Orca Bio breaches the surface with $192M for ‘high precision’ cell therapies – FierceBiotech

Bone marrow transplants can save patients lives by essentially giving them a new immune system to fight off cancer. But they can also cause life-threatening side effects, so their use is relegated to the sickest of patients. Orca Bio wants to change that by taking aim at how these treatments are made.

The Bay Area biotech is coming out of stealth with a $192 million series D round that will propel a pipeline of high precision allogeneic cell therapies and the manufacturing technology behind those treatments. Founded in 2016, Orca Bio zeroed in on manufacturing to make bone marrow transplants safer and more effective.

Theres a bit of a trade-off: You can have precision and a few cells, or you can have lots of cells and sacrifice precision, Orca CEO and co-founder Ivan Dimov, Ph.D., told Fierce Biotech. Most folks out there deal with less precision in order to get the sheer number of cells to treat patients We focused on technology to process extremely large numbers of cells while still having single-cell precision.

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RELATED: AACR: A look at next-gen CAR-T therapies for blood cancers

Orcas proposition is to take donor T cells and stem cells, sort them into their different subtypes and combine them in the right mixture to treat disease.

We dont genetically modify them. But if we now take these cells and build a proprietary mix of them with single-cell precision, we can define the function of what theyre going to do, Dimov said. We can elicit powerful curative effects and control toxicities in a precise way to enhance safety and efficacy in patients that essentially need a whole new blood and immune system.

Dimov likens the processto assembling different kinds of soldiers into the right army unit to give patients so they have a new immune system to seek and destroy cancers while not seeking and destroying the patient themselves and their own tissue.

Because the manufacturing process is quick and uses donor cells, Orcas treatments could eventually reach more patients than CAR-T therapies and other engineered cell therapies can. Some cancer patients may not have enough T cells, or T cells of good enough quality, to turn into a treatment, while others simply do not live long enough for the treatment to be made.

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The series D, drawn from Lightspeed Ventures, 8V, DCVC Bio, ND Capital, Mubadala investment Company, Kaiser Foundation Hospitals, Kaiser Permanente Group Trust and IMRF, brings Orcas total raised to nearly $300 million. That haulwill bring its lead program, TRGFT-201, through clinical development. The program is in a phase 1/2 study in patients with blood cancers, while a second program, OGFT-001, is in a phase 1 study, also in blood cancers.

Orcas first two programs are designed for patients with terminal blood cancers, but they could move earlier in the cancer care timeline if they prove to be safer than traditional bone marrow transplants. Beyond cancer, the approach could be applied to a range of genetic disorders of the blood and immune system. The companyhasnt decided where to go next, but Dimov said the approach could be useful in treating autoimmune diseases like Crohns disease or Type 1 diabetes.

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Orca Bio breaches the surface with $192M for 'high precision' cell therapies - FierceBiotech

COVID-19: Potential impact on Musculoskeletal Disorder Stem Cell Therapy Market Estimated to Record Highest CAGR by 2019-2025 – Personal Injury Bureau…

The global Musculoskeletal Disorder Stem Cell Therapy market study presents an all in all compilation of the historical, current and future outlook of the market as well as the factors responsible for such a growth. With SWOT analysis, the business study highlights the strengths, weaknesses, opportunities and threats of each Musculoskeletal Disorder Stem Cell Therapy market player in a comprehensive way. Further, the Musculoskeletal Disorder Stem Cell Therapy market report emphasizes the adoption pattern of the Musculoskeletal Disorder Stem Cell Therapy across various industries.

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segment by Type, the product can be split into Allogeneic Autologous Market segment by Application, split into Muscle disease Skeletal disease

Market segment by Regions/Countries, this report covers North America Europe China Japan Southeast Asia India Central & South America

The study objectives of this report are: To analyze global Musculoskeletal Disorder Stem Cell Therapy status, future forecast, growth opportunity, key market and key players. To present the Musculoskeletal Disorder Stem Cell Therapy development in North America, Europe, China, Japan, Southeast Asia, India and Central & South America. To strategically profile the key players and comprehensively analyze their development plan and strategies. To define, describe and forecast the market by type, market and key regions.

In this study, the years considered to estimate the market size of Musculoskeletal Disorder Stem Cell Therapy are as follows: History Year: 2015-2019 Base Year: 2019 Estimated Year: 2020 Forecast Year 2020 to 2026 For the data information by region, company, type and application, 2019 is considered as the base year. Whenever data information was unavailable for the base year, the prior year has been considered.

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Impact of COVID-19 on Avascular Necrosis Market Potential Growth and Forecast Period 2020-2027 | By Leading Players Boehringer Ingelheim GmbH, Bayer…

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The report offers a systematic presentation of the existing trends, growth opportunities, market dynamics that are expected to shape the growth of the Avascular Necrosis market. The various research methods and tools were involved in the market analysis, to uncover crucial information about the market such as current & future trends, opportunities, business strategies and more, which in turn will aid the business decision-makers to make the right decision in future.

This Report Covers Leading Companies Associated in Worldwide Avascular Necrosis Market: Bone Therapeutics, Boehringer Ingelheim GmbH, Bayer AG, Enzo Biochem Inc., Ethicon Inc., Eli Lilly and Company, Grifols SA, Integra LifeSciences Corporation, K-Stemcell Co Ltd., Medtronic Plc, Merck KGaA, Pfizer Inc., Sanofi SA, Stryker Corporation, Wright Medical Group N.V., and Zimmer Biomet Holdings. Manufacturers are focusing on advancements in treatment technologies such as gene therapy and stem cell-based treatment for avascular necrosis.

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The report begins with a brief introduction and market overview of the Avascular Necrosis industry followed by its market scope and size. Next, the report provides an overview of market segmentation such as type, application, and region. The drivers, limitations, and opportunities for the market are also listed along with current trends and policies in the industry.

The key players profiled in this report include: Bone Therapeutics, Boehringer Ingelheim GmbH, Bayer AG, Enzo Biochem Inc., Ethicon Inc., Eli Lilly and Company, Grifols SA, Integra LifeSciences Corporation, K-Stemcell Co Ltd., Medtronic Plc, Merck KGaA, Pfizer Inc., Sanofi SA, Stryker Corporation, Wright Medical Group N.V., and Zimmer Biomet Holdings. Manufacturers are focusing on advancements in treatment technologies such as gene therapy and stem cell-based treatment for avascular necrosis.

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o North America (United States, Canada, and Mexico)

o Europe (Germany, France, UK, Russia, and Italy)

o Asia-Pacific (China, Japan, Korea, India, and Southeast Asia)

o South America (Brazil, Argentina, Colombia)

o Middle East and Africa (Saudi Arabia, UAE, Egypt, Nigeria, and South Africa)

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Sernova Highlights Positive Results Presented at the American Diabetes Association’s Virtual 80th Scientific Sessions – TheNewswire.ca

LONDON, ONTARIO - TheNewswire - June 18, 2020 - Sernova Corp. (TSXV:SVA) (OTC:SEOVF) (FSE:PSH), a clinical-stage regenerative medicine therapeutics company, highlights positive results from its submitted abstract entitled "Clinical Validation of the Implanted Pre-Vascularized Cell Pouch(TM) as a Viable, Safe Site for Diabetes Cell Therapy," selected for presentation at the American Diabetes Association's (ADA) 80th Scientific Sessions held virtually June 12-16, 2020.

"Sernova was honored that its abstract was selected under peer review to be presented at the prestigious ADA Scientific Sessions. The findings reported in diabetic patients, demonstrate that human donor islets transplanted into Sernova's Cell Pouch consistently demonstrate islet survival and the ability to produce the array of hormones required to treat diabetes," said Dr. Philip Toleikis, President and CEO of Sernova.

The following provides the background of our scientific presentation:

- Cellular transplantation therapy has the potential to treat severe, chronic diseases such as Type 1 Diabetes (T1D). The transplantation site and device approach are major factors influencing successful clinical outcomes;

- With new cell-based emerging technologies, there continues to be a need to find a safe, retrievable, biologically compatible device for cellular transplantation and we believe Sernova's Cell Pouch System may provide such a solution;

- The transplantation of insulin-producing islets is a cellular replacement therapy for severe T1D in patients who experience life-threatening severe hypoglycemia unawareness events;

- In this clinical indication, Sernova has conducted a physician sponsored first-in-human study in Canada and currently has an ongoing company-sponsored Phase I/II human clinical study at the University of Chicago. In both clinical studies, patients with T1D were implanted with both sentinel (small devices removed to assess cell survival) and larger therapeutic devices, anywhere between 1 to 6 months;

- After being placed on immunosuppression, islets were isolated from donor pancreata and transplanted into patients within the device chambers. When possible, a pre-transplant sample of islets was saved for comparison to post-explant Cell Pouch islets; and

- Cell Pouches were explanted from patients, anywhere between 14-90 days post-transplant. The Cell Pouches were prepared, and sections were stained and imaged, and then reviewed by an independent clinical pathologist to assess the transplanted tissue for micro-vessel formation and vascularization; the presence of islets with insulin, C-peptide, and other endocrine hormones (such as glucagon and somatostatin); and exocrine tissue (such as pancreatic ductal tissue).

The data presented clinically demonstrate that the vascularized Cell Pouch provides a consistently safe and biologically suitable, retrievable environment for the transplantation and survival of functional islets. Specific findings based on a detailed histopathological analysis of nine Sernova Cell Pouches explanted from patients with T1D diabetes include:

- Explanted Cell Pouches show abundant, viable, organized islet cells intimately associated with blood vessels within a natural collagen matrix following transplantation without obvious rejection or infection;

- 100% showed present or abundant blood vessels;

- 89% showed present or abundant insulin;

- 78% showed present or abundant endocrine cells;

- 100% showed present or abundant ductal tissue;

- Islet cells required to control diabetes within the Cell Pouches consistently express insulin and other endocrine hormones, such as glucagon, somatostatin, and C-peptide, when identified histologically;

- Pre-transplant islet samples that show strongly expressed insulin, as well as other endocrine markers, were similarly identified in the explanted Cell Pouches following transplant; and

- The amount of islet/exocrine tissue within pre-transplanted samples was similar to that found in the Cell Pouch following transplantation.

In summary, the transplanted samples, when explanted and examined, demonstrate healthy, surviving islets with multiple cell types within the islets capable of producing the hormones that control blood sugar levels when housed in the vascularized tissue matrix of the Cell Pouch. Exocrine ductal tissue, when transplanted, also survived. The findings demonstrate the pre-transplant samples are consistent with the histology observed upon explantation of the Cell Pouch at different time points. These clinical findings demonstrate that the Cell Pouch is a viable, safe site for diabetes cell therapy.

Dr. Toleikis said, "The positive results reported in patients in this diabetes indication, implanted with Sernova's Cell Pouch and transplanted with islets, continue to validate our Cell Pouch System cell therapy therapeutics approach. Within the emerging cell therapy field, Sernova, with its advancing cell therapies including locally immune protected stem cell-derived cells, continues to position itself as a leader in the development of a 'functional cure' for all patients with diabetes and other chronic diseases."

A recording of Sernova's ADA Scientific Session presentation is available at http://www.sernova.com/updates.

ABOUT SERNOVA'S CLINICAL TRIAL

Sernova is conducting a Phase I/II non-randomized, unblinded, single-arm, company-sponsored trial at the University of Chicago to assess the safety and tolerability of islet transplantation into the company's patented Cell Pouch in diabetic subjects with hypoglycemia unawareness. The secondary objective is to assess efficacy through a series of defined measures. Patients enrolled in Sernova's clinical trial are incapable of producing c-peptide, a biomarker for insulin produced by islet cells.

Eligible subjects are implanted with Cell Pouches. Following the development of vascularized tissue chambers within the Cell Pouch, subjects are then stabilized on immunosuppression, and a dose of purified islets, under strict release criteria, are transplanted into the Cell Pouch.

A sentinel pouch is removed for an early assessment of the islet transplant. Subjects are followed for additional safety and efficacy measures for approximately six months. At this point, a decision is made with regard to the transplant of a second islet dose with subsequent safety and efficacy follow up. Patients are then further followed for one year to assess longer-term safety and efficacy.

For more information on this clinical trial, please visit http://www.clinicaltrials.gov/ct2/show/NCT03513939. For more information on enrollment and recruitment details, please visit http://www.pwitkowski.org/sernova.

ABOUT SERNOVA'S CELL POUCH SYSTEM

The Cell Pouch, as part of the Cell Pouch System, is a novel, proprietary, scalable, implantable macro- encapsulation device solution designed for the long-term survival and function of therapeutic cells. The device upon implantation is designed to incorporate with tissue, forming highly vascularized tissue chambers for the transplantation and function of therapeutic cells, which then release proteins and hormones as required to treat disease. The Cell Pouch, along with therapeutic cells, has been shown to provide long-term safety and efficacy in small and large animal models of diabetes and has been proven to provide a biologically compatible environment for insulin-producing cells in humans in a Canadian first-in-human study. Sernova is currently conducting a Phase I/II study at the University of Chicago.

ABOUT SERNOVA CORP.

Sernova Corp is developing regenerative medicine therapeutic technologies using a medical device and immune protected therapeutic cells (i.e., human donor cells, corrected human cells and stem cell-derived cells) to improve the treatment and quality of life of people with chronic metabolic diseases such as insulin-dependent diabetes, blood disorders including hemophilia, and other diseases treated through replacement of proteins or hormones missing or in short supply within the body. For more information, please visit http://www.sernova.com.

FOR FURTHER INFORMATION, PLEASE CONTACT:

Dominic Gray

Sernova Corp.

