Pluripotent stem cells (PSCs) can self-renew and differentiate into any cell type, including blood cells. In hematopoiesis, PSCs first become mesoderm, then hematopoietic progenitor cells, which give rise to all blood lineages. Embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs) are key in modeling and treating blood disorders, offering potential for gene editing and personalized therapies.
Pluripotent stem cells are cells that are not lineage restricted – they have the ability to self-renew and to become any cell type within the body. This includes the ability to become blood cells, which arise from the mesoderm lineage, but also includes the ability to become very different cell types arising from ectoderm (for example, neural cells) and endoderm lineages (for example, cells lining the digestive and respiratory systems). This is in contrast to hematopoietic stem cells, which can differentiate into all different blood cell types but are fully committed to the hematopoietic lineage. The developmental plasticity of PSCs makes them uniquely suited for regenerative medicine and in vitro modeling of early hematopoietic events.
The origin and potential of pluripotent stem cells involved in hematopoiesis have a significant influence on the pathways that drive the process of blood cell formation and its outcomes.
Since pluripotent stem cells serve as the foundational source for generating all blood cell types during hematopoiesis, understanding their origin is essential for studying how these cells contribute to hematopoietic lineages in both research and therapeutic contexts.
There are two primary sources of pluripotent stem cells:
Totipotent stem cells have the ability to form all types of cells, including cells like the placenta that support embryonic development but are not part of the embryo. Pluripotent stem cells have the ability to form all types of cells except for those that support embryonic development.
Hematopoiesis from pluripotent stem cells is a stepwise process that begins with the induction of PSCs to become mesoderm (1). Mesoderm then further differentiates to give rise to multiple lineages, including the hematopoietic lineage descended from hematopoietic progenitor cells (HPCs). Although they have limited ability to self-renew, the HPCs give rise to all myeloid and lymphoid lineages through further differentiation.
Transcription factors including RUNX1, GATA2 and TAL1 are essential for hematopoietic specification, while cytokines such as stem cell factor (SCF), interleukin-3 (IL-3), interleukin-6 (IL-6), erythropoietin (EPO) and thrombopoietin (TPO) direct lineage maturation in vitro.
In the laboratory, PSCs can be coaxed into hematopoietic lineages through stepwise differentiation protocols that recreate embryonic developmental cues. Co-culture with stromal cell lines such as OP9 can promote myeloid and lymphoid development, while defined cytokine cocktails can drive specific lineage outcomes.
Patient-specific iPSCs offer a powerful platform for disease modeling, enabling researchers to recreate inherited blood disorders in vitro and test targeted therapies. For example, iPSCs from patients with sickle cell disease or β-thalassemia have been genetically corrected using CRISPR-Cas9 and differentiated into healthy red blood cells. PSC-derived immune effector cells, such as NK cells and T cells, are also being engineered with chimeric antigen receptors (CARs) to enhance anti-tumor activity (2).
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