Trisomy 21-associated defects in human primitive hematopoiesis revealed through induced pluripotent stem cells

Stella T Chou1, Marta Byrska-Bishop, Joanna M Tober

  • 1Division of Hematology, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.

Insights

Down syndrome (trisomy 21) impacts early blood development. Modeling this using stem cells revealed altered embryonic hematopoiesis with increased red blood cell production and decreased myeloid cell production.

Area of Science:

  • Hematology
  • Developmental Biology
  • Genetics

Background:

  • Patients with Down syndrome (trisomy 21) exhibit lifelong hematologic abnormalities, including neonatal blood count anomalies and preleukemia.
  • Expanded erythro-megakaryocytic precursors with increased proliferation are found in trisomy 21 fetal livers.
  • The effects of trisomy 21 on early embryonic hematopoiesis remain largely unexamined in humans.

Purpose of the Study:

  • To investigate the impact of trisomy 21 on the earliest stages of human embryonic hematopoiesis.
  • To model trisomy 21 yolk sac hematopoiesis using human induced pluripotent stem cells (iPSCs).

Main Methods:

  • Generation of human iPSCs from individuals with trisomy 21.
  • Differentiation of iPSCs into hematopoietic progenitor populations.
  • Analysis of progenitor frequency, proliferation, and developmental potential.

Main Results:

  • Trisomy 21 iPSC-derived blood progenitors were present at normal frequencies and proliferated normally.
  • Altered developmental potential was observed: enhanced erythropoiesis and reduced myelopoiesis.
  • Megakaryocyte production remained normal, and findings partially overlapped with, yet differed from, trisomy 21 fetal liver data.

Conclusions:

  • Trisomy 21 confers distinct hematopoietic defects that are dependent on developmental stage and species.
  • Human iPSCs offer a valuable model for studying early-stage normal and pathological human development, particularly hematopoiesis.

Related Concept Videos

Induced Pluripotent Stem Cells01:06

Induced Pluripotent Stem Cells

Stem cells are undifferentiated cells that divide and produce different cell types. Ordinarily, cells that have differentiated into a specific cell type are terminally differentiated; however, scientists have found a way to reprogram these mature cells so that they dedifferentiate and return to an unspecialized, proliferative state. These cells are pluripotent like embryonic stem cells—able to produce all cell types—and are called induced pluripotent stem cells (iPSCs).
Somatic cells are...
Induced Pluripotent Stem Cells01:13

Induced Pluripotent Stem Cells

Stem cells are undifferentiated cells that divide and produce different types of cells. Ordinarily, cells that have differentiated into a specific cell type are post-mitotic—that is, they no longer divide. However, scientists have found a way to reprogram these mature cells so that they “de-differentiate” and return to an unspecialized, proliferative state. These cells are also pluripotent like embryonic stem cells—able to produce all cell types—and are therefore called induced pluripotent stem...
iPS Cell Differentiation01:22

iPS Cell Differentiation

The ability of induced pluripotent stem cells or iPSCs to differentiate into most body cell types has stimulated repair and regenerative medicine research over the past few decades. iPSC-derived blood cells, hepatocytes, beta islet cells, cardiomyocytes, neurons, and other cell types can repair injuries or regenerate damaged tissue in diseases such as diabetes and neurodegenerative disorders.