Tel: (519) 858-5126

dominic.gray@sernova.com

http://www.sernova.com

FORWARD-LOOKING INFORMATION

This release contains statements that, to the extent they are not recitations of historical facts, may constitute "forward-looking statements" that involve various risks, uncertainties, and assumptions, including, without limitation, statements regarding the prospects, plans, and objectives of the company. Wherever possible, but not always, words such as "expects", "plans", "anticipates", "believes", "intends", "estimates", "projects", "potential for" and similar expressions, or that events or conditions "will", "would", "may", "could" or "should" occur are used to identify forward-looking statements. These statements reflect management's beliefs with respect to future events and are based on information currently available to management on the date such statements were made. Many factors could cause Sernova's actual results, performances or achievements to not be as anticipated, estimated or intended or to differ materially from those expressed or implied by the forward-looking statements contained in this news release. Such factors could include, but are not limited to, the company's ability to secure additional financing and licensing arrangements on reasonable terms, or at all; ability to conduct all required preclinical and clinical studies for the company's Cell Pouch System and/or related technologies, including the timing and results of those trials; ability to obtain all necessary regulatory approvals, or on a timely basis; ability to in-license additional complementary technologies; ability to execute its business strategy and successfully compete in the market; and the inherent risks associated with the development of biotechnology combination products generally. Many of the factors are beyond our control, including those caused by, related to, or impacted by the novel coronavirus pandemic. Investors should consult the company's quarterly and annual filings available on http://www.sedar.com for additional information on risks and uncertainties relating to the forward-looking statements. Sernova expressly disclaims any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise.

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Sernova Highlights Positive Results Presented at the American Diabetes Association's Virtual 80th Scientific Sessions - TheNewswire.ca

Genome-wide kinetic properties of transcriptional bursting in mouse embryonic stem cells – Science Advances

INTRODUCTION

Stochasticity in gene expression, also known as gene expression noise, induces substantial cell-to-cell heterogeneity in gene expression and introduces phenotypic diversity in unicellular organisms, improving species fitness by hedging against sudden environmental changes (1, 2). Gene expression noise is observed in a wide range of multicellular organisms as well (1, 3). For example, to acquire color vision during fly eye development, stochastic expression of a single transcription factor, Spineless, results in the mosaic expression of photoreceptors in individual ommatidia that detect light of different wavelengths (4). Similarly, the mosaic expression of olfactory receptors is well characterized in the olfactory system of several organisms, including humans (5). There are two orthogonal sources of gene expression noise: (i) intrinsic noise associated with stochasticity in biochemical reactions (such as transcription and translation) and (ii) extrinsic noise induced by true cell-to-cell variation (such as differences in microenvironment, cell size, cell cycle phase, and cellular component concentration) (3, 6, 7).

Transcription is the first step in gene expression, and its stochasticity is believed to be a major gene expression noise source (3). Noise at the transcription level, or transcription noise, is reflected in the production of RNA polymerase II (Pol II)mediated transcripts. Any transcription, by either a single Pol II or multiple Pol II complexes, so-called transcriptional bursting, could contribute to transcription noise. In a simplified model, transcriptional bursting is mediated by the stochastic switch between the ON and OFF states of a promoter (Fig. 1A), and multiple transcripts are produced only during the ON state (3, 811). The ON state typically occurs with short pulses between long periods of the OFF state, causing dynamic changes in gene expression and heterogeneity in gene expression between cells and even between two alleles in a diploid genome (Fig. 1, B and C). Transcriptional bursting is thus considered to be a major source of both transcription and intrinsic noises and has been observed in various organisms (3, 813). Transcriptional bursting kinetics can be expressed by the frequency of the promoter present in the active state (burst frequency, f) and the mean number of transcripts produced per burst (burst size, b). Assuming that transcriptional bursting is a main source of intrinsic noise, transcriptional bursting kinetics (f and b) can be estimated from intrinsic noise (int2), the mean mRNA expression level (), and RNA degradation rate (m; see Materials and Methods) (12, 14). Transcriptional bursting kinetics has also been studied using single-molecule fluorescence in situ hybridization (smFISH), MS2 system, and destabilized reporter proteins (810, 15, 16). These reports have indicated that mammalian genes are transcribed with broadly different transcriptional bursting kinetics and that the bursting can be influenced by the local chromatin environment (14). As for the mechanism of transcriptional bursting, promoter reactivation suppression has been proposed to be essential for its control (17), while cis-regulatory elements (such as the TATA box) and chromatin accessibility at the core promoter can regulate transcriptional bursting kinetics (11, 13, 17, 18). Imaging and genome-wide analyses have suggested that promoter and enhancer elements regulate burst size and frequency, respectively (10, 11).

(A) Schematic diagram of gene expression with stochastic switching between ON and OFF states. (B) Schematic representations of the dynamics of transcript levels of a gene with or without transcriptional bursting. (C) Transcriptional bursting induces inter-allelic and intercellular heterogeneity in gene expression (left). Scatter plots of the individual allele-derived transcript numbers (right). (D) Schematic representation of scRNA-seq using hybrid mESCs. (E) Scatter plot of mean normalized read counts and normalized intrinsic noise of individual transcripts revealed by scRNA-seq. (F) Representative scatter plots of normalized individual allelic read counts of high and low intrinsic noise transcripts. N. int. noise, normalized intrinsic noise. (G) Scatter plot of burst size and burst frequency of individual transcripts. (H) Schematic representation of KI of GFP and iRFP gene cassette into individual alleles of mESC derived from inbred mice. Targeted genes are listed in the lower panel. Asterisks indicate genes in which KI cassettes were inserted immediately downstream of the start codon. (I to L) Scatter plots of the mean number of transcripts of targeted genes in KI cell lines counted by smFISH versus mean normalized read counts of corresponding genes in hybrid mESCs revealed by scRNA-seq (I) or versus mean expression levels of targeted genes in KI cell lines revealed by flow cytometry (K). Scatter plots of normalized intrinsic noise of targeted gene transcripts in KI cell lines revealed by smFISH versus that of corresponding genes in hybrid mESCs revealed by scRNA-seq (J) or versus that of targeted genes in KI cell lines revealed by flow cytometry (L).

Mouse embryonic stem cells (mESCs) are derived from the inner cell mass of the preimplantation embryo. A large number of genes in mESCs, cultured on gelatin in standard (Std) medium containing serum and leukemia inhibitory factor (LIF), show expression with cell-to-cell heterogeneity (19). For example, several genes encoding key transcription factors, including Nanog, display heterogeneous expression in the inner cell mass and mESCs (19). Heterogeneity in gene expression has been proposed to break the symmetry within the system and prime cells for subsequent lineage segregation (19). Previously, we have quantified Nanog transcriptional bursting kinetics in live cells using the MS2 system and determined intrinsic noise as a major cause of heterogeneous NANOG expression in mESCs (20). A recent study using intron-specific smFISH has revealed that most of the genes in mESCs are transcribed through bursting kinetics (21). However, a comprehensive understanding of how the kinetic properties of transcriptional bursting (burst size, frequency, and intrinsic noise) are regulated at the molecular level is still lacking.

In the present study, we performed single-cell RNA sequencing (scRNA-seq) (22) using hybrid mESCs to obtain the parameters for intrinsic noise and mean mRNA levels to investigate transcriptional bursting kinetics. We identified the genes with high intrinsic noise, and their promoters and gene bodies were positively associated with the polycomb repressive complex 2 (PRC2) and/or negatively associated with transcription elongation factors, based on informatics analysis using chromatin immunoprecipitation followed by sequencing (ChIP-seq) data. In addition, CRISPR library screening revealed that the Akt/mitogen-activated protein kinase (MAPK) pathway regulates transcriptional bursting via modulation of the transcription elongation efficiency.

To study the genome-wide kinetic properties of transcriptional bursting, we analyzed allele-specific mRNA levels in 447 individual 129/CAST hybrid mESCs [grown on Laminin-511 (LN511) without feeder cells in the G1 phase] by single-cell (sc) random displacement amplification sequencing (RamDA-seq)a highly sensitive RNA sequencing (RNA-seq) method (Fig. 1D and figs. S1A and S2, A to E) (22). A subset of genes have transcript variants with different transcription start sites (TSSs). Because the kinetic properties of transcriptional bursting may differ depending on the promoter, we mainly used transcript-level abundance, rather than gene-level abundance, to estimate the kinetic properties of transcriptional bursting (see Materials and Methods; fig. S1, B to H). Intrinsic noise, which is mainly induced by transcriptional bursting (9, 12, 13), was estimated from distribution of the number of mRNAs produced by the two alleles (see Materials and Methods) (6, 7). We also normalized intrinsic noise based on the expression level and transcript length of the gene (Fig. 1E and fig. S1, B to H). We excluded low abundance transcripts (with a mean read count of less than 20) from downstream analysis, as it is difficult to distinguish whether technical or biological noise contributed to the measured heterogeneity of allele-specific expression. We ranked the genes based on their normalized intrinsic noise and defined the top and bottom 5% transcripts as high and low intrinsic noise transcripts, respectively (Fig. 1E). As expected, high intrinsic noise transcripts showed larger inter-allelic expression heterogeneity than low intrinsic noise transcripts (Fig. 1F and tables S1 and S2).

Because mRNA degradation rate could affect intrinsic noise (see Materials and Methods), we checked the relationship between the published mRNA degradation rate in mESCs (23) and the normalized intrinsic noise that we measured; however, no correlation was observed (fig. S1H). Following this, we estimated the burst size and frequency of each transcript based on the published mRNA degradation rate, intrinsic noise, and mean expression levels (fig. S2, F to K; see Materials and Methods) (12, 14). As expected, transcripts with larger burst size and lower burst frequency tended to show higher normalized intrinsic noise and vice versa (Fig. 1G). Thus, normalized intrinsic noise was positively correlated with the ratio of burst size to the burst frequency (Spearmans rho = 0.869).

To determine whether the intrinsic noise measured by scRNA-seq indicated true gene expression noise, we first chose 25 genes with medium expression levels and diverse intrinsic noise. Using CRISPR-Cas9 genome editing, we integrated a green fluorescent protein (GFP) and a near-infrared fluorescent protein (iRFP) reporter gene separately into both alleles of those genes in an inbred mESC line [knock-in (KI) mESC line; Fig. 1H and fig. S3]. It would be worth noting that the GFP and iRFP reporter cassettes were flanked by a 2A peptide and a degradation-promoting sequence, and were inserted immediately upstream of the stop codon of each allele (except one cell line, in which reporter cassettes were knocked in immediately downstream of the start codon; see Fig. 1H and fig. S3). The 2A peptide separated the reporter protein from the endogenous gene product. The degradation-promoting sequence ensured rapid degradation of GFP or iRFP reporter so that the amount of fluorescent protein produced in the cell would reflect the cellular mRNA levels. Using these cell lines, we measured mean expression levels and normalized intrinsic noise of the 25 genes with smFISH and found that the two parameters showed a significant correlation with scRNA-seqbased measurements (Fig. 1, I and J; fig. S1I; and table S3). Furthermore, flow cytometry analysis confirmed that the mean expression level and normalized intrinsic noise at the protein level also showed a significant correlation with the smFISH-based measurements (Fig. 1, K and L, and fig. S1J). There was a substantial correlation between expression level of the endogenous target protein and that of the knocked-in fluorescent protein in all tested genes as well (fig. S1, K and L). These validation experiments demonstrated the reliability of scRNA-seq in determining intrinsic noise and revealed that heterogeneity in expression of the tested genes largely originated from variation of the mRNA levels.

Recently, it has been reported that intrinsic noise can be buffered by nuclear retention of mRNA molecules (24). Here, we investigated the relationship between subcellular localization of mRNA and normalized intrinsic noise in KI mESC lines by smFISH (fig. S1M). We observed no correlation between nuclear retention rate of mRNA and intrinsic noise, total noise, or normalized intrinsic noise at either mRNA or protein level (fig. S1N). Thus, it is unlikely that nuclear retention of mRNA would play a role in buffering intrinsic noise for the 25 genes tested in mESCs.

It has been reported that promoters with a TATA box tend to show higher burst size and gene expression noise than those without in yeast and mESCs (11, 13, 17, 18). To confirm whether our results were consistent with the previous findings, we compared the kinetic properties of transcriptional bursting between genes with and without a TATA box. Although no significant difference was observed in burst frequency, both burst size and normalized intrinsic noise were significantly higher in the promoters with TATA box than in those without (Fig. 2, A to C). These data, which are consistent with those of previous reports, validated the quality of our results and supported the involvement of TATA box in burst size and gene expression noise (Fig. 2, A to C).

(A to C) Kinetic properties of transcriptional bursting of genes either with or without a TATA box. (D) Schematic representation of calculating reads per million (RPM) at the promoter and gene body from ChIP-seq data. In addition, similar calculations were also performed for enhancers (see Materials and Methods). (E) Heat maps of Spearmans rank correlation between promoter-, gene body, or enhancer-associated factors and either normalized intrinsic noise (N. int. noise), burst size, or burst frequency (burst freq.). (F) Effect of the Pol II pause release inhibitor, DRB, and flavopiridol treatment on the kinetic properties of transcriptional bursting. normalized intrinsic noise, burst size, and burst frequency are residuals of normalized intrinsic noise, burst size, and frequency of inhibitor-treated cells from that of control cells, respectively. Error bars indicate 95% confidence interval. (G) Effect of Suz12 K/O on normalized intrinsic noise. Suz12 K/O cell lines derived from Dnmt3l, Dnmt3b, Peg3, and Ctcf KI cell lines were established. Upper panel represents the result of Western blotting. In the lower part of the panel, the normalized intrinsic noise, burst size, and burst frequency compared with the control (cont1) are shown. Error bars indicate 95% confidence interval. Asterisks indicate significance at P < 0.05.

