CAUTION: Human hiPSC cultures should be handled as potentially biohazardous material under institutional biosafety procedures. Perform all human hiPSC culture procedures in a certified Class II biological safety cabinet using sterile technique. All waste containing human cells, media exposed to human cells, and CRISPR/Cas9 plasmid material should be decontaminated in accordance with local biosafety guidelines before disposal. Doxycycline, puromycin, DMSO, and other chemical reagents should be handled with gloves and appropriate eye and skin protection, and waste should be discarded according to institutional chemical-waste procedures. Basement membrane extract (BME) should be handled using sterile technique and stored on ice before use to prevent premature polymerization. Liquid nitrogen storage and cryovial handling should be performed with appropriate cryogenic gloves, face protection, and caution to avoid cold burns or vial explosion during thawing.
NOTE: Before CRISPR/Cas9-mediated editing and neuronal differentiation, hiPSC cultures should meet predefined quality-control criteria. Cells must be confirmed negative for mycoplasma, display a normal karyotype or acceptable genomic integrity profile, and maintain robust expression of pluripotency markers, including OCT4, SOX2, NANOG, TRA-1-60, and/or SSEA4. Cultures should exhibit typical compact hiPSC colony morphology, with a high nuclear-to-cytoplasmic ratio, defined colony borders, and minimal spontaneous differentiation. Only actively proliferating cultures within the recommended passage range should be used, and cells should not exceed the laboratory-defined maximum passage number, typically below passage 40, unless otherwise validated. Cultures showing abnormal morphology, excessive spontaneous differentiation, poor growth, confirmed contamination, or evidence of genomic instability should be excluded from editing and differentiation experiments. All materials required for this protocol, including media recipes, are listed in the Table of Materials.
1. Preparation of reagents and culture plates
- Prepare the freezing medium by combining 40 mL of knock-out serum replacement (KOSR) and 10 mL of dimethyl sulfoxide (DMSO) in a 50 mL conical tube.
- Homogenize the freezing medium by pipetting up and down 10 times. Store the solution at 4 °C for up to 1 month.
- Dilute the basement membrane extract (BME) in Dulbecco's Modified Eagle Medium/F12 (DMEM/F12) medium at a final concentration of 80 µg/mL.
NOTE: Before dilution, verify the concentration of the received BME solution using the lot number on the vendor's website.
- Add 1 mL of the diluted BME per well to a 6-well plate. Immediately return the stock BME to 4 °C for up to 1 month.
- Tilt the plate to distribute the solution evenly across the entire surface of the wells. Ensure there are no uncoated areas.
- Incubate the plate for a minimum of 30 min at 37 °C before use.
NOTE: There is no maximum incubation time. If incubating for more than 1 day, ensure that the DMEM/F-12 does not evaporate. The BME solution used for one well can be reused only once to coat a second well. Manipulation of BME at room temperature should be brief due to its rapid polymerization.
2. Maintenance and passaging of hiPSCs
NOTE: In this protocol, hiPSC maintenance medium refers to mTeSR plus. mTeSR plus is the recommended medium for routine maintenance, passaging, recovery after nucleofection, and puromycin selection.
- Perform hiPSC passaging approximately every 4–6 days when the cells reach 60% confluence.
- Aspirate the culture medium from the wells using an aspirating pipette.
- Add 1 mL of ReLeSR to the well and incubate for 30 s at room temperature.
- Aspirate the dissociation reagent and incubate the plate for 8 min at 37 °C.
- Gently add 1 mL of hiPSC maintenance medium using a 5 mL pipette. Collect the cell suspension in a 50 mL tube.
- Mix 10 µL of the cell suspension with 10 µL of trypan blue in a microcentrifuge tube. Load 10 µL of the mixture onto a cell counter slide to determine the viable cell concentration.
- Aspirate the BME coating from a previously prepared well. Add 2 mL of hiPSC maintenance medium supplemented with Rho-associated coiled-coil kinase (ROCK) inhibitor (Y-27632; 10 μM final).
- Seed 100,000 hiPSCs into the well, aiming for a >90% viability. Move the plate in a figure-eight motion to ensure a homogeneous distribution of cells.
- Incubate the cells at 37 °C with 5% CO2.
- After 24 h, replace the medium with 2 mL of fresh mTeSR plus medium without ROCK inhibitor.
