CN117448269A - A method and application for inducing rapid differentiation of human pluripotent stem cells into macrophages - Google Patents
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Abstract
本发明涉及一种诱导人多能干细胞快速分化为巨噬细胞的方法及应用,涉及生物医药技术领域,该方法括如下步骤:(1)第一阶段,分化形成中胚层;(2)第二阶段,分化形成生血内皮细胞;(3)第三阶段,分化形成幼稚巨噬细胞;(4)第四阶段,分化形成成熟巨噬细胞。本发明提供了一种新型单层分化法来获得人多能干细胞来源的巨噬细胞,与现有单层分化法相比,该方法无需经过HSPCs的分化阶段,可直接分化获得功能成熟的巨噬细胞;极大的简化了巨噬细胞分化体系,缩短了分化周期,并能显著降低生产成本;因此本发明提供的巨噬细胞分化方法更加安全可靠和稳定,能短时间大批量的产生功能成熟的巨噬细胞。
The invention relates to a method and application for inducing rapid differentiation of human pluripotent stem cells into macrophages, and relates to the field of biomedical technology. The method includes the following steps: (1) first stage, differentiation to form mesoderm; (2) second stage The first stage differentiates into hematopoietic endothelial cells; (3) the third stage differentiates into immature macrophages; (4) the fourth stage differentiates into mature macrophages. The present invention provides a novel monolayer differentiation method to obtain macrophages derived from human pluripotent stem cells. Compared with the existing monolayer differentiation method, this method does not need to go through the differentiation stage of HSPCs and can directly differentiate to obtain functionally mature macrophages. cells; it greatly simplifies the macrophage differentiation system, shortens the differentiation cycle, and significantly reduces production costs; therefore, the macrophage differentiation method provided by the present invention is more safe, reliable and stable, and can produce large quantities of functionally mature cells in a short time of macrophages.
Description
技术领域Technical field
本发明涉及生物医药技术领域,具体涉及一种诱导人多能干细胞快速分化为巨噬细胞的方法及应用。The invention relates to the field of biomedicine technology, and specifically relates to a method and application for inducing rapid differentiation of human pluripotent stem cells into macrophages.
背景技术Background technique
免疫细胞治疗在肿瘤治疗中具有重要意义,其中T细胞疗法具有显著的抗癌效果,随着该疗法的成熟,多种T细胞治疗获得美国FDA批准。虽然目前T细胞治疗对血液肿瘤效果较好,但是对实体瘤疗效不佳。主要原因是实体瘤组织内的肿瘤微环境存在多种免疫抑制机制,并且T细胞在肿瘤组织停留短暂,透过性差,难以发挥作用。因此探讨其它潜在可行的可以有效对抗实体瘤的免疫细胞疗法,具有十分重要的意义。巨噬细胞(Macrophage)是具有吞噬作用的单核免疫细胞,能够在实体组织驻留,对抵御病原体入侵和维持机体免疫稳态平衡具有重要作用。许多疾病如肿瘤、神经退行性疾病、自身免疫病等的发生发展都伴随着巨噬细胞功能的异常,因此巨噬细胞在相关疾病的治疗中有巨大潜能。但目前我们首先需要开发出一套快速高效且可以大规模产生巨噬细胞的分化体系,以满足临床治疗对巨噬细胞数量的需求。Immune cell therapy is of great significance in tumor treatment, among which T cell therapy has significant anti-cancer effects. With the maturity of this therapy, a variety of T cell therapies have been approved by the US FDA. Although T cell therapy is currently effective against hematological tumors, it is not effective against solid tumors. The main reason is that there are multiple immunosuppressive mechanisms in the tumor microenvironment in solid tumor tissue, and T cells stay in the tumor tissue for a short time and have poor permeability, making it difficult for them to function. Therefore, it is of great significance to explore other potentially feasible immune cell therapies that can effectively combat solid tumors. Macrophages are mononuclear immune cells capable of phagocytosis. They can reside in solid tissues and play an important role in resisting pathogen invasion and maintaining the body's immune homeostasis. The occurrence and development of many diseases, such as tumors, neurodegenerative diseases, autoimmune diseases, etc., are accompanied by abnormal macrophage function. Therefore, macrophages have great potential in the treatment of related diseases. But at present, we first need to develop a differentiation system that is fast, efficient and can produce macrophages on a large scale to meet the demand for macrophage numbers in clinical treatment.
从人多能干细胞(human pluripotent stem cells,hPSCs)分化为巨噬细胞具有特殊的意义,因为它为临床应用和疾病病理基础研究提供了无限的细胞来源。人多能干细胞是一类具有各谱系分化能力和无限增殖能力的细胞,主要包括人胚胎干细胞(humanembryonic stem cell,hESC)和人诱导性多能干细胞(human induced pluripotent stemcells,hiPSCs)。利用人多能干细胞分化获得巨噬细胞将有望解决巨噬细胞来源受限的难题。hPSCs的造血分化是一个高度复杂和精细调节的过程,其中不同细胞因子、基质因子、信号通路和转录因子的相互作用最终导致了造血谱系的特化。到目前为止,大多数hPSCs体外造血分化方案都使用了多种细胞因子或小分子来模拟胚胎发育不同阶段信号通路的调节,得到相应的血液细胞。从现在的国内外实验室已经建立了多种从hPSCs到巨噬细胞的分化方法,主要分为:(1)拟胚体(EB)分化法;(2)滋养层细胞共培养分化法;(3)单层分化法。Differentiating macrophages from human pluripotent stem cells (hPSCs) is of special significance because it provides an unlimited source of cells for clinical applications and basic research on disease pathology. Human pluripotent stem cells are a type of cells with the ability to differentiate into various lineages and unlimited proliferation, mainly including human embryonic stem cells (hESCs) and human induced pluripotent stem cells (hiPSCs). Using human pluripotent stem cells to differentiate to obtain macrophages is expected to solve the problem of limited sources of macrophages. Hematopoietic differentiation of hPSCs is a highly complex and finely regulated process, in which the interaction of different cytokines, stromal factors, signaling pathways, and transcription factors ultimately leads to the specification of the hematopoietic lineage. So far, most hPSCs hematopoietic differentiation protocols in vitro use a variety of cytokines or small molecules to simulate the regulation of signaling pathways at different stages of embryonic development to obtain corresponding blood cells. Domestic and foreign laboratories have now established a variety of differentiation methods from hPSCs to macrophages, which are mainly divided into: (1) embryoid body (EB) differentiation method; (2) trophoblast cell co-culture differentiation method; ( 3) Monolayer differentiation method.
