A rapid, robust way of isolating viable adult epithelial stem cells from human skin is described. The method utilizes enzymatic digestion of skin collagen matrix , followed by plucking of hair follicles and isolation of single cell suspensions or tissue fragments for cell culture.
The homeostasis of all self-renewing tissues is dependent on adult stem cells. As undifferentiated stem cells undergo asymmetric divisions, they generate daughter cells that retain the stem cell phenotype and transit-amplifying cells (TA cells) that migrate from the stem cell niche, undergo rapid proliferation and terminally differentiate to repopulate the tissue.
Epithelial stem cells have been identified in the epidermis, hair follicle, and intestine as cells with a high in vitro proliferative potential and as slow-cycling label-retaining cells in vivo 1-3. Adult, tissue-specific stem cells are responsible for the regeneration of the tissues in which they reside during normal physiologic turnover as well as during times of stress 4-5. Moreover, stem cells are generally considered to be multi-potent, possessing the capacity to give rise to multiple cell types within the tissue 6. For example, rodent hair follicle stem cells can generate epidermis, sebaceous glands, and hair follicles 7-9. We have shown that stem cells from the human hair follicle bulge region exhibit multi-potentiality 10.
Stem cells have become a valuable tool in biomedical research, due to their utility as an in vitro system for studying developmental biology, differentiation, tumorigenesis and for their possible therapeutic utility. It is likely that adult epithelial stem cells will be useful in the treatment of diseases such as ectodermal dysplasias, monilethrix, Netherton syndrome, Menkes disease, hereditary epidermolysis bullosa and alopecias 11-13. Additionally, other skin problems such as burn wounds, chronic wounds and ulcers will benefit from stem cell related therapies 14,15. Given the potential for reprogramming of adult cells into a pluripotent state (iPS cells)16,17, the readily accessible and expandable adult stem cells in human skin may provide a valuable source of cells for induction and downstream therapy for a wide range of disease including diabetes and Parkinson’s disease.
1. Extract Epithelial Stem Cells from Human Skin
2. Culture Primary Epithelial Stem Cells
3. Passage Epithelial Stem Cells
4. Immortalize Epithelial Stem Cells
Primary cells, even adult stem cells, reach senescence after serial passage and months in culture. Immortalization of primary stem cells is an effective way to relieve this problem.
5. Representative Results
Early passage of skin epithelial stem cells and immortalized epithelial stem cells form tight colonies consisting of small keratinocytes (Figure 2A) surrounded by feeder cells. If cultured in serum free media with defined supplements, without a feeder layer, the stem cells will disperse and not form tight colonies (they grow as single cells and small clusters). Immortalized epithelial stem cells maintain a stable phenotype for >12 months of continuous passage, but tended to form tighter colonies than the primary cells. They do not form anchorage independent colonies in soft agar assays, indicating that these immortalized cells do not possess the characteristics of cancerous cells. Both primary and immortalized epithelial stem cells express hair follicle stem cell marker cytokeratin 15 (Figure 3A), and are able to differentiate into epidermal, hair follicle and sebaceous lineages (Figure 3B-D).
Figure 1. Plucked hairs. After plucking from dispase-treated skin, hair follicles appear as either telogen club hairs (A) with a ball of cells surrounding the bottom of the hair, or anagen hairs (B) with a sleeve of epithelium surrounding the length of the hair. The telogen bulge region forms a distinct morphologic region to micro-dissect, while the anagen bulge is less distinct. The anagen bulb contains matrix keratinocytes, representing transit-amplifying cells that can also be isolated and cultured.
Figure 2. Stem cells cultures. (A) Epithelial stem cells from skin form tight epithelial colonies (designated by E) when cultured in KCM with a feeder layer of cells (designated by F). (B) Hair follicle explants give rise to epithelial outgrowths. The telogen bulge region (designated by T) is attached to the dish and surrounded epithelial cell colony along with feeder cells.
Figure 3. Stem cell differentiation. (A) Stem cells colonies maintain expression of epithelial markers such as cytokeratin 15. (B) Skin epithelial stem cells can be differentiated along the hair follicle lineage as determined by K6Hf expression. (C) The cells can be cultured on de-epidermalized dermis or other matrices at the air-liquid interface and will form a stratified epidermis with cornified layer, granular layer and spinous layer. (D) Stem cells can be induced along the sebaceous lineage with Oil Red positive globules.