We next compared the kinetic properties of transcriptional bursting to genome-wide transcription factorbinding patterns (Fig. 2D; see Materials and Methods). Specifically, we calculated Spearmans rank correlations between the kinetic properties of transcriptional bursting and ChIP-seq enrichment in the promoter, gene body, or enhancer elements (Fig. 2E). We found that the localization of several transcription regulators (such as EP300, ELL2, and MED12) in the promoter showed substantial positive correlations with burst size. However, the correlation coefficients between the burst size and transcription regulators bound to enhancers were overall relatively low. This was consistent with the findings of a report showing that burst size is mainly controlled by the promoter region (11). Distal enhancers are reported to be important for regulating burst frequency (10). In our analysis, the localization of several factors (such as BRD9, TAF3, AFF4, and CTR9) in enhancers showed relatively lower yet positive correlations with burst frequency.

We found that localization of transcription elongation factors [such as trimethylated histone H3 at lysine 36 (H3K36me3), BRD4, AFF4, SPT5, and CTR9] on the gene body was positively correlated with burst frequency (Fig. 2E). Transcription is well known to occur in at least three stages: initiation, elongation, and termination. During early elongation, Pol II often pauses near the promoter region, a phenomenon known as Pol II promoter-proximal pausing (25). The paused Pol II transitions into productive elongation by the activity of positive transcription elongation factor b (P-TEFb), which phosphorylates serine-2 in the heptaptide (Tyr-Ser-Pro-Thr-Ser-Pro-Ser) repeats of the C-terminal domain. The extent of Pol II pausing, estimated by the pausing index, had a negative correlation with burst frequency (Fig. 2E).

To dissect the link between Pol II pause release and burst frequency, we inhibited P-TEFb with 5,6-dichloro-1--d-ribofuranosylbenzimidazole (DRB) and flavopiridol in KI mESC lines cultured in 2i conditions (26). Two days after DRB and flavopiridol treatment, cells were subjected to flow cytometry analysis (fig. S4, A and B). DRB and flavopiridol treatment increased the normalized intrinsic noise and burst size in most of the cell lines (Fig. 2F). However, the effects of DRB and flavopiridol treatment on burst frequency were highly gene specific, suggesting that Pol II pause release likely contributes to the regulation of both burst size and frequency, whereas the regulation of burst frequency by Pol II pause release is more context dependent.

Promoter localization of PRC2 subunits (EZH2, SUZ12, and JARID2) correlated inversely with burst frequency, while they correlated positively with burst size and normalized intrinsic noise (Fig. 2E), thus suggesting a possible link between PRC2 and intrinsic noise. To test how PRC2 regulates transcriptional bursting, we inactivated PRC2 functionality by knocking out SUZ12 (27) in Dnmt3l, Dnmt3b, Peg3, and Ctcf KI cell lines (Fig. 2G). These targeted genes showed relatively high trimethylated histone 3 at lysine residue 27 (H3K27me3) enrichment in the promoter compared to the other available KI-targeted genes. Loss of H3K27me3 modification in Suz12 knockout (K/O) cell lines was confirmed by Western blotting (Fig. 2G). Next, we quantified GFP and iRFP expression levels by flow cytometry in the Suz12 K/O and control cell lines and found that normalized intrinsic noise and burst size of Dnmt3l and Dnmt3b were significantly reduced by Suz12 K/O (Fig. 2G). In contrast, Suz12 K/O significantly increased normalized intrinsic noise and burst size of Peg3. No significant change was observed for Ctcf. While the burst frequency of Dnmt3l was increased significantly, that of Peg3 was markedly reduced by Suz12 K/O. These results suggest that PRC2-mediated control of the kinetic properties of transcriptional bursting is also possibly context dependent.

To study the combinatorial regulations underlying the kinetic properties of transcriptional bursting, we first classified the genetic and epigenetic features, based on the sequence and transcription regulatory factor binding patterns at the promoter and gene body of high intrinsic noise transcripts, into 10 clusters (Fig. 3). To identify the features that can distinguish a cluster of high intrinsic noise transcripts from low intrinsic noise transcripts, we performed orthogonal partial least squares discriminant analysis (OPLS-DA) modeling, which is a useful method for identifying features that contribute to class differences (28). In 8 of the 10 clusters, the model successfully separated the high intrinsic noise transcripts from the low intrinsic noise transcripts (Fig. 3). Specifically, we obtained the top three positively and negatively contributing factors using S-plot (Fig. 3). For example, in cluster 3, promoter binding of PRC2-related factors (SUZ12, EZH2, and H3K27me3) was a positive contributor to intrinsic noise, while the gene body localization of TAF1, BRD4, and CTR9 was a negative contributor. This result suggested that promoter localization of PRC2-related factors influences bursting properties in a gene-specific manner.

The left side of the panel shows a heat map of promoter and the gene body (GB) localization of various factors with high and low intrinsic noise transcripts. The high intrinsic noise transcripts were classified into 10 clusters, and each cluster of high intrinsic noise transcripts and low intrinsic noise transcripts was subjected to OPLS-DA modeling. The right side of the panel represents score plots of OPLS-DA [the first predictive component (t1) versus the first orthogonal component (to1)] and S-plots constructed by presenting the modeled covariance (p[1]) against modeled correlation {p(corr)[1]} in the first predictive component. In clusters 5 and 6, the first orthogonal component was not significant (NS).

In cluster 10, promoter localization of H3K36me3, a histone mark associated with transcriptional elongation, and promoter and gene body localization of CTR9, a subunit of the PAF1 complex involved in Pol II pausing and transcription elongation, were the positive contributors (Fig. 3). In contrast, promoter localization of negative elongation factor complex member A (NELFA) was a strong negative contributor (Fig. 3). These results implied that transcriptional elongation is involved in the regulation of normalized intrinsic noise in this cluster. We similarly identified the factors regulating burst size and frequency and found them to be also affected by a combination of promoter- and gene bodybinding factors (fig. S5). Collectively, the kinetic properties of transcriptional bursting in mammalian cells appear to be regulated by a combinatory suite of promoter- and gene bodybinding factors in a context-dependent manner.

To identify genes regulating intrinsic noise in an unbiased manner, we performed high-throughput screening with the CRISPR K/O library (29). The lentiviral CRISPR library targeting genes in the mouse genome was introduced into Nanog, Dnmt3l, and Trim28 KI cell lines. Although genes with high intrinsic noise showed a larger variation in the expression levels of one allele (such as GFP) and the other allele (such as iRFP) perpendicular to the diagonal line (Fig. 1, C and F), we found that the loss of genomic integrity (such as by loss of function of p53) induced instability in the number of alleles, resulting in an unintended increase in intrinsic noise levels in a pilot study. Therefore, to reduce false negatives and selectively enrich cell populations with suppressed intrinsic noise, we first sorted out cells showing expression levels close to the diagonal line of GFP and iRFP expression by fluorescence-activated cell sorting (FACS; Fig. 4A). After expanding the sorted cells for a week, the cells were sorted again. These sorting and expansion procedures were repeated four times in total to selectively enrich cell populations with suppressed intrinsic noise. Even for genes with high intrinsic noise, a large fraction of cells showed a smaller variation in the expression levels of one allele (such as GFP) and the other allele (such as iRFP) perpendicular to the diagonal line (Fig. 1, C and F). Therefore, enrichment of cells with low intrinsic noise by repeated sorting procedures appeared to reduce false positives. Last, we compared the targeted K/O gene profile in the sorted cells with that in an unsorted control by high-throughput genomic DNA sequencing (Fig. 4A). To gain a comprehensive picture of the genes involved in intrinsic noise regulation, we performed Kyoto Encyclopedia of Genes and Genomes (KEGG) (30) pathway enrichment analysis of the enriched (top 100) and depleted targeted genes (bottom 100) in the three cell lines (Fig. 4, B and C). We found that the mammalian target of rapamycin (mTOR) and MAPK signaling pathways were involved in promoting intrinsic noise in all three cell lines (Fig. 4C). Previous studies demonstrated that mTOR and MAPK pathways are involved in Proteoglycans in Cancer and Sphingolipid signaling pathways and cross-talk with each other via the PI3/Akt pathway (Fig. 4D) (31). To test whether these signaling pathways are involved in intrinsic noise regulation, we conditioned Nanog, Trim28, and Dnmt3l KI cells with inhibitors for the MAPK, mTOR, and Akt pathways (Fig. 4, D to F). When treated with the Akt inhibitor MK-2206 alone, normalized intrinsic noise decreased in all three cell lines (Fig. 4F). Furthermore, treatment with MK-2206 and MAPK kinase (MEK) inhibitor PD0325901 (PD-MK condition) resulted in a substantial decrease in the normalized intrinsic noise in all three cell lines (Fig. 4F). In addition, normalized intrinsic noise was reduced in most of the other KI cell lines under the PD-MK condition (Fig. 4G), while mRNA degradation rates were largely unaltered (fig. S6). Under PD-MK and 2i culture conditions, one and three genes, respectively, showed log10 (normalized intrinsic noise) > 0.05 (Fig. 4G), hence suggesting that more genes showed reduced normalized intrinsic noise under the PD-MK condition than under the 2i condition. It should be noted that the PD-MK condition, which decreased the burst size, increased the burst frequency for most genes, although the extent of changes varied depending on the genes. Therefore, decrease in normalized intrinsic noise under the PD-MK condition is likely caused by changes in both burst size and burst frequency.

(A) Schematic diagram of CRISPR lentivirus library screening. Screening was performed independently for each of the three (Nanog, Trim28, and Dnmt3l) KI cell lines. (B) Ranked differentially expressed (DE) score plots obtained by performing CRISPR screening on three cell lines. The higher the DE score, the more the effect of enhancing intrinsic noise. (C) KEGG pathway enrichment analysis. KEGG pathway enrichment analysis was performed using clusterProfiler (see Materials and Methods), with the upper or lower 100 genes of DE score obtained from the CRISPR screening (referred as posi and nega, respectively). The pathways shown in red indicate hits in multiple groups of genes. Genes corresponding to these pathways are labeled in (B). (D) Simplified diagram of MAPK, Akt, and mTOR signaling pathways. These pathways are included in the pathways highlighted in red in (C) and cross-talk with each other. (E) Western blot of cells treated with signal pathway inhibitors. (F) normalized intrinsic noise of cells treated with signal pathway inhibitors against control [dimethyl sulfoxide (DMSO)treated] cells. Error bars indicate 95% confidence interval. (G) Twenty-four KI cell lines were conditioned to 2i or PD-MK conditions and subjected to flow cytometry analysis. normalized intrinsic noise, burst size, and burst frequency against control (DMSO-treated) cells are shown. Error bars indicate 95% confidence interval.

The phenotype observed under PD-MK treatment could be due to its effects on cell viability and/or pluripotency. We observed that PD-MK treatment substantially reduced the proliferation rates of mESCs (Fig. 5A), consistent with the function of Akt or MAPK pathways in cell cycle progression (31). However, we did not observe increased cell apoptosis after the PD-MK treatment (Fig. 5B). Cell cycle distribution was also unaffected by the PD-MK treatment (Fig. 5C), suggesting a global slowdown of individual cell cycle phases under the PD-MK condition. Thus, the reduced intrinsic noise caused by PD-MK does not appear to be the result of cell death or cell cycle arrest. We also analyzed the expression of pluripotent markers and found that they were largely unaffected under the PD-MK condition (Figs. 4E and 5D). Furthermore, we were able to generate chimeric mice using mESCs cultured in the PD-MK condition, indicating that PD-MK treatment does not affect mESC pluripotency (Fig. 5E).

(A) Growth curve of mESC conditioned to Std, 2i, and PD-MK conditions. Error bars indicate SD (n = 3). (B) Percentage of apoptotic cells of mESC conditioned to Std, 2i, and PD-MK conditions. Error bars indicate SD (n = 3). (C) Cell cycle distribution of mESCs conditioned to Std, 2i, and PD-MK conditions. (D) Immunofluorescence of pluripotency markers (NANOG, OCT4, and SSEA1) of mESCs conditioned to Std, 2i, and PD-MK conditions. The images show maximum intensity projections of stacks. Scale bar, 50 m. (E) Chimeric mice with black coat color generated from C57BL/6NCr ES cells conditioned to the PD-MK condition and then to the Std condition before injection into albino host embryos. Photo credit: T. Okamura (National Center for Global Health and Medicine).

To further characterize how the PD-MK condition affects mESC gene expression programs, we performed RNA-seq analysis of mESCs cultured in Std, 2i, and PD-MK conditions (Fig. 6A). Flow cytometry analysis revealed that more genes showed decreased normalized intrinsic noise under the PD-MK condition than under the 2i condition (Fig. 4G). To obtain a comprehensive view of the genes involved in intrinsic noise suppression under the PD-MK condition compared to that under the 2i condition, we performed gene ontology (GO) analysis and found that the transcription elongation factor complexrelated genes were significantly enriched in the up-regulated genes under PD-MK (Fig. 6, B and C). Furthermore, the up-regulated genes were enriched in factors involved in transcriptional regulation (Fig. 6B), consistent with our observation of a positive correlation between gene body localization of transcription elongation factor and burst frequency (Fig. 2C). Thus, it is possible that up-regulation of transcription elongation factors promotes burst frequency, thereby reducing the intrinsic noise under the PD-MK condition. We also found that the expression of Aff1 and Aff4, which encode subunits of the super elongation complex (SEC) that regulates Pol II pause release and transcription elongation rate (32), was significantly up-regulated under the PD-MK condition (Fig. 6C).

(A) Comparison of transcriptome of cells conditioned to Std, 2i, and PD-MK conditions. (B) GO analysis of genes whose expression significantly increased in the PD-MK condition against the 2i condition. BP, biological process; CC, cellular components; MF, molecular function. (C) Expression levels of genes encoding transcriptional elongation factors were elevated under the PD-MK condition as compared to the 2i condition. (D) Effect of RNA Pol II pause release inhibitor flavopiridol and SEC inhibitor KL-2 treatment on normalized intrinsic noise, burst size, and frequency. The KI cell lines conditioned to PD-MK were treated with flavopiridol or KL-2 for 2 days and analyzed by flow cytometry, and normalized intrinsic noise, burst size, and frequency were calculated. normalized intrinsic noise, burst size, and burst frequency are residuals of normalized intrinsic noise, burst size, and frequency of inhibitor-treated cells from that of control cells (PD-MK condition), respectively. Error bars indicate 95% confidence interval. (E) Schematic summary of the determination of kinetic properties of transcriptional bursting (including intrinsic noise, burst size, and burst frequency) by a combination of promoter- and gene bodybinding proteins, including PRC2 and transcription elongation factors.