NOTE: A transient change in cell morphology (cell elongation) is expected in the presence of the ROCK inhibitor. Verify that cells regain their characteristic morphology after their removal.
3. Nucleofection of hiPSCs
- Pass the cells when the confluence reaches around 60%.
NOTE: In this protocol, approximately 60% confluence corresponds to actively growing hiPSC colonies covering slightly more than half of the well surface, with visible space between colonies and minimal spontaneous differentiation. Colonies should not be overgrown, extensively merged, or exhibit dense, multilayered centers at the time of nucleofection.
- Ensure the nucleofection device is turned on and the nucleofection supplement is added to the nucleofection solution P3. Prepare an ice bucket.
- Add 110 µL of the nucleofection solution P3 to a microcentrifuge tube placed on ice.
- Add 1 µg of the CRISPR/Cas9 plasmid and 1 µg of the donor plasmid containing the doxycycline-inducible ASCL1-P2A-DLX2. cassette, fluorescent reporter, and puromycin-resistance cassette to the tube. Mix gently without introducing bubbles.
- Prepare the destination plate by aspirating the BME from two coated wells. Add 2 mL of hiPSC maintenance medium containing a ROCK inhibitor to each well, and incubate the plate at 37 °C.
- Dissociate hiPSCs at 60% confluence from a well of a 6-well plate as described in steps 2.2 to 2.5. Transfer the suspension to a sterile tube and centrifuge for 5 min at 500 x g. at room temperature.
- Discard the supernatant and resuspend the cell pellet in the 110 µL of nucleofection solution P3 containing the plasmids. Pipette gently to avoid bubble formation.
- Transfer 100 µL of the cell suspension into a nucleofection cuvette placed on ice.
- Insert the cuvette into the nucleofector device and run the CB-150 program for hiPSCs.
- Immediately retrieve the cells using a plastic Pasteur pipette. Transfer equal volumes of the cell suspension into the two previously prepared wells.
- Distribute the cells using a figure-eight motion and incubate at 37 °C.
- After 24 h, replace the medium with mTeSR plus medium lacking ROCK inhibitor. Verify nucleofection efficiency by observing fluorescence if applicable.
4. Antibiotic selection
CAUTION: Puromycin is toxic. Handle with appropriate personal protective equipment and dispose of waste in accordance with institutional guidelines.
NOTE: Before selecting edited hiPSCs, determine the optimal puromycin concentration for each hiPSC line. Seed unedited hiPSCs at 100,000 cells per well in a BME-coated 6-well plate in hiPSC maintenance medium supplemented with ROCK inhibitor. After 24 h, replace the medium with fresh hiPSC maintenance medium containing puromycin at 0, 0.2, 0.4, 0.6, 0.8, 1.0, and 1.5 µg/mL. Replace puromycin-containing medium daily and monitor cell morphology and survival by brightfield microscopy for 5 days. The selected concentration should eliminate all unedited hiPSCs within 3–5 days while minimizing excessive toxicity. In this protocol, the optimal puromycin concentration is typically 0.4–0.6 µg/mL.
- Wait for 3 passages post-nucleofection, typically approximately 1–2 weeks depending on recovery and growth rate, to allow for the loss of non-integrated plasmids before initiating selection.
- Perform a cell passage and seed 100,000 cells per well.
- After 24 h, add puromycin at the concentration determined by the kill curve, typically 0.4–0.6 µg/mL.
- Maintain the puromycin selection for the predetermined duration, generally about 5 days.
- Validate the selected population by fluorescence microscopy or flow cytometry to estimate the proportion of reporter-positive cells.
NOTE: Proceed only with pooled populations showing broadly homogeneous reporter expression, ideally >80–90% reporter-positive cells. If reporter expression remains mosaic, extend selection, repeat enrichment, or consider clonal isolation before differentiation.
- Confirm correct AAVS1. targeting by junction PCR before initiating neuronal differentiation.
- When rigorous validation is required, verify PCR products by Sanger sequencing and assess transgene copy number by qPCR, ddPCR, or another appropriate copy-number assay.
- Evaluate random integration using PCR-based assays for plasmid backbone sequences or broader genome-wide integration analysis, depending on the intended downstream application.