上述三种分化方法都可以获得巨噬细胞,但是其中拟胚体(EB)分化法存在着操作繁琐及分化效率不稳定等问题,滋养层细胞共培养分化法存在依赖于异种材料(基质细胞OP9是鼠源细胞)的使用,有一定的安全风险,因此有难以克服的局限性等问题;而单层分化法则相对更稳定和安全;利用单层分化法分化获得巨噬细胞,一般需要先将人多能干细胞分化为造血干/祖细胞(HSPCs),然后再将HSPCs进行髓系分化,最终分化获得巨噬细胞,这种传统的单层分化方法周期较长,成本过高。鉴于此,本发明提供一种诱导人多能干细胞快速分化为巨噬细胞的方法及应用。The above three differentiation methods can all obtain macrophages, but the embryoid body (EB) differentiation method has problems such as cumbersome operation and unstable differentiation efficiency. The trophoblast cell co-culture differentiation method relies on heterogeneous materials (stromal cells OP9 (are mouse-derived cells), there are certain safety risks, so there are problems such as limitations that are difficult to overcome; while the monolayer differentiation method is relatively more stable and safe; using the monolayer differentiation method to differentiate to obtain macrophages generally requires first Human pluripotent stem cells are differentiated into hematopoietic stem/progenitor cells (HSPCs), and then the HSPCs undergo myeloid differentiation and finally differentiate into macrophages. This traditional single-layer differentiation method has a long cycle and is too expensive. In view of this, the present invention provides a method and application for inducing rapid differentiation of human pluripotent stem cells into macrophages.
发明内容Contents of the invention
本发明所要解决的技术问题是提供一种诱导人多能干细胞快速分化为巨噬细胞的方法及应用。目的是提供一套经济、稳定、高效、快速的原始巨噬细胞单层分化方法,经此方法产生的巨噬细胞可以正常表达经典巨噬细胞的表面标志物,有正常的吞噬功能和极化响应能力,并且呈现典型的巨噬细胞形态。The technical problem to be solved by the present invention is to provide a method and application for inducing rapid differentiation of human pluripotent stem cells into macrophages. The purpose is to provide an economical, stable, efficient and rapid monolayer differentiation method of primitive macrophages. The macrophages generated by this method can normally express the surface markers of classic macrophages and have normal phagocytic function and polarization. responsiveness and exhibit typical macrophage morphology.
本发明解决上述技术问题的技术方案如下:The technical solutions of the present invention to solve the above technical problems are as follows:
第一方面,提供一种诱导人多能干细胞快速分化为巨噬细胞的方法,包括如下步骤:The first aspect provides a method for inducing rapid differentiation of human pluripotent stem cells into macrophages, including the following steps:
(1)第一阶段,分化形成中胚层:取人多能干细胞,采用第一阶段诱导培养基(HDM1),诱导分化得到中胚层;所述第一阶段诱导培养基包括HDM、BMP4、Activin A、bFGF、CHIR99021、A8-301、和IWR-1-endo;(1) The first stage, differentiation to form mesoderm: take human pluripotent stem cells, use the first stage induction medium (HDM1), induce differentiation to obtain mesoderm; the first stage induction medium includes HDM, BMP4, Activin A , bFGF, CHIR99021, A8-301, and IWR-1-endo;
(2)第二阶段,分化形成生血内皮细胞:更换第二阶段诱导培养基(HDM2),培养所述中胚层,诱导得到生血内皮细胞;所述第二阶段诱导培养基包括HDM、VEGF和bFGF;(2) The second stage, differentiation to form hematopoietic endothelial cells: replace the second stage induction medium (HDM2), culture the mesoderm, and induce hematopoietic endothelial cells; the second stage induction medium includes HDM, VEGF and bFGF ;
(3)第三阶段,分化形成幼稚巨噬细胞:更换第三阶段诱导培养基(HDM3),培养所述生血内皮细胞,诱导得到悬浮的幼稚巨噬细胞;所述第三阶段诱导培养基包括StemPro-34 SFM、Flt-3、IL3和GM-CSF;从第12天开始可持续产生幼稚巨噬细胞直至第30天左右,后续可每3-4天收集一次悬浮的幼稚巨噬细胞;(3) The third stage, differentiation to form immature macrophages: replace the third stage induction medium (HDM3), culture the hematopoietic endothelial cells, and induce suspended immature macrophages; the third stage induction medium includes StemPro-34 SFM, Flt-3, IL3 and GM-CSF; Naïve macrophages can be continuously produced from day 12 until around day 30, and suspended naïve macrophages can be collected every 3-4 days;
(4)第四阶段,分化形成成熟巨噬细胞:将所述幼稚巨噬细胞用第四阶段培养基(HDM4)培养,得到成熟巨噬细胞(Macrophage);第四阶段诱导培养基包括RPMI 1640和GM-CSF。(4) The fourth stage, differentiation to form mature macrophages: the immature macrophages are cultured in the fourth stage medium (HDM4) to obtain mature macrophages (Macrophage); the fourth stage induction medium includes RPMI 1640 and GM-CSF.
