PMID- 37316563 OWN - NLM STAT- MEDLINE DCOM- 20230712 LR - 20231108 IS - 1750-2799 (Electronic) IS - 1754-2189 (Print) IS - 1750-2799 (Linking) VI - 18 IP - 7 DP - 2023 Jul TI - Purification and functional characterization of novel human skeletal stem cell lineages. PG - 2256-2282 LID - 10.1038/s41596-023-00836-5 [doi] AB - Human skeletal stem cells (hSSCs) hold tremendous therapeutic potential for developing new clinical strategies to effectively combat congenital and age-related musculoskeletal disorders. Unfortunately, refined methodologies for the proper isolation of bona fide hSSCs and the development of functional assays that accurately recapitulate their physiology within the skeleton have been lacking. Bone marrow-derived mesenchymal stromal cells (BMSCs), commonly used to describe the source of precursors for osteoblasts, chondrocytes, adipocytes and stroma, have held great promise as the basis of various approaches for cell therapy. However, the reproducibility and clinical efficacy of these attempts have been obscured by the heterogeneous nature of BMSCs due to their isolation by plastic adherence techniques. To address these limitations, our group has refined the purity of individual progenitor populations that are encompassed by BMSCs by identifying defined populations of bona fide hSSCs and their downstream progenitors that strictly give rise to skeletally restricted cell lineages. Here, we describe an advanced flow cytometric approach that utilizes an extensive panel of eight cell surface markers to define hSSCs; bone, cartilage and stromal progenitors; and more differentiated unipotent subtypes, including an osteogenic subset and three chondroprogenitors. We provide detailed instructions for the FACS-based isolation of hSSCs from various tissue sources, in vitro and in vivo skeletogenic functional assays, human xenograft mouse models and single-cell RNA sequencing analysis. This application of hSSC isolation can be performed by any researcher with basic skills in biology and flow cytometry within 1-2 days. The downstream functional assays can be performed within a range of 1-2 months. CI - (c) 2023. Springer Nature Limited. FAU - Hoover, Malachia Y AU - Hoover MY AD - Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA. FAU - Ambrosi, Thomas H AU - Ambrosi TH AD - Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA. AD - Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA. AD - Department of Orthopaedic Surgery, UC Davis Health, Sacramento, CA, USA. FAU - Steininger, Holly M AU - Steininger HM AUID- ORCID: 0000-0001-8098-3753 AD - Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA. FAU - Koepke, Lauren S AU - Koepke LS AD - Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA. FAU - Wang, Yuting AU - Wang Y AD - Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA. AD - Department of Orthopaedic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Zhao, Liming AU - Zhao L AD - Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA. AD - Department of Orthopaedic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Murphy, Matthew P AU - Murphy MP AUID- ORCID: 0000-0003-0885-4089 AD - Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA. AD - Blond McIndoe Laboratories, Division of Cell Matrix Biology and Regenerative Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK. FAU - Alam, Alina A AU - Alam AA AD - Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA. FAU - Arouge, Elizabeth J AU - Arouge EJ AD - Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA. FAU - Butler, M Gohazrua K AU - Butler MGK AD - Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA. FAU - Takematsu, Eri AU - Takematsu E AD - Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA. FAU - Stavitsky, Suzan P AU - Stavitsky SP AD - Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA. FAU - Hu, Serena AU - Hu S AD - Department of Orthopaedic Surgery, Stanford Hospitals and Clinics, Stanford, CA, USA. FAU - Sahoo, Debashis AU - Sahoo D AUID- ORCID: 0000-0003-2329-8228 AD - Department of Pathology, University of California San Diego, La Jolla, CA, USA. FAU - Sinha, Rahul AU - Sinha R AD - Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA. FAU - Morri, Maurizio AU - Morri M AD - Chan Zuckerberg BioHub, San Francisco, CA, USA. AD - Altos Labs, Redwood City, CA, USA. FAU - Neff, Norma AU - Neff N AD - Chan Zuckerberg BioHub, San Francisco, CA, USA. FAU - Bishop, Julius AU - Bishop J AD - Department of Orthopaedic Surgery, Stanford Hospitals and Clinics, Stanford, CA, USA. FAU - Gardner, Michael AU - Gardner M AD - Department of Orthopaedic Surgery, Stanford Hospitals and Clinics, Stanford, CA, USA. FAU - Goodman, Stuart AU - Goodman S AD - Department of Orthopaedic Surgery, Stanford Hospitals and Clinics, Stanford, CA, USA. FAU - Longaker, Michael AU - Longaker M AUID- ORCID: 0000-0003-1430-8914 AD - Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA. AD - Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA. AD - Hagey Laboratory for Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford University, Stanford, CA, USA. FAU - Chan, Charles K F AU - Chan CKF AUID- ORCID: 0000-0001-6570-7574 AD - Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA. chazchan@stanford.edu. AD - Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA. chazchan@stanford.edu. AD - Hagey Laboratory for Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford University, Stanford, CA, USA. chazchan@stanford.edu. LA - eng GR - S10 OD028493/OD/NIH HHS/United States GR - K99 AG049958/AG/NIA NIH HHS/United States GR - R01 DE026730/DE/NIDCR NIH HHS/United States GR - U01 HL099999/HL/NHLBI NIH HHS/United States GR - U01 HL099776/HL/NHLBI NIH HHS/United States GR - R00 AG049958/AG/NIA NIH HHS/United States GR - I01 BX003754/BX/BLRD VA/United States GR - R01 DK115600/DK/NIDDK NIH HHS/United States GR - R01 CA086065/CA/NCI NIH HHS/United States GR - R01 HL058770/HL/NHLBI NIH HHS/United States GR - R21 DE019274/DE/NIDCR NIH HHS/United States GR - R01 AR063717/AR/NIAMS NIH HHS/United States GR - R56 DE025597/DE/NIDCR NIH HHS/United States GR - R01 DE021683/DE/NIDCR NIH HHS/United States GR - K99 AG066963/AG/NIA NIH HHS/United States GR - R21 DE024230/DE/NIDCR NIH HHS/United States GR - R01 DE027323/DE/NIDCR NIH HHS/United States GR - K08 GM069677/GM/NIGMS NIH HHS/United States GR - P50 HG007735/HG/NHGRI NIH HHS/United States GR - R00 AG066963/AG/NIA NIH HHS/United States GR - R01 AR055650/AR/NIAMS NIH HHS/United States GR - U24 DE026914/DE/NIDCR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20230614 PL - England TA - Nat Protoc JT - Nature protocols JID - 101284307 SB - IM MH - Humans MH - Mice MH - Animals MH - Cell Lineage MH - Reproducibility of Results MH - *Mesenchymal Stem Cells MH - Cell Differentiation/physiology MH - Bone and Bones MH - Bone Marrow Cells MH - Cells, Cultured PMC - PMC10495180 MID - NIHMS1925629 EDAT- 2023/06/15 01:08 MHDA- 2023/07/12 06:42 PMCR- 2023/09/11 CRDT- 2023/06/14 23:21 PHST- 2022/04/13 00:00 [received] PHST- 2023/03/21 00:00 [accepted] PHST- 2023/07/12 06:42 [medline] PHST- 2023/06/15 01:08 [pubmed] PHST- 2023/06/14 23:21 [entrez] PHST- 2023/09/11 00:00 [pmc-release] AID - 10.1038/s41596-023-00836-5 [pii] AID - 10.1038/s41596-023-00836-5 [doi] PST - ppublish SO - Nat Protoc. 2023 Jul;18(7):2256-2282. doi: 10.1038/s41596-023-00836-5. Epub 2023 Jun 14.