuttle between cytoplasm and nucleus, and its cytoplasmic retention needs microtubule network (40). In this study, we unraveled a role of TBC1D3 in the nucleus, especially in human NPs. Intriguingly, TBC1D3 was expressed in almost all PAX6+ or TBR2+ cells, and notably, most of those in the OSVZ and a fraction of vRGs had TBC1D3 enriched in the nucleus. This heterogeneous subcellular localization may reflect different states of vRGs. As shown in our previous study, the expression of TBC1D3 in vRGs caused destabilization of Cdh2 mRNA, leading to down-regulation of N-cadherin and delamination of vRGs in mice (15). How the dynamic spatial localization of TBC1D3 is determined in NPs at various states and/or positions warrants further study. Furthermore, its dominant distribution in the cytosol of differentiated neurons suggests multifaceted functions.

C57BL6/J mice and TBC1D3-TG mouse line maintained in C57BL6/J background were used for the IUE experiments. All animal manipulations including mouse housing, breeding, and surgical procedures were executed in compliance with the ethical guidelines of the Institutional Animal Care and Use Committee of Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, and ShanghaiTech University. All mice were housed under a 12-hour light-dark cycle in the institutional animal care facility. The TBC1D3-TG mice were generated as described previously (15). Mice at E13 to E17 were used for experimental processing without discrimination of the sex of embryos.

The human fetal cortical tissue samples were obtained from medical pregnancy termination. The collection and usage of the human fetuses were conducted in strict observance of the ethical guidelines approved by the ethics committee in Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences (approval identifier number: ER-SIBS-221506). After release from clinical autopsy procedure, the brain tissues were transported in ice-cold Leibowitz-15 medium (Gibco, 21083027) and stored in liquid nitrogen for protein extraction or embedded in optimal cutting temperature (OCT) compound (Tissue-Tek Sakura, catalog no. 4583) for further frozen sectioning and immunostaining.

N2A and HEK293T cells were cultured in Dulbeccos modified Eagles medium (DMEM) (Gibco, 11966-025) supplemented with 10% fetal bovine serum (FBS; Gibco, 10099-141) in a 37C incubator with 5% CO2. HEK293T cells were transfected with plasmids using Lipofectamine 2000 (Thermo Fisher Scientific, 11668019). ReN cells derived from human mesencephalon were grown in DMEM/F12 medium (Gibco, H330057) supplemented with B27 (Gibco, 17504044), heparin (10 U/ml; Sigma-Aldrich, H3393), epidermal growth factor (20 ng/ml; Stem cell, 78073), and fibroblast growth factor (10 ng/ml; Stem cell, 78003). The cultured dishes for ReN cells were pretreated with 0.5% laminin (Sigma-Aldrich, L2020) dissolved in DMEM medium for at least 4 hours at 37C. ReN cells were transfected with plasmids using Nucleofector (Lonza Nucleofector II, 2B). H9 hESCs (NEST) were grown on Matrigel (BD Biosciences, 354277)pretreated dishes and cultured in mTeSR medium (STEMCELL Technologies, 5850). Clones of H9 hESCs were passaged using the ReLeSR kit (STEMCELL Technologies, 5872) according to the protocol when the size of clones reached 1 to 2 mm in diameter.

Constructs encoding mutated forms of TBC1D3 with various deletions were generated using site-directed mutagenesis with a PrimeSTAR GXL DNA polymerase kit (Takara, R050A) according to standard protocol with Myc-TBC1D3 plasmid (15) as template and primers listed in table S1. TBC1D3 was also subcloned into PGB plasmid as bait for Y2H screening, into lentiviral vector rLV-EF1a-2A-EGFP-T2A-puro-WPRE for transduction of ES clones, and into PET-28a plasmid to produce 6xHis-tagged recombinant proteins. The full-length coding sequence of G9a or 649 to 1210amino acid fragment was amplified by PCR and subcloned into pGEX-2T-GST or pKH3-HA vector (see table S1 for the list of plasmids and sequences of primers used in PCR amplification).

Y190 yeast cells were cotransfected with PGB-TBC1D3 plasmid and the human fetal brain cDNA library (Clontech, catalog no. HL4028AH). The hits in the positive yeast clones were amplified and sequenced to obtain the gene information. False-positive clones were excluded from the following analysis.

The plasmids encoding GST-tagged G9a truncated fragments or 6xHis-tagged TBC1D3 were transformed into Rosetta Escherichia coli BL21 strain. After 0.5 mM isopropyl--d-thiogalactopyranoside (IPTG) induction (16C for 20 hours) for protein expression, cells were collected and lysed in phosphate-buffered saline (PBS) buffer supplemented with dithiothreitol (DTT) and phenylmethylsulfonyl fluoride (PMSF) using ultrasonication. For GST-fusion protein, the precleared supernatants were collected and incubated with Glutathione Sepharose 4B (GE Healthcare, 17-0756-01) beads, followed by washes in PBS and elution with glutathione (5 mg/ml). For 6xHis-tagged proteins, the lysis buffer was changed to phosphate buffer containing 10 mM imidazole, 300 mM sodium chloride, 50 mM sodium phosphate buffer, 10% glycerol, and 0.5% Tween, and recombinant proteins were purified with Ni column using elution buffer (30 mM sodium phosphate buffer, 300 mM imidazole, 300 mM sodium chloride, and 10% glycerol).