本发明的有益效果是:本发明提供了一种新型单层分化法来获得人多能干细胞来源的巨噬细胞,与现有单层分化法相比,该方法无需经过HSPCs的分化阶段,可直接分化获得功能成熟的巨噬细胞;极大的简化了巨噬细胞分化体系,缩短了分化周期,并能显著降低生产成本;因此本发明提供的巨噬细胞分化方法更加安全可靠和稳定,能短时间大批量的产生功能成熟的巨噬细胞。The beneficial effects of the present invention are: the present invention provides a novel monolayer differentiation method to obtain macrophages derived from human pluripotent stem cells. Compared with the existing monolayer differentiation method, this method does not need to go through the differentiation stage of HSPCs and can directly Functionally mature macrophages are obtained through differentiation; the macrophage differentiation system is greatly simplified, the differentiation cycle is shortened, and the production cost can be significantly reduced; therefore, the macrophage differentiation method provided by the present invention is more safe, reliable and stable, and can be used in a short time. time to produce functionally mature macrophages in large quantities.
在上述技术方案的基础上,本发明还可以做如下改进。On the basis of the above technical solution, the present invention can also make the following improvements.
进一步,步骤(1)中采用所述第一阶段诱导培养基诱导分化的条件为:温度为37±0.5℃,CO2的体积分数为5%,氧含量为常氧,时间为1-3天;Further, the conditions for inducing differentiation using the first stage induction medium in step (1) are: the temperature is 37±0.5°C, the volume fraction of CO2 is 5%, the oxygen content is normoxic, and the time is 1-3 days ;
步骤(2)中采用所述第二阶段诱导培养基,培养所述中胚层诱导得到生血内皮细胞的条件为:温度为37±0.5℃,CO2的体积分数为5%,氧含量为常氧,时间为3-5天;In step (2), the second stage induction medium is used, and the conditions for culturing the mesoderm to induce hematopoietic endothelial cells are: the temperature is 37±0.5°C, the volume fraction of CO2 is 5%, and the oxygen content is normoxic. , the time is 3-5 days;
步骤(3)中采用所述第三阶段诱导培养基,培养所述生血内皮细胞,诱导得到幼稚巨噬细胞的条件为:温度为37±0.5℃,CO2的体积分数为5%,氧含量为常氧,时间为3-5天;In step (3), the third stage induction medium is used to culture the hematopoietic endothelial cells, and the conditions for inducing immature macrophages are: the temperature is 37±0.5°C, the volume fraction of CO2 is 5%, and the oxygen content For normoxia, the time is 3-5 days;
步骤(4)中采用所述第四阶段培养基培养得到成熟巨噬细胞的条件为:温度为37±0.5℃,CO2的体积分数为5%,氧含量为常氧,时间为4-6天。The conditions for obtaining mature macrophages using the fourth-stage culture medium in step (4) are: the temperature is 37±0.5°C, the volume fraction of CO2 is 5%, the oxygen content is normoxic, and the time is 4-6 sky.
进一步,步骤(1)中采用所述第一阶段诱导培养基诱导分化的条件为:温度为37±0.5℃,CO2的体积分数为5%,氧含量为常氧,时间为2天;Further, the conditions for inducing differentiation using the first-stage induction medium in step (1) are: the temperature is 37±0.5°C, the volume fraction of CO2 is 5%, the oxygen content is normoxic, and the time is 2 days;
步骤(2)中采用所述第二阶段诱导培养基,培养所述中胚层诱导得到生血内皮细胞的条件为:温度为37±0.5℃,CO2的体积分数为5%,氧含量为常氧,时间为4天;In step (2), the second stage induction medium is used, and the conditions for culturing the mesoderm to induce hematopoietic endothelial cells are: the temperature is 37±0.5°C, the volume fraction of CO2 is 5%, and the oxygen content is normoxic. , the time is 4 days;
步骤(3)中采用所述第三阶段诱导培养基,培养所述生血内皮细胞,诱导得到幼稚巨噬细胞的条件为:温度为37±0.5℃,CO2的体积分数为5%,氧含量为常氧,时间为4天;In step (3), the third stage induction medium is used to culture the hematopoietic endothelial cells, and the conditions for inducing immature macrophages are: the temperature is 37±0.5°C, the volume fraction of CO2 is 5%, and the oxygen content For normoxia, the time is 4 days;
步骤(4)中采用所述第四阶段培养基培养得到成熟巨噬细胞的条件为:温度为37±0.5℃,CO2的体积分数为5%,氧含量为常氧,时间为5天。In step (4), the conditions for obtaining mature macrophages using the fourth-stage culture medium are: the temperature is 37±0.5°C, the volume fraction of CO2 is 5%, the oxygen content is normoxic, and the time is 5 days.
