Related Experiment Video
Updated: Aug 15, 2025

Author Spotlight: Advancements and Challenges in β-Cells Differentiation from Pluripotent Stem Cells
Published on: February 2, 2024
CDK8/19 inhibition plays an important role in pancreatic β-cell induction from human iPSCs
Kensuke Sakuma1,2, Noriko Tsubooka-Yamazoe3,4, Kiyohiro Hashimoto5
1iPSC-Derived Pancreatic Islet Cell (iPIC) Therapy Department, Orizuru Therapeutics Inc., Fujisawa, Kanagawa, 251-8555, Japan. kensuke.sakuma@orizuru-therapeutics.com.
Background:
Transplantation of differentiated cells from human-induced pluripotent stem cells (hiPSCs) holds great promise for clinical treatments. Eliminating the risk factor of malignant cell transformation is essential for ensuring the safety of such cells. This study was aimed at assessing and mitigating mutagenicity that may arise during the cell culture process in the protocol of pancreatic islet cell (iPIC) differentiation from hiPSCs.
Methods:
We evaluated the mutagenicity of differentiation factors used for hiPSC-derived pancreatic islet-like cells (iPICs). We employed Ames mutagenicity assay, flow cytometry analysis, immunostaining, time-resolved fluorescence resonance energy transfer-based (TR-FRET) cell-free dose-response assays, single-cell RNA-sequencing and in vivo efficacy study.
Results:
We observed a mutagenic effect of activin receptor-like kinase 5 inhibitor II (ALK5iII). ALK5iII is a widely used β-cell inducer but no other tested ALK5 inhibitors induced β-cells. We obtained kinase inhibition profiles and found that only ALK5iII inhibited cyclin-dependent kinases 8 and 19 (CDK8/19) among all ALK5 inhibitors tested. Consistently, CDK8/19 inhibitors efficiently induced β-cells in the absence of ALK5iII. A combination treatment with non-mutagenic ALK5 inhibitor SB431542 and CDK8/19 inhibitor senexin B afforded generation of iPICs with in vitro cellular composition and in vivo efficacy comparable to those observed with ALK5iII.
Conclusion:
Our findings suggest a new risk mitigation approach for cell therapy and advance our understanding of the β-cell differentiation mechanism.
Insights
Researchers identified a mutagenic risk with a common pancreatic islet cell (iPIC) differentiation factor, activin receptor-like kinase 5 inhibitor II (ALK5iII). A safer alternative using a combination of inhibitors was developed for cell therapy.
Area of Science:
- Stem cell biology
- Regenerative medicine
- Drug discovery
Background:
- Human-induced pluripotent stem cells (hiPSCs) offer therapeutic potential but require safety assessments for clinical use.
- Malignant cell transformation is a critical safety concern in hiPSC-derived cell therapies.
- This study addresses mutagenicity risks in the differentiation protocol for hiPSC-derived pancreatic islet-like cells (iPICs).
Purpose of the Study:
- To evaluate the mutagenicity of differentiation factors used in hiPSC-derived iPIC generation.
- To identify and mitigate mutagenic risks associated with specific chemical inducers.
- To develop a safer protocol for iPIC differentiation for potential cell therapy applications.
Main Methods:
- Ames mutagenicity assay was used to assess the genotoxicity of differentiation factors.
- Flow cytometry, immunostaining, and TR-FRET assays were employed for cellular analysis.
- Single-cell RNA-sequencing and in vivo efficacy studies were conducted to evaluate iPIC function and safety.
Main Results:
- Activin receptor-like kinase 5 inhibitor II (ALK5iII), a common inducer, demonstrated mutagenic effects.
- ALK5iII uniquely inhibited cyclin-dependent kinases 8 and 19 (CDK8/19).
- A combination of a non-mutagenic ALK5 inhibitor (SB431542) and a CDK8/19 inhibitor (senexin B) successfully generated iPICs with comparable efficacy and safety.
Conclusions:
- A novel risk mitigation strategy for cell therapy involving specific kinase inhibitors was developed.
- This study advances the understanding of the molecular mechanisms underlying β-cell differentiation.
- The findings pave the way for safer and more effective hiPSC-based cell therapies.
Related Concept Videos
Inhibition of Cdk Activity
iPS Cell Differentiation
Induced Pluripotent Stem Cells
Somatic...
EPS and iPS Cells in Disease Research