The cell extraction and culture methods described are surprisingly facile and reproducible. We have generated epithelial stem cell cultures from dozens of individuals across a broad age range, including patients with inherited skin defects18. It is best to begin the process on the day of tissue harvest, however cells will remain viable in media on ice for several days, facilitating overnight shipping if needed. Discarded facelift skin yields hundreds of viable follicles for cell extraction as single cell suspensions. For more limited tissue, such as from a punch biopsy of the scalp, explant cultures may be more effective, since there is less chance for cell loss in trypsinization and centrifugation. For explant cultures, the most important aspect is attachment of the tissue fragment to the dish. The addition of small amounts of media just covering the tissue and minimal manipulation is recommended until outgrowths appear in 10-14 days.
Adult epithelial stem cells from the skin could have a broad application. Cultured skin cells are already in clinical application for burn patients and chronic wounds. The challenge now has become creating a better skin equivalent with sweat glands and hair. The potential utilization of skin stem cells for hair regeneration is exciting possibility.
As mentioned previously, the ability to induce a primitive pluripotent state in adult cells represents a significant advancement for potential cell based therapies without the utilization of embryonic stem cells 16,17. However, the process is inefficient and potentially oncogenic, since viral vectors are used to induce expression of stem cell genes. If one starts with an adult stem cell population, it may greatly increase the efficiency and obviate the need for stable viral transfections to induce pluripotency. Transplantation of bone marrow stem cells has been utilized as a cell-based approach to treat severe skin diseases such as epidermolysis bullosa.19,20 In addition, correction of the collagen 7 defect in epidermolysis bullosa has been achieved in patient keratinocytes in vitro.21 Isolation of epithelial stem cells from a skin biopsy may provide resources to expand on this earlier work and develop individualized cell therapies using autologous cells.
It is interesting that the hair follicle bulge region is also the site of other adult stem cell / progenitor cell pools. Xu et al.22 has identified multipotent mesenchymal stem cells from this region. Melanocyte precursors also reside in the hair bulge23. Thus, the hair follicle isolation method presented here can easily be adapted to isolate these other cell types for further experimentation.
The authors have nothing to disclose.
This work is funded by NIH/ NCI grant R01CA-118916
Material Name | Type | Company | Catalogue Number | Comment |
---|---|---|---|---|
DMEM | GIBCO | 11995 | ||
Hams F12 | GIBCO | 11765 | ||
Fetal Bovine Serum (FBS) | GIBCO | 16000 | ||
Insulin | GIBCO | 12585 | ||
T3 | Sigma | T-2752 | ||
Transferrin | Roche | 10652202001 | ||
Hydrocortisone | Sigma | H-4001 | ||
Cholera Toxin | Sigma | C8052 | ||
Epidermal growth factor (EGF) | Sigma | E-9644 | ||
Adenine | Sigma | A9795 | ||
Trypsin(10X) | GIBCO | 15090 | ||
VERSENE | GIBCO | 15040 | ||
G418 Sulfate | Cellgro | 30-234-CR | ||
Hanks’ Balanced Salt solution | Sigma | H6648 | ||
1X PBS | Cellgro | 21-040-CV | ||
Mitomycin C | Roche | 10107409001 | ||
Penicillin/streptomycin | Invitrogen | 15140122 | ||
Dispase | Invitrogen | 17105 | ||
Crystal Violet | Fisher | C581-25 |
Keratinocyte media (KCM)
[DMEM and Ham s F12 (GIBCO, 3:1), adenine (Sigma, 180 mM), 10% fetal bovine serum (GIBCO), cholera toxin (ICN, 0.1 nM), penicillin/streptomycin (GIBCO, 100 U/ml and 100 mg/ml, respectively), hydrocortisone (Sigma, 0.4 mg/ml, 1.1 mM), T/T3 (transferrin, GIBCO, 5 μg/ml, 649 nM; and triiodo-l-thyronine, Sigma, 2 nM), insulin (Sigma, 5 mg/ml, 862 nM), and EGF (Sigma, 10 ng/ml, 1.6 nM), pH 7.2]