Macrophages are a key component of the innate immune system, populate different tissues and organs during development, and are maintained throughout life by local proliferation and steady-state recruitment [1]. These resident macrophage populations play a central role in a variety of tissue-specific physiological and pathophysiological processes [2]. Macrophages also provide first-line defense against invading pathogens, orchestrate innate immune responses, and initiate adaptive immunity [3]. Thus, characterization of macrophage function is a major focus of many investigators, in the context of both fundamental biology as well as human diseases.
Immortalized or leukemia-derived human macrophage-like cell lines and primary monocyte-derived macrophages (MDM) differentiated from human blood are two commonly used model systems to study human macrophage functions. Although useful, these systems have inherent limitations. Existing macrophage-like cell lines often show chromosomal abnormalities and do not recapitulate all the phenotypic and functional characteristics of primary macrophages [4, 5]. By contrast, although MDMs are currently the gold standard, they show high levels of variability on the basis of genetic makeup and physiological state of individual donors. There are also significant practical and ethical constraints in terms of how frequently and what volumes of blood can be drawn from individual donors, as well as in genetic analysis of such material.
Macrophages are highly resistant to genetic manipulation and induce a robust antiviral response to exogenous nucleic acid [12, 13]. By contrast iPSCs are immunologically unresponsive and more amenable to genetic manipulation [14]. Once genetically modified at iPSC stage, they can be subsequently differentiated into macrophages without inducing a response to foreign nucleic acid [15]. Macrophages differentiated from patient-derived iPSCs harboring rare genetic mutations phenocopy original macrophage defects observed in patients [16–18]. Similarly, large numbers of iPSCs from healthy donors have been differentiated into macrophages to study how common genetic variation influences innate immune responses to pathogens. Furthermore, iPSC-derived macrophages are especially useful to study human-adapted pathogens for which currently no animal models are available [8, 19]. In a more translational context, proof-of-principle evidence is now emerging that iPSC-derived macrophages can be potentially exploited to treat certain types of cancer by cellular therapy [20]. Different tissue-resident macrophages are difficult to access especially from healthy individuals. Human iPSC-derived macrophages follow a similar developmental pathway as described for tissue-resident populations in vivo, and can be further differentiated into specific tissue-resident populations [21–23]. Thus hiPSC provide an alternative source for tissue-specific macrophage populations which are difficult to obtain from primary tissues.
Here we provide a simple, stepwise protocol for differentiating hiPSCs that can be scaled up to produce large numbers of functional macrophages according to individual requirements. The protocol follows a continuous culture method that produces individual batches of macrophages every 5–7 days that can be maintained for several months, particularly convenient for repeated experiments. Some variations of this protocol have been reported by our group and others, but the current protocol is technically less challenging, reproducible, and economic and can be easily adapted for use by nonspecialist laboratories. The protocol involves several key steps: (1) expansion of iPSCs in feeder-free conditions using chemically defined medium, (2) adapting iPSCs in feeder-dependent culture, (3) formation of three germ layers (ectoderm, mesoderm, and endoderm) containing embryoid bodies (EBs), (4) generation of myeloid precursor cells from EBs in the presence of IL-3 and M-CSF, and (5) terminal differentiation of myeloid precursors into mature macrophages in the presence of higher concentrations of M-CSF (Fig. 1).
Macrophages generated by this protocol closely share gene expression profiles of MDMs [9], express well-established markers of human macrophages (Fig. 2), and can be polarized into classical or alternatively activated phenotypes after stimulation with IFN-γ and IL-4, respectively (Fig. 3). Functionally, these macrophages respond to microbial stimulation and support pathogen infection [8, 9].
All solutions and media should be prepared inside a class 2 microbiological safety cabinet using standard aseptic techniques; unless otherwise specified prepare all reagents at room temperature. Reconstitute all cytokines in 0.1% BSA solution in D-PBS, aliquot immediately in appropriate volume, and store at −80 °C until required. Store all base media at 4 °C and do not keep reconstituted media longer than 2 weeks. Always freshly add cytokines into base media immediately before use.