The cell lysates (1 mg/ml protein) of HEK293T cells transfected with Myc-TBC1D3 or various mutants were incubated with GST-tagged G9a fragments coupled with glutathione agarose beads at 4C with gentle rotation. For TAT blockade experiments, the peptide of T-S or T-T (100 M) was added into the mixture of Myc-TBC1D3 and GST-G9a-CF before following incubation. The beads were then washed in cell lysis buffer and subjected to IB analysis with corresponding antibody.

HEK293T cells transfected with various plasmids were lysed in modified radioimmunoprecipitation assay (RIPA) buffer containing 50 mM tris-HCl (pH 7.4), 150 mM NaCl, 1% NP-40, 0.25% Na-deoxycholate, 1 mM EDTA, and protease inhibitor cocktail. After centrifugation (12,000 rpm for 15 min), supernatants were collected and incubated with primary antibodies at 4C overnight and then incubated with Protein-G or Protein-A beads at 4C for 4 hours. After five washes with lysis buffer, the beads were boiled in 30 to 50 l of 1 SDS loading buffer and subjected to IB analysis. Nuclear and cytoplasmic fractions were prepared using NE-PER Nuclear and Cytoplasmic Extraction Reagents (Pierce, 78833) following the manufacturers instructions. For IB analysis, protein samples were loaded and separated in SDSpolyacrylamide gel electrophoresis (PAGE) and transferred to polyvinylidene difluoride membranes. After blocking in 5% milk in TBS-T (tris buffered saline-Tween) for 1 hour at room temperature, the membranes were probed with primary antibodies and visualized with horseradish peroxidase (HRP)conjugated secondary antibodies. Antibodies for IB analysis were as follows: TBC1D3 (rabbit, Abcam, Ab139034), H3K9me2 (Cell Signaling Technology, 4658s), GAPDH (glyceraldehyde-3-phosphate dehydrogenase; Proteintech, 60004-1), Histone3 (Cell Signaling Technology, 4499s), Myc (rabbit, Sigma-Aldrich, C3956; mouse, Millipore, 05-419), HA (rabbit, Cell Signaling Technology, 3724s; mouse, Sigma-Aldrich, H3663), H3K9me3 (Abcam, Ab8898), H3K27me2 (Cell Signaling Technology, 9728T), H3K36me2 (Cell Signaling Technology, 2901T), HRP anti-mouse (Abcam, Ab64259), and HRP anti-rabbit (Abcam, Ab64261).

Histone proteins were extracted and purified from cultured ReN cells following the protocol as described previously (41). Briefly, 5 106 cells were collected and lysed in hypotonic lysis buffer containing 10 mM tris-HCl (pH 8.0), 1 mM KCl, 1.5 mM MgCl2, 1 mM DTT, and protease inhibitor cocktail (Selleck, B14001) to release the intact nuclei. The nuclei pellets were then resuspended in 0.4 N H2SO4 and incubated on a rotator for at least 30 min or overnight at 4C. Histone proteins were precipitated in 33% trichloroacetic acid (TCA) (Sigma-Aldrich, T4885), washed with ice-cold acetone, air dried for 20 min at room temperature, and, lastly, dissolved in appropriate volume of ddH2O.

The purified histone proteins (about 30 ng/l) were mixed with GST-G9a (649 to 1210 amino acids) (30 ng/l) in 30 l of reaction buffer containing 0.5 mM SAM (New England Biolabs) as the methyl group donor, 50 mM tris-HCl (pH 8.0), 2 mM MgCl2, 0.01% Trion X-100 (Takara), 1 mM tris (2-carboxyethyl) phosphine (TCEP) (Hampton Research), and protease inhibitor cocktail, and incubated for 12 hours at room temperature, without or with 6xHis-TBC1D3 (30 ng/l). The SDS-PAGE sample buffer was added to stop the reaction, and the products were subjected to IB analysis.