To examine the contribution of SEC in the regulation of bursting, we treated cells cultured under the PD-MK condition with the P-TEFb inhibitor flavopiridol or AFF1/4 inhibitor KL-2 (32) for 2 days and then compared the intrinsic noise in these cells with that in control cells under the PD-MK condition (Fig. 6D and fig. S4, C and D). We found that the normalized intrinsic noise was significantly increased in most of the genes, although a decrease was also observed in a small fraction of genes (Fig. 6D). We next examined how the chemical inhibitors could affect the burst size and frequency. For most of the genes, burst sizes, which are residuals of burst size of inhibitor-treated cells from that of control cells, were small, while the burst frequency was substantially reduced overall. This suggested that PD-MK treatment enhances Pol II pause release and transcription elongation efficiency without strongly affecting the burst size, at least in the genes tested here. Because P-TEFb and SEC inhibitors affected burst frequency, which is a residual of burst frequency of inhibitor-treated cells from that of control cells, in a similar fashion in most genes analyzed, SEC is probably responsible for regulating Pol II pause release in these genes. It should be noted here that most genes displayed reduced burst sizes under the PD-MK condition (Fig. 4G), suggesting that Pol II pause release is not the only downstream effector of Akt and MAPK pathways regulating the normalized intrinsic noise.

The hybrid mESC line F1-21.6 (129Sv-Cast/EiJ, female), a gift from J. Gribnau, was grown on either LN511 (BioLamina, Stockholm, Sweden) or gelatin-coated dish in either Std medium [15% fetal bovine serum (FBS; Gibco), 0.1 mM -mercaptoethanol (Wako Pure Chemicals, Osaka, Japan), and LIF (1000 U/ml; Wako Pure Chemicals, Osaka, Japan)] or 2i medium [StemSure Dulbeccos modified Eagles medium (DMEM; Wako Pure Chemicals, Osaka, Japan), 15% FBS, 0.1 mM -mercaptoethanol, 1 MEM nonessential amino acids (Wako Pure Chemicals), a 2 mM l-alanyl-l-glutamine solution (Wako Pure Chemicals), LIF (1000 U/ml; Wako Pure Chemicals), gentamicin (20 mg/ml; Wako Pure Chemicals), 1 M PD0325901 (CS-0062, ChemScene), and 3 M CHIR99021 (034-23103, Wako Pure Chemicals)]. This cell line was previously described in (38).

Wild-type (WT) mESCs derived from inbred mouse (Bruce 4 C57BL/6J, male, EMD Millipore, Billerica, MA) and other KI derivatives were cultured on either LN511 or gelatin-coated dish under either Std, 2i, or PD-MK medium [StemSure DMEM (Wako Pure Chemicals, Osaka, Japan), 15% FBS, 0.1 mM -mercaptoethanol, 1 MEM nonessential amino acids (Wako Pure Chemicals), a 2 mM l-alanyl-l-glutamine solution (Wako Pure Chemicals), LIF (1000 U/ml; Wako Pure Chemicals), gentamicin (20 mg/ml; Wako Pure Chemicals), 1 M PD0325901 (CS-0062, ChemScene), and 4 M MK-2206 2HCl (S1078, Selleck Chemicals, Houston TX)]. Inhibitors were added at the following concentrations: 40 M DRB (D1916, Sigma-Aldrich, St. Louis, MO), 0.25 M flavopiridol (CS-0018, ChemScene, Monmouth Junction, NJ) in the 2i condition, 0.125 M flavopiridol in the PD-MK condition, 3 M CHIR99021 (034-23103, Wako Pure Chemicals) in Std medium, 1 M PD0325901 (CS-0062, ChemScene) in Std medium, 5 M BGJ398 (NVP-BGJ398; S2183, Selleck Chemicals) in Std medium, 1 M rapamycin (R-5000, LC Laboratories, MA, USA) in Std medium, 0.2 M INK128 (11811, Cayman Chemical Company, MI, USA) in Std medium, and 4 M MK-2206 2HCl (S1078, Selleck Chemicals) in Std medium. C57BL/6NCr mESCs (male) were cultured on gelatin-coated dish under the PD-MK condition.

To quantify the intrinsic noise level of a particular gene, it is necessary to establish a cell line with the GFP and iRFP reporter genes individually knocked into both alleles of the target genes. Therefore, on the basis of the scRNA-seq data, 25 genes (Fig. 1H) with medium expression levels and variable intrinsic noise levels were manually selected.

GFP/iRFP KI cell lines were established using CRISPR-Cas9 or transcription activator-like effector nuclease (TALEN) expression vectors and targeting vectors [with about 1-kbp (kilobase pair) homology arms]. Vectors used in this study are listed in table S4. C57BL/6J mESCs (5 105) conditioned to 2i medium were plated onto gelatin-coated six-well plates. After 1 hour, the cells were then transfected with 1 g each of GFP and iRFP targeting vectors (table S4), 1 g total of nuclease vectors (table S4), and pKLV-PGKpuro2ABFP (puromycin resistant, Addgene, plasmid #122372) using Lipofectamine 3000 (catalog no. L3000015, Life Technologies, Gaithersburg, MD), according to the manufacturers instructions. Cells were selected by adding puromycin (1 g/ml) to the 2i medium 24 hours after transfection. After another 24 hours, the medium was exchanged. The medium was exchanged every 2 days. At 5 days after transfection, cells were treated with 25 M biliverdin (BV). BV is used for forming a fluorophore by iRFP670. Although BV is a molecule ubiquitous in eukaryotes, the addition of BV to culture medium increases the fluorescence intensity. Twenty-four hours later, cells were trypsinized and subjected to FACS analysis, and GFP/iRFP double-positive cells were sorted and seeded on a gelatin-coated 6-cm dish. The medium was exchanged every 2 days. One week after sorting, 16 colonies were picked for downstream analysis and checking gene targeting. Polymerase chain reaction (PCR) was carried out using primers outside the homology arms, and cells that seemed to be successfully knocked into both alleles were selected. Thereafter, candidate clones were further analyzed by Southern blotting as described before (fig. S3) (20). Restriction enzymes and genomic regions used for Southern blot probes are listed in table S4. Probes were prepared using the PCR DIG Probe Synthesis Kit (Roche Diagnostics, Mannheim, Germany).

ICR mice were purchased from CLEA Japan (Tokyo, Japan). All mice were housed in an air-conditioned animal room under specific pathogenfree conditions, with a 12-hour light/12-hour dark cycle. All mice were fed a standard rodent CE-2 diet (CLEA Japan, Tokyo, Japan) and had ad libitum access to water. All animal experiments were approved by the President of the National Center for Global Health and Medicine, following consideration by the Institutional Animal Care and Use Committee of the National Center for Global Health and Medicine (approval ID no. 17043), and were carried out in accordance with the institutional procedures, national guidelines, and the relevant national laws on the protection of animals.

To construct the lentiCRISPRv2-sgSuz12_1, lentiCRISPRv2-sgSuz12_2, lentiCRISPRv2-sgSuz12_3, and lentiCRISPRv2_sgMS2_1 plasmids, which are single-guide RNA (sgRNA) expression vectors, we performed inverse PCR using R primer (5-GGTGTTTCGTCCTTTCCACAAGAT-3) and either of F primers (5-AAAGGACGAAACACCGCGGCTTCGGGGGTTCGGCGGGTTTTAGAGCTAGAAATAGCAAGT-3, 5-AAAGGACGAAACACCGGCCGGTGAAGAAGCCGAAAAGTTTTAGAGCTAGAAATAGCAAGT-3, 5-AAAGGACGAAACACCGCATTTGCAACTTACATTTACGTTTTAGAGCTAGAAATAGCAAGT-3, or 5-AAAGGACGAAACACCGGGCTGATGCTCGTGCTTTCTGTTTTAGAGCTAGAAATAGCAAGT-3), respectively, and lentiCRISPR v2 (Addgene, plasmid #52961) as a template, followed by self-circularization using the In-Fusion HD Cloning Kit (catalog no. 639648, Clontech Laboratories, Mountain View, CA, USA).

129/CAST hybrid mESCs need to be maintained on feeder cells in the gelatin/Std condition. To eliminate the need for feeder cells, we decided to maintain the hybrid mESCs on dishes coated with LN511, enabling maintenance of mESCs without feeder cells in the Std condition. To compare the transcriptomes of mESCs cultured on gelatin-coated dish and those cultured on LN511-coated dish, we performed RNA-seq analysis as follows. First, C57BL/6J WT mESCs were conditioned on either gelatin- or LN511-coated dish in either Std or 2i medium for 2 weeks. Next, RNA was recovered from 1 106 cells using the NucleoSpin RNA Kit (Macherey-Nagel, Dren, Germany). The RNA was sent to Eurofins for RNA-seq analysis. RNA-seq reads were aligned to the mouse reference genome (mm10) using TopHat (version 2.1.1) (https://ccb.jhu.edu/software/tophat/index.shtml). Fragments per kilobase per million mapped reads (FPKM) values were quantified using Cufflinks (version 2.1.1) (http://cole-trapnell-lab.github.io/cufflinks/) to generate relative gene expression levels. Hierarchical clustering analyses were performed on FPKM values using CummeRbund (v2.18.0) (https://bioconductor.org/packages/release/bioc/html/cummeRbund.html). In comparison, the transcriptomes of mESCs cultured on gelatin-coated dish and those cultured on LN511-coated dishes showed no considerable difference in expression patterns (fig. S1A).

Library preparation for single-cell RamDA-seq was performed as described previously (22). Briefly, hybrid mESC line F1-21.6 (129Sv-Cast/EiJ) conditioned to the LN511/Std condition was dissociated with 1 trypsin (Thermo Fisher Scientific, Rochester, NY) with 1 mM EDTA at 37C for 3 min. The dissociated cells were adjusted to 1 106 cells/ml and stained with Hoechst 33342 dye (10 g/ml; Sigma-Aldrich) in phosphate-buffered saline (PBS) at 37C for 15 min to identify the cell cycle. After Hoechst 33342 staining, the cells were washed once with PBS and stained with propidium iodide (PI; 1 g/ml; Sigma-Aldrich) to remove dead cells. Single-cell sorting was performed using MoFlo Astrios (Beckman Coulter; table S4). Recent studies of scRNA-seq using mESCs have suggested that genes related to the cell cycle demonstrate considerable heterogeneity in expression (35). Therefore, to minimize this variation, 474 cells only in the G1 phase were collected (table S4). Single cells were collected in 1 l of cell lysis buffer [1 U of RNasin Plus (Promega, Madison, WI), RealTime ready Cell Lysis Buffer (10%; catalog no. 06366821001, Roche), 0.3% NP-40 (Thermo Fisher Scientific), and ribonuclease (RNase)free water (Takara, Japan)] in a 96-well PCR plate (BIOplastics).

The cell lysates were denatured at 70C for 90 s and held at 4C until the next step. To eliminate genomic DNA contamination, 1 l of genomic DNA digestion mix [0.5 PrimeScript Buffer, 0.2 U of DNase I Amplification Grade, and 1:5,000,000 ERCC RNA Spike-In Mix I (Thermo Fisher Scientific) in RNase-free water] was added to 1 l of the denatured sample. The mixtures were agitated for 30 s at 2000 rpm using ThermoMixer C at 4C, incubated in a C1000 thermal cycler at 30C for 5 min, and held at 4C until the next step. One microliter of RT-RamDA mix [2.5 PrimeScript Buffer, 0.6 pmol of oligo(dT)18 (catalog no. SO131, Thermo Fisher Scientific), 8 pmol of 1st-NSRs (22), 100 ng of T4 gene 32 protein (New England Biolabs), and 3 PrimeScript enzyme mix (catalog no. RR037A, TAKARA Bio Inc.) in RNase-free water] was added to 2 l of the digested lysates. The mixtures were agitated for 30 s at 2000 rpm and 4C and incubated at 25C for 10 min, 30C for 10 min, 37C for 30 min, 50C for 5 min, and 94C for 5 min. Then, the mixtures were held at 4C until the next step. After RT (reverse transcription), the samples were added to 2 l of second-strand synthesis mix [2.5 NEBuffer 2 (New England Biolabs), 0.625 mM each dNTP mixture (Takara), 40 pmol of 2nd-NSRs (22), and 0.75 U of Klenow Fragment (3 5 exo-; New England Biolabs) in RNase-free water]. The mixtures were agitated for 30 s at 2000 rpm and 4C and incubated at 16C for 60 min, 70C for 10 min, and then 4C until the next step. Sequencing library DNA preparation was performed using the Tn5 tagmentation-based method with one-fourth volumes of the Nextera XT DNA Library Preparation Kit (catalog nos. FC-131-1096, FC-131-2001, FC-131-2002, FC-131-2003, and FC-131-2004, Illumina, San Diego, CA) according to the manufacturers protocol. The above-described double-stranded complementary DNAs (cDNAs) were purified by using 15 l of AMPure XP SPRI beads (catalog no. A63881, Beckman Coulter) and a handmade 96-well magnetic stand for low volumes. Washed AMPure XP beads attached to double-stranded cDNAs were directly eluted using 3.75 l of 1 diluted Tagment DNA Buffer (Illumina) and mixed well using a vortex mixer and pipetting. Fourteen cycles of PCR were applied for the library DNA. After PCR, sequencing library DNA was purified using 1.2 the volume of AMPure XP beads and eluted into 24 l of TE buffer.