进一步,所述第一阶段诱导培养基包括HDM、20-60ng/mL BMP4、15-45ng/mLActivin A、10-30ng/mL bFGF、3-9μM CHIR99021、0.5-1.5μM A8-301和0.5-1.5μM IWR-1-endo;Further, the first stage induction medium includes HDM, 20-60ng/mL BMP4, 15-45ng/mLActivin A, 10-30ng/mL bFGF, 3-9μM CHIR99021, 0.5-1.5μM A8-301 and 0.5-1.5 μM IWR-1-endo;
所述第二阶段诱导培养基包括HDM、20-60ng/mL VEGF和25-75ng/mL bFGF;The second stage induction medium includes HDM, 20-60ng/mL VEGF and 25-75ng/mL bFGF;
所述第三阶段诱导培养基包括StemPro-34 SFM、5-15ng/mL Flt-3、5-15ng/mLIL3和2.5-7.5ng/mL GM-CSF;The third stage induction medium includes StemPro-34 SFM, 5-15ng/mL Flt-3, 5-15ng/mLIL3 and 2.5-7.5ng/mL GM-CSF;
所述第四阶段诱导培养基包括RPMI 1640和5-15ng/mL GM-CSF。The fourth stage induction medium includes RPMI 1640 and 5-15ng/mL GM-CSF.
进一步,所述第一阶段诱导培养基包括HDM、40ng/mL BMP4、30ng/mL Activin A、20ng/mL bFGF、6μM CHIR99021、1μM A8-301和1μMIWR-1-endo;Further, the first stage induction medium includes HDM, 40ng/mL BMP4, 30ng/mL Activin A, 20ng/mL bFGF, 6μM CHIR99021, 1μM A8-301 and 1μM IWR-1-endo;
所述第二阶段诱导培养基包括HDM、40ng/mL VEGF和50ng/mL bFGF;The second stage induction medium includes HDM, 40ng/mL VEGF and 50ng/mL bFGF;
所述第三阶段诱导培养基包括StemPro-34 SFM、10ng/mL Flt-3、10ng/mL IL3和5ng/mL GM-CSF;The third stage induction medium includes StemPro-34 SFM, 10ng/mL Flt-3, 10ng/mL IL3 and 5ng/mL GM-CSF;
所述第四阶段诱导培养基包括RPMI 1640和10ng/mL GM-CSF。The fourth stage induction medium includes RPMI 1640 and 10ng/mL GM-CSF.
进一步,所述HDM包括DMEM/F12基础培养基、P/S、ITS-G和维生素C。具体的,所述HDM包括DMEM/F12基础培养基、1wt.%P/S、1wt.%ITS-G和70ug/ml维生素C。Further, the HDM includes DMEM/F12 basic medium, P/S, ITS-G and vitamin C. Specifically, the HDM includes DMEM/F12 basic medium, 1wt.% P/S, 1wt.% ITS-G and 70ug/ml vitamin C.
进一步,步骤(1)中所述人多能干细胞的接种密度为15-17.5万/mL。其他阶段没有密度要求。Further, the seeding density of human pluripotent stem cells described in step (1) is 150,000-175,000/mL. There are no density requirements for other phases.
进一步,所述人多能干细胞在进行所述第一阶段的分化形成中胚层前进行前处理;所述前处理包括以下具体步骤:先将所述人多能干细胞进行消化处理,再在含有Y-27632的培养基中培养12-36小时。Further, the human pluripotent stem cells are pre-processed before undergoing the first stage of differentiation to form mesoderm; the pre-processing includes the following specific steps: first digest the human pluripotent stem cells, and then add Y-containing -27632 culture medium for 12-36 hours.
进一步,所述消化处理采用的消化试剂为Accutase消化液,在常温下消化的时间为3-5分钟;含有Y-27632的培养基包括mTeSR1和Y-27632。具体的,含有Y-27632的培养基包括2mL mTeSR1和10μM Y-27632。Furthermore, the digestion reagent used in the digestion process is Accutase digestion solution, and the digestion time at room temperature is 3-5 minutes; the culture medium containing Y-27632 includes mTeSR1 and Y-27632. Specifically, the medium containing Y-27632 included 2 mL mTeSR1 and 10 μM Y-27632.
第二方面,提供一种巨噬细胞的应用,将所述的方法分化得到的巨噬细胞用于巨噬细胞功能异常的疾病的治疗的药物中。In a second aspect, an application of macrophages is provided, in which the macrophages differentiated by the method are used in medicines for the treatment of diseases with abnormal macrophage function.