Human cerebral organoids were derived from H9 ES cells following the protocol introduced previously (20) with some modifications. First, after culturing for 48 hours, the ES clones were digested to single cells and passaged to new dishes. Then, the clones were digested into single cells using 1 ml of Accutase at 37C for 5 min, washed in mTeSR medium, centrifuged at 800 rpm for 90 s, and resuspended in 2 ml of mTeSR medium. The cell suspension was seeded into low-attachment V-bottom 96-well plates with about 7000 cells per well in 180 l of mTeSR medium supplemented with 10 M Y27632 (Stem cell, 72304). After 2 days, the medium was changed to the hES medium containing 80% DMEM/F12, 20% KSR (KnockOutTM Serum Replacement) (Gibco, 10828028), 1% GlutaMAX (Thermo Fisher Scientific, 35050061), 1% MEM_NEAA (Invitrogen, 11140050), 0.0004% 2-mercaptoethanol, 2.5 M dorsomorphine (Tocris, Oct-93), and 2 M A83-01 (Tocris, Oct-39) and cultured for 4 days. At D6 to D12, half of the hES medium was replaced with neural induction medium: DMEM/F12 supplemented with 1% N2 supplement (Thermo Fisher Scientific, 17502048), 1% GlutaMAX, 1% MEM_NEAA, heparin (1 g/ml; Sigma-Aldrich, H3393), 200 nM LDN-193189 (Selleck, S7507), and 2 M SB431542 (Selleck, S1067). At D12, the organoids were embedded in Matrigel and cultured in neural differentiation medium containing 50% DMEM/F12, 50% Neurobasal medium (Life Technology, 12348-017), 0.5% N2 supplement, 1% GlutaMAX, 1% MEM_NEAA, 1% B27, 0.0004% 2-mercaptoethanol, and 0.025% insulin (Sigma-Aldrich, I9278) for 4 days, without or with the addition of small molecular inhibitors UNC0638 (1 M; Selleck, S8071), DMSO vehicle control, or 30 M peptides (T-T: YGRKKRRQRRR-EGPWFRHYDFRQSCWVR; T-S: YGRKKRRQRRR-FRVRYWFQGCHSEDPWR). The drug-containing medium was renewed every other day. At D16, B27 supplemented with vitamin A was used in differentiation medium, and the culture condition was maintained for the following days. For lentivirus-transduced cerebral organoids, H9 ES clones (1 to 2 mm in diameter) were infected with control lentivirus (rLV-EF1a-2A-EGFP-T2A-puro-WPRE, shortened as rLV-Ctrl) or TBC1D3 expressing lentivirus (rLV-EF1a-TBC1D3-2A-EGFP-T2A-puro-WPRE, shortened as rLV-TBC1D3). Two days later, puromycin (1/1000; Sigma-Aldrich, P8833) was added to select transfected cells with GFP as selection marker. The clones grown from single GFP+ cells were subjected to quantitative real-time PCR to determine the RNA level of TBC1D3 and used in the following analyses. The nucleotide sequence of small interference RNA for TBC1D3 (target sequence: 5-GCCTCTATGAAGAAACTAA-3) or control (target sequence: 5-TTCTCCGAACGTGTCACGT-3) was inserted into adenovirus vector to generate the pDKD-CMV-eGFP-U6-shTBC1D3 construct. The packaged adenovirus was added into organoid culture medium at D37 and maintained for 3 days. For retrovirus infection, virus was added into organoid culture medium at D26 and maintained for 24 hours. Then, the medium with virus was removed, and organoids were washed immediately with fresh medium for at least three times. After another 3-day culture, organoids were fixed in 4% paraformaldehyde (PFA) and subjected to immunostaining.

The total RNA from brain tissue or human brain organoids was extracted with TRIzol reagent (Life Technology, 15596018) following the manufacturers instructions. RNA samples were subjected to reverse transcription and quantitative real-time PCR using SYBR Green (Selleck, B21702) on QuantStudio 7 Flex System (Life Technologies). The QuantStudio Real-Time PCR Software v1.3 was used for data analysis. The primers used were as follows: TBC1D3, 5-AGGTTCAGCAGAAGCGCCTCA-3 (forward), 5-GCCTGGATGCCGACGACCCTT-3 (reverse); human GAPDH, 5-GACCTGCCGTCTAGAAAAACCT-3 (forward), 5-CTGTTGCTGTAGCCAAATTCGT-3 (reverse); mouse GAPDH, 5-GGGTCATCATCTCCGCCCC-3 (forward), 5-TTGGCAGCACCAGTGGATGCA-3 (reverse); PAX6, 5-TGCATTTGCATGTTGCGGAG-3 (forward), 5-TTAGCGAAGCCTGACCTCTG-3 (reverse); FZD10, 5-CAAACCTCGAAACAGCTGCC-3 (forward), 5-AACAATACCGGGAAGCGAGG-3 (reverse); FGFR3, 5-AGGAGCTCTTCAAGCTGCTG-3 (forward), 5-ACAGGTCCAGGTACTCGTCG-3 (reverse); WNT1, 5-CAAGATCGTCAACCGAGGCT-3 (forward), 5-AAGGTTCATGAGGAAGCGCA-3 (reverse); WNT4, 5-CGTGCCTGCGTTCGCT-3 (forward), 5-GGCAAGGAGTCGAGTGTGG-3 (reverse); FOXG1, 5-CCCTCCCATTTCTGTACGTTT (forward), 5-CTGGCGGCTCTTAGAGAT (reverse).