All the RamDA-seq libraries prepared with Nextera XT DNA Library Preparation were quantified and evaluated using a MultiNA DNA-12000 kit (Shimadzu, Kyoto, Japan) with a modified sample mixing ratio (1:1:1; sample, marker, and nuclease-free water) in a total of 6 l. The length and yield of the library DNA were calculated in the range of 161 to 2500 bp. The library DNA yield was estimated as 0.5 times the value quantified from the modified MultiNA condition. Subsequently, we pooled each 110 fmol of library DNA in each well of a 96-well plate. The pooled library DNA was evaluated on the basis of the averaged length and concentration using the Bioanalyzer Agilent High-Sensitivity DNA Kit (catalog no. 5067-4626) in the range of 150 to 3000 bp and the KAPA Library Quantification Kit (catalog no. KK4824, Kapa Biosystems, Wilmington, MA). Pooled library DNA (1.5 pM) was sequenced using Illumina HiSeq2000 (single-read 50-cycle sequencing).

Trypsinized cells (2 105) were transferred onto LN511-coated round coverslips and cultured for 1 hour at 37C and 5% CO2. Cells were washed with PBS, fixed with 4% paraformaldehyde in PBS for 10 min, and washed with PBS two times. Then, cells were permeabilized in 70% ethanol at 4C overnight. Following a wash with 10% formamide dissolved in 2 saline sodium citrate buffer, the cells were hybridized to probe sets in 60 l of hybridization buffer containing 2 saline sodium citrate, 10% dextran sulfate, 10% formamide, and each probe set (table S4). Hybridization was performed for 4 hours at 37C in a moist chamber. The coverslips were washed with 10% formamide in 2 saline sodium citrate solution and then with 10% formamide in 2 saline sodium citrate solution with Hoechst 33342 (1:1000). Hybridized cells were mounted in catalase/glucose oxidase containing mounting media [0.4% glucose in 10 mM tris, 2 saline sodium citrate, glucose oxidase (37 g/ml), and 1/100 catalase (Sigma-Aldrich, C3155)]. Images were acquired using a Nikon Ti-2 microscope with a CSU-W1 confocal unit, a 100 Nikon oil-immersion objective of 1.49 numerical aperture (NA), and an iXon Ultra EMCCD camera (Andor, Belfast, UK), with laser illumination at 405, 561, and 637 nm, and were analyzed using NIS-elements software (version 5.11.01, Nikon, Tokyo, Japan); 101 z planes per site spanning 15 m were acquired. Images were filtered with a one-pixel-diameter three-dimensional median filter and subjected to background subtraction via a rolling ball radius of 5 pixels, using FIJI software. Detection and counting of smFISH signals were performed using FISH-quant software version 3 (https://bitbucket.org/muellerflorian/fish_quant/src/master/). FISH-quant quantifies the number of mRNAs in the cell nucleus and cytoplasm. Mixtures of mNeonGreen and iRFP670 probes conjugated with CAL Fluor Red 590 and Quasar 670 were obtained from Biosearch Inc. (Novato, CA) and used at 0.25 M. Probe sequences are shown in table S4. Intrinsic noise was calculated as described in the Estimation of the kinetic properties of transcriptional bursting using transcript-level count data section. Because smFISH has almost the same average value, correction between alleles was not carried out. The count normalized log ratios of intrinsic noise (normalized intrinsic noise) were calculated as the residuals of the regression line (fig. S1I). Normalization by gene length had not been applied for the smFISH data.

On the day before flow cytometry, cells were treated with 25 M BV. Cells that became 80% confluent were washed with PBS, trypsinized, inactivated with FluoroBrite DMEM (Thermo Fisher Scientific) containing 10% FBS, and centrifuged to collect the cells. Cells were suspended in PBS to be 1 106 to 5 106 cells/ml. Fluorescence data of side scatter (SSC), forward scatter (FSC), GFP, and iRFP were obtained with BD FACSAria III. Cells were gated on the basis of FSC and SSC using a linear scale to gate out cellular debris. Among GFP and iRFP data, extreme values indicating 20 * interquartile range or more were excluded from analysis. The mean value of the negative control data of WT mESC was subtracted from the data to be analyzed, and the data that fell below zero were excluded. We confirmed that the mean number of GFP and iRFP mRNAs in the KI cell lines are almost exactly matched that obtained in the smFISH analysis, suggesting that the expression levels of GFP and iRFP proteins are also similar. Therefore, we applied a correction using the following equations so that the mean fluorescence intensity between GFP and iRFP was consistentGFPn=GFPGFPiRFPGFPiRFPn=iRFPGFPiRFPiRFP

Here, the ith element of vectors GFP and iRFP contains the fluorescence intensities of GFP and iRFP, respectively, of the ith cell in the sample. GFPn and iRFPn represent mean normalized GFP and iRFP, respectively. Then, intrinsic noise is calculated as described in the Estimation of the kinetic properties of transcriptional bursting using transcript-level count data section. The relationship between mean fluorescence intensities and intrinsic noise was plotted (fig. S1J). The fluorescence intensity normalized log ratios of intrinsic noise (normalized intrinsic noise) were calculated as the residuals of the regression line (fig. S1J).

On the day before immunostaining, Trim28, Dnmt3l, Klf4, Peg3, Npm1, Dnmt3b, Nanog, Rad21, and Hdac1 KI cell lines at ~70% confluence were treated with 25 M BV. After 24 hours, 1 105 cells were plated onto the eight-well Lab-Tek II chambered coverglass (Thermo Fisher Scientific) coated with LN511. For immunostaining of C57BL/6J WT mESCs conditioned to Std/LN511, 2i/LN511, and PD-MK/LN511 conditions, cells were plated 1 105 onto an eight-well Lab-Tek II chambered coverglass coated with LN511. After 1 hour, cells were washed once with PBS and fixed with 4% paraformaldehyde for 10 min at room temperature. Fixed cells were washed with BBS buffer [50 mM N,N-bis(2-hydroxyethyl)-2-aminoethanesulfonic acid (BES), 280 mM NaCl, 1.5 mM Na2HPO42H2O, and 1 mM CaCl2] two times and blocked for 30 min in BBT-BSA buffer [BBS with 0.5% bovine serum albumin (BSA), 0.1% Triton, and 1 mM CaCl2] at room temperature. Cells with primary antibodies were incubated overnight at 4C at the following dilutions: anti-TRIM28 (1:500; GTX102227, GeneTex, RRID:AB_2037323), anti-DNMT3L (1:250; ab194094, Abcam, Cambridge, MA, RRID:AB_2783649), anti-KLF4 (1:250; ab151733, Abcam, RRID:AB_2721027), anti-PEG3 (1:500; BS-1870R, Bioss Antibodies, RRID:AB_10855800), anti-NPM1 (1:100; A302-402A, Bethyl Laboratories Inc., RRID:AB_1907285), anti-DNMT3B (1:500; 39207, Active Motif, RRID:AB_2783650), anti-NANOG (1:500; 14-5761-80, eBioscience, RRID:AB_763613), anti-RAD21 (1:500; GTX106012, GeneTex, RRID:AB_763613), anti-HDAC1 (1:500; GTX100513, GeneTex, RRID:AB_1240929), antiOCT-4A (1:400; 2840, Cell Signaling Technology, RRID:AB_2167691), and anti-SSEA1 (1:1000; 4744, Cell Signaling Technology, RRID:AB_1264258). Cells were washed and blocked in BBT-BSA. Then, for KI cell lines, cells were incubated with Alexa Fluor 594conjugated secondary antibodies (1:500; Life Technologies). For C57BL/6J WT mESCs, cells were incubated with Alexa Fluor 488 goat anti-mouse immunoglobulin G (IgG), Alexa Fluor 594 goat anti-rabbit IgG, and Alexa Fluor 647 goat anti-rat IgG secondary antibodies (1:500; Life Technologies). Images were acquired using a Nikon Ti-2 microscope with a CSU-W1 confocal unit, a 100 Nikon oil-immersion objective of 1.49 NA, and an iXon Ultra EMCCD camera (Andor, Belfast, UK).

Dnmt3l, Dnmt3b, Peg3, and Ctcf KI cell lines conditioned to the gelatin/2i condition were trypsinized and plated onto a 24-well plate at 5 105 cells per 500 l each. One hour later, for Suz12 K/O, 330 ng each of lentiCRISPRv2-sgSuz12_1, lentiCRISPRv2-sgSuz12_2, and lentiCRISPRv2-sgSuz12_3 and 300 ng of pCAG-mTagBFP2 (Addgene, plasmid #122373) plasmids or, for control, 1000 ng of lentiCRISPRv2_sgMS2_1 and 300 ng of pCAG-mTagBFP2 (Addgene, plasmid #122373) plasmids were transfected using Lipofectamine 3000 into each cell line. Two days later, blue fluorescent protein (BFP)positive cells were sorted by FACS and plated onto a 6-cm dish. After 1 week, we picked up eight colonies for Suz12 K/O and four colonies for control for downstream analysis. We checked the expression of PRC2-related proteins by Western blotting (see below). Then, cells were conditioned to LN511/Std medium for at least 2 weeks. As described above, flow cytometry analysis was performed to calculate normalized intrinsic noise, burst size, and burst frequency.

Cells are washed twice with PBS, trypsinized, and collected by centrifugation. Cells were counted and then washed twice with PBS. Last, cells were lysed in the lysis buffer [0.5% Triton X-100, 150 mM NaCl, and 20 mM tris-HCl (pH 7.5)] to obtain 1 106 cells per 100 l. Then, the lysates were incubated at 95C for 5 min and filtered by QIAshredder homogenizer (Qiagen). The extracted proteins were analyzed by 5 to 20% gradient SDSpolyacrylamide gel electrophoresis and transferred onto Immobilon Transfer Membranes (Millipore, Billerica, MA, USA) for immunoblotting analyses. The primary antibodies used were anti-SUZ12 (1:1000; 3737, Cell Signaling Technology, RRID:AB_2196850), anti-EZH2 (1:1000; 5246, Cell Signaling Technology, RRID:AB_10694683), antihistone H3K27me3 (1:1000; 39155, Active Motif, RRID:AB_2561020), anti-GAPDH (1:5000; 5174, Cell Signaling Technology, RRID:AB_10622025), antiphospho-MEK1/2 (Ser217/Ser221; 1:1000; 9154, Cell Signaling Technology, RRID:AB_2138017), anti-MEK1/2 (1:1000; 8727, Cell Signaling Technology, RRID:AB_10829473), anti-p44/42 MAPK (Erk1/2; 1:1000; 4695, Cell Signaling Technology, RRID:AB_390779), antiphospho-p44/42 MAPK (Erk1/2; Thr202/Tyr204; 1:2000; 4370, Cell Signaling Technology, RRID:AB_2315112), antiphospho-4E-BP1 (Thr37/Thr46; 1:1000; 2855, Cell Signaling Technology, RRID:AB_560835), antiphospho-Akt (Ser473; 1:1000; 4060, Cell Signaling Technology, RRID:AB_2315049), antiphospho-Akt (Thr308; 1:1000; 13038, Cell Signaling Technology, RRID:AB_2629447), anti-Akt (pan; 1:1000; 4691, Cell Signaling Technology, RRID:AB_915783), antic-Myc (1:1000; ab32072, Abcam, RRID:AB_731658), anti-FoxO1 (1:1000; 14952, Cell Signaling Technology, RRID:AB_2722487), anti-FOXO3A (1:2500; ab12162, Abcam, RRID:AB_298893), anti-Nanog (1:500; 14-5761-80, eBioscience, RRID:AB_763613), antiOCT-4A (1:500; 2840, Cell Signaling Technology, RRID:AB_2167691), and anti-SOX2 (1:1000; ab97959, Abcam, RRID:AB_2341193).

Nanog, Trim28, and Dnmt3L KI cells were transduced with the Mouse CRISPR K/O Pooled Library (GeCKO v2; Addgene, #1000000052) (29) via spinfection as previously described. We used only Mouse library A gRNA. Briefly, 3 106 cells per well (a total of 1.2 107 cells) were plated into an LN511-coated 12-well plate in the Std media supplemented with polybrene (8 g/ml; Sigma-Aldrich). Each well received a virus amount equal to a multiplicity of infection (MOI) of 0.3. The 12-well plate was centrifuged at 1000g for 2 hours at 37C. After the spin, media were aspirated and fresh media (without polybrene) were added. Cells were incubated overnight. Twenty-four hours after spinfection, cells were detached with trypsin and replated into four of LN511-coated 10-cm dishes with puromycin (0.5 g/ml) for 3 days. Media were refreshed daily. At 6 days after transduction, cells were treated with 25 M BV. After 24 hours, at least 1.75 105 cells showing GFP/iRFP expression ratio close to 1 were sorted by FACS and plated on 12-well plates (LN511/Std condition). Unsorted cells were passaged to 10-cm plates, 5 105 each. After the expansion of these sorted cells for 1 week, cells with GFP/iRFP expression ratio close to 1 were sorted again. These sorting and expansion procedures were repeated four times in total. At 3 days after the fourth sorting, 2 105 cells were collected and genomic DNA was extracted. PCR of the virally integrated sgRNA coding sequence was performed on genomic DNA at the equivalent of approximately 2000 cells per reaction in 48 parallel reactions using KOD FX Neo (TOYOBO, Japan). Amplification was carried out with 22 cycles. Primers are listed as follows: forward primer, AATGATACGGCGACCACCGAGATCTACACTCTTTC CCTACACGACGCTCTTCCGATCTNNNNNNNN(18-bp stagger) GTGGAAAGGACGAAACACCG; reverse primer, CAAGCAGAAGACGGCATACGAGATNNNNNNNN GTGACTGGAGTTCAGACGTGTGCTCTTCCGATCTTGTGGGCGATGTGCGCTCTG (8-bp index read barcode indicated in italics). PCR products from all 48 reactions were pooled, purified using a PCR purification kit (Qiagen, Hilden, Germany), and gel-extracted using the Gel Extraction Kit (Qiagen, Hilden, Germany). The resulting libraries were deep-sequenced on Illumina HiSeq platform with a total coverage of >8 million reads passing filter per library.

