DNA Repair in Human Pluripotent Stem Cells Is Distinct from That in Non-Pluripotent Human Cells

PLOS ONE, Mar 2012

The potential for human disease treatment using human pluripotent stem cells, including embryonic stem cells and induced pluripotent stem cells (iPSCs), also carries the risk of added genomic instability. Genomic instability is most often linked to DNA repair deficiencies, which indicates that screening/characterization of possible repair deficiencies in pluripotent human stem cells should be a necessary step prior to their clinical and research use. In this study, a comparison of DNA repair pathways in pluripotent cells, as compared to those in non-pluripotent cells, demonstrated that DNA repair capacities of pluripotent cell lines were more heterogeneous than those of differentiated lines examined and were generally greater. Although pluripotent cells had high DNA repair capacities for nucleotide excision repair, we show that ultraviolet radiation at low fluxes induced an apoptotic response in these cells, while differentiated cells lacked response to this stimulus, and note that pluripotent cells had a similar apoptotic response to alkylating agent damage. This sensitivity of pluripotent cells to damage is notable since viable pluripotent cells exhibit less ultraviolet light-induced DNA damage than do differentiated cells that receive the same flux. In addition, the importance of screening pluripotent cells for DNA repair defects was highlighted by an iPSC line that demonstrated a normal spectral karyotype, but showed both microsatellite instability and reduced DNA repair capacities in three out of four DNA repair pathways examined. Together, these results demonstrate a need to evaluate DNA repair capacities in pluripotent cell lines, in order to characterize their genomic stability, prior to their pre-clinical and clinical use.

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DNA Repair in Human Pluripotent Stem Cells Is Distinct from That in Non-Pluripotent Human Cells

et al. (2012) DNA Repair in Human Pluripotent Stem Cells Is Distinct from That in Non- Pluripotent Human Cells. PLoS ONE 7(3): e30541. doi:10.1371/journal.pone.0030541 DNA Repair in Human Pluripotent Stem Cells Is Distinct from That in Non-Pluripotent Human Cells Li Z. Luo 0 Sailesh Gopalakrishna-Pillai 0 Stephanie L. Nay 0 Sang-Won Park 0 Steven E. Bates 0 Xianmin Zeng 0 Linda E. Iverson 0 Timothy R. O'Connor 0 Costanza Emanueli, University of Bristol, United Kingdom 0 1 Department of Cancer Biology, Beckman Research Institute, City of Hope National Medical Center, Duarte, California, United States of America, 2 Department of Stem Cell Biology, Beckman Research Institute, City of Hope National Medical Center, Duarte, California, United States of America, 3 North Bay CIRM Shared Research Laboratory for Stem Cells and Aging, Buck Institute for Age Research , Novato, California , United States of America The potential for human disease treatment using human pluripotent stem cells, including embryonic stem cells and induced pluripotent stem cells (iPSCs), also carries the risk of added genomic instability. Genomic instability is most often linked to DNA repair deficiencies, which indicates that screening/characterization of possible repair deficiencies in pluripotent human stem cells should be a necessary step prior to their clinical and research use. In this study, a comparison of DNA repair pathways in pluripotent cells, as compared to those in non-pluripotent cells, demonstrated that DNA repair capacities of pluripotent cell lines were more heterogeneous than those of differentiated lines examined and were generally greater. Although pluripotent cells had high DNA repair capacities for nucleotide excision repair, we show that ultraviolet radiation at low fluxes induced an apoptotic response in these cells, while differentiated cells lacked response to this stimulus, and note that pluripotent cells had a similar apoptotic response to alkylating agent damage. This sensitivity of pluripotent cells to damage is notable since viable pluripotent cells exhibit less ultraviolet light-induced DNA damage than do differentiated cells that receive the same flux. In addition, the importance of screening pluripotent cells for DNA repair defects was highlighted by an iPSC line that demonstrated a normal spectral karyotype, but showed both microsatellite instability and reduced DNA repair capacities in three out of four DNA repair pathways examined. Together, these results demonstrate a need to evaluate DNA repair capacities in pluripotent cell lines, in order to characterize their genomic stability, prior to their pre-clinical and clinical use. - Funding: This work was supported by funding from the California Institute of Regenerative Medicine (RS1-00428-1 to TRO, http://www.cirm.ca.gov/content/ sources-genetic-instability-human-embryonic-stem-cells), the National Institutes of Health (SPORE P50 CA107399, S. Forman, http://www.nih.gov/index.html), the Irell and Manella School of Biological Sciences of City of Hope, the City of Hope Comprehensive Cancer Center Grant (NCI 5P30CA033572-27, M. Friedman, http:// www.cancer.gov/), and the Beckman Research Institute of City of Hope. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing Interests: The authors have declared that no competing interests exist. The self-renewal and differentiation properties of human pluripotent stem cells (pluripotent cells), including both human embryonic stem cells (hESCs) and induced pluripotent stem cells (iPSCs), make them promising resources for regenerative medicine. Nevertheless, before these cells can be used therapeutically, it is critical to understand the potential risks linked to cellular maintenance and transmission of genetic information. DNA repair mechanisms are responsible for preserving genomic integrity in all cell types. However, reduced repair capacities can lead to genomic instability, which has been reported in some hESC lines [1,2] and iPSC lines [3,4]. Therefore, determining the DNA repair capacities for DNA repair pathways in pluripotent cells is a critical issue for pre-clinical information, as well as for understanding how pluripotent cells protect their genomes from damage. Standard DNA repair pathways in mammalian cells include base excision repair [5,6], nucleotide excision repair [7,8], homologous repair, single-strand annealing, non-homologous end-joining repair, mismatch repair [9], and direct DNA repair [10]. Base excision repair corrects small DNA alterations, such as oxidized bases, uracil or alkylating agent damage. Nucleotide excision repair, on the other hand, removes mainly bulky lesions (e.g., cyclobutane pyrimidine dimers) by excision of 2729-mer oligodeoxyribonucleotides. Nucleotide excision repair is further subdivided into global genome-nucleotide excision repair and transcription couplednucleotide excision repair. Homologous repair, non-homologous end-joining, and single-strand annealing are three different pathways that repair DNA double-strand breaks (DSBs) [11,12,13]. Error-free homologous repair requires a homologous DNA template, while non-homologous end-joining does not necessarily require homology, making it error-prone. Although single-strand annealing requires a homologous template, it is mutagenic because it anneals two extensive regions of homology that flank either side of a DSB, resulting in a deletion. Mismatch repair scans the genome for mismatched bases or single-strand loops and direct DNA repair primarily removes methylation adducts. Although some repair pathways are error-prone, for all of these mechanisms, inefficient repair can result in mutation or translocation, thus reducing the fidelity of genomic information transfer. Despite substantial progress in the field of pluripotent stem cells, little is known about the response of pluripotent cells to mutagens or their DNA repair capacities as compared to differentiated cells. Furthermore, much of the available information concerning mutation and DNA repair has been obtained using mouse embryonic stem cells (mESCs) and not hESCs. mESCs have some prominent differences that distinguish them from their differentiated counterparts. mESCs lack a G1 checkpoint [14,15] and more readily undergo P53-independent apoptosis than do differentiated cells [16]. Therefore, mESCs are more susceptible to apoptosis than differentiated mouse cells [17]. However, mESCs are more resistant to and more efficient at repairing oxidative damage than differentiated mouse cells [18]. With respect to mutagenesis, spontaneous mESC mutant frequencies are 100-fold lower than those of mouse embryonic fibroblasts [19] indicating that mESCs have enhanced genomic stability compared to differentiated counterparts. These data suggest that there may be differences in genomic stability and DNA repair between hESCs and differentiated human cells. On the other hand, as compared