High-throughput sequencing of total RNA isolated from human cerebral organoids was performed on Illumina NovaSeq 6000 system with average length of 150 nucleotides for every read of paired end. Raw data were filtered by FASTX-Toolkit to generate clean reads and then mapped to human GRCh38. The level of a specific transcript was expressed as FRKM (fragments per kilobase of transcript per million fragments mapped) measured using StringTie software with statistical criterion set as P < 0.05. GO analysis was performed using EdgeR software with false discovery rate <0.05 and log2 (fold change) >1 or <1.

The samples for ChIP analysis were extracted using SimpleChIP Enzymatic Chromatin IP Kit (Cell Signaling Technology, 91820s). Briefly, tissues were fixed in 1% formaldehyde to cross-link proteins to DNA for 10 to 20 min at room temperature, and the reaction was stopped by addition of glycine. Then, cells were lysed to release nucleus, and Micrococcal Nuclease was added to digest chromatin into protein-associated DNA fragments, followed by sonication to break nuclear membranes and generate chromatin fragments of appropriate size. The samples were incubated with antibody against H3K9me2 (Cell Signaling Technology, 4658s) at 4C overnight and then incubated with ChIP-grade Protein G magnetic beads at 4C for 2 hours, followed by DNA elution and purification. DNA samples in input and IP groups were pair-end sequenced on HiSeq 2500 (XTen) platform. The sequence reads were trimmed for adaptor sequence using FASTP software (version 0.19.11), and peak calling was conducted using MACS2 (version 2.1.0). Peaks were mapped to genome using BWA software (version 0.7.12-r1039), and GO analysis was conducted using Goseq and Bioconductor (version 4.10.2). The enrichGO function in the clusterProfiler (v3.13) R package was used for overrepresentation analysis of GO biological processes overlapped in ChIP-seq and RNA-seq. Venn diagram is plotted by VennDiagram R package.

Pregnant mice with embryos at D13.5 or D14.5 were anesthetized with a mixture of pentobarbital sodium (2.5 g/kg body weight) and ketamine (50 mg/ml of solution) and subjected to IUE. The uterus was exposed under sterile conditions, and plasmid solutions containing DNA (1 to 2 g/l) mixed with fast green (0.1 mg/ml; Sigma-Aldrich, F7252) were manually injected into the lateral ventricles with a beveled glass micropipette (VWR International, 53432-921). Two tweezer electrodes connected to an electroporator (BTX830) were used in the electroporation procedure to deliver five 50-ms pulses of 30-V voltage with 950-ms interval. The mice were surgically sutured and placed on warm electric blanket until recovery.

Cultured cells on coverslips were fixed in 4% PFA for 10 min at room temperature. Embryonic mouse brains were dissected out and postfixed in 4% PFA overnight at 4C. Cultured human brain organoids were soaked in 4% PFA for 2 to 4 hours at 4C. The fixed tissues were dehydrated in 20% sucrose in PBS at 4C and then sectioned at 30-m (mouse brain) or 20-m thickness (organoids) using a freezing microtome (Leica, CM1950). Sections of control and experimental groups were pasted on the same slide to maintain uniform conditions during staining and image collection processes. For immunohistochemistry, fixed cells were washed with PBS for three times and permeabilized in 0.1% Triton X-100 in PBS for 10 min. Tissue slices were subjected to antigen retrieval by citrate and then permeabilized in 0.3% Triton X-100 in PBS for 30 min. After blocking with 10% FBS for 50 min, the cells or slices were incubated with various primary antibodies at 4C overnight, washed with PBS for three times, incubated with secondary antibodies for 2 hours at room temperature in the dark, and mounted with mounting reagent (DAKO, S3023) for observation.

For EdU labeling, pregnant mice that recovered from the IUE surge were injected intraperitoneally with EdU (50 mg/kg body weight) (Thermo Fisher Scientific, C10640). EdU staining was performed immediately after the secondary antibody incubation using a Click-iT Plus EdU Imaging Kit (Thermo Fisher Scientific, C10640). Antibodies for immunostaining were as follows: DAPI (Beyotime, C1002), TBC1D3 (rabbit, Abcam, Ab139034), TBC1D3 (mouse, Santa Cruz, sc-376073), KI67 (Abcam, Ab66155), PAX6 (Covance, PRB-278P), H3K9me2 (Cell Signaling Technology, 4658s), G9a (Abcam, Ab185050), -tubulin (Cell Signaling Technology, 2128s), TBR2 (Invitrogen, 14-4877-82), DCX (Santa Cruz, sc-8066), HOPX (Sigma-Aldrich, HPA030180), Alexa Fluor 488 (Jackson, 703-546-155), Alexa Fluor 555 (Invitrogen, A31572), and Alexa Fluor 647 (Invitrogen, A31571).

Images of immunostaining were collected using confocal microscopy with Nikon TiE, Nikon A1R, Leica P8, or Olympus FV3000 and processed with ImageJ software. The shooting parameters were kept the same between each control and experimental group. Statistical tests were performed using GraphPad Prism software, and data were presented as means SD. Data satisfied to Gaussian distribution test were quantified with Students t test, while others were quantified with unpaired Students t test. The statistical significance was indicated by *P < 0.05; **P < 0.01; ***P < 0.001; ns, no significant difference.