Cells (4 105) were seeded on LN511-coated six-well plates. After overnight culture, the cells were incubated for 1 hour with 5-ethynyl-2-deoxyuridine (EdU) diluted to 10 M in the indicated embryonic stem (ES) cell media. All samples were processed according to the manufacturers instructions (Click-iT Plus EdU Alexa Fluor 647 Flow Cytometry Assay Kit, catalog no. C10634, Thermo Fisher Scientific). EdU incorporation was detected by Click-iT chemistry with an azide-modified Alexa Fluor 647. Cells were resuspended in EdU permeabilization/wash reagent and incubated for 30 min with Vybrant DyeCycle Violet (Thermo Fisher Scientific). Flow cytometry was performed on FACSAria III (BD Biosciences) and analyzed with Cytobank (www.cytobank.org; Cytobank Inc., Santa Clara, CA).

Annexin V staining was performed using Annexin V Apoptosis Detection Kit APC (catalog no. 88-8007-72, Thermo Fisher Scientific) as described in the manufacturers manual. Briefly, cells were trypsinized and centrifuged, and then the supernatant was removed. The remaining cells were resuspended in PBS and counted. Cells were washed once with PBS and then resuspended in 1 Annexin V binding buffer at 1 106 to 5 106 cells/ml. Pellets were resuspended in 100 l of Annexin V buffer to which 5 l of fluorochrome-conjugated Annexin V was added. Cells were incubated in the dark at room temperature for 15 min, washed in 1 Binding Buffer, and resuspended in 200 l of 1 Binding Buffer. PI Staining Solution (5 l) was added and immediately analyzed by flow cytometry.

C57BL/6J WT mESCs conditioned to LN511/Std or LN511/PD-MK conditions were treated with 400 M 4-thiouridine (4sU) for 20 min. Then, RNA was extracted from more than 1 107 cells using the RNeasy Plus Mini Kit (Qiagen, Valencia, CA). Three biological replicates were prepared for each condition. We synthesized mRuby2 RNA for spike-in RNA by standard PCR, in vitro transcription using the T7 High Yield RNA Synthesis Kit (catalog no. E2040, New England Biolabs), and purification with RNeasy Plus Mini Kit (Qiagen, Valencia, CA). Biotinylation of 4sU-labeled RNA was carried out in RNase-free water with 10 mM tris-HCl (pH 7.4), 1 mM EDTA, and Biotin-HPDP (0.2 mg/ml; catalog no. 341-09101, Dojindo) at a final RNA concentration of 1 g/l extracted RNA (a total of 125 g) with spike-in RNA (125 ng/l) for 3 hours in the dark at room temperature. To purify biotinylated RNA from an excess of Biotin-HPDP, a phenol:chloroform:isoamylalcohol (v/v = 25:24:1; Nacalai Tesque, Kyoto, Japan) extraction was performed. Phenol:chloroform:isoamylalcohol was added to the reaction mixture in a 1:1 ratio, followed by vigorous mixing, and centrifuged at 20,000g for 5 min at 4C. The RNA containing aqueous phase was removed and transferred to a fresh, RNase-free tube. To precipitate RNA, 1/10 reaction volume of 5 M NaCl and an equal volume of 2-propanol were added and incubated for 10 min at room temperature. Precipitated RNA was collected through centrifugation at 20,000g for 30 min at 4C. The pellet was washed with an equal volume of 75% ethanol and precipitated again at 20,000g for 20 min. Last, RNA was reconstituted in 25 to 50 l of RNase-free water. For removing of biotinylated 4sU-RNA, streptavidin-coated magnetic beads (Dynabeads MyOne Streptavidin C1 beads, Thermo Fisher Scientific) were used according to the manufacturers manual. To avoid unfavorable secondary RNA structures that potentially impair the binding to the beads, the RNA was first denatured at 65C for 10 min followed by rapid cooling on ice for 5 min. Dynabeads magnetic beads (200 l per sample) were transferred to a new tube. An equal volume of 1 B&W [5 mM tris-HCl (pH 7.5), 0.5 mM EDTA, 1 M NaCl] was added to the tube and mixed well. The tube was placed on a magnet for 1 min, and the supernatant was discarded. The tube was removed from the magnet. The washed magnetic beads were resuspended in 200 l of 1 B&W. The bead washing step was repeated for a total of three times. The beads were washed twice in 200 l of solution A [diethyl pyrocarbonate (DEPC)treated 0.1 M NaOH and DEPC-treated 0.05 M NaCl] for 2 min. Then, the beads were washed once in 200 l of solution B (DEPC-treated 0.1 M NaCl). Washed beads were resuspended in 400 l of 2 B&W Buffer. An equal volume of 20 g of biotinylated RNA in distilled water was added. The mixture was incubated for 15 min at room temperature with gentle rotation. The biotinylated RNA-coated beads were separated with a magnet for 2 to 3 min. Unbound (unbiotinylated) RNA from the flow-through was recovered using the RNeasy MinElute Kit (Qiagen) and reconstituted in 25 l of RNase-free water. cDNA was synthesized with the ReverTra Ace qPCR RT Kit (catalog no. FSQ-101, TOYOBO, Japan) from both total RNA and unbound (unbiotinylated) RNA. The relative amount of existing RNA (unbiotinylated RNA)/total RNA was quantified by quantitative PCR (qPCR) with THUNDERBIRD SYBR qPCR Mix (catalog no. QPS-201, TOYOBO). cDNAs were derived from total and unbound RNA, and primers used are listed in table S4.

C57BL/6NCr ES cells derived from C57BL/6NCr (Japan SLC, Hamamatsu, Japan) were cultured in PD-MK medium on a gelatin-coated dish for 2 weeks. The day before injection, the culture medium was changed to Std medium. mESCs were microinjected into eight-cellstage embryos from ICR strain (CLEA Japan, Tokyo, Japan). The injected embryos were then transferred to the uterine horns of appropriately timed pseudopregnant ICR mice. Chimeras were determined by the presence of black eyes at birth and by coat color around 10 days after birth.

For each scRamDA-seq library, the FASTQ files of sequencing data with 10 pg of RNA were combined. Fastq-mcf (version 1.04.807) (https://github.com/ExpressionAnalysis/ea-utils/blob/wiki/FastqMcf.md) was used to trim adapter sequences and generate read lengths of 50 nucleotides with the parameters -L 42 -l 42 -k 4 -q 30 -S. The reads were mapped to the mouse genome (mm10) using HISAT2 (version 2.0.4) (https://ccb.jhu.edu/software/hisat2/index.shtml) with default parameters. We confirmed that there was no large difference in the number of reads and mapping rates across the cell samples (table S4). We removed 27 abnormal samples showing abnormal gene body coverage of sequencing reads by human curation. Using the remaining data derived from 447 cells, allelic gene expressions were quantified using EMASE (version 0.10.11) with default parameters (https://github.com/churchill-lab/emase). 129 and CAST genomes by incorporating single-nucleotide polymorphisms and indels into reference genome and transcriptome were created by Seqnature (https://github.com/jaxcs/Seqnature). Bowtie (version 1.1.2) (http://bowtie-bio.sourceforge.net/index.shtml) was used to align scRamDA-seq reads against the diploid transcriptome with the default parameters.

To calculate intrinsic noise using the equations indicated below, we used three normalization steps. First, the global allelic bias in expression level was subjected to the Trimmed Means of M values (TMM) normalization method implemented in the R package edgeR (https://bioconductor.org/packages/release/bioc/html/edgeR.html; see the next section). This normalization removes global allelic bias in expression level as well as differences in sequencing depth in each cell. The total noise (tot2) for each transcript was calculated using the following equation (6)tot2=a12+a222a1a22a1a2

Here, the ith element of vectors a1 and a2 contains the read counts of transcript from allele 1 or allele 2, respectively, of the ith cell in the sample. Global normalization did not substantially change the shape of the read counttotal noise distribution (fig. S1B). Second, the read counts were subjected to quantile normalization between alleles at each transcript by the normalize.quantiles.robust method using the Bioconductor preprocessCore package (version 1.38.1; https://bioconductor.org/packages/release/bioc/html/preprocessCore.html). Third, we performed a correction using the following equations so that the mean read counts among the alleles were consistentagn1=ag1ag1ag2ag1agn2=ag2ag1ag2ag2

Here, the ith element of vectors ag1 and ag2 contains the globally and allelically normalized read counts of transcript from allele 1 or allele 2, respectively, of the ith cell in the sample. agn1 and agn2 represent the mean normalized ag1 and ag2, respectively. Angled brackets denote means over the cell population. From these read count matrices, the intrinsic noise (int2) for each transcript was calculated using the following equation (6, 7)int2=(agn1agn2)22agn1agn2

Transcripts showing a relatively large difference in expression level between alleles before correction (the average prenormalized expression level between alleles was >100 read counts) were excluded from subsequent analysis. A large fraction of transcripts (25,481 transcripts) showed intrinsic noise below Poisson noise (fig. S1C). Theoretically, intrinsic noise cannot be below Poisson noise (17). These transcripts are extremely similar in expression between the alleles, resulting in very low intrinsic noise values (fig. S1D). The expression level of each allele was originally calculated using the polymorphisms contained in the sequencing reads (see the previous section). However, if the sequencing reads for a particular transcript does not contain polymorphisms, the expression levels for each allele cannot be accurately calculated, and the expression levels for each allele are considered equal. Thus, transcripts with intrinsic noise below Poisson noise were excluded from the downstream analysis. A decrease in intrinsic noise was observed as the expression level increased, as theoretically expected (fig. S1C). To investigate the factors involved in the intrinsic noise and bursting properties independent of expression level, the count normalized log ratios of intrinsic noise were calculated as the residuals of a regression line that was calculated using a dataset with more than 1 mean read count (fig. S1E). In addition, a global correlation was found between the length of the transcript and the count normalized intrinsic noise (fig. S1F). Thus, the count and transcript length normalized log ratios of intrinsic noise were calculated as the residuals of a regression line (fig. S1, F and G). We call these read count and transcript length normalized intrinsic noise simply normalized intrinsic noise. For transcripts with low expression levels, it is difficult to distinguish whether their heterogeneity in expression level is due to technical or biological noise. Therefore, transcripts with read counts less than 20 were excluded from the downstream analysis (remaining 5992 transcripts).

Intrinsic noise is a function of the mRNA degradation rate (9, 12, 14). The mRNA degradation rate in mESC has been genome-wide analyzed (23). Genes whose degradation rate is unknown were provisionally assigned a median value. The burst size (b) and burst frequency (f) of each transcript can be estimated by the mRNA degradation rate (m), intrinsic noise (int2), and mean number of mRNA () according to the following equations (9, 12, 14)b=(int2)1f=mint21

Previous studies have reported the estimation of the burst size and burst frequency for each allele using a Poisson-Beta hierarchical model with scRNA-seq data of hybrid cells (11, 40). To evaluate the validity of the parameters derived from the abovementioned equations, we used our hybrid mESC scRNA-seq data and the SCALE software (version 1.3.0) that enables the estimation of the burst frequency and burst size per allele using a Poisson-Beta hierarchical model (40). Because the SCALE software always sets the RNA degradation rate to 1, the resulting parameters can be considered as RNA degradation ratenormalized parameters. Therefore, for comparison, the burst frequency calculated from intrinsic noise was divided by the RNA degradation rate to obtain RNA degradation ratenormalized burst frequency (see above formula). The SCALE- and intrinsic noisebased parameters were well correlated (R > 0.8; fig. S2, F to K), suggesting that the burst size and burst frequency calculated using intrinsic noise are valid. In hybrid cells, as the expression levels of alleles can vary depending on the polymorphisms present in the genome (41), a three-step normalization was used before the calculation as mentioned above. To determine whether the intrinsic noise measured by scRNA-seq of hybrid mESCs indicates true gene expression noise, we integrated GFP and iRFP reporter genes separately into both alleles of 25 genes in an inbred mESC line (KI mESC lines; Fig. 1H and fig. S3). Using these cell lines, the mean expression levels and normalized intrinsic noise of the 25 genes were measured by smFISH, resulting in a significant correlation with scRNA-seqbased measurements (Fig. 1, I and J; table S3). These validation experiments also confirmed the conclusions derived from the intrinsic noise calculation.

As noted above, TMM normalization, commonly used in bulk RNA-seq analysis, was used to normalize the global allelic bias in expression levels of scRNA-seq. TMM normalization is based on the construction of the size factor, which represents the ratio at which each cell is normalized by a reference cell constructed by some kind of averaging across all other cells per cell. scRNA-seq generally has fewer reads per sample and is prone to generate dropout events, where expressed transcripts stochastically appear to have zero reads due to technical limitations. Therefore, the size factors of TMM may be inappropriately large or equal to zero when applied to scRNA-seq. Hence, normalization methods optimized for scRNA-seq have been developed (42). To validate our use of TMM normalization on scRNA-seq data, we normalized scRNA-seq data using scran (http://bioconductor.org/packages/release/bioc/html/scran.html; version 1.14.5), a normalization tool optimized for scRNA-seq data. We then used the scran-normalized data to calculate intrinsic noise and compare the results with those previously obtained through TMM normalization. Among the transcripts with an average expression level of more than 20, the average expression (R = 0.97), intrinsic noise (R = 0.95), and normalized intrinsic noise (R = 0.94) derived from TMM-normalized dataset were highly correlated with those from scran-normalized dataset. TMM, scran, and other scRNA-seqoptimized normalization methods have been reported to not show large differences in performance when there are relatively few DE genes among samples (42). In this case, the target dataset for normalization is derived from cells of the same cell type in the G1 phase; therefore, the difference in expression levels between samples is considered to be relatively small. Hence, we consider the use of TMM normalization appropriate to calculate intrinsic noise in this case.