to mESCs, hESCs have a functional CDK2-dependent G1/S checkpoint [20,21]. However, exposure of hESCs to high energy ionizing radiation at fluxes less than 1 Gy induced apoptosis that was associated with damage responses mediated by ATM, NBS1, CHEK2, and P53, in hESCs, but not in fibroblasts [22,23]. Additional studies also suggest that hESCs [24] and fibroblasts [17] exhibit different repair responses to ionizing radiation [25] and that hESCs use homologous repair, not non-homologous end joining, as the dominant DSB repair pathway [23,26,27]. Single cell gel electrophoresis (comet assay) comparing the number of DNA strand breaks following exposure to hydrogen peroxide (H2O2), ultraviolet C (UVC) radiation (254 nm), cradiation, or DNA cross-linking agents, showed that breaks were generally repaired faster in two hESC lines examined than in differentiated human cell lines [25]. Taken together, these results support the need to investigate further the response to DNA damage, as well as the pathway-specific DNA repair capacities of human embryonic and induced pluripotent stem cells. In particular, data are lacking on the comparison of DNA repair over a range of pathways in multiple human pluripotent stem cell lines. More importantly, minimal data exist for reprogrammed iPSCs, which could serve as better candidates for clinical use if they have similar genomic stability as hESCs and maintain their pluripotency. In this study, DNA repair was monitored in several pluripotent and differentiated cell lines and DNA repair pathways to examine sources of genomic instability in hESCs and iPSCs. These assays encompassed nucleotide excision repair, base excision repair, nonhomologous end joining, single-strand annealing, and microsatellite instability. Repair capacities from hESCs and iPSCs were compared to each other and to those of non-pluripotent cells. Evaluation upon exposure to DNA damaging agents such as UVC, dimethylsulfate (DMS) and c-radiation indicated that pluripotent cells exhibited less damage than non-pluripotent cells, but despite lower damage levels, pluripotent cells were more prone to a type of apoptosis that could be linked to anoikis [28]. This investigation provides a basis for evaluating DNA repair capacities in pluripotent cells and emphasizes the need to evaluate the DNA repair capacity of each pluripotent cell line prior to laboratory and clinical applications. Materials and Methods Cell lines hESC lines H9, BG01 and BG01V were obtained from WiCell, Bresagen (NovoCell) and GlobalStem, respectively. Neural stem cell line NSC09, derived from H9, was obtained from Millipore. Induced pluripotent stem cell line iPSC1, derived from human foreskin fibroblast line CRL-2097 using lentiviral vectors, was obtained from Dr. James A. Thomson (University of WisconsinMadison) [29]. iPSC2, derived from a human lung fibroblast line using the same retroviral introduced factors, was obtained from Dr. Jiing-Kuan Yee (Beckman Research Institute). Non-pluripotent IMR90 lung fibroblasts and CRL-2097 human foreskin fibroblasts were purchased from ATCC, GM03348E human foreskin diploid fibroblasts (HF02) were obtained from the Coriell Cell Repository and HF55 (HF01) and HF51 human neonatal foreskin fibroblasts were derived from discarded tissue provided by Arcadia Methodist Hospital from an approved protocol (City of Hope IRB# 92006). Pluripotent stem cell characterization is presented in Figures S1 and S2. Cell culture All cell lines were cultured as recommended. Specifically, hESCs (H9, BG01 and BG01V) and iPSCs (iPSC1 and iPSC2) were cultured in mTeSR1 (StemCell Technology) on hESCqualified Matrigel (BD Biosciences) or on irradiated mouse embryonic fibroblasts or human fibroblasts (HFs) in conditioned hESC medium (DMEM/F12) (Cellgro, 10-092-CM4), supplemented with 20% knock-out serum replacement, 0.1 mM nonessential amino acids, 2 mM L-glutamine, 20 ng/mL fibroblast growth factor (bFGF) and 0.1 mM 2-mecaptoethanol. Medium was changed daily, and cells were either mechanically harvested, or passaged with Accutase. Rho-associated kinase (ROCK) inhibitor Y-27632 was added transiently at 10 mM to the culture medium to improve iPSC2 cell survival during passaging. Prior to exposure to DNA damaging agents or transfection, pluripotent cells were transferred to Matrigel, unless otherwise noted, to remove differentiated fibroblast feeder cells. NSC09 cells were cultured in Neurobasal Medium (Invitrogen, 21103-049) conditioned with 2 mM L-glutamine, 0.1 mM non-essential amino acids, 1X B27, Leukemia inhibitory factor (LIF, 1,000 U/mL) and bFGF (20 ng/mL). Similar to above, medium was changed daily and cells were passaged with Accutase. GM03348E cells (HF02) were cultured in Minimal Essential Medium (MEM) a with Glutamax-1 (Gibco, 32571-036) supplemented with 15% fetal bovine serum (FBS) and 0.1 mM non-essential amino acids. Medium was changed daily and cells were passaged with 0.05% Trypsin-EDTA. IMR90 lung fibroblasts were cultured in MEM containing Earles Salts and L-glutamine (Cellgro, 10-010-CV), supplemented with 10% FBS, and passaged with 0.25% TrypsinEDTA. HF55 (HF01) and HF51 were cultured in Dulbeccos Modified Eagles Medium (DMEM) (Cellgro, 15-017-CV) supplemented with 10% FBS and 2 mM L-glutamine and passaged with 0.25% Trypsin-EDTA. Plasmids and antibodies pCMS-end, pCMS-hom-stop, pEGFP, and pEYFP-tub were gifts from Dr. R.H. Schiestl (UCLA) [30,31]. pRL-CMV was purchased from Promega and pM1-Luc from Roche. Antibodies were purchased from vendors as follows: Santa Cruz: rabbit antiOCT4; Millipore: mouse anti-Oct4, goat anti-SOX2, rabbit and mouse anti-cH2AX; Abcam: rabbit anti-NANOG, mouse antiDnmt3b; Developmental Studies Hybridoma Bank: mouse antiSSEA4; Cell Signaling Technology: rabbit anti-caspase 3; Kamiya: mouse anti-CPD, mouse anti-6,4 photoproducts; Sigma Aldrich: mouse anti-actin; Invitrogen: Alexa 488, 568 and 647 donkey anti-mouse, rabbit and goat IgG(H+L); and LiCor Biosciences: IR Dye800 and 680 goat anti-mouse and rabbit (secondary antibodies for dot blots and Western blots). Single Cell Gel Electrophoresis (Comet Assay). The comet assay was performed using alkaline conditions, following the recommended protocol of the Trevigen Comet Assay Kit. Images were collected on an Olympus IX81 automated inverted fluorescence microscope and comets (sample size = 100) were quantified by measuring the %DNA in each comet tail, using CometScore software (TriTek Corp). DNA dot blot assay Cells were exposed to UVC radiation (10 or 20 J/m2) from a germicidal lamp as previously described [32]. After treatment, cells were either harvested immediately to determine DNA damage or allowed to repair for defined periods. Genomic DNA was extracted using the DNeasy DNA extraction kit (Qiagen), following the manufacturers instructions or by standard phenol/chloroform extraction methods, as described [33]. Concentrations of cyclobutane pyrimidine dimers (CPD) and 6,4 pyrimidine-pyrimidone adducts (6,4-PP) were determined using immunological detection with DNA South-Western dot blots [34,35]. Residual RNA was removed by DNase-free RNase A (1 mg/mL), followed by a final extraction with phenol:chloroform:isoamyl alcohol 1:1 and centrifugation (6666 g, 5 min, room temperature [RT]). DNA in the aqueous phase was then precipitated by addition of 3 volumes of icecold 100% ethanol, followed by a 70% ethanol wash. Genomic DNA was air-dried and dissolved in 10 mM Tris-EDTA buffer (pH 8.0) (several h, RT or overnight, 4u C). Concentrations were determined using a NanoDrop spectrophotometer. For the DNA dot blot assay, DNA samples were prepared at 1 ng/mL in DNA denaturing solution (1.5 M NaCl, 0.5 M NaOH). A positivelycharged, nylon membrane (Roche) was hydrated and fixed in a dot blot apparatus (BioRad) with a Convertible Filtration Manifold System (Life Technologies). DNA (100 ng in 100 mL) was added into three replicate wells for each sample and an equal volume of 150 mM NaCl, 50 mM Tris-HCl pH 7.6 (16 TBS) was added to all other wells not containing sample. After incubation (30 min), a vacuum was used to draw out samples and the membrane was washed (365 min) with 16TBS, using a vacuum to remove each of the washes. The membrane was then air dried for 15 min, after which it was incubated with 2% blocking solution (Roche), diluted in 16 TBS (1 h, RT). The membrane was incubated with primary antibody (mouse anti-CPD or 6,4 photoproduct; 1:2000 (Kamiya) prepared in 1% blocking solution (1 h, RT or overnight, 4u C), washed 3 times for 5 min each with 16TBS-T (Tween-20, 1:1000), and incubated with secondary antibody (near-IR dye 800 CW goat anti-mouse IgG; 1:20,000) in 1% blocking solution (1 h, RT). After incubation with secondary IR-antibody, the membrane was washed again in 16 TBS-T (3 times, each for 5 min), and subjected to infrared detection by a Li-Cor Odyssey Infrared Imager. The images were quantified by TotalLab Analysis