E8 media are light sensitive. Keep individual components and reconstituted media protected from light.
Immediately before culturing iPSCs on mouse feeder add required volume of bFGF (rhFGF2 basic 146aa) into iPSC base media to obtain 4 ng/mL final concentrations. In addition, during first-time transfers of hiPSCs onto feeder layers and during all subsequent passaging steps also add Rock inhibitor into hiPSC base medium to obtain 10 μM final concentrations.
During reconstitution and aliquoting of cytokines, pipette carefully to avoid excessive frothing.
Before transferring the EBs onto gelatinized plates add the required volume of rhIL-3 (25 ng/mL final concentration) and rhM-CSF (50 ng/mL final concentration) into myeloid precursor base medium. This can be easily achieved by further diluting cytokine aliquots in appropriate volumes of 0.1% BSA solution before adding to culture medium.
Before culturing myeloid precursors for terminal differentiation into macrophages add required volume of rhM-CSF into macrophage differentiation base media to obtain100 ng/mL final concentration.
Ensure that vitronectin-coated plates are tightly sealed with Parafilm to prevent evaporation of solution and ensure that the entire surface of the plastic dish is fully covered at all times.
Human iPSCs are sensitive to temperature changes. Always use media and solutions that are pre-warmed to room temperature. Warm media bottles at room temperature only and never warm in 37 °C water bath.
During initial seeding of iPSC colonies on vitronectin-coated plates and feeder layers, use minimum volumes of media for first 24 h. This enhances the contact of colonies with the surface and facilitates attachment.
Rock inhibitor prevents apoptosis and spontaneous differentiation of iPSCs. Addition of Rock inhibitor during initial plating and subsequent passaging of iPSCs facilitates attachment and recovery. However, Rock inhibitor can interfere with cellular growth and colony expansion and must be removed from media after first 24 h.
It is critical that during EB formation iPSC colonies are plated on low-adherent bacteriological dishes without coating, and no bFGF is added at this stage. EBs generated in this method may be heterogeneous in size and shape, but that does not interfere with their ability to produce myeloid precursors in subsequent steps. There are other methods to generate equal-size EBs using AggreWell and hanging-drop methods, but these are technically more involved and not discussed here.
It is not essential that EBs should attach to the gelatine-coated surface in order to produce myeloid precursors, but attachment makes it easier for weekly media change and harvest of precursors. Occasionally when EB sizes are too small or too large they may not attach to gelatine-coated plates; do not discard such plates as they will generate myeloid precursors as usual.
Efficiency of myeloid precursor generation from EB is highly dependent on required levels of nutrients and cytokine concentration at all times. Care should be taken that media never become too yellow at any point during culture. This could be achieved either by changing media more frequently or adding additional media as necessary.
Serum components significantly reduce efficiency of EB to precursor differentiation; only serum-free culture media should be used at this stage.
Recombinant cytokines from commercial vendors often contain significant levels of endotoxin which reduces precursor differentiation and also activates them immunologically.
During precursor-to-macrophage differentiation, myeloid precursors divide 2–3 times before differentiating into mature macrophages. Therefore, the final number of macrophages should be at least double compared to the initial number of precursors seeded.