It is thought that the RNA detected by smFISH is not a specific transcript and contains multiple transcript variants. Therefore, intrinsic noise data calculated using transcript-level count data could not be compared to those from smFISH data. To solve this problem, scRamDA-seq data for each transcript were summed up for each gene, and intrinsic noise was recalculated. For this purpose, global allelic bias in expression level was first normalized as described above. Then, data of each transcript were summed up for each gene at this time point. Next, the read counts were normalized between alleles at each gene by the normalize.quantiles.robust method using the Bioconductor preprocessCore package. Furthermore, correction was made so that the mean read counts among the alleles were consistent as described above. From these read count matrices, the intrinsic noise for each gene can be calculated as described above. Data with intrinsic noise below Poisson noise were excluded from the downstream analysis. To investigate the factors involved in the intrinsic noise and bursting properties independent of expression level, the count normalized log ratios of intrinsic noise were calculated as the residual of a regression line that is calculated using a dataset with more than 1 mean read counts. Then, the count and gene length normalized log ratios of intrinsic noise were calculated as the residual of a regression line. We call these read count and gene length normalized intrinsic noise simply normalized intrinsic noise. The burst size (b) and burst frequency (f) of each gene can be estimated as described above.

We used FindM (https://ccg.epfl.ch/ssa/findm.php) to determine whether a sequence of 50 bp upstream from the TSS of transcripts, with an average read count of more than 20 in our scRNA-seq, contained a TATA box.

We used bioinformatics tools freely available on Galaxy Project platform (https://galaxyproject.org/). Various ChIP-seq data were obtained from the bank listed in table S4. Then, we mapped them to mm10 genome with Bowtie (Galaxy version 1.1.2) and converted them to bam file with SAM-to-BAM tool (Galaxy version 2.1). Reads per million mapped reads (RPM) data from 1000 to +100 from TSS and gene body of individual transcripts were analyzed by ngs.plot (version 2.61; https://github.com/shenlab-sinai/ngsplot). Of these, extreme outliers (100 times the average value) were excluded from analysis. In addition, we also considered the replication timing, promoter proximal pausing of RNA Pol II, considered to be related to the characteristics of transcriptional bursting. To determine the pausing index of Pol II, GRO-seq (global run-on sequencing) data in mESCs were used [Gene Expression Omnibus (GEO) ID: GSE48895]. We obtained the fastq file from the bank [ENA (European Nucleotide Archive) accession number (fastq.gz): PRJNA 21123]. As described previously, after removing the adapter sequence with the Cutadapt tool (version 2.4; https://cutadapt.readthedocs.io/en/stable/index.html), reads were mapped to mm10 genome with Bowtie (Galaxy version 1.1.2) and converted to bam file with SAM-to-BAM tool (Galaxy version 2.1). These data were analyzed with the pausingIndex function of the groHMM tool (size, 500; up, 250; down, 250; http://bioconductor.org/packages/release/bioc/html/groHMM.html; version 1.10.0). Data of replication timing of mESCs were obtained from the following source (GEO ID: GSM450272). Spearmans rank correlation coefficient between either normalized intrinsic noise, burst size, or burst frequency and either promoter or gene body localization degree (RPM) of various factors at the upper and lower 5% transcripts of normalized intrinsic noise, burst size, and burst frequency was calculated. Next, the promoter-interacting distal enhancers were considered. Enhancers are believed to regulate gene expression by physical interaction with the promoter (10). Candidate distal cis-regulatory elements that interact with specific genes have been identified using capture Hi-C in mESCs (https://genomebiology.biomedcentral.com/articles/10.1186/s13059-015-0727-9). These data contain regions that interact with promoters and may include insulators and other elements in addition to enhancers. To identify the enhancers from regions that interact with the promoter of a particular gene, we manually screened for enhancers with relatively high RPM of H3K27ac ChIP-seq (RPM > 1.5; fig. S2L). Using these data, the RPM of other ChIP-seq data was calculated in the same manner as mentioned above in the candidate enhancers. Extreme outliers (with values 100 times the average) were excluded from the analysis. These enhancer data do not correspond to each transcript; instead, they rather correspond to each gene. Thus, the intrinsic noise, burst size, and burst frequency calculated using the gene-level count data were applied at this stage. Spearmans rank correlation coefficient of normalized intrinsic noise, burst size, and burst frequency with localization degree (RPM) of various factors in the upper and lower 5% enhancer of normalized intrinsic noise, burst size, and burst frequency of corresponding genes were calculated.

First, we classified promoter- and gene bodyassociated features of high (either intrinsic noise, burst size, or burst frequency) transcripts into 10 clusters. Then, to identify the most contributing features for characterization of a cluster of high transcripts (either intrinsic noise, burst size, or burst frequency) against low transcripts (either intrinsic noise, burst size, or burst frequency), we performed OPLS-DA modeling using ropls R package with 500 random permutations (version 1.8.0; https://bioconductor.org/packages/release/bioc/html/ropls.html). One predictive component and one orthogonal component were used. To find the most influential variables for separation of high groups (either intrinsic noise, burst size, or burst frequency) against low groups (either intrinsic noise, burst size or burst frequency), an S-plot with loadings of each variable on the x axis and correlation of scores to modeled x matrix [p(corr)[1]=Corr(t1,X),t1 = scores in the first predictive component] on the y axis was constructed. Three each of the top and bottom variables with absolute value of loadings were selected.

After primer trimming with the Cutadapt software (https://cutadapt.readthedocs.io/en/stable/guide.html), read counts were generated and statistical analysis was performed using MAGeCK (v0.5.5) (https://sourceforge.net/p/mageck/wiki/Home/). DE scores were calculated from the gene-level significance returned by MAGeCK with the following formula: DE score = log10(gene-level depletion P value) log10(gene-level enrichment P value). Genes with allelically normalized mean read count less than 10 from scRamDA-seq analysis were excluded from the downstream analysis. Then, genes were ranked by DE score. Subsequently, the top and bottom 100 genes were subjected to KEGG pathway enrichment analysis using an R package, clusterProfiler (v3.9.2; https://github.com/GuangchuangYu/clusterProfiler).

mRNA half-life can be determined using the following equation (37)T12=tln(2)ln(111+existingtotalnewtotal)where t, existing, new, and total indicate the 4sU treatment time and amounts of existing, newly synthesized, and total RNA, respectively. Here, t is 1/3; new/total is 1 (existing/total)T12=13ln(2)ln(111+existingtotal1existingtotal)(1)

All samples contained spike-in RNA. Because they are unlabeled by 4sU and biotin, they are not trapped by streptavidin beads, except for nonspecific adsorption and technical loss. Therefore, by normalization with the amount of spike-in RNA in total and unbound (existing), the true ratio of total and unbound transcript can be obtained using the following equationNorm.Ratio(existing/total)=[unbound(target)/unbound(spikein)]/[total(target)/total(spike-in)]=[unbound(target)/total(target)]/[unbound(spike-in)/total(spike-in)]

Unbound (target)/total (target) and unbound (spike-in)/total (spike-in) can be obtained by qPCR. Although most of the genes showed Norm.Ratio(existing/total) of more than 1, this is theoretically impossible (fig. S6B). It is possible that reverse transcription efficiency is drastically decreased by biotinylation of RNA. Here, we assumed that the presence of biotinylated RNA during reverse transcription may trap reverse transcriptase and that the efficiency of reverse transcription is further reduced globally. We assume that the global suppression effect of reverse transcriptase trapping is Ig (global inhibitory effect). Moreover, the reverse transcription inhibitory effect of biotinylated RNA itself is defined as Is. Also, we defined N, E, T, and Reff as the amount of biotinylated (newly synthesized) RNA, the amount of existing unbiotinylated RNA, the amount of reverse transcriptase, and reverse transcription efficiency of reverse transcriptase, respectively. From these definitions, the cDNA amount derived from total and existing RNA can be determined by the following equationstotalcDNA=ETReffIg+NTReffIgIsexistingcDNA=ETReffexistingcDNAtotalcDNA=EEIg+NIgIs=EIg(E+NIs)(2)

Next, a known value is introduced into Eq. 1 to solve coefficients. The half-life of Nanog mRNA under Std conditions has been reported to be approximately 4.7 hours (20). Therefore, the ideal ratio of existing/total Nanog mRNA amount is approximately 0.95203. In this case, the ideal relationship between newly synthesized and existing RNA is as followsEE+N=0.95203N=0.0503871E

The mean ratio of existing/total Nanog cDNA revealed by qPCR was 3.436867. Therefore, the relationship between Is and Ig is as follows from Eq. 2Ig=0.2909630.0503871Is+1

To determine the appropriate value of Is, several values were assigned to Is, and mRNA half-lives in the Std condition were compared with the previously reported mRNA half-lives (fig. S6C) (23). We found that the scaling of mRNA half-lives in the Std condition and that of previously reported mRNA half-lives were quite similar when Is is 0.1 and Ig is 0.289. Using Eqs. 1 and 2, the half-lives of mRNA can be obtained on the basis of the data using the value obtained from qPCR (fig. S6D). No significant difference in mRNA half-life was observed between Std and PD-MK conditions for the genes examined.

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Genome-wide kinetic properties of transcriptional bursting in mouse embryonic stem cells - Science Advances

Stem Cells Without Ethical Implications Are Ready for the Spotlight – Press Release – Digital Journal

Induced Pluripotent Stem Cells Forming an Emerging Market

WELLESLEY, Mass. - June 16, 2020 - (Newswire.com)

The global market for induced pluripotent stem cells (iPSCs), should reach $3.8 billion, growing 9.2% annually, according to the latest report by BCC Research, Induced Pluripotent Stem Cells: Global Markets.

iPSCs are reprogrammed cells from a patients body and are not harvested from embryos, thus avoiding the ethical debates associated with embryonic stem cells. Like other stem cells, they hold the immense promise of transforming into various types of human tissue cells and potentially representing highly effective treatments for serious illnesses.

Report Highlights

Read the full report here: https://www.bccresearch.com/market-research/biotechnology/induced-pluripotent-stem-cells-report.html

As a breakthrough technology recognized by the Nobel Prize in Physiology or Medicine 2012, iPSCstechnology has brought a revolutionary change to modern medicine, write BCC Research analysts. iPSC-related products are forming an emerging market despite the fact that clinical applications are still at their early stage. The potential scope of the iPSC market is becoming clear.

About BCC Research BCC Research publishes market research reports that provide organizations with intelligence to drive smart business decisions. By partnering with industry experts worldwide, BCC Research provides unbiased measurements and assessments of global markets covering current and emerging industrial and technology sectors. For more information about BCC Research, visit bccresearch.com.

Press Release Service by Newswire.com

Original Source: Stem Cells Without Ethical Implications Are Ready for the Spotlight

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Stem Cells Without Ethical Implications Are Ready for the Spotlight - Press Release - Digital Journal

Anonymous US stem cell donor saves the life of Norwich girl – Eastern Daily Press

PUBLISHED: 18:00 18 June 2020

Simon Parkin

Imogen Roe returned home to Norfolk after 100 days in isolation in hospital. Picture: Anna Dagless

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Imogen Roe, from Norwich, had just turned six when she was treated for routine tonsillitis. But her worried parents, Anna and Dean, took her back to the doctors when they noticed abnormal bruising and a rash on her body.

They were told to take Imogen to their local hospital, and were soon confronted with the devastating diagnosis.

Mum Anna, 38, said: We suspected it was a reaction to penicillin at worst. But within an hour of being at our local hospital we were told it was leukaemia, and within 24 hours we were in Addenbrookes Hospital. It all happened so fast, I dont remember feeling much other than panic and shock.

Because of the aggressiveness of her leukaemia, young Imogen began two-and-a-half years of high dosage chemotherapy.

Anna said: Imogen was such a trouper, and very co-operative which made for a very easy patient!

I cannot believe how well she just got on with things; cannulas, nose tubes, general anaesthetics, surgery - even though at times she has been very scared about procedures.

During this time the family was divided, with Imogen and her mum in Addenbrookes, whilst Dad Dean, 39, stayed at home with their other two children, Imogens twin sister Charlotte, and older brother Liam, 11.

MORE: Esm, three, wins 19-month cancer battle but cannot celebrate traditional bell ringing

In January 2019, almost three years after her diagnosis, young Imogen finished her chemo and rang her end of treatment bell to huge applause from doctors, nurses, hospital staff - and her proud, but exhausted parents.

The young family were finally able to get their lives back on track, but unfortunately more heartbreaking news was just around the corner.

Anna said: It was July 2019, almost three years to the day since Imogens original diagnosis, and we had just bought a puppy and booked a family holiday abroad with friends. Then we noticed that familiar rash on her legs, and were told to bring her to hospital.

After undergoing tests, doctors confirmed the worst Imogen had relapsed and the leukaemia had come back.

Doctors revealed that, in addition to further chemotherapy, Imogens best chance of beating the disease was to have a blood stem cell transplant from a matching donor.

Imogens siblings were both tested, and the family were delighted to be told that her sister Charlotte was a 100% match.

However, after further tests, they were confronted with shocking news after a decade of thinking Charlotte and Imogen were non-identical twins, they were in fact identical, which meant that Charlotte would not be a suitable donor after all.

Doctors began looking for Imogens potential lifesaver elsewhere searching the worldwide register of potential blood stem cell donors, hoping to find a perfect stranger who happens to be Imogens genetic twin.

With Imogens life hanging in the balance a match was found. Cord blood, donated by a new mother in the USA and frozen nine years prior, was a perfect match for Imogen. This was the only suitable match for Imogen anywhere in the world.

MORE: How support, prayers and herbal rememdies helped nurse beat coronavirus

As the frozen cord blood was prepared to be flown from America to the UK, Imogen had 10 days of conditioning treatment prior to transplant; four days of extremely strong chemotherapy, and then eight sessions of total body irradiation, to prepare her to receive the new blood stem cells.