Acknowledgments: We are grateful to A. L. Sheng for the assistance with brain organoid culture, L. Du for suggestions on ChIP-seq analysis, Y. Jin for sharing ReN cells, and J. P. Ding for the modified PET-28a vector. Funding: This study was partially supported by grants from the National Natural Science Foundation of China (31490591 to Z.-G.L. and 31871034 to X.-C.J.), the National Key R&D Program of China (2017YFA0700500), the Frontier Key Project of the Chinese Academy of Sciences (QYZDJ-SSW-SMC025), and Shanghai Municipal Science and Technology Projects (2018SHZDZX05 and 201409001700). Author contributions: Q.-Q.H. designed the experiments, conducted data collection and analysis, and wrote the original draft. Q.X. and X.-C.J. participated in RNA-seq and ChIP- seq data analysis. X.-Y.S. participated in human cerebral organoid culture. Z.-G.L. conceived the project and wrote the manuscript. Competing interests: The authors declare that they have no competing interests. Data and materials availability: RNA-seq data and ChIP-seq data were deposited in the Gene Expression Omnibus (GEO) with accession number GSE136283. The dataset for evaluating TBC1D3 expression in human and chimpanzee neural cells was deposited in the GEO with accession number GSE83638. 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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TBC1D3 promotes neural progenitor proliferation by suppressing the histone methyltransferase G9a - Science Advances

Immunotherapy Inches Forward in Development of Myeloid Malignancies – OncLive

Survival for patients with acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS) remains poor, and although immunotherapy has been positioned as a holy grail, it would be preemptive to predict its future based on the number of small studies that have been performed to date, according to Amer Zeidan, MD, MHS.

Nonetheless, one of the first studies that showed the potential for checkpoint inhibition in hematologic malignances was a phase 1/1b study that evaluated ipilimumab (Yervoy) after allogeneic stem cell transplant. In the study, ipilimumab was administered at a dose of 3 mg/kg and 10 mg/kg every 3 weeks. The results demonstrated efficacy in patients who received the 10 mg/kg dose. Specifically, 5 of 13 patients with heavily pretreated AML achieved a complete response (CR).

Ipilimumab has also demonstrated activity in patients with relapsed/refractory MDS in a single-arm study of 29 patients. Although the marrow CR rate was only 3.4%, 7 patients experienced prolonged stable disease for 46 weeks or more, including 3 patients with stable disease surpassing 1 year. Moreover, the median survival was 9.8 months (295 days; 95% CI, 240-671+).

In correlative analysis, we observed that patients who had increased expression of the costimulatory marker ICOS seemed to have better disease stabilization, so the direction is clearly headed toward trying to select patients using biomarker-driven strategies, Zeidan, an associate professor of medicine in the Department of Internal Medicine and Section of Hematology at Yale University School of Medicine, Yale Cancer Center, said in a presentation during the5th Annual International Congress on Immunotherapies in Cancer.

In another phase 2 study that evaluated the combination of nivolumab (Opdivo) and azacitidine vs ipilimumab and azacitidine in MDS, a higher response rate was observed with either combination compared with ipilimumab alone, at 70% and 62% vs 30%, respectively. However, the median overall survival (OS) was similar, at 11.8 months, not reached, and 8.5 months, respectively, said Zeiden.

Pembrolizumab (Keytruda) is also being subject to research in myeloid malignancies. Specifically, in a phase 1b study in combination with entinostat in MDS after failure on hypomethylating agents (HMAs). Data from the study have yet to read out, but are highly anticipated, said Zeiden.

Findings from a phase 2 study (NCT02775903) however stunted some of the excitement that had been generated with immunotherapy, putting into perspective the work that had been done to date. When the combination of a checkpoint inhibitor and an HMA, specifically durvalumab (Imfinzi) and azacitidine, was taken into a randomized trial vs azacitidine alone in patients with high-risk MDS and older AML, no difference was seen in progression-free survival (PFS) or OS.

Bispecific antibodies are another treatment class under investigation as a potential avenue forward for immunotherapy. One such antibody is sabatolimab, which targets IgG4 and TIM-3, and is the focus of several ongoing studies in MDS and AML. Specifically, the phase 2 STIMULUS-MDS1 (NCT03946670) and phase 3 STIMULUS-MDS2 (NCT04266301) trials in MDS and phase 2 STIMULUS-AML1 trial (NCT04150029) in AML.

Another path that will be explored is that of checkpoint inhibition plus chemotherapy, explained Zeiden. In a phase 2 study, the combination of pembrolizumab and 7+3 chemotherapy will be evaluated as frontline therapy in fit patients with AML.

The combination of azacitidine and venetoclax (Venclexta) has become the standard of care for older patients with AML, and preclinical evidence suggests that the BCL-2 inhibitor can augment the antitumor response of PD-L1 inhibitors.