software (TotalLab Ltd.). For DNA repair assays using antibody detection, the initial ESS/Mb at time = 0 h obtained were: H9, 4.660.5; BG01, 6.360.1; iPSC1, 6.260.2; iPSC2, 3.260.2; human skin fibroblasts (CRL-2097), 25.561.1; human lung fibroblasts (IMR90), 14.560.3; and human foreskin fibroblasts (HF51), 13.960.4. Live Cell Imaging. UVC-irradiated (or unirradiated) H9 cells, on Matrigel-coated chamber slides, were imaged in the live cell chamber (37u C; 5% CO2) of a Zeiss Axio Observer Z1 inverted microscope and live-cell imaging station. DIC images were taken at 30 min intervals. Images and movies were compiled with Image Pro 7.0. Annexin V apoptosis assay Apoptosis was assessed using the Annexin V-FITC Apoptosis Detection Kit I (BD Pharmingen). H9 cells, in cold 16 PBS, were irradiated with UVC and refreshed in mTeSR1 immediately after exposure. Floating and adherent cells were collected separately at 3 and 22 h by centrifugation (5006 g, 5 min) or by exposure to Accutase followed by centrifugation (5006 g, 5 min), respectively. Cell pellets were washed once with and resuspended in 0.5 mL 16 PBS prior to addition of 5 mL Annexin V-FITC and 5 mL propidium iodide (PI). Control unstained, Annexin V only and PI only cells were also prepared to establish gating parameters. FACS analysis was performed on a MoFloTM MLS cell sorter and data processed with Summit v4.3. DNA fragmentation to detect apoptosis H9 or iPSC2 cells (126106 cells) in 35-mm culture dishes were irradiated with UVC (0 or 10 J/m2) in 16 PBS and incubated in fresh medium (3, 5, and 24 h, 37u C). Samples were collected as control (0 J/m2) or treated (10 J/m2) at each time point. Additionally, cells were treated with staurosporine (STS) (1 mM, 3 h, 37u C) as a positive control for apoptosis. Medium containing floating cells and attached cells was centrifuged (10006 g, 5 min) and collected as the floating fraction (F) or attached fraction (A). DNA was isolated using DNeasy Blood and Tissue kit (Qiagen), heated (10 min, 65u C), and immediately loaded onto a 1% agarose gel for electrophoresis (100 V, 2 h). Western blot analysis H9 or iPSC2 cells (126106 cells) in 35-mm culture dishes were irradiated in 16 PBS with UVC (0 or 10 J/m2) and incubated in fresh medium (3, 5 and 24 h, 37u C). Samples were collected as control (0 J/m2) or treated (10 J/m2) at each time point. Additionally, cells were treated with STS (1 mM, 3 h, 37u C) as a positive control for apoptosis. The medium containing nonadherent cells was centrifuged (5006 g, 10 min) to pellet floating cells. To harvest protein, 100200 mL RIPA buffer (50 mM TrisHCl [pH 7.4], 150 mM NaCl, 1% NP40, 0.25% Na-deoxycholate, 1 mM PMSF, protease inhibitor cocktail and phosphatase inhibitor cocktail) was added to floating cell pellets and to the remaining adherent cells, samples were incubated on ice (10 min) and centrifuged (14,0006 g, 10 min, 4Cu). Protein concentrations were determined using a Coomassie Blue protein assay (BioRad) [36]. Sample (50 mg) was combined with 56 SDS-PAGE loading buffer and dH2O, heated at 95uC for 5 min and loaded onto a 4 15% Mini Protean TGX SDS-PAGE gel (BioRad). Samples were transferred to a 0.2 mm PVDF membrane at 25 V for 3 h, using a wet electro-transfer method (0.2 M glycine, 25 mM Tris and 20% methanol). The membrane was blocked in Li-Cor Odyssey Infrared Imaging System Blocking Buffer (Li-Cor) (1 h, RT or overnight, 4u C), followed by incubation with anti-actin (1:20,000) and anti-caspase 3 (1:1000) primary antibodies (2 h, RT or overnight, 4uC) in blocking solution (50% [v/v] Odyssey Blocking Buffer/16 TBS). After primary antibody incubation, membranes were washed (365 min) in 16 TBS-T (Tris-buffered saline containing Tween-20 [1:1000]) prior to addition of near-infrared secondary antibodies, diluted 1:10,000, in blocking solution, as described for the primary antibody. Incubation in secondary antibody was conducted for 1 h at room temperature followed by 16 TBS-T washes (365 min). Detection was carried out using an Odyssey Imaging Station (Li-Cor) and band intensities were quantified with TotalLab Analysis software (TotalLab Ltd.). Cell transfection Optimal transfection conditions for H9, neural stem cells, and other pluripotent cells were determined empirically by at least three different programs using the Amaxa Nucleofector Kit II (Lonza) for hESCs. Cells were harvested with Accutase, centrifuged (1006 g, 10 min) and washed once with mTeSR1. Cell number was determined and cells were resuspended in 100 mL hESC Nucleofection Solution 2, mixed with 12 mg DNA/16106 cells and nucleofected with a set program (A-23 for H9 and iPSC1, A-13 for BG01, and B-16 for iPSC2 and BG01V). Cells were incubated in 500 mL pre-warmed RPMI 160 medium and immediately transferred to Matrigel pre-coated multi-well plates containing 1 mL mTeSR1 medium. Transfection of fibroblasts was performed using Lipofectamine 2000 according to recommendations from the manufacturer (Invitrogen). Microsatellite instability assay Template DNA was prepared as described for the DNA Dot Blot Assay. The primers used in the assay are listed in Table S1 [37,38]. PCR conditions were: 5 U/mL Taq polymerase (BioRad), 0.25 mM dNTP mix, 1 mM primers, 40 ng DNA template in 16 reaction buffer, run in 10 mL reactions for 30 cycles (94u C, 50 sec; 56u C, 50 sec; 72u C, 1 min) after denaturing at 95u C for 5 min. Product was analyzed on an ABI Prism 377 Sequencer and results were scored with GeneMapper software. Plasmid lesion assay To determine the number of UVC radiation-generated lesions in plasmids, pM1-Luc plasmid (10 mg per sample) was irradiated with 200 J/m2 UVC and incubated (2 h, 37u C) with or without 1 mL T4 UV endonuclease (laboratory stock, 40 mg/mL). To determine levels of damage induced by reactive oxygen species photosensitization, pM1-Luc plasmid (10 mg per sample) in 10 mM sodium phosphate buffer (pH 7.4), containing 10 mM methylene blue was exposed to visible light (100 Watts, 10 cm distance, 3 min). Following exposure, plasmid was ethanol precipitated and incubated (2 h, 37u C) with 0.5 mL (2 U) formamidopyrimidine-DNA glycosylase (Fpg) (Trevigen). After incubation with T4 UV endonuclease or Fpg, samples were analyzed on 1% agarose gel. Damage sites were quantified with ImageJ software and the number of breaks (n) per molecule was calculated by the formula n = 2ln e, e being the fraction of the remaining supercoiled DNA molecules [39]. Host cell reactivation (HCR) assay for nucleotide excision repair and base excision repair DNA repair capacities The Dual Luciferase Assay (Promega, E1910) was used to monitor DNA repair capacities for nucleotide or base excision repair. Cells were transfected (fibroblasts) or nucleofected (pluripotent and NSCs) with 2.4 mg pM1-Luc (damaged or undamaged with UVC or reactive oxygen species photosensitization as described in the previous section) and 0.24 mg pRL-CMV (internal control) per 16106 cells, and harvested after 24 h to quantify Firefly and Renilla luciferase activities. Briefly, transfected cells were washed with 16 PBS and lysed in 16 PLB buffer (passive lysis buffer supplied by Promega) (250 mL/well in 12-well plates for pluripotent cells and 6well plates for non-pluripotent cells) on a shaking platform (20 min, RT). Triplicate samples from each lysate (20 mL per well) were transferred to individual wells of a 96-well plate, sequentially mixed with 100 mL Luciferase Assay Reagent II (LAR II) and 100 mL Stop and Glo in 96-well plates. Samples were analyzed with a Fluoroskan Ascent FL (Thermo Electron Corporation). Each assay was performed independently three times and the data combined according to the manufacturers instructions (Promega). HCR assay for double-strand DNA repair capacity Prior to the HCR assay, pCMS-end (non-homologous endjoining) and pCMS-hom-stop (single-strand annealing) plasmids were cleaved with Xho I and Apa I, or with Xho I and Sac II [30,31], respectively. The double restriction-digested, linearized plasmids were confirmed as linear by verifying that the Escherichia coli transformation efficiency was less than 0.1% as compared to uncleaved plasmids. Cells were transfected (fibroblasts) or nucleofected (pluripotent cells and NSCs) with pEGFP, pEYFP, pCMS-end, pCMS-hom-stop, and double-digested pCMS-end or pCMS-hom-stop and harvested by trypsin or Accutase 24 h later. Upon harvesting, cells were stained with SYTOX red, to assess cell viability, resuspended in 0.5 mL cold 16PBS and subjected to FACS analysis using a MoFloTM MLS cell sorter. For each assay performed, an untransfected control and simultaneous transfection controls (pEGFP plasmid only and pEYFP-tub plasmid only) were analyzed to establish the correct gating and compensation settings. The laser settings used for GFP/YFP/Sytox Red were as follows: GFP: laser excitation wavelength 488 nm (500 mW) with an HQ500/10 emission filter, YFP: laser excitation wavelength 530 nm (50 mW) with an HQ600/30 emission filter, Sytox Red: laser excitation: 647 nm (60 mW) with an HQ680/30 emission filter. Data were analyzed using Summit v4.3 software (Dako Colorado, Inc.). Other techniques used are described in Materials and Methods S1. DNA damage from UVC is less in pluripotent cells than in fibroblasts As a prelude to determining the DNA repair capacity for nucleotide excision repair in pluripotent cells, we examined DNA damage induced by UVC radiation (short wavelength, 100 280 nm). The levels of cyclobutane pyrimidine dimer (CPD) DNA adducts induced by UVC radiation were quantitatively measured using antibodies. H9 and BG01 ES, iPSC1 and iPSC2 inducedpluripotent, and IMR90 and CRL-2097 fibroblast cells were irradiated with UVC (10 or 20 J/m2), genomic DNA was isolated immediately after UVC exposure, and CPD adduct densities established (Figures 1A and S4A). CPD enzyme sensitive sites per megabase (ESS/Mb), an indication of adduct levels, were determined via alkaline gel analysis of UVC-irradiated l DNA [40] to standardize DNA samples (Figures S3A and S3B). The numbers of CPD-ESS/Mb induced in pluripotent cells were 40 50% less at 10 J/m2 and 5070% less at 20 J/m2 than those in both fibroblast lines evaluated (Figures 1A and S4A). Therefore, pluripotent cells manifest lower CPD levels than fibroblasts exposed to equal UVC fluxes. Reactive oxygen species-induced DNA damage is less in hESCs than in iPSCs and fibroblasts Since UVC damage induced in pluripotent cells was less than that induced in fibroblasts, we examined the effect of treatment with other DNA damaging agents that require different pathways for repair, including hydrogen peroxide (H2O2), which causes damage that is repaired by base excision repair. Initially, hESCs, iPSCs and fibroblasts were treated using an H2O2 concentration (100 mM) that is sub-lethal to fibroblasts. Immediately after treatment, cells were harvested, lysed and analyzed by the alkaline comet assay. The relative levels of single-strand DNA breaks (SSBs), indicative of initial DNA repair were quantified as the percentage of DNA in the comet tail (%DNA Tail). Fibroblasts and iPSCs showed substantial increases in the number of SSBs (8to 20-fold increase) after treatment as compared to untreated controls, whereas H9 cells showed only a 3-fold increase (Figures 1B and S4B). Similar to results for UVC radiation, H9 ESCs exposed to H2O2 incurred less damage than fibroblasts, but, in contrast, iPSCs had damage levels similar to those for fibroblasts. In addition to generation of adducts repaired by the base excision repair pathway, treatment with H2O2 can lead to DSBs. Phosphorylation of Ser139 on histone H2AX is an early indicator of DSB repair that is formed at nuclear foci [41]. Therefore, to assess DSB formation as a result of H2O2 treatment in hESCs, iPSCs and fibroblasts, immunohistochemistry was used to visualize cH2AX foci formation. The number of cH2AX foci that were observed in fibroblasts was greater than in hESCs and iPSCs, indicating that fibroblasts had more strand breaks when exposed to the same amount of H2O2 damage (Figure S5). In contrast to results obtained with the comet assay, iPSCs showed 3- to 4-fold fewer cH2AX foci than did fibroblasts. However, iPSCs exhibited an ,5-fold increase in cH2AX foci, compared to untreated cells and ,2-fold more cH2AX foci than hESCs. These data are consistent with greater protection against reactive oxygen speciesinduced damage in pluripotent cells than in fibroblasts, with the highest protection observed in hESCs. The fold differences in cH2AX foci observed between iPSCs and fibroblasts are greater than those observed in the comet assay. This difference may be because the cH2AX foci assay generally scores DNA DSBs, whereas the alkaline comet assay monitors SSBs. These results indicate that for the cell types examined, the number of DNA strand breaks (either SSBs or DSBs) associated with base excision repair caused by H2O2 exposure was less in hESCs than in iPSCs or fibroblasts, and iPSCs had fewer or similar numbers of breaks as fibroblasts, depending on the type of break. Dimethyl sulfate (DMS)-induced DNA damage is variable and dependent on the pluripotent cell line In addition to repair of reactive oxygen species-induced damage that occurs via base excision repair, we also evaluated damage generated by DMS. DMS generates principally 7-methylguanine and 3-methyladenine [42] DNA damage and these adducts also generate single-strand DNA breaks as intermediates during base excision repair. Therefore, hESCs, iPSCs and fibroblasts were incubated with DMS (0100 mM) for 30 min and harvested immediately for alkaline comet assay analysis. When treated with 10 mM DMS, pluripotent and differentiated cells exhibited similar damage levels, quantified as %DNA Tail (Figures 1C and S4C). However, at 50 mM DMS, the %DNA Tail differed between the two iPSC lines, with iPSC1 producing larger comets than all other cell lines evaluated, including the parental line CRL-2097, whereas iPSC2 exhibited the lowest %DNA Tail. The %DNA Tail of H9 cells was lower than those of iPSC1 and IMR90, but comparable to that of CRL-2097 fibroblasts. At 100 mM DMS, the differences observed in the %DNA Tail for all the cell lines were less pronounced, but maintained a pattern similar to that at 50 mM DMS. Therefore, there were no clear differences in the damage produced by DMS in pluripotent and non-pluripotent cells. In contrast to H2O2-induced single-strand breaks, after DMS treatment, the differences in single-strand breaks observed depended on the cell line and not on whether the cells were pluripotent or differentiated. Global genome-nucleotide excision repair of UVCinduced CPDs is faster in pluripotent cells than in fibroblasts Most CPD damage (,70%) in humans is repaired by global genome-nucleotide excision repair [7]. To monitor global genome-nucleotide excision repair, we exposed pluripotent cells (H9, BG01, iPSC1 and iPSC2) and fibroblasts (IMR90, CRL2097 and HF51) to 10 J/m2 UVC radiation, collected adherent cells at 0, 6, 12, and 24 h post-treatment, and isolated genomic DNA for immunoblot analysis (Figures 2 and S6). We observed that over 90% of adherent cells maintained intact cell membranes, as determined by Trypan blue exclusion (data not shown). Despite the presence of fewer CPD-ESS/Mb in pluripotent cells than in fibroblasts immediately after irradiation, the DNA repair rate in pluripotent cells was greater. Specifically, H9 and BG01 hESCs were almost two times faster at repair (Figure 2A), and iPSC1 and 2 three times faster, than were fibroblasts (Figure 2B). Interestingly, for hESCs, less than 10% of CPD repair had occurred within 6 h after irradiation, with most repair occurring between 6 and 12 h. This contrasts with the rate of repair in iPSCs, which had repaired 20% of CPDs by 6 h, but had a linear type response over the 24 h period examined. This difference in the CPD repair kinetics could indicate differences in the mechanism of global genome-nucleotide excision repair between hESCs and iPSCs. We also monitored repair of 6,4 pyrimidine-pyrimidone photoproducts (6,4 PP), another UVC-induced DNA adduct. Repair of 6,4 PP was rapid for fibroblasts and pluripotent cells, with all of the adducts removed in under 2 h (data not shown). Therefore, global genome-nucleotide excision repair of CPDs induced by UVC damage was significantly greater in pluripotent cells than in fibroblasts, whereas no difference among the cell lines was observed for 6,4 PP repair rates. Transcription coupled-nucleotide excision repair of UVCinduced damage is faster in pluripotent cells than in nonpluripotent cells Since pluripotent cells exhibit low DNA damage in response to direct UVC treatment, we used host cell reactivation assays to evaluate transcription coupled-nucleotide excision DNA repair capacity in H9, BG01, BG01V, iPSC1, iPSC2, CRL-2097, IMR90 and HF02 cells. Firefly luciferase plasmid (pM1-Luc) was damaged with UVC radiation and levels of CPD damage were determined by cleavage of supercoiled DNA with T4 UV endonuclease (Figure 3A). An undamaged Renilla luciferaseexpressing plasmid (pRL-CMV) was used as a control to normalize for transfection efficiency. The damaged firefly luciferase plasmid and undamaged control Renilla luciferase-expressing plasmid were co-transfected into the above-mentioned cells. At 24 h posttransfection, cells were harvested, lysates prepared, and firefly and Renilla luciferase activities determined using the cell extracts. The relative luciferase activities were compared to those obtained using undamaged pRL-CMV. The ratio of firefly and Renilla luciferase activities generated in cells co-transfected with the damaged pM1Luc and control pRL-CMV was compared to the luciferase activities generated in cells co-transfected with the undamaged plasmids to reflect the ratio of repaired plasmid to intact plasmid (Figure 