附图说明Description of the drawings
图1为本发明从人多能干细胞分化到巨噬细胞的流程示意图及关键节点的明场照片,比例尺为100μm;Figure 1 is a schematic flowchart of the differentiation process from human pluripotent stem cells to macrophages and bright field photos of key nodes according to the present invention. The scale bar is 100 μm;
图2为本发明分化过程中,每次收获巨噬细胞计数统计情况;Figure 2 shows the statistics of macrophage counts for each harvest during the differentiation process of the present invention;
图3为本发明流式检测成熟巨噬细胞经典表面标志物的表达情况;Figure 3 shows the expression of classic surface markers of mature macrophages detected by flow cytometry according to the present invention;
图4为本发明成熟巨噬细胞形态展示图(姬姆萨染色),比例尺10μm;Figure 4 is a morphological display of mature macrophages of the present invention (Giemsa staining), the scale bar is 10 μm;
图5为本发明荧光乳胶微球吞噬实验,照片展示以及流式检测,乳胶微球荧光通道为PE,比例尺10μm;Figure 5 shows the fluorescent latex microsphere phagocytosis experiment of the present invention, photo display and flow cytometric detection. The latex microsphere fluorescence channel is PE, and the scale bar is 10 μm;
图6为本发明成熟巨噬细胞极化前后明场照片,比例尺50μm;Figure 6 is a bright field photo of mature macrophages before and after polarization of the present invention, the scale bar is 50 μm;
图7为本发明流式检测巨噬细胞极化前后M1,M2相关的表面标志物CD80,CD86和CD163,CD206表达情况;Figure 7 shows the expression of M1 and M2 related surface markers CD80, CD86, CD163 and CD206 detected by flow cytometry of the present invention before and after macrophage polarization;
图8为本发明实时荧光定量PCR检测巨噬细胞极化前后M1和M2相关的经典基因打RNA表达水平,误差线表示三次重复实验平均值±标准差。采用非配对的双尾T检验进行显著性分析,****表示P<0.0001。Figure 8 shows the RNA expression levels of classic genes related to M1 and M2 detected by real-time fluorescence quantitative PCR of the present invention before and after macrophage polarization. The error bars represent the mean ± standard deviation of three repeated experiments. Unpaired two-tailed T test was used for significance analysis, **** means P<0.0001.
具体实施方式Detailed ways
以下对本发明的原理和特征进行描述,所举实例只用于解释本发明,并非用于限定本发明的范围。实施例中未注明具体技术或条件者,按照本领域内的文献所描述的技术或条件,或者按照产品说明书进行。所用试剂或仪器未注明生产厂商者,均为可通过正规渠道商购得的常规产品。The principles and features of the present invention are described below. The examples cited are only used to explain the present invention and are not intended to limit the scope of the present invention. If specific techniques or conditions are not specified in the examples, the techniques or conditions described in literature in the field shall be followed, or the product instructions shall be followed. If the manufacturer of the reagents or instruments used is not indicated, they are all conventional products that can be purchased through regular channels.
下述实施例采用的试剂和材料的来源说明:Description of the sources of reagents and materials used in the following examples:
BMP4(Peprotech);Activin A(Sino Biological);bFGF(Sino Biological);CHIR99021(selleck);A8-301(selleck);IWR-1-endo(selleck);VEGF(Sino Biological);StemPro-34 SFM(gibco);Flt-3(Peprotech);IL3(Peprotech);GM-CSF(SinoBiological);RPMI 1640(gibco);mTeSR1(gibco);Y-27632(selleck);DMEM/F12(gibco);P/S(gibco);ITS-G(gibco);维生素C(gibco);LPS-EK(Invivogen);INF-γ(SinoBiological)。BMP4 (Peprotech); Activin A (Sino Biological); bFGF (Sino Biological); CHIR99021 (selleck); A8-301 (selleck); IWR-1-endo (selleck); VEGF (Sino Biological); StemPro-34 SFM ( gibco); Flt-3 (Peprotech); IL3 (Peprotech); GM-CSF (SinoBiological); RPMI 1640 (gibco); mTeSR1 (gibco); Y-27632 (selleck); DMEM/F12 (gibco); P/S (gibco); ITS-G (gibco); Vitamin C (gibco); LPS-EK (Invivogen); INF-γ (SinoBiological).
实施例Example
1、诱导人多能干细胞快速分化为巨噬细胞1. Inducing human pluripotent stem cells to rapidly differentiate into macrophages
一种诱导人多能干细胞快速分化为巨噬细胞的方法,包括如下步骤:A method for inducing rapid differentiation of human pluripotent stem cells into macrophages, including the following steps:
(1)第一阶段,分化形成中胚层:取人多能干细胞,采用第一阶段诱导培养基(HDM1),诱导分化得到中胚层;所述第一阶段诱导培养基包括HDM、BMP4、Activin A、bFGF、CHIR99021、A8-301、和IWR-1-endo;(1) The first stage, differentiation to form mesoderm: take human pluripotent stem cells, use the first stage induction medium (HDM1), induce differentiation to obtain mesoderm; the first stage induction medium includes HDM, BMP4, Activin A , bFGF, CHIR99021, A8-301, and IWR-1-endo;
(2)第二阶段,分化形成生血内皮细胞:更换第二阶段诱导培养基(HDM2),培养所述中胚层,诱导得到生血内皮细胞;所述第二阶段诱导培养基包括HDM、VEGF和bFGF;(2) The second stage, differentiation to form hematopoietic endothelial cells: replace the second stage induction medium (HDM2), culture the mesoderm, and induce hematopoietic endothelial cells; the second stage induction medium includes HDM, VEGF and bFGF ;
(3)第三阶段,分化形成幼稚巨噬细胞:更换第三阶段诱导培养基(HDM3),培养所述生血内皮细胞,诱导得到悬浮的幼稚巨噬细胞;所述第三阶段诱导培养基包括StemPro-34 SFM、Flt-3、IL3和GM-CSF;从第12天开始可持续产生幼稚巨噬细胞直至第30天左右,后续可每3-4天收集一次悬浮的幼稚巨噬细胞;(3) The third stage, differentiation to form immature macrophages: replace the third stage induction medium (HDM3), culture the hematopoietic endothelial cells, and induce suspended immature macrophages; the third stage induction medium includes StemPro-34 SFM, Flt-3, IL3 and GM-CSF; Naïve macrophages can be continuously produced from day 12 until around day 30, and suspended naïve macrophages can be collected every 3-4 days;
(4)第四阶段,分化形成成熟巨噬细胞:将所述幼稚巨噬细胞用第四阶段培养基(HDM4)培养,得到成熟巨噬细胞(Macrophage);第四阶段诱导培养基包括RPMI 1640和GM-CSF。(4) The fourth stage, differentiation to form mature macrophages: the immature macrophages are cultured in the fourth stage medium (HDM4) to obtain mature macrophages (Macrophage); the fourth stage induction medium includes RPMI 1640 and GM-CSF.