As such, investigators have launched the phase 2 BLAST AML 2 study in which unfit patients with AML will be randomized to azacitidine plus venetoclax vs azacitidine/venetoclax plus pembrolizumab as frontline therapy.

Anti-CD47 antibodies are also under study and have shown promising, though early, activity in AML and MDS. For example, in combination with azacitidine, magrolimab has shown objective responses exceeding 60% in untreated AML and 90% in untreated MDS, with CR rates of 41% and 50%, respectively.

Importantly, a lot of the responses seem to occur in patients who have TP53 mutations, which is one of the highest areas of unmet need in AML and MDS, because those patients do very poorly with conventional treatment, said Zeidan.

Although magrolimab will move forward in development, Zeidan cautioned that the antitumor effects of anti-CD47 antibodies may not be class specific. For example, in a phase 1 study, CC-90002 failed to demonstrate any benefit in patients with relapsed/refractory AML and higher-risk MDS.

In conclusion, Zeidan stated, Many of the studies that have been conducted are single-arm trials with small sample sizes. [However,] we are doing more and more randomized studies using novel inhibitors against TIM-3 and CD47. The field is definitely exciting for us, and we are hoping to see some clinical activity for our patients soon.

Reference

Zeidan A. Immunotherapy for treatment of myeloid malignancies: will it fill the promise? Presented at: 5thAnnualInternational Congress on Immunotherapies in Cancer; December 12, 2020; virtual. gotoper.com/go/ICIC20Virtual

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Immunotherapy Inches Forward in Development of Myeloid Malignancies - OncLive

Cytovia Therapeutics Partners with National Cancer Institute to Develop Novel Gene-Edited, iPSC-Derived GPC3 CAR NK Cells for the Treatment of Solid…

January 13, 2021 07:47 ET | Source: Cytovia Therapeutics

CAMBRIDGE, Mass., Jan. 13, 2021 (GLOBE NEWSWIRE) -- Cytovia Therapeutics, an emerging biopharmaceutical company focusing on Natural Killer cells in cancer, announced today that it has signed a licensing agreement with the National Cancer Institute (NCI), part of the National Institutes of Health, to apply its gene-edited iPSC-derived NK cell technology to develop GPC3 CAR NK cell therapeutics. Dr Mitchell Ho, PhD, Director of the Antibody Engineering Program and Deputy Chief of the Laboratory of Molecular Biology at the NCI Center for Cancer Research has developed novel antibodies and chimeric antigen receptors (CAR) binding to glypican-3 (GPC3) on liver cancer cells. Dr. Ho has published data on the humanized GPC3 antibody in scientific reports (nature research) in 2016 as well as on the GPC3 CAR in Gastroenterology in 2020.

GPC3 is an oncofetal antigen involved in Wnt-dependent cell proliferation. It is highly expressed in Hepatocellular Carcinoma tumor cells as well as multiple other solid tumors, including ovarian cancer and lung cancer, but not expressed in adult normal tissues.

Cytovia has also signed a Cooperative Research and Development Agreement (CRADA) with the National Cancer Institute. Under the CRADA, Cytovia will collaborate with Dr. Hos laboratory to develop and evaluate gene-edited iPSC-derived GPC3 CAR NK cells. Cytovia expects to file an initial new drug application (IND) for its GPC3 CAR NK cells in the first half of 2022.

Dr. Daniel Teper, Chairman and CEO of Cytovia Therapeutics commented: GPC3 is an exciting new validated target for Hepatocellular Carcinoma, an area of major unmet medical need, as well as other solid tumors. We look forward to collaborating with Dr. Ho, a pioneer in GPC3 research, to develop a novel gene-edited, iPSC-derived GPC3 CAR NK that will advance toward a cure for liver cancer.

Dr. Ho added: Natural Killer cells play a major role in the immuno-surveillance of liver cancer. GPC3 is expressed in more than 70% of Hepatocellular Carcinoma cells but not on healthy cells. We look forward to investigating whether GPC3 CAR-NK therapy could provide a new safe and effective off-the-shelf option for patients with liver cancer.

ABOUT GENE-EDITED, IPSC-DERIVED NK CELLS Chimeric Antigen Receptors (CAR) are fusion proteins that combine an extracellular antigen recognition domain with an intracellular co-stimulatory signaling domain. Natural Killer (NK) cells are modified genetically to allow insertion of a CAR. CAR-NK cell therapy has demonstrated initial clinical relevance without the limitations of CAR-T, such as Cytokine Release Syndrome, neurotoxicity or Graft vs Host Disease (GVHD). In addition, CAR-NKs are naturally allogeneic, available off-the-shelf and may be able to be administered on an outpatient basis. Recent innovative developments with the induced pluripotent stem cell (iPSC)-derived CAR-NKs, an innovative technology, allow large quantities of homogeneous genetically modified CAR NK cells to be produced from a gene-edited iPSC master cell bank, and thus hold promise to expand access to cell therapy for many patients.