3B), which is related to the cellular DNA repair capacity. After transfection, the CRL-2097, IMR90 and HF02 fibroblast cell lines had relative luciferase activities just under 80, 60, and 70%, respectively, similar to that of BG01V (70%), while H9 and BG01 hESCs had relative luciferase activities between 80100%. In contrast, iPSC1 and iPSC2 induced pluripotent cells exhibited significantly different relative luciferase activities, ,25% and 80%, respectively. Therefore, a generalization on the UVC-transcription coupled nucleotide DNA repair capacity with respect to pluripotency is not possible. These results indicate that recovery of the firefly luciferase activity is dependent on the cell line, with BG01 and BG01V recovery slower than that for H9. Surprisingly, although both iPSC lines were derived from fibroblasts and with the same reprogramming factors, their DNA repair capacities were notably different. DNA repair capacity in base excision repair is cell line dependent Similar to UVC, little damage was observed following H2O2 exposure of hESCs. Therefore, to monitor transcription coupledbase excision repair, we used a host cell reactivation assay analogous to that used for transcription coupled-nucleotide excision repair, described above, but using methylene blue and visible light to generate principally 8-oxoguanine in vitro [43]. Total 8-oxoguanine in the pM1-Luc plasmid used for transfection was estimated based on the DNA strand break frequencies induced using Fpg (Figure 3C). Twenty-four hours after DNA damage induction, H9, BG01V and iPSC2 exhibited superior base excision repair, with over 50% of relative firefly luciferase activity recovered, compared to CRL-2097, IMR90 and HF02 fibroblasts, which recovered between 15 and 40% of relative firefly luciferase activity (Figure 3D). Similar to transcription coupled-nucleotide excision repair activity, the iPSC1 cell line displayed the lowest repair efficiency. Surprisingly, the base excision repair capacity of hESC line BG01 was more similar to that of IMR90 and iPSC1 than that of the H9 hESC line. Therefore, simple classification of base excision repair solely on pluripotency is not possible. Non-homologous end joining DSB DNA repair capacities in pluripotent cells and fibroblasts are comparable Non-homologous end joining is an error prone pathway for repair of DSBs. Non-homologous end joining was monitored using a transient transfection assay that did not require integration and selection (Figure 4A) [31]. In this analysis the GFP+YFP quadrant indicates cells that have undergone repair and produce not only the control GFP, but also the protein from the repaired YFP coding sequence. As a control, the FACS analysis of the uncleaved pCMS-end plasmid transfected into BG01 cells showed a strong GFP+YFP quadrant (Figure 4B, top panel). After cleavage with Apa I and Xho I, the reporter plasmid was transfected into BG01 cells, which showed significant YFP+GFP signal recovery after repair (Figure 4B, bottom panel). The DNA repair capacities associated with non-homologous end joining for the different cell lines showed that aside from iPSC1, the percent of non-homologous end joining repair in the cell lines investigated was less than 60% (Figure 4C). In contrast, iPSC1 nonhomologous end joining repair was nearly 90%, a significant difference when compared to the other pluripotent and fibroblasts cells evaluated. The greater non-homologous end joining DNA repair capacity of iPSC1 also differed from the lower DNA repair Figure 3. Transcription-coupled nucleotide and base excision repair in pluripotent cells determined using host cell reactivation. (A) Determination of the number of ESS/pM1-Luc plasmid induced by 200 J/m2 UVC (see Materials and Methods for details). The weak band seen between supercoiled (SC) and nicked (N) DNA is the linear form. (B) Host cell reactivation assay for CPD repair. Unirradiated or UVC irradiated (200 J/ m2) pM1-Luc plasmid was co-transfected with untreated pRL-CMV plasmid (ratio of pM1-Luc/pRL-CMV was 2.4 mg/0.24 mg in 16106 cells). Dual firefly and Renilla luciferase activities were performed at 24 h post-transfection. The relative luciferase activities were compared to undamaged pRL-CMV activities. Values are mean6standard deviation (SD) (n = 3). (C) Determination of the number of ESS/pM1-Luc plasmid induced by methylene blue and visible light treatment (see Material and Methods for details). (D) Host cell reactivation assay for 8-oxo-G repair. pM1-Luc treated with methylene blue/visible light was co-transfected with undamaged pRL-CMV using the same conditions as described in (B). Cells were isolated 24 h posttransfection and the firefly and Renilla luciferase activities determined. Values are mean6SD (n = 3). TC-NER, transcription-coupled nucleotide excision repair; BER, base excision repair. doi:10.1371/journal.pone.0030541.g003 capacities observed for this cell line in the nucleotide and base excision repair host cell reactivation assays. Those lower DNA repair capacities suggest that iPSC1 would manifest greater genomic instability than the other pluripotent cell lines analyzed. Taken together, the non-homologous end joining DNA repair capacities indicate that non-homologous end joining is similar among hESC and fibroblast cell lines. Single-strand annealing DSB repair DNA repair capacities are lower in pluripotent cells than in fibroblasts Single-strand annealing is a form of homologous recombination that involves annealing of extensive regions of homology that flank a DSB [44], which causes a deletion between the homologous segments, and hence is inherently mutagenic [45]. Using an assay similar to that described for non-homologous end joining, singlestrand annealing was measured using a transfection-based assay in which the YFP coding sequence was restored by homologous regions spanning ,300 bp on either side of the YFP-coding sequence (Figure 5A). Results from this assay using BG01 hESCs showed that transfection with uncleaved control plasmids generated almost no cells that co-expressed YFP and the control GFP proteins (Figure 5B, top panel). But a significant number of BG01 cells transfected with cleaved pCMS-hom-stop expressed YFP and GFP, representative of their single-strand annealing DNA repair capacity (Figure 5B, bottom panel). Comparison of the FACS analyses yielded a measurement of the single-strand annealing repair percentage (Figure 5C). The single-strand annealing DNA repair capacities of all pluripotent cells were consistently lower than those of fibroblasts. That DNA repair capacity was significantly lower (,2-fold) in BG01 and both iPSC lines, suggests that single-strand annealing was not a preferred repair pathway for pluripotent cells. Therefore, the lower singlestrand annealing repair capacities observed for pluripotent cells suggest that pluripotent cells develop fewer mutations due to that pathway as compared to differentiated cells. One iPSC line manifests microsatellite instability Microsatellite instability (MSI) is often associated with defects in mismatch repair or DNA polymerase errors, which have been closely linked to genetic diseases that predispose individuals to cancer. Generally, identification of MSI requires comparison to reference cells that serve as an indicator of change from a starting point. Therefore, we surveyed five autosomal markers of MSI in eight cell lines, as four groups based on the relation among the cell lines (pairs consisted of CRL-2097/iPSC1, IMR90/iPSC2, H9/ NSC9, and BG01/BG01V) (Figure 6). To evaluate differences or defects in microsatellites, the selected primer sets (Table S1) spanning regions near either mismatch repair genes (MSH2 [MutS Homologue 2], MLH1 [MutL Homologue 1]) or tumor suppressor genes (NF1 [neurofibromin 1], APC [adenomatous polyposis coli]) were used [37,38]. The iPSC1 line, at passage 24, exhibited two loci with MSI, APC and hMLH1 (marked by black arrows). Additionally, BG01V, an aneuploid hESC line, had a shift in a microsatellite for the APC gene as compared to BG01 early passage cells. Overall, these MSI data show that even in iPSC1, which is karyotypically and spectral karyotypically normal (Figure S2), MSI is observed. Therefore, using these MSI loci is a potentially valuable tool for evaluating pluripotent cell genomic stability, as both lines that had MSI also had associated differences in either chromosomal segregation (BG01V) or in DNA repair capacities (iPSC1). UVC-induced apoptosis in pluripotent cells During pilot experiments for UVC radiation exposure, we noted that pluripotent cells (hESCs and iPSCs) were more sensitive than fibroblasts, and that by 24 h post-treatment many pluripotent cell colonies had disappeared from the culture, whereas the fibroblasts underwent arrested replication [46]. In contrast to pluripotent cells, the arrest of fibroblasts was not accompanied by changes in cell death or morphology. Interestingly, the