PMID- 32197113 OWN - NLM STAT- MEDLINE DCOM- 20210205 LR - 20210205 IS - 2213-6711 (Electronic) IS - 2213-6711 (Linking) VI - 14 IP - 4 DP - 2020 Apr 14 TI - Generation of Retinal Pigment Epithelial Cells Derived from Human Embryonic Stem Cells Lacking Human Leukocyte Antigen Class I and II. PG - 648-662 LID - S2213-6711(20)30062-X [pii] LID - 10.1016/j.stemcr.2020.02.006 [doi] AB - Human embryonic stem cell-derived retinal pigment epithelial (hESC-RPE) cells could serve as a replacement therapy in advanced stages of age-related macular degeneration. However, allogenic hESC-RPE transplants trigger immune rejection, supporting a strategy to evade their immune recognition. We established single-knockout beta-2 microglobulin (SKO-B2M), class II major histocompatibility complex transactivator (SKO-CIITA) and double-knockout (DKO) hESC lines that were further differentiated into corresponding hESC-RPE lines lacking either surface human leukocyte antigen class I (HLA-I) or HLA-II, or both. Activation of CD4+ and CD8+ T-cells was markedly lower by hESC-RPE DKO cells, while natural killer cell cytotoxic response was not increased. After transplantation of SKO-B2M, SKO-CIITA, or DKO hESC-RPEs in a preclinical rabbit model, donor cell rejection was reduced and delayed. In conclusion, we have developed cell lines that lack both HLA-I and -II antigens, which evoke reduced T-cell responses in vitro together with reduced rejection in a large-eyed animal model. CI - Copyright (c) 2020 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Petrus-Reurer, Sandra AU - Petrus-Reurer S AD - Clinical Neuroscience, Section for Ophtalmology and Vision, Karolinska Institutet, St. Erik Eye Hospital, 11282 Stockholm, Sweden; Department of Clinical Sciences, Intervention and Technology, Karolinska Insitutet, 17177 Stockholm, Sweden; Gynecology and Reproductive Medicine, Karolinska Universitetssjukhuset, 14186 Stockholm, Sweden. FAU - Winblad, Nerges AU - Winblad N AD - Department of Clinical Sciences, Intervention and Technology, Karolinska Insitutet, 17177 Stockholm, Sweden; Gynecology and Reproductive Medicine, Karolinska Universitetssjukhuset, 14186 Stockholm, Sweden. FAU - Kumar, Pankaj AU - Kumar P AD - Department of Clinical Sciences, Intervention and Technology, Karolinska Insitutet, 17177 Stockholm, Sweden; Gynecology and Reproductive Medicine, Karolinska Universitetssjukhuset, 14186 Stockholm, Sweden. FAU - Gorchs, Laia AU - Gorchs L AD - Department of Laboratory Medicine, Karolinska Institutet, 14152 Stockholm, Sweden. FAU - Chrobok, Michael AU - Chrobok M AD - Department of Medicine Huddinge, Center for Hematology and Regenerative Medicine, Karolinska Institutet, 17177 Stockholm, Sweden. FAU - Wagner, Arnika Kathleen AU - Wagner AK AD - Department of Medicine Huddinge, Center for Hematology and Regenerative Medicine, Karolinska Institutet, 17177 Stockholm, Sweden. FAU - Bartuma, Hammurabi AU - Bartuma H AD - Clinical Neuroscience, Section for Ophtalmology and Vision, Karolinska Institutet, St. Erik Eye Hospital, 11282 Stockholm, Sweden. FAU - Lardner, Emma AU - Lardner E AD - Clinical Neuroscience, Section for Ophtalmology and Vision, Karolinska Institutet, St. Erik Eye Hospital, 11282 Stockholm, Sweden. FAU - Aronsson, Monica AU - Aronsson M AD - Clinical