本发明提供了一种新型单层分化法来获得人多能干细胞来源的巨噬细胞,与现有单层分化法相比,该方法无需经过HSPCs的分化阶段,可直接分化获得功能成熟的巨噬细胞;极大的简化了巨噬细胞分化体系,缩短了分化周期,并能显著降低生产成本。The present invention provides a novel monolayer differentiation method to obtain macrophages derived from human pluripotent stem cells. Compared with the existing monolayer differentiation method, this method does not need to go through the differentiation stage of HSPCs and can directly differentiate to obtain functionally mature macrophages. cells; greatly simplifies the macrophage differentiation system, shortens the differentiation cycle, and significantly reduces production costs.
优选的,步骤(1)中采用所述第一阶段诱导培养基诱导分化的条件为:温度为37±0.5℃,CO2的体积分数为5%,氧含量为常氧,时间为1-3天;Preferably, the conditions for inducing differentiation using the first stage induction medium in step (1) are: the temperature is 37±0.5°C, the volume fraction of CO2 is 5%, the oxygen content is normoxic, and the time is 1-3 sky;
步骤(2)中采用所述第二阶段诱导培养基,培养所述中胚层诱导得到生血内皮细胞的条件为:温度为37±0.5℃,CO2的体积分数为5%,氧含量为常氧,时间为3-5天;In step (2), the second stage induction medium is used, and the conditions for culturing the mesoderm to induce hematopoietic endothelial cells are: the temperature is 37±0.5°C, the volume fraction of CO2 is 5%, and the oxygen content is normoxic. , the time is 3-5 days;
步骤(3)中采用所述第三阶段诱导培养基,培养所述生血内皮细胞,诱导得到幼稚巨噬细胞的条件为:温度为37±0.5℃,CO2的体积分数为5%,氧含量为常氧,时间为3-5天;In step (3), the third stage induction medium is used to culture the hematopoietic endothelial cells, and the conditions for inducing immature macrophages are: the temperature is 37±0.5°C, the volume fraction of CO2 is 5%, and the oxygen content For normoxia, the time is 3-5 days;
步骤(4)中采用所述第四阶段培养基培养得到成熟巨噬细胞的条件为:温度为37±0.5℃,CO2的体积分数为5%,氧含量为常氧,时间为4-6天。The conditions for obtaining mature macrophages using the fourth-stage culture medium in step (4) are: the temperature is 37±0.5°C, the volume fraction of CO2 is 5%, the oxygen content is normoxic, and the time is 4-6 sky.
优选的,所述第一阶段诱导培养基包括HDM、20-60ng/mL BMP4、15-45ng/mLActivin A、10-30ng/mL bFGF、3-9μM CHIR99021、0.5-1.5μM A8-301和0.5-1.5μM IWR-1-endo;Preferably, the first stage induction medium includes HDM, 20-60ng/mL BMP4, 15-45ng/mL Activin A, 10-30ng/mL bFGF, 3-9μM CHIR99021, 0.5-1.5μM A8-301 and 0.5- 1.5μM IWR-1-endo;
所述第二阶段诱导培养基包括HDM、20-60ng/mL VEGF和25-75ng/mL bFGF;The second stage induction medium includes HDM, 20-60ng/mL VEGF and 25-75ng/mL bFGF;
所述第三阶段诱导培养基包括StemPro-34 SFM、5-15ng/mL Flt-3、5-15ng/mLIL3和2.5-7.5ng/mL GM-CSF;The third stage induction medium includes StemPro-34 SFM, 5-15ng/mL Flt-3, 5-15ng/mLIL3 and 2.5-7.5ng/mL GM-CSF;
所述第四阶段诱导培养基包括RPMI 1640和5-15ng/mL GM-CSF。The fourth stage induction medium includes RPMI 1640 and 5-15ng/mL GM-CSF.
优选的,所述HDM包括DMEM/F12基础培养基、P/S、ITS-G和维生素C。Preferably, the HDM includes DMEM/F12 basic medium, P/S, ITS-G and vitamin C.