apparent pluripotent cell death following UVC exposure was characterized by detachment of cells from Matrigel, suggesting that UVC irradiation disrupted cell-cell or cell- extra cellular matrix interactions and that UVC fluxes of 10 J/m2 were lethal for pluripotent cells, whereas fibroblasts could recover following arrest after the same dose of UVC [47]. To further examine this phenomenon, we observed 10 J/m2 UVC-treated and untreated colonies over 18 h using time-lapse microscopy. H9 cells that were not irradiated with UVC proliferated and expanded, whereas UVC-irradiated colonies showed increasing numbers of detached, non-viable cells starting 3.5 h post-treatment (Figure 7A). Time lapse movies of this process revealed floating cells after UVC treatment (H9 hESCs) that were not observed in the controls (Movies S1 and S2). To study this observation in more depth and determine cell fate after release of the H9 cells (80% confluent) from the colonies, cells were exposed to 10 J/m2 UVC radiation and harvested at 3 and 22 h post-treatment. Having reasoned that cell death was possibly associated with cell surface death receptors [48], we used FACS analysis to examine detached and adherent cells stained with Annexin V-FITC and propidium iodide (PI). Annexin V-FITC detects cell surface phosphatidylserines and indicates early apoptosis, whereas PI detects DNA (Figure 7B). The untreated H9 cells had minimal dead cells and therefore were omitted from the analysis (,2%). At 3 h post-treatment, 17% of non-adherent cells were still viable and had intact membranes, whereas 29.2% cells were entering early apoptosis. However, from 322 h post-treatment, the percentage of Annexin V-FITC-stained H9 cells increased in both floating and adherent cells, indicative of apoptosis. We also investigated the effect of ROCK inhibitor (10 mM) on the apoptotic response. ROCK inhibitor enhances the survival of hPSCs by improving cell-cell and cell-extra cellular matrix interactions [49,50]. At 22 h post-treatment with the ROCK inhibitor, treated and untreated H9 cells were compared, and the adherent cells did not show significant differences in apoptosis between the two groups (Figure 7B). Similarly, there was no difference in the number of floating cells, regardless of whether cells were treated with the ROCK inhibitor. To confirm that pluripotent cells were undergoing apoptosis, H9 and iPSC2 cells were exposed to 10 J/m2 UVC and genomic DNA was isolated separately from floating (F) and adherent (A) cells at 6, 12 and 24 h post-treatment. Genomic DNA was examined by agarose gel electrophoresis, and compared to an untreated negative control and a staurosporine-treated (1 mM, 3 h) positive control (Figures 7C and S8A). At all time points, floating cells, and adherent cells to a lesser extent, exhibited DNA ladders, indicative of apoptosis caused by endonuclease cleavage of genomic DNA. The activated caspase 3 form is created by cleavage of procaspase 3 into 12 kDa and 17 kDa forms. The production of the cleaved procaspase 3 forms has been associated with anoikis. Anoikis is a form of apoptosis that anchorage dependent cells undergo when those detach from the extracellular matrix [51] and has been observed in hESCs [28]. Therefore, to examine further the apoptotic pathway involved in this process, we investigated procaspase 3 cleavage using Western blot analysis of protein extracts derived from either adherent or floating cells at 3, 5, and 24 post-UVC treatment (Figures 7D and S8B). At all three time points, the procaspase 3 in floating cells was completely cleaved Figure 6. Microsatellite instability assay in pluripotent cells and differentiated cells. Comparable cell lines are grouped in black boxes, and shifts in the peaks corresponding to microsatellite instability (MSI) are marked by black arrows. The X axis shows the scan number and the Y axis shows intensity of 6-FAM. Red peaks are internal controls to indicate the locations of microsatellites. CRL-2097 are human skin fibroblasts used to generate iPSC1, IMR90 are human lung fibroblasts used to generate iPSC2, H9 are hESCs used to generate NSC9, and BG01V are an aneuploid variant hESC isolated from BG01. doi:10.1371/journal.pone.0030541.g006 into the active 12 kDa and 17 kDa forms. For the adherent cells, background cleavage of procaspase was noted at 3 and 5 h postUVC treatment. However, in contrast to the floating cells, even at 24 h post-UVC treatment, procaspase 3 still formed a significant percentage of the total procaspase+caspase 3 in the adherent cells (Figure 7D), indicating that the remaining adherent cells were viable. We also examined procaspase 3 cleavage in iPSC2 cells. As anticipated, the non-adherent cells showed a high percentage of caspase 3 cleavage (Figure S8B). However, surprisingly, a high percentage of iPSC2 cells manifested caspase 3 cleavage products at all time points in adherent cells, suggesting that the apoptotic response in iPSC2 cells was more sensitive to UVC-induced apoptosis than that of hESCs. In addition to evaluating apoptotic response after UVC damage, we also noted that cells exposed to 50 and 100 mM DMS also detached underwent cell death associated with apoptosis (data not shown). Furthermore, such changes observed in hESCs and iPSCs exposed to c-radiation as low as 1 Gy were recently reported [22]. In contrast to the apoptotic response caused by UVC, DMS, and c-radiation, there was no indication of apoptosis upon H2O2 exposure in either pluripotent cells or fibroblasts. Thus, the low tolerance for DNA damage that triggers apoptosis is not observed for all damaging agents. We have shown that the DNA repair capacities of hESCs and iPSCs are greater for nucleotide excision repair and base excision repair, than are those of non-pluripotent cells. However, when evaluating DSB repair, the DNA repair capacities of nonhomologous end-joining in pluripotent cells were statistically indistinguishable from those for non-pluripotent cells, except for one iPSC line. In contrast, the DNA repair capacity for singlestrand annealing, which is inherently mutagenic, was lower for all pluripotent cell lines and highest in the fibroblast lines. Moreover, induction of DNA-damage in pluripotent cells by UVC and H2O2 was lower than in fibroblasts. However, in pluripotent cells, despite the reduced level of DNA damage and the rapid repair kinetics in the global genome-nucleotide excision repair pathway, exposure to UVC and DMS initiated apoptotic cell death, resulting in cell detachment at doses that are non-lethal to fibroblasts. The summarized data, comparing only data for each cell line for each assay (Figure 8), demonstrate the complexity of studying DNA repair in different pluripotent cell lines, and the need for characterization of these lines prior to experimental use. DNA damage induced by UVC and H2O2 is lower in pluripotent cells than in differentiated cells Using either adduct detection by lesion specific antibodies or the comet assay, we showed that UVC and H2O2 induce less DNA damage in hESC lines as compared to differentiated fibroblasts (Figure 8). iPSC lines, however, only had less damage after UVC irradiation, and otherwise exhibited similar levels of damage to those of differentiated fibroblasts. Despite the differences in DNA damage caused by UVC and H2O2, little difference was noted for DMS treatment. The reasons for the reduced damage levels in hESCs are unclear at this time. One possible explanation is the colony structure of pluripotent cells may shield some cells from exposure to DNA damaging agents. The consequences of oxidative and methylating agent exposure in pluripotent cells also require further investigation, because, in addition to possible exposure differences, apoptosis and repair could also depend on colony architecture. Because repair metabolism causes DNA damage due to the development of reactive oxygen species and methylation [52,53,54,55], future characterization of the factors that reduce DNA damage in pluripotent cells is an area that merits further examination. Global genome-nucleotide excision repair capacity, but not transcription-coupled nucleotide excision repair, is enhanced in pluripotent cells as compared to fibroblasts A previous study evaluating strand breaks, as assessed by comet assay, showed that repair was faster in pluripotent than in nonpluripotent cells [25], but that study did not quantify adduct levels or viability after mutagen treatment. In this report, we have quantified UVC adduct formation and repair, and showed that the difference in the global genome-nucleotide excision repair rate is linked mainly to faster CPD adduct repair in pluripotent cells, because 6,4 PP was rapidly repaired in both pluripotent cells and the control lines. In pluripotent cells, global genome-nucleotide excision CPD repair rates were 2- to 4-fold higher than those in fibroblasts (Figure 8). In fibroblasts, transcription-coupled