- Confirm that the selected hiPSC population remains mycoplasma-negative, retains typical hiPSC colony morphology, and maintains robust growth after puromycin selection.
- Reassess genomic integrity by karyotyping, SNP array, or another validated assay, particularly when edited cells will be used for disease modeling, functional assays, or long-term studies.
- Assess potential CRISPR/Cas9 off-target effects by targeted sequencing of predicted off-target sites or, when required, broader genomic approaches.
NOTE: Do not use cultures for differentiation if they show abnormal morphology, poor recovery after selection, persistent mosaic reporter expression, confirmed genomic abnormalities, or failed AAVS1 integration. In this protocol, selected engineered hiPSCs are used as a pooled population and can be cryopreserved before doxycycline induction, once reporter expression, AAVS1. targeting, morphology, and growth have been validated. Cryopreservation after doxycycline induction or during neuronal maturation is not part of the standard workflow and should be empirically validated before use.
5. Differentiation into GABAergic neurons
- Prepare the necessary number of BME-coated wells. Note that one well seeded on Day 0 will yield one well of GABAergic neurons.
- Prepare 6.9 mL of neuro-induction medium per well, supplementing it with doxycycline (1 µg/mL). Include a 15% excess volume to account for evaporation or pipetting errors.
NOTE: Doxycycline is used at a final concentration of 1 µg/mL, starting on Day 0, and maintained throughout differentiation and maturation. Fresh doxycycline-containing medium is prepared at each medium change to maintain consistent transgene induction. This dose was selected because it produced robust reporter expression and efficient neuronal conversion in our hands. A formal doxycycline dose-response was not performed in this protocol; therefore, laboratories adapting the method may empirically test 0.1–2 µg/mL doxycycline if transgene induction appears suboptimal.
- On Day 0, dissociate the engineered hiPSCs and seed 200,000 cells into the prepared BME-coated wells. Incubate at 37 °C.
- On Days 1, 2, and 3, aspirate the medium and add 2 mL of fresh neuro-induction medium containing doxycycline.
NOTE: By Day 3, cell expansion should markedly decrease, and dendritic-like structures may begin to appear. If experimental confirmation of cell-cycle exit is required, Ki-67 immunostaining or EdU/BrdU incorporation can be performed at Day 3–4.
- On Day 4, prepare neuro-maturation medium containing brain-derived neurotrophic factor (BDNF), glial cell line-derived neurotrophic factor (GDNF), and neurotrophin-3 (NT-3), each at a final concentration of 10 ng/mL, doxycycline at 1 µg/mL, and PluriSln at 20 µM.
- Aspirate the neuro-induction medium. Carefully add 2 mL of the neuro-maturation medium drop-by-drop along the wall of the well to avoid disturbing the newly formed neurons.
- On Day 7, aspirate the medium and gently add 2 mL of neuro-maturation medium containing the neurotrophins and doxycycline, but omitting the pluripotent cell survival inhibitor.
- For long-term maintenance, replace the neuro-maturation medium completely every 3 to 4 days, adapting the frequency based on cell density.
NOTE: Day 21 is the standard endpoint for assessing GABAergic neuronal identity. By Day 21, cells should display GABAergic neuronal features, including DLX1 .expression, and continue to mature their axonal networks. A seeding density of 200,000 cells/well was empirically selected to produce well-spaced colonies while avoiding overcrowding and maturation-associated cell death. Densities of 150,000–300,000 cells/well are compatible, with lower densities preferred for morphology and higher densities for material recovery. To reduce detachment, perform more frequent half-medium changes using a 1,000 µL pipette at low flow without tilting the plate. If needed, cells may be replated once after the 3-day doxycycline induction, before the addition of maturation medium, using enhanced coatings such as poly-L-lysine/laminin or laminin-521. Further passaging after maturation begins should be avoided.
- Cultures may be maintained beyond Day 21 for extended maturation if networks remain attached, viable, and free of proliferating hiPSC-like colonies. After Day 21, perform half-medium changes every 3–4 days with fresh neuro-maturation medium containing doxycycline and neurotrophic factors.
NOTE: Use cultures for downstream assays once neuronal morphology and neurite networks are stable, detachment is minimal, and no undifferentiated colonies are visible. In our hands, cultures are typically used between Day 21 and Day 35.