ABOUT HCC Hepatocellular carcinoma (HCC) is the most common primary liver malignancy and a leading cause of death worldwide, with 800,000 new cases diagnosed globally every year. The incidence in Asia is amongst the highest in the world (75%) with 400,000 in China alone. In the US, it is estimated to reach upwards of 30,000 by the end of 2020 and continues to be on the rise. Despite advances in immunotherapy, with current treatment options including multi-kinase inhibitors (TKI) and checkpoint inhibitors, life expectancy for patients diagnosed with HCC remains very low. The disease is often diagnosed at an advanced stage, with a median survival of approximately 6 to 20 months following diagnosis, and a 5-year survival rate below 10% in the US. Fortunately, new options including cell therapy and bispecific antibodies offer promise towards a cure for liver cancer.

ABOUT GPC3 Glypican-3 (GPC3) is a cell-surface heparan sulfate proteoglycan expressed in the liver and the kidney of fetuses but is hardly expressed in adults, except in the placenta. However, it is highly expressed in HCC, ovarian clear cell carcinoma, squamous cell carcinoma of the lung, melanoma, hepatoblastoma, nephroblastoma (Wilms tumor), yolk sac tumor, and some pediatric cancers. GPC3 promotes Wnt-dependent cell proliferation and has been strongly suggested that it is related to the malignant transformation. Therefore, GPC3 is a promising target for cancer immunotherapy and can serve as a biomarker for predicting tumor recurrence and treatment efficacy.

About Cytovia TherapeuticsCytovia Therapeutics Inc is an emerging biotechnology company that aims to accelerate patient access to transformational immunotherapies, addressing several of the most challenging unmet medical needs in cancer. Cytovia focuses on Natural Killer (NK) cell biology and is leveraging multiple advanced patented technologies, including an induced pluripotent stem cell (iPSC) platform for CAR (Chimeric Antigen Receptors) NK cell therapy, next-generation precision gene-editing to enhance targeting of NK cells, and NK engager multi-functional antibodies. Our initial product portfolio focuses on both hematological malignancies such as multiple myeloma and solid tumors including hepatocellular carcinoma and glioblastoma. The company partners with the University of California San Francisco (UCSF), the New York Stem Cell Foundation (NYSCF), the Hebrew University of Jerusalem, INSERM, and CytoImmune Therapeutics.

Learn more atwww.cytoviatx.comand follow Cytovia Therapeutics on Social Media(Facebook,LinkedIn,Twitter,and Youtube).

Contact for investor enquiries:

Anna Baran-Djokovic Vice President, Investor Relations Anna@cytoviatx.com 1 (646) 355 1787

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Cytovia Therapeutics Partners with National Cancer Institute to Develop Novel Gene-Edited, iPSC-Derived GPC3 CAR NK Cells for the Treatment of Solid...

Kaleido Biosciences Announces Positive Interim Results of Controlled Study of KB109 in Patients with Mild-to-Moderate COVID-19 – BioSpace

Preliminary analysis (n=176) demonstrates favorable safety and tolerability; data provide a strong signal of clinical benefit for subjects reporting one or more comorbidities

Topline data from full study population of 350 patients and results of second study of KB109 are expected in the first quarter of 2021

LEXINGTON, Mass., Jan. 14, 2021 (GLOBE NEWSWIRE) -- Kaleido Biosciences Inc. (Nasdaq: KLDO), today announced positive interim results from the K031 non-IND controlled clinical study evaluating outpatients with mild to moderate COVID-19 disease. Patients in this non-IND clinical study were randomized within 48 hours of testing positive for COVID-19 to either receive Supportive Self Care (SSC) or SSC plus Microbiome Metabolic Therapy (MMT) candidate KB109 for two weeks and then followed for an additional three weeks. The planned interim analysis comprised approximately half of the total study population (n=176) and showed that KB109 was well tolerated, with a safety profile consistent with previous studies of MMT candidates and no unexpected treatment-related adverse events. For subjects reporting one or more comorbidities, the median time to resolution of the thirteen overall COVID-19 related symptoms was 18 days with KB109 plus SSC and 27 days with SSC alone.

This interim analysis, from the largest study conducted to date with an MMT candidate, reinforces the safety and tolerability previously observed with MMTs and provides a strong signal of clinical benefit for KB109, commented Dan Menichella, President and Chief Executive Officer of Kaleido. The study reveals that many patients with mild-to-moderate disease, and particularly those patients with a comorbidity, experience symptoms for a period of weeks. This study shows the significant burden experienced by these patients and we look forward to reporting the full dataset later this quarter.

These exciting and relevant data are in line with what we are seeing in the COVID-19 literature and suggests that the microbiome plays a role in this disease, said John P.Haran, M.D., Ph.D., associate professor of emergency medicine, microbiology &physiological systems and clinical director of the UMass Center for Microbiome Research at the University of Massachusetts Medical School. There is increasing evidence supporting the biological plausibility that microbiome restoration has a significant impact on different diseases and seeing an influence in COVID-19 patients with comorbidities aligns with this emerging science.

