Restoration of keratinocytic phenotypes in autonomous trisomy-rescued cells

Akiko Tanuma-Takahashi1,2, Momoko Inoue1,2, Kazuhiro Kajiwara1,2

  • 1Center for Regenerative Medicine, National Center for Child Health and Development Research Institute, 2-10-1 Okura, Setagaya, Tokyo, 157-8535, Japan.

Abstract

Insights

Down syndrome (trisomy 21) impairs epidermal stem cell function. Rescued cells with normal chromosome number restore keratinocyte differentiation and enable 3D skin formation, offering therapeutic potential.

Area of Science:

  • Stem Cell Biology
  • Developmental Biology
  • Genetics

Background:

  • Down syndrome (trisomy 21) is linked to cellular and systemic abnormalities, including skin issues.
  • Limited research exists on trisomy 21's impact on epidermal stem cells and progenitor dysfunction.
  • This study investigates keratinocyte differences between Down syndrome and normal cells using induced pluripotent stem cells.

Purpose of the Study:

  • To compare keratinocytic characteristics between Down syndrome and euploid cells.
  • To assess the differentiation potential of trisomy 21-induced pluripotent stem cells (T21-iPSCs) versus autonomous rescued disomy 21-iPSCs (D21-iPSCs).
  • To evaluate the capacity for epidermal stratification and 3D skin formation.

Main Methods:

  • Keratinocytic differentiation of T21-iPSCs and D21-iPSCs.
  • Culture optimization using Rho kinase inhibitor and mouse feeder cells for extended keratinocyte lifespan.
  • Dispase-based purification for cell sheet formation.
  • 3D air-liquid interface culture to assess stratification.

Main Results:

  • Disomy 21-iPSCs, unlike T21-iPSCs, successfully differentiated into epidermal cells expressing keratinocytic markers (KRT14, TP63).
  • Keratinocyte lifespan was extended to over 34 population doublings (160 days) using optimized culture conditions.
  • Disomy iPSC-derived keratinocytes formed epidermal sheets and generated 3D skin constructs with dermal fibroblasts.

Conclusions:

  • Autonomous trisomy-rescued iPSCs can restore keratinocyte differentiation and function.
  • These cells exhibit stratification potential for manufacturing 3D skin.
  • This suggests a pathway for restoring epidermal integrity in Down syndrome-related dermatological conditions.