Neuroscience, Section for Ophtalmology and Vision, Karolinska Institutet, St. Erik Eye Hospital, 11282 Stockholm, Sweden. FAU - Plaza Reyes, Alvaro AU - Plaza Reyes A AD - Department of Clinical Sciences, Intervention and Technology, Karolinska Insitutet, 17177 Stockholm, Sweden; Gynecology and Reproductive Medicine, Karolinska Universitetssjukhuset, 14186 Stockholm, Sweden. FAU - Andre, Helder AU - Andre H AD - Clinical Neuroscience, Section for Ophtalmology and Vision, Karolinska Institutet, St. Erik Eye Hospital, 11282 Stockholm, Sweden. FAU - Alici, Evren AU - Alici E AD - Department of Medicine Huddinge, Center for Hematology and Regenerative Medicine, Karolinska Institutet, 17177 Stockholm, Sweden. FAU - Kaipe, Helen AU - Kaipe H AD - Department of Laboratory Medicine, Karolinska Institutet, 14152 Stockholm, Sweden; Clinical Immunology and Transfusion Medicine, Karolinska University Hospital, Huddinge, 14186 Stockholm, Sweden. FAU - Kvanta, Anders AU - Kvanta A AD - Clinical Neuroscience, Section for Ophtalmology and Vision, Karolinska Institutet, St. Erik Eye Hospital, 11282 Stockholm, Sweden. FAU - Lanner, Fredrik AU - Lanner F AD - Department of Clinical Sciences, Intervention and Technology, Karolinska Insitutet, 17177 Stockholm, Sweden; Gynecology and Reproductive Medicine, Karolinska Universitetssjukhuset, 14186 Stockholm, Sweden; Ming Wai Lau Center for Reparative Medicine, Stockholm Node, Karolinska Institutet, 17177 Stockholm, Sweden. Electronic address: fredrik.lanner@ki.se. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200319 PL - United States TA - Stem Cell Reports JT - Stem cell reports JID - 101611300 RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Histocompatibility Antigens Class II) RN - 0 (MHC class II transactivator protein) RN - 0 (Nuclear Proteins) RN - 0 (Trans-Activators) RN - 0 (beta 2-Microglobulin) RN - EC 3.1.- (CRISPR-Associated Protein 9) SB - IM MH - CRISPR-Associated Protein 9/metabolism MH - CRISPR-Cas Systems/genetics MH - Cytotoxicity, Immunologic MH - Epithelial Cells/*metabolism MH - Heterografts MH - Histocompatibility Antigens Class I/*metabolism MH - Histocompatibility Antigens Class II/*metabolism MH - Human Embryonic Stem Cells/*cytology/metabolism MH - Humans MH - Immunomodulation MH - Nuclear Proteins/metabolism MH - Polymorphism, Single Nucleotide/genetics MH - Retinal Pigment Epithelium/*cytology MH - T-Lymphocytes/metabolism MH - Trans-Activators/metabolism MH - beta 2-Microglobulin/metabolism PMC - PMC7160308 OTO - NOTNLM OT - HLA-I knockout OT - HLA-II knockout OT - cellular therapy OT - human embryonic stem cells OT - immune evasion OT - retinal pigment epithelium OT - subretinal injection OT - transplantation rejection OT - xenogeneic transplant OT - xenograft model EDAT- 2020/03/21 06:00 MHDA- 2021/02/07 06:00 PMCR- 2020/03/19 CRDT- 2020/03/21 06:00 PHST- 2019/05/28 00:00 [received] PHST- 2020/02/18 00:00 [revised] PHST- 2020/02/19 00:00 [accepted] PHST- 2020/03/21 06:00 [pubmed] PHST- 2021/02/07 06:00 [medline] PHST- 2020/03/21 06:00 [entrez] PHST- 2020/03/19 00:00 [pmc-release] AID - S2213-6711(20)30062-X [pii] AID - 10.1016/j.stemcr.2020.02.006 [doi] PST - ppublish SO - Stem Cell Reports. 2020 Apr 14;14(4):648-662. doi: 10.1016/j.stemcr.2020.02.006. Epub 2020 Mar 19.