Wynn TA, Chawla A, Pollard JW (2013) Macrophage biology in development, homeostasis and disease. Nature 496:445–455
Murray PJ, Wynn TA (2011) Protective and pathogenic functions of macrophage subsets. Nat Rev Immunol 11:723–737
Janeway CA Jr, Medzhitov R (2002) Innate immune recognition. Annu Rev Immunol 20:197–216
Adati N, Huang MC, Suzuki T et al (2009) High-resolution analysis of aberrant regions in autosomal chromosomes in human leukemia THP-1 cell line. BMC Res Notes 2:153
Schildberger A, Rossmanith E, Eichhorn T et al (2013) Monocytes, peripheral blood mononuclear cells, and THP-1 cells exhibit different cytokine expression patterns following stimulation with lipopolysaccharide. Mediators Inflamm 2013:697972
Grskovic M, Javaherian A, Strulovici B, Daley GQ (2011) Induced pluripotent stem cells—opportunities for disease modelling and drug discovery. Nat Rev Drug Discov 10:915–929
Takahashi K, Yamanaka S (2006) Induction of pluripotent stem cells from mouse embryonic and adult fibroblast cultures by defined factors. Cell 126(4):663–676
Hale C, Yeung A, Goulding D et al (2015) Induced pluripotent stem cell derived macrophages as a cellular system to study salmonella and other pathogens. PLoS One 10:e0124307
Alasoo K, Martinez FO, Hale C et al (2015) Transcriptional profiling of macrophages derived from monocytes and iPS cells identifies a conserved response to LPS and novel alternative transcription. Sci Rep 5:12524
Karlsson KR, Cowley S, Martinez FO et al (2008) Homogeneous monocytes and macrophages from human embryonic stem cells following coculture-free differentiation in M-CSF and IL-3. Exp Hematol 36:1167–1175
van Wilgenburg B, Browne C, Vowles J, Cowley SA (2013) Efficient, long term production of monocyte-derived macrophages from human pluripotent stem cells under partly-defined and fully-defined conditions. PLoS One 8:e71098
Lyakh LA, Koski GK, Young HA et al (2002) Adenovirus type 5 vectors induce dendritic cell differentiation in human CD14(+) monocytes cultured under serum-free conditions. Blood 99:600–608
Muruve DA, Petrilli V, Zaiss AK et al (2008) The inflammasome recognizes cytosolic microbial and host DNA and triggers an innate immune response. Nature 452:103–107
Rossi R, Hale C, Goulding D et al (2012) Interaction of Salmonella typhimurium with dendritic cells derived from pluripotent embryonic stem cells. PLoS One 7:e52232
Yeung ATY, Hale C, Lee AH et al (2017) Exploiting induced pluripotent stem cell-derived macrophages to unravel host factors influencing Chlamydia trachomatis pathogenesis. Nat Commun 8:15013
Panicker LM, Miller D, Awad O et al (2014) Gaucher iPSC-derived macrophages produce elevated levels of inflammatory mediators and serve as a new platform for therapeutic development. Stem Cells 32:2338–2349
Panicker LM, Miller D, Park TS et al (2012) Induced pluripotent stem cell model recapitulates pathologic hallmarks of Gaucher disease. Proc Natl Acad Sci U S A 109:18054–18059
Jiang Y, Cowley SA, Siler U et al (2012) Derivation and functional analysis of patient-specific induced pluripotent stem cells as an in vitro model of chronic granulomatous disease. Stem Cells 30:599–611
van Wilgenburg B, Moore MD, James WS, Cowley SA (2014) The productive entry pathway of HIV-1 in macrophages is dependent on endocytosis through lipid rafts containing CD4. PLoS One 9:e86071
Senju S, Koba C, Haruta M et al (2014) Application of iPS cell-derived macrophages to cancer therapy. Oncoimmunology 3:e27927
Haenseler W, Sansom SN, Buchrieser J et al (2017) A highly efficient human pluripotent stem cell microglia model displays a neuronal-co-culture-specific expression profile and inflammatory response. Stem Cell Rep 8:1727–1742
Muffat J, Li Y, Yuan B et al (2016) Efficient derivation of microglia-like cells from human pluripotent stem cells. Nat Med 22:1358–1367
Takata K, Kozaki T, Lee CZW et al (2017) Induced-pluripotent-stem-cell-derived primitive macrophages provide a platform for modeling tissue-resident macrophage differentiation and function. Immunity 47:183–198