以6孔板(2mL/孔)为例具体说明本发明的分化方法,包括如下步骤:Taking a 6-well plate (2mL/well) as an example to specifically illustrate the differentiation method of the present invention, it includes the following steps:
(1)将密度在80-90%状态良好的hESCs/iPSCs(所用hESCs为购买自weiCell的H1细胞系)用Accutase(细胞消化液,翌圣生物)消化5分钟,用F12培养基(普诺赛)终止消化,收集细胞悬液,500g离心3分钟后去上清,用mTeSR1培养基重悬并计数,按每孔30-35万个细胞的密度接种于六孔板中,使用2mL mTeSR1+10μM Y-27632培养24小时,Y-27632是ROCK选择性抑制剂,可以有效减少细胞死亡,提高干细胞存活率;(1) Digest hESCs/iPSCs with a density of 80-90% in good condition (the hESCs used are H1 cell lines purchased from weiCell) with Accutase (cell digestion solution, Yisheng Biotechnology) for 5 minutes, and use F12 medium (Punuo) race) to stop digestion, collect the cell suspension, centrifuge at 500g for 3 minutes, remove the supernatant, resuspend in mTeSR1 culture medium and count, inoculate into a six-well plate at a density of 300,000-350,000 cells per well, use 2mL mTeSR1+ Culture for 24 hours with 10 μM Y-27632. Y-27632 is a selective ROCK inhibitor that can effectively reduce cell death and improve stem cell survival rate;
(2)第一阶段,分化形成中胚层:第0天(D0),将培养基吸走后用1mL DMEM/F12洗一遍,更换取人多能干细胞,采用第一阶段诱导培养基(HDM1)2mL,诱导48小时(2天)分化得到中胚层;所述第一阶段诱导培养基(HDM1)包括HDM、40ng/mL BMP4、30ng/mL Activin A、20ng/mL bFGF、6μM CHIR99021、1μM A8-301和1μM IWR-1-endo;(2) The first stage, differentiation to form mesoderm: On day 0 (D0), aspirate the medium and wash it with 1mL DMEM/F12, replace it with human pluripotent stem cells, and use the first stage induction medium (HDM1) 2mL, induce differentiation for 48 hours (2 days) to obtain mesoderm; the first stage induction medium (HDM1) includes HDM, 40ng/mL BMP4, 30ng/mL Activin A, 20ng/mL bFGF, 6μM CHIR99021, 1μM A8- 301 and 1 μM IWR-1-endo;
(3)第二阶段,分化形成生血内皮细胞:第2天(D2),将培养基吸走后用1mL DMEM/F12洗一遍,更换第二阶段诱导培养基(HDM2)2mL,培养所述中胚层4天后诱导得到生血内皮细胞;第二阶段诱导培养基(HDM2)包括HDM、40ng/mL VEGF和50ng/mL bFGF;(3) The second stage, differentiation to form hematopoietic endothelial cells: On day 2 (D2), absorb the medium and wash it with 1mL DMEM/F12, replace the second stage induction medium (HDM2) with 2mL, and culture as described Hemogenic endothelial cells were induced 4 days after the germ layer; the second stage induction medium (HDM2) included HDM, 40ng/mL VEGF and 50ng/mL bFGF;
(4)第三阶段,分化形成幼稚巨噬细胞:第8天(D8),将培养基吸走后用1mL DMEM/F12洗一遍,更换第三阶段诱导培养基(HDM3)2mL,培养4天后(至第12天)所述生血内皮细胞诱导得到悬浮的幼稚巨噬细胞;第三阶段诱导培养基(HDM3)包括StemPro-34 SFM、10ng/mLFlt-3、10ng/mL IL3和5ng/mL GM-CSF;从第12天开始可持续产生幼稚巨噬细胞直至第30天左右,后续可每3-4天收集一次悬浮的幼稚巨噬细胞;(4) The third stage, differentiation to form immature macrophages: on day 8 (D8), remove the medium and wash it with 1mL DMEM/F12, replace with 2mL of the third stage induction medium (HDM3), and culture for 4 days (To day 12) The hematopoietic endothelial cells were induced to obtain suspended naive macrophages; the third stage induction medium (HDM3) included StemPro-34 SFM, 10ng/mLFlt-3, 10ng/mL IL3 and 5ng/mL GM. -CSF; Naïve macrophages can be continuously produced from day 12 until about day 30, and suspended naïve macrophages can be collected every 3-4 days;
(5)第四阶段,分化形成成熟巨噬细胞:收集悬浮的幼稚巨噬细胞,500g离心3分钟后去上清,转移到新的6孔板后将所述幼稚巨噬细胞用第四阶段培养基(HDM4)2mL,培养,5天后得到成熟巨噬细胞(Macrophage);第四阶段诱导培养基(HDM4)包括RPMI 1640和10ng/mL GM-CSF。(5) The fourth stage, differentiation to form mature macrophages: collect the suspended immature macrophages, centrifuge at 500g for 3 minutes, remove the supernatant, transfer to a new 6-well plate, and use the immature macrophages in the fourth stage. Culture medium (HDM4) 2mL, culture, and mature macrophages (Macrophage) are obtained after 5 days; the fourth stage induction medium (HDM4) includes RPMI 1640 and 10ng/mL GM-CSF.
其中,所述HDM包括DMEM/F12基础培养基、1wt.%P/S、1wt.%ITS-G和70ug/ml维生素C。Wherein, the HDM includes DMEM/F12 basic medium, 1wt.% P/S, 1wt.% ITS-G and 70ug/ml vitamin C.
2、实验检测2. Experimental testing
2.1细胞形态学观察2.1 Cell morphology observation
巨噬细胞形态观察采用姬姆萨染色制片观察。首先收集50-80万个细胞进行甩片,用FACS清洗三次,每次500g离心3分钟,离心结束去掉上清,用200μL FACS重悬细胞沉淀。将干净空白玻片和吸水纸一同放入玻片槽,将细胞悬液加入样品腔,300g离心5分钟。Macrophage morphology was observed using Giemsa stained slides. First, collect 500,000-800,000 cells, spin them out, wash them three times with FACS, and centrifuge them at 500g for 3 minutes each time. After centrifugation, remove the supernatant and resuspend the cell pellet in 200 μL FACS. Put the clean blank slide and absorbent paper into the slide slot, add the cell suspension into the sample chamber, and centrifuge at 300g for 5 minutes.