This is an incredibly vulnerable point in any treatment plan. The new marrow should, over a few weeks, start to regenerate within the body, but for Imogen, after 36 days of daily blood tests, there was still no sign of any new cells being manufactured.

Her mum said: It was a very serious situation as without any white cells to fight off infection, Imogen was extremely vulnerable even from her isolation room, as you can pick up bugs from your own body.

Ten days post transplant she got an infection, and she went into septic shock. This led to several serious viruses, a chest infection, and bacterial infection. We had the rapid response team on standby for a transfer to intensive care, but Imogen pulled through, just as her dad arrived after making the five hour journey from our home.

Imogen remained in isolation in Bristol for 99 days, fighting off multiple infections, whilst dad Dean travelled the five hours back and forth between home and the hospital to bring Anna clean clothes and supplies.

Finally, Imogen was transferred back to Addenbrookes to continue her recovery one step closer to home.

MORE: Wife of rugby star launches new business two years after being given a month to live

On March 13, in the midst of the Covid-19 pandemic, she was finally discharged and returned home to her mum, dad and siblings, who are now all self isolating.

It had been 170 days since she, or mum Anna, had seen any extended family.

Speaking about Imogens anonymous donor, Anna said the family were acutely aware of the luck involved in finding a match.

She said: Imogen had just one match. There are some people we know through our time in hospitals who were fortunate enough to have a selection of matches, and many others are still waiting for a match that may never come.

If you are aged between 17 and 55 and in general good health, you take the first step to register as a blood stem cell donor by registering for a home swab kit at dkms.org.uk

If you value what this story gives you, please consider supporting the Eastern Daily Press. Click the link in the yellow box below for details.

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Anonymous US stem cell donor saves the life of Norwich girl - Eastern Daily Press

British boy who came to Singapore for treatment for aggressive cancer is ‘almost ready to go home’ – CNA

SINGAPORE: About nine months ago, doctors in the UK told Oscar Saxelby-Lees parents there was nothing more they could do for him all treatment options had been exhausted and there was only palliative care left for the little boy.

But after coming to Singapore for anexperimental treatment for acute lymphoblastic leukaemia, Oscar is now almost ready to go home after receiving news on Monday (Jun 15) he has been free of cancer for almost six months.

Since he was diagnosed in December 2018, he hasundergone rounds of chemotherapy, months in isolation, several stem cell transplants and a treatment in Singapore that only one other child in the world has received.

The six-year-old is set to undergo a check up later this week, and will hope to be given the all clear to fly home, his mother Olivia told CNA.

Hes like our little miracle. Its incredible, I couldnt express to you the feelings were feeling now, she said.

As long as all is okay and nothing needs to happen, or nothing needs to be changed, then we should be ready to go (home), which is incredible and for Oscar, is everything.

Hes a little boy who wants to experience life and to most of all, be with his family. He is really excited about it."

Going home will bringits own difficulties.

It is a huge step to go back. Singapore is our security net, and thats why its so hard for us as parents to kind of pack up and go and leave, Olivia explained.

I say a security net for us because when we go home, if anything were to happen to Oscar we are kind of worried because if anything did happen, where would you go?

But to just see our family again we are desperate just to get home to see people, just to see them.

"I know at the moment it is difficult, but just to have a cuddle, or you know, some support in front of us rather than over the phone or virtually its a real hard situation to be in.

COMPASSIONATE TREATMENT WAS LAST HOPE

The treatment atNUH was Oscars last hope. In the UK, doctors had battled for months to rid his body of the cancer.

But despite a stem cell transplant and four rounds of chemotherapy that left him very weak, the leukaemia kept coming back.Doctors told his parents there was no other treatment, and that the cancer would take his life.

The little boy from Worcester, England flew to Singapore after the family crowdfunded 500,000 (S$885,000) for a new form of treatment, in which immune cells from a patients blood aredrawn and equipped with a Chimeric Antigen Receptor (CAR-T).

The receptor binds itself to a specific protein on the cancer cell and activates the CAR-T cells to kill the cancer cells.

This particular form of CAR-T treatment is different and more difficult because the leukaemia cells resemble Oscars immunity system, Associate Professor Allen Yeoh, head of paediatric oncology at NUH, explained previously.

Oscar started treatment on Christmas Eve last year and three weeks later, was given the best news that there were no detectable cancer cells in his body the first major step. But there were always concerns the cancer could make a comeback, as it did previously.

Diseases like Oscars are really reluctant to give up, theyre quite vile, Olivia said. It gets progressively nasty.

IT HAS BEEN RELENTLESS

Over the last few months, Oscar has battled several conditions as a result of complications and undergone more surgeries and transplants.

He was diagnosed with both Graft versus host disease (GvHD) and Thrombotic microangiopathy(TMA) that caused him shaking spells, pain and weakness.

Brain damage also caused him problems with his mobility, and he uses a frame or needs a hand to walk.

Some of the side effects of the treatment have been relentless, Olivia said, adding that Oscar suffers from sickness, diarrhea, mood swings and mobility issues.

Hes had really bad tremors since he was diagnosed with brain damage post CAR-T (treatment). But he has done amazingly well with it, she said.

Hes had numerous side effects. It goes from something as simple as hair loss to, you know, real damage to the body. Oscar has struggled immensely from his mobility.

He's very frail, his legs are very weak. He is only just managing to walk without a (walking) frame.

Oscar was discharged just days after Singapore implemented a circuit breaker to curb the spread of COVID-19, and he has been battling the tremors while staying in.

Hes walking with a parents hand, or just about, maybe taking a couple of steps. Its like training a toddler again, and its really hard.

He's come so far but yet he's got so much to cope with on top. It's so hard.

But for Oscar, battling to get back on his feet is not new. When he first arrived in Singapore in November last year, he was so weak from the rounds of chemotherapy and months in isolation that bruises developed on his legs when he walked.

He manages to plow through, he's such a trooper. He really is in an inspiration to us.

It is a huge mountain of accomplishment for the six-year-old boy, Olivia said. We continue to remind him everyday of how far hes come, and how far he will go.

Olivia said they are "so grateful"to the medical staff at NUH for saving Oscars life.

The teams have been incredibly strong with us, and theyve supported our every decision, she said. They are just incredible."

She thanked Dr Frances Yeap, a consultant in paediatric oncology at the hospital and Prof Yeoh, who actually made us come here and forget about everybody elses opinion.

The nurses in Ward 8B at the hospital have also been a source of support for them, Olivia said.

They are a great team and the nurses. The consultants and the team have never doubted Oscar. We are so grateful. They have saved Oscars life.

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British boy who came to Singapore for treatment for aggressive cancer is 'almost ready to go home' - CNA

The BCG a Tuberculosis Vaccine Boosts Immune Cells and Reduces Risk of Other Infections – Gilmore Health News

According to a new study published in Cell Host & Microbe, a vaccine against tuberculosis (TB) that has been around for about a century can offer protection against other infections as well.

BCG Vaccine

Researchers from the University of Bonn and the Radboud University Medical Center, Nijmegen, in collaboration with counterparts from Australia and Denmark, have found that the BCG vaccine bolsters the immune system. BCG is an abbreviation for Bacillus Calmette-Guerin, the bacterium responsible for tuberculosis.

Read Also: Tuberculosis Vaccine (BCG) Could Help the Immune System Fight COVID 19

The BCG vaccine was first used medically in 1921. A hundred years after, it offers the only effective vaccination against the microbe causing TB.

Evidence suggests that the TB vaccine seems to enhance the immunity of patients. Scientists have only been unable to explain why this is the case before now.

People vaccinated with this biological preparation were found to have fewer infection issues. For instance, evidence from a West African country shows that newborns that were vaccinated died less often compared to those that were not.

Read Also: Coronavirus Mutations May Render Search for Vaccine Futile, Researchers Find

This new study explains to an extent why the effects of vaccination may persist for years, reducing vulnerability to other infections.

There is what medical experts call trained immunity. This may be described as the immunological memory of the innate immune system. It enables improved innate immune response to different types of infections.

There is insufficient research to explain why trained immunity could be effective for years. Its efficacy remains long after the immune cells present in the blood when a vaccine was used have died off. Scientists wanted to learn more about this in the new research.

Read Also: Can the World Produce Enough Vaccine For Coronavirus?

The team administered the BCG vaccine to 15 volunteers. It gave a placebo to five other subjects to enable assessment of vaccination effects.

Blood and bone marrow samples of these subjects were obtained three months after the vaccination. The researchers observed notable differences between persons in the two groups.

Immune cells in the blood of participants that got the vaccine produced considerably more cytokines. These inflammatory, intercellular messengers help to mediate and regulate immunity. They bolster the immune system.

Vaccination also promoted the activity of entirely different genes. These, in particular, included those involved in the production of cytokines.

Read Also: COVID-19: All the Essential Vitamins and Minerals for a Strong Immune System

Immune cells are of diverse types, but they all originate from the bone marrow. The hematopoietic stem cells, which give birth to all immune cells, come from the bone marrow.

Like other human cells, these cells contain in their nuclei numerous thousands of genes. These hereditary units may be compared to books containing instructions. Cells access these books for instructions whenever they want to produce a molecule.

However, it is not always possible or easy for cells to access the genes. The BCG vaccine changes the narrative in such cases when access is denied.

Read Also: Measles Temporarily Wipes Out The Immune System According To Study

We have found that after vaccination, certain genetic material becomes more accessible, which means that it can be read by the cells more frequently, said Prof. Dr. Andreas Schlitzer, a Life and Medical Sciences (LIMES) researcher at the University of Bonn.

Vaccination makes genes accessible for many months or even years. This is helpful for the increased production of cytokines, leading to stronger immune systems.

Prof. Dr. Mihai G. Netea of Radboud University Medical Center, Nijmegen said their findings explain how long-term, improved immune response results from vaccination. It possibly explains the persistent training effect on immunity.

Researchers are currently trying to develop vaccines to check the incidence of COVID-19 and other critical diseases among at-risk groups. This new study may contribute to that endeavor the scientists are hopeful that BCG vaccination could prove helpful.

Read Also: Bexsero, Meningococcal B Vaccine, May Protect Against Gonorrhea, Study Finds

According to the team, the vaccine may not entirely keep the coronavirus at bay. But it could reduce the risk of severe infections, especially among health workers.

Another interesting finding in the study was that vaccination made cells more efficient in fighting pathogens. A molecule referred to as hepatic nuclear factor (HNF) causes the cells to release cytokines only when there is a real threat.

However, this is not a recommendation of the BCG vaccine for protection against other infections. The World Health Organization (WHO) has yet to approve it for that purpose.

BCG Vaccination in Humans Elicits Trained Immunity via the Hematopoietic Progenitor Compartment

https://www.radboudumc.nl/en/news/2020/study-on-effect-of-bcg-vaccine-on-coronavirus-infection-in-the-elderly

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The BCG a Tuberculosis Vaccine Boosts Immune Cells and Reduces Risk of Other Infections - Gilmore Health News

Global Nerve Regeneration and Repair Market Growth Factors And Global Leading Players Are Abbott, Integra LifeSciences Corporation, Nevro Corp.,…

Global nerve regeneration and repair marketis registering a healthy CAGR of 12.95% in the forecast period of 2019-2026. This rise in the market value can be attributed to high incidences of nerve injuries globally. There are various technological advancement in the nerve repair technologies. There is a surge in the number of elderly population which is driving the market growth.

Few of the major market competitors currently working in the global nerve regeneration and repair market are Axogen Corporation, Boston Scientific Corporation, Alafair Biosciences, Medtronic, Baxter, Checkpoint Surgical., Abbott, Integra LifeSciences Corporation, Nevro Corp., Orthomed (UK) Ltd, Collagen Matrix, Inc., Cyberonics, Inc., Stryker, Polyganics, LivaNova PLC, Nuvectra, NeuroPace, Inc., Allen Medical Systems, Inc., Autonomic Technologies, Inc., COOK BIOTECH, INC., Elkem ASA, GlaxoSmithKline plc, Helius Medical Technologies, The Magstim Company Ltd., TissueGen among others.

Download Sample PDF Copy of Reporthttps://www.databridgemarketresearch.com/request-a-sample/?dbmr=global-nerve-regeneration-and-repair-market

A class and transparency is strictly maintained while carrying out research studies of this nerve regeneration and repair market report to offer an exceptional market research report for a specific niche. By unearthing the best market opportunities, resourceful information is offered to prosper in the market. The report also measures market drivers, market restraints, challenges, opportunities and key developments in the market. With such data and facts it becomes easy to have an actionable ideas, enhanced decision-making and better mapping business strategies. Thus, the consistent and extensive market information of this report will definitely help grow business and improve return on investment (ROI).

Key Developments in the Market:

Table Of Content:

Part 01: Executive Summary Part 02: Scope Of The Report Part 03: Market Landscape

Part 04: Market Sizing

Part 05: Market Segmentation By Product

Part 06: Five Forces Analysis

Part 07: Customer Landscape Part 08: Geographic Landscape

Part 09: Decision Framework Part 10: Drivers And Challenges

For More Insights Get Detailed TOC https://www.databridgemarketresearch.com/toc/?dbmr=global-nerve-regeneration-and-repair-market

Segmentation: Global Nerve Regeneration and RepairMarket

By Product

(Neurostimulation and Neuromodulation Devices, Biomaterials),

Indication

(Failed Back Surgery Syndrome, Parkinsons disease, Urinary Incontinence, Epilepsy, Gastroparesis, Nerve Repair, Grafting),

Application

(Neurostimulation and Neuromodulation Surgeries, Neurorrhaphy, Nerve Grafting, Stem Cell Therapy),

End User

(Hospitals and Clinics, Ambulatory Surgical Centers),

Geography

(North America, South America, Europe, Asia-Pacific, Middle East & Africa)

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Global Nerve Regeneration and Repair Market Growth Factors And Global Leading Players Are Abbott, Integra LifeSciences Corporation, Nevro Corp.,...