[PDF][PDF] Comparison of magnetic resonance imaging and serum biomarkers for detection of human pluripotent stem cell-derived teratomas

J Riegler, A Ebert, X Qin, Q Shen, M Wang, M Ameen… - Stem Cell Reports, 2016 - cell.com
J Riegler, A Ebert, X Qin, Q Shen, M Wang, M Ameen, K Kodo, SG Ong, WH Lee, G Lee…
Stem Cell Reports, 2016cell.com
The use of cells derived from pluripotent stem cells (PSCs) for regenerative therapies
confers a considerable risk for neoplastic growth and teratoma formation. Preclinical and
clinical assessment of such therapies will require suitable monitoring strategies to
understand and mitigate these risks. Here we generated human-induced pluripotent stem
cells (iPSCs), selected clones that continued to express reprogramming factors after
differentiation into cardiomyocytes, and transplanted these cardiomyocytes into …
Summary
The use of cells derived from pluripotent stem cells (PSCs) for regenerative therapies confers a considerable risk for neoplastic growth and teratoma formation. Preclinical and clinical assessment of such therapies will require suitable monitoring strategies to understand and mitigate these risks. Here we generated human-induced pluripotent stem cells (iPSCs), selected clones that continued to express reprogramming factors after differentiation into cardiomyocytes, and transplanted these cardiomyocytes into immunocompromised rat hearts post-myocardial infarction. We compared magnetic resonance imaging (MRI), cardiac ultrasound, and serum biomarkers for their ability to delineate teratoma formation and growth. MRI enabled the detection of teratomas with a volume >8 mm3. A combination of three plasma biomarkers (CEA, AFP, and HCG) was able to detect teratomas with a volume >17 mm3 and with a sensitivity of more than 87%. Based on our findings, a combination of serum biomarkers with MRI screening may offer the highest sensitivity for teratoma detection and tracking.
cell.com