nucleotide excision repair rates are faster than global genomenucleotide excision repair rates [56,57,58]. However, the transcription coupled-nucleotide excision DNA repair capacity in pluripotent cells did not exceed a 2-fold difference. Consequently, because the increased global genome-nucleotide excision DNA repair capacity is greater in pluripotent cells, the mutation frequency in pluripotent cells should be lower compared to that observed in fibroblasts. Because global genome-nucleotide excision repair rates are increased relative to transcription-coupled nucleotide excision repair rates in pluripotent cells, we anticipate that factors specific for global genome-nucleotide excision repair, possibly XPC-HR23 recognition, are responsible for faster repair rates. Base excision repair is faster in pluripotent cells than in non-pluripotent cells The base excision repair rates of the pluripotent cell lines investigated demonstrated greater heterogeneity than did their transcription-coupled nucleotide excision repair rates (Figure 8 and Table S2). Specifically, the lowest DNA repair rate was 13fold less than the highest. Whereas H9, BG01V, and iPSC2 had base excision DNA repair capacities that were greater than those of the differentiated cells, BG01 and iPSC1 had lower DNA repair capacities than the differentiated cells. Moreover, the aneuploid line BG01V manifested a base excision repair DNA repair capacity that was 3-fold higher than that of the parental BG01 line. For both transcription-coupled nucleotide excision repair and base excision repair, the DNA repair capacity values were lowest in the iPSC1 line derived from CRL-2097, which indicates this line is more subject to genomic instability. The variability in the base excision repair capacities of the different lines was not separable into predictable categories of pluripotent and differentiated cells. Thus, that underscores the necessity to evaluate DNA repair capacity for each cell line prior to use in research or clinical settings. DSB repair is a source of differences between hESCs and iPSCs Some studies have used stably-transfected DSB reporter assays in pluripotent cells to assess DSB repair [26,27]. This type of system has the advantage of monitoring chromosomal events, but requires the generation of stable transfectants that host the reporter assay. At this time, introduction and selection of the stably-transfected reporter assay systems is still non-trivial in pluripotent cells and has been used for only the aneuploid BG01V line [26]. The advantage of the host cell reactivation systems is that less time is required for the assay, permitting a rapid comparison of a larger number of cell lines with respect to non-homologous endjoining and single-strand annealing. Currently, it is unclear if the source tissue of the fibroblasts (foreskin and lung) or the vectors used in re-programming account for the substantially different DNA repair capacities observed in the two iPSC lines. This highlights the importance of standardizing reprogramming protocols and minimizing additional variables that could contribute to differences exhibited during characterization. In contrast to the results for transcription-coupled nucleotide excision repair and base excision repair, all cell lines examined, except for iPSC1, showed similar DNA repair capacities for nonhomologous end-joining. Interestingly, despite having the lowest DNA repair capacity for transcription coupled-nucleotide and base excision repair, iPSC1 displayed the highest non-homologous end-joining DNA repair capacity. More surprisingly, although both iPSC1 and iPSC2 were obtained from human fibroblasts (foreskin and lung, respectively) using the same transcription factors to induce pluripotency, the non-homologous end-joining DNA repair capacity of iPSC2 is ,3-fold less than that of iPSC1. Therefore, although the same transcription factors were used to induce both iPSC lines, each cell line had significantly different non-homologous end-joining repair characteristics. The lower values for single-strand annealing in all pluripotent cells could be associated with those cells having reduced the mutagenic consequences from repair using that pathway. Two pluripotent cell lines with microsatellite instability also manifest DNA repair capacity differences from other pluripotent cells MSI is generally considered a marker for mismatch repair defects and/or DNA synthesis, which can lead to DNA mutations that are linked to human disease [59,60,61,62,63]. Since the various pluripotent lines exhibited such drastic repair capacity differences, MSI was evaluated as a candidate for these inconsistencies. Among the hESC lines, BG01V manifested MSI at a single locus. The major differences observed in BG01V are at the chromosomal level [64], but we also identified one locus adjacent to APC, a tumor suppressor gene, that differed between BG01 and BG01V. However, screening for short tandem repeat (STR) sequences did not reveal differences between these lines [65], which suggests that the MSI screening loci used in this report are more sensitive than STR analysis for genomic stability assessment. Although spectral karyotyping showed that the iPSC lines used in these experiments are normal, additional analysis of induced pluripotent lines showed that the iPSC1 line manifested greater MSI at two loci as compared to the parental line. Therefore, the differences in iPSC1 DNA repair capacity, compared to the other cell lines investigated, could be due in part to factors linked to MSI, emphasizing the need to examine pluripotent cells through other methods. The therapeutic merits of hESCs and iPSCs are currently under evaluation and some differences among hESCs and iPSCs have been identified. Reports have indicated that iPSCs have less efficient growth and differentiation capacities than hESCs [66], distinct methylation and de-methylation patterns in non-coding RNAs [67], and variations in X-chromosome reactivation [68], suggesting that hESCs and iPSCs also have epigenetic differences. Another study showed that hESCs and iPSCs are heterogeneous, depending on their derivation source [69], and it is possible that DNA repair pathway reprogramming is dependent on the cells of origin. Our data indicate that hESCs and iPSCs have differences in DNA repair that can be monitored by a series of assays that encompass a range of DNA repair pathways. Based on our results, further work that determines the genomic stability of iPSCs is required that evaluates methods for induction of iPSCs as well as the cells of origin. The decreased repair capacities observed in the pathways studied, along with the increased MSI, suggests that iPSC1 is more prone to errors from nucleotide and base excision repair than are the other lines investigated, including iPSC2. The comparisons of MSI in the karyotypically abnormal line (BG01V) and the karyotypically normal iPSC1, indicate that screening for MSIs could provide rapid evaluation of genomic stability. The reduced DNA repair capacities manifested mainly by iPSC1, track with its MSI, suggesting that determination of MSI at these loci could also help to illuminate defects in other repair pathways. Pluripotent cells are subject to increased apoptosis after exposure to DNA damaging agents Apoptosis occurs naturally in pluripotent cells grown in mTeSR1, and is enhanced by depletion of basic fibroblast growth factor [28]. Our study indicates that pluripotent cells also undergo apoptosis after low levels of exposure (e.g., 5 J/m2 UVC) or concentrations (e.g., 50 mM DMS) of some DNA-damaging agents. However, for H2O2, no apoptotic response was observed, indicating that not all damaging agents elicit the same programmed cell death. In addition, we showed that for up to 24 h after UVC radiation the majority of the adherent hESCs have intact membranes that lack evidence of apoptosis, but that iPSCs exhibit increased apoptotic sensitivity within 3 h postirradiation, resulting in cells being released from colonies. To the best of our knowledge, although apoptosis has been reported in human pluripotent cells in response to c-radiation [22,23,70] no previous data have addressed low-level UVC induced apoptosis in human pluripotent cells. Due to the lower energy of UVC radiation compared to c-radiation, the observation of apoptosis was unexpected. Moreover, although ROCK inhibitor can enhance pluripotent stem cell attachment [49], its failure to rescue UVC-induced apoptosis in H9 cells suggests that the hypersensitivity to UVC-induced cell death does not involve the Rhomyosin-actin-caspase pathway, but some other apoptotic trigger, possibly CHK1 and/or CHK2 [20]. Further research is warranted to identify the mechanism in the pathways involved. The apoptotic response of pluripotent cells to low level UVC may protect the genomic stability of the entire population by sacrificing damaged cells in a timely