Summary of Interim Results

The K031 study of 350 subjects is fully enrolled with results expected in the first quarter of 2021. Topline data from a smaller 50 subject study of KB109 is also expected in the first quarter of 2021.

About the Potential Role of the Microbiome in COVID-19

COVID-19 infection has been associated with activation of an inappropriate inflammatory cascade, which in some patients can cause an abnormally aggressive immune response that can lead to pneumonia and respiratory failure. Metabolites such as short chain fatty acids (SCFAs) produced by the microbiome through utilization of glycans are modulators of the immune response and therefore could play a role in limiting this inflammatory cascade.

In preclinical models, increased SFCAs and/or SFCA-producing taxa, have been shown to influence immune pathways, mitigate immune pathology, and improve survival and morbidity associated with severe respiratory viral infections.1,2 Commensal microbiota composition critically regulates the generation of virus-specific CD4 and CD8 T cells and antibody responses following respiratory influenza virus infection.3

In-human data also support the role of SCFAs in reducing the impact of viral infections.In patients undergoing hematopoietic stem cell transplants who have contracted respiratory viral infections, including coronavirus, the presence of SCFA-producing taxa has been associated with a significantly reduced risk of progression to lower respiratory tract infections, which can have substantial morbidity in this patient population.4 KB109 is Generally Recognized as Safe (GRAS) and was selected for evaluation in these COVID-19 clinical studies based on its demonstrated ability to increase production of SCFAs as well as to promote commensal bacteria and reduce pathogenic bacteria ex vivo.

About Microbiome Metabolic Therapies (MMT)

Kaleidos Microbiome Metabolic Therapies, or MMTs, are designed to drive the function and distribution of the microbiomes existing microbes in order to decrease or increase the production of metabolites, or to advantage or disadvantage certain bacteria in the microbiome community. The Companys initial MMT candidates are targeted, synthetic glycans that are orally administered, have limited systemic exposure, and are selectively metabolized by enzymes in the microbiome.Kaleido utilizes its discovery and development platform to study MMTs in microbiome samples to rapidly advance MMT candidates rapidly into clinical studies in healthy subjects and patients. These human clinical studies are conducted under regulations supporting research with food, evaluating safety, tolerability and potential markers of effect. For MMT candidates that are further developed as therapeutics, the Company conducts clinical trials under an Investigational New Drug (IND) or regulatory equivalent outside the U.S., and in Phase 2 or later development.

AboutKaleido Biosciences

Kaleido Biosciencesis a clinical-stage healthcare company with a differentiated, chemistry-driven approach to targeting the microbiome to treat disease and improve human health. The Company has built a proprietary product platform to enable the rapid and cost-efficient discovery and development of novel Microbiome Metabolic Therapies (MMT).MMTs are designed to modulate the metabolic output and profile of the microbiome by driving the function and distribution of the guts existing microbes. Kaleido is advancing a broad pipeline of MMT candidates with the potential to address a variety of diseases and conditions with significant unmet patient needs. To learn more, visithttps://kaleido.com/.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, without limitation, statements regarding the therapeutic potential of our MMT candidates, the timing of initiation, completion and reporting of results of clinical studies, and our strategy, business plans and focus. The words may, will, could, would, should, expect, plan, anticipate, intend, believe, estimate, predict, project, potential, continue, target and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Any forward-looking statements in this press release are based on managements current expectations and beliefs and are subject to a number of risks, uncertainties and important factors that may cause actual events or results to differ materially from those expressed or implied by any forward-looking statements contained in this press release, including, without limitation, those related to the breadth of our pipeline of product candidates, the strength of our proprietary product platform, the efficiency of our discovery and development approach, the fact that interim results from KB013 may not accurately predict final results from KB013 and that such final results may not support continued development of KB109, the clinical development and safety profile of our MMT candidates and their therapeutic potential, whether and when, if at all, our MMT candidates will receive approval from theU.S. Food and Drug Administration and for which, if any, indications, competition from other biotechnology companies, and other risks identified in ourSECfilings, including our most recent Form 10-Q, and subsequent filings with theSEC. We caution you not to place undue reliance on any forward-looking statements, which speak only as of the date they are made. We disclaim any obligation to publicly update or revise any such statements to reflect any change in expectations or in events, conditions or circumstances on which any such statements may be based, or that may affect the likelihood that actual results will differ from those set forth in the forward-looking statements.

Contacts Kaleido Biosciences William Duke, Jr. Chief Financial Officer 617-890-5772 william.duke@kaleido.com

Investors Mike Biega Solebury Trout 617-221-9660 mbiega@soleburytrout.com

Media Rich Allan Solebury Trout 646-378-2958 rallan@soleburytrout.com

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Kaleido Biosciences Announces Positive Interim Results of Controlled Study of KB109 in Patients with Mild-to-Moderate COVID-19 - BioSpace