fashion and raises the question of evolutionary preservation in this instance, because damage tolerance in hESCs could lead to mutations if proliferation continues. Therefore, there is a paradox involved in genomic stability of pluripotent cells: DNA repair is often rapid in pluripotent cells as compared to differentiated cells, but exposure to relatively low levels of DNA-damaging agents results in cell death. In fact, the low level of UVC-induced damage tolerated by pluripotent cells shows that these cells are almost as sensitive to UVC as some human fibroblasts from individuals with defective nucleotide excision repair genes [71]. Thus, our data suggest that pluripotent cells efficiently repair damage, but will undergo cell death in the short damage response interval identified in this study rather than risk the possibility of transmitting a mutation or genetic rearrangement if the damage is not repaired. That the higher energy c-radiation also results in apoptosis at low radiation fluxes (less than 2 Gy [22,23], and our unpublished results]) argue against peripheral damage of colonies as a provocation of apoptosis. In the future, identification of the agents that induce apoptosis and apoptotic signaling will yield important insight concerning mechanisms of cell death in pluripotent cells. Conclusion We have demonstrated that, in general, hESCs excel in global genome-nucleotide excision repair as compared to non-pluripotent cells. Using the assays described, we have shown that pluripotent cells and differentiated cells have similar repair capacities in nonhomologous end joining, whereas pluripotent cells have attenuated DNA repair capacities in the single-strand annealing as compared to differentiated cells. Despite these generalities, DNA repair capacities for individual pluripotent cell lines show complexity that requires inspection of these and any other lines considered for clinical use. Furthermore, our investigation has shown that pluripotent cells are more prone to apoptosis than their differentiated progenitors, despite enhanced repair rates when exposed to UVC. This is consistent with pluripotent cells limiting mutations in their progeny. In the future, the identification of factors that enhance pluripotent cell genomic stability while limiting apoptosis will enable wider use of these cells. Most importantly, our work highlights that even though iPSCs may display a normal karyotype, microsatellite instability, which indicates general genomic instability, may predict alterations in DNA repair responses of pluripotent cells to various DNA damaging agents as compared to karyotypically normal counterparts that lack MSI. Taken together, these results identify a critical area that must be studied before the use of induced pluripotent cells can be explored further for regenerative medicine. Based on our results, requirements for pre-clinical screening for genomic instability in hESCs, and especially iPSCs, would benefit from the inclusion of assays to monitor transcription-coupled nucleotide excision repair, non-homologous end-joining, and single-strand annealing, as well as microsatellite instability. Supporting Information Figure S1 Characterization of hESCs and iPSCs. (A) Immunohistochemical staining of pluripotent cell markers in hESCs and iPSCs. The indicated cell colonies were immunostained for SSEA4 (green), NANOG (red), SOX2 (purple), and DAPI (blue). Bars are 50 mm. (B) Immunohistochemical staining of bona fide pluripotent cell markers in iPSCs. iPSC colonies were immunostained for DNMT3B (green), SOX2 (red), and DAPI (blue). Bars are 30 mm. H9, iPSC1 (shown in 1A), as well as BG01 and iPSC2 (not shown) were all positively stained for the pluripotency markers (ES cell-specific transcription factors) Nanog, SOX2, and SSEA4. Both iPSC1 and iPSC2 also stained positive for DNMT3B (1B), confirming that they are bona fide iPSCs [1]. (TIF) Figure S2 Karyotypes of investigated pluripotent cell lines. (A) H9 passage p 110, (B) BG01 p 54. BG01V (not shown) is a karyotypically abnormal (49, +12, +17 and XXY) long term cell culture variant originally isolated and characterized from BG01 cultures [2], and (C) iPSC2 p 11, as assessed by G-banding and (D) iPSC1 p 24, as assessed by spectral karyotyping (SKY) analysis. Both iPSC1 and iPSC2 were derived from human skin fibroblasts (CRL-2097) [3] or human lung fibroblasts (IMR90), respectively. The karyotypes examined for all these cells manifested 46 chromosomes in greater than 90% of the metaphase cells analyzed until at least p 110 for H9, p 54 for BG01, p 24 for iPSC1 and passage 11 for iPSC2. (TIF) Figure S3 Analysis of CPD incidence in UVC-irradiated l DNA. UVC-irradiated Bacteriophage l DNA was subjected to alkaline gel analysis (A) and quantification (B) of UVC-induced enzyme sensitive sites per mega base (ESS/Mb) was conducted. Hind III-digested lamda DNA are used as DNA markers. (TIF) Figure S4 UVC, H2O2 or DMS-induced damage in hESC, iPSC and fibroblast cells. (A) Dot blot of UVCinduced (10 or 20 J/m2) CPD adducts in pluripotent cells and fibroblasts, quantified in TotalLab. (B) Comet assays of hESCs (H9), iPSCs (iPSC1), or human skin fibroblasts (CRL-2097) treated with H2O2 (100 mM). Untreated cells were used as controls. (C) Comet assays of hESCs (H9), iPSCs (iPSC2), or human skin fibroblasts (IMR90) treated with DMS (50 mM). (TIF) Figure S5 Evaluation of cH2AX foci formation in response to treatment with H2O2. (A) Fluorescence images of hESCs (H9), iPSCs (iPSC1) and fibroblasts (CRL-2097) stained for cH2AX foci after treatment with 100 mM H2O2 (4uC for 30 min). The expanded cell shows the foci as examined in the individual cells. Controls are untreated samples. Bars are 20 mm. (B) Quantification of percent of cells with greater than 4 cH2AX foci. (TIF) Figure S6 Dot blot assay data for global genomenucleotide excision repair of UVC-induced cyclobutane pyrimidine dimers. Dot blot images of CPD repair time course in (A) hESC (H9 and BG01), (B) iPSC (iPSC1 and iPSC2) and (C) fibroblast (CRL-2097 and IMR90) cells following 10 J/m2 UVC treatment. Only adherent cells were used in the assay. Quantification of enzyme sensitive sites per mega base was determined using standards loaded on each individual blot. (TIF) Figure S7 FACS analysis of the H9 cell states post UVC irradiation (10 J/m2). At the time points indicated, floating (F) and adherent (A) H9 cells were collected by centrifugation or accutase treatment followed by centrifugation and incubated with Annexin V-FITC and/or PI. Cells are divided by quadrants into live (FITC2, PI2), early apoptotic (FITC+, PI2), late apoptotic (FITC+, PI+) or necrotic (FITC2, PI+) sections. The quantification is shown in Figure 7B. (TIF) UVC-induced apoptosis in induced pluripocells. (A) DNA fragmentation analysis of UVCirradiated iPSC2 cells. STS, staurosporine; S, supernatant; F, floating cells; A, adherent cells (B) Caspase 3 cleavage in adherent and floating cells. Upper panel: Western blot of caspase 3 cleavage in iPSC2 cells, treated with 10 J/m2 UVC (6, 12 and 24 h) or staurasporine (3 h), using near-infrared detection. Uncleaved (Uncl.); Cleaved (Cl.); Floating cells (F); Adherent cells (A). Note that there are no floating cells prior to treatment. Lower panel: analysis of Western blots comparing uncleaved (Uncl.) and cleaved (Cl.) bands for caspase 3. (TIF) Microsatellite markers for MSI analysis. Table S2 Summary of DNA repair rates/capacities of hPSCs and HFs in multiple DNA repair pathways investigated. The rates/capacities for all the lines are relative to the rates/capacities in IMR-90 fibroblasts (1.0). Values are mean 6 Standard Deviation. Note that the repair rates are directly comparable down a column and not across rows. (DOC) The authors thank Dr. J. Thomsen (University of Wisconsin-Madison) for the iPSC1 line and Dr. J.-K. Yee (Beckman Research Institute) for the IMR90 derived iPSC2 line; Drs. R. Schiestl and Z. Scuric for supplying the non-homologous end joining and single-strand annealing assay plasmids and helping to establish the assays; Dr. J. Stark for reading the manuscript; Dr. K. Walker for comments on the manuscript; and Dr. R. Jove (Director, Beckman Research Institute) for assistance in organization of the project. Conceived and designed the experiments: LZL SP XZ TRO. Performed the experiments: LZL SLN SGP SEB. Analyzed the data: LZL SLN SP TRO. Contributed reagents/materials/analysis tools: SGP SP SEB XZ LEI TRO. Wrote the paper: LZL SLN SGP SEB XZ LEI TRO. Intellectual Input: SGP. Brimble SN , Zeng X , Weiler DA , Luo Y , Liu Y , et al. 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Li Z. Luo, Sailesh Gopalakrishna-Pillai, Stephanie L. Nay, Sang-Won Park, Steven E. Bates, Xianmin Zeng, Linda E. Iverson, Timothy R. O'Connor. DNA Repair in Human Pluripotent Stem Cells Is Distinct from That in Non-Pluripotent Human Cells, PLOS ONE, 2012, DOI: 10.1371/journal.pone.0030541