将甩好的玻片取出,自然晾干,对光观察细胞附着范围,用疏水笔将有细胞附着区域圈起来准备姬姆萨染色。滴加A液到事先画好的圈中,反应两分钟,再滴加等体积的B液,轻轻晃匀后静置10分钟,用流水缓慢自上往下冲洗玻片带走多余染液。待晾干后就可以进行观察拍照。(瑞氏-吉姆萨染色液3*250mL Baso/贝索,BA-4034)Take out the shaken slide and let it dry naturally. Observe the cell attachment area under the light. Use a hydrophobic pen to circle the cell attachment area to prepare for Giemsa staining. Add liquid A dropwise to the pre-drawn circle and let it react for two minutes. Then add an equal volume of liquid B dropwise. Shake gently and let it sit for 10 minutes. Rinse the slide slowly with running water from top to bottom to take away the excess dye. . After drying, you can observe and take pictures. (Wright-Giemsa staining solution 3*250mL Baso/Basso, BA-4034)
2.2流式细胞术2.2 Flow cytometry
根据细胞类型选择对样品进行消化处理,确保最终染抗体前获得单细胞悬液,悬浮细胞可直接取样,贴壁细胞用Accutase消化5分钟。用1.5mL EP管收集待检测的细胞用FACS(DPBS+2% FBS)重悬清洗,500g离心3分钟。去掉上清用100μL FACS重悬细胞沉淀(控制细胞密度每100μL FACS不超过106个细胞)按1:100的比例依次加入需要检测的流式抗体,需要同时检测多个样品时可预先配好mix。4℃避光孵育20-30分钟或常温15分钟,孵育结束后向EP管加入1mL FACS终止染色并洗去非特异性结合,500g离心3分钟后去掉上清,用100-200μL FACS重悬细胞沉淀用流式细胞仪CytoFLEX进行上机检测。所用流式抗体如下:PE-Cy7 anti-human CD45(Biolegend,304016);APC anti-human CD11b(Biolegend,301310);FITC anti-human CD14(BD,555397);PE anti-human CD163(BD,560933);APC/Cyanine7 anti-human CD11b(Biolegend,301342);BV421 anti-human CD206(BD,566281);PE-Cyanine7 Anti-Human CD14(eBioscience,25-0149-42);APC anti-humanCD80(Biolegend,305219);APC anti-human CD86(BD,555660)。Latex beads(sigma,L3030-1ML)。Digest the sample according to the cell type selection to ensure that a single cell suspension is obtained before final staining with antibodies. Suspended cells can be sampled directly, and adherent cells are digested with Accutase for 5 minutes. Collect the cells to be detected in a 1.5 mL EP tube, resuspend and wash in FACS (DPBS + 2% FBS), and centrifuge at 500g for 3 minutes. Remove the supernatant and resuspend the cell pellet in 100 μL FACS (control the cell density to not exceed 10 6 cells per 100 μL FACS). Add the flow cytometry antibodies to be detected in a ratio of 1:100. If multiple samples need to be detected at the same time, they can be prepared in advance. mix. Incubate in the dark at 4°C for 20-30 minutes or at room temperature for 15 minutes. After the incubation, add 1mL of FACS to the EP tube to terminate the staining and wash away non-specific binding. Centrifuge at 500g for 3 minutes, remove the supernatant, and resuspend the cell pellet with 100-200μL FACS. On-machine detection was performed using flow cytometer CytoFLEX. The flow cytometry antibodies used are as follows: PE-Cy7 anti-human CD45 (Biolegend, 304016); APC anti-human CD11b (Biolegend, 301310); FITC anti-human CD14 (BD, 555397); PE anti-human CD163 (BD, 560933 ); APC/Cyanine7 anti-human CD11b (Biolegend, 301342); BV421 anti-human CD206 (BD, 566281); PE-Cyanine7 Anti-Human CD14 (eBioscience, 25-0149-42); APC anti-humanCD80 (Biolegend, 305219); APC anti-human CD86 (BD, 555660). Latex beads (sigma, L3030-1ML).
2.3荧光乳胶微球吞噬实验2.3 Fluorescent latex microsphere phagocytosis experiment
将带红色荧光的乳胶微球(Beads)按1:100的比例加入培养着巨噬细胞的培养皿,混匀,让Beads和巨噬细胞共同孵育2小时后收集细胞进行流式检测,上机前用FACS清洗三次。Beads带红光,用PE通道检测。Add red fluorescent latex microspheres (Beads) to the culture dish cultured with macrophages at a ratio of 1:100, mix well, and incubate the Beads and macrophages for 2 hours. Then collect the cells for flow cytometry and put them on the machine. Washed three times with FACS before use. Beads have red light and are detected using the PE channel.
(以24孔板为列巨噬细胞的数量可以在20-50万个/孔)(The number of macrophages in a 24-well plate can range from 200,000 to 500,000/well)
2.4巨噬细胞的极化2.4 Polarization of macrophages
将成熟的巨噬细胞提前一天种在24孔板中(50万/孔),向培养基中添加1μg/mL的LPS-EK和40ng/mL的INF-γ将巨噬细胞向M1极化;通过向培养基中添加20ng/mL的IL4将巨噬细胞向M2极化。极化24小时后收集细胞,一部分进行M1/2相关表面标志物的流式检测,另一部分提RNA,反转录后通过Q-PCR对M1/2相关基因的表达水平检测。Mature macrophages were seeded in a 24-well plate one day in advance (500,000/well), and 1 μg/mL LPS-EK and 40 ng/mL INF-γ were added to the culture medium to polarize the macrophages toward M1; Macrophages were polarized toward M2 by adding 20 ng/mL of IL4 to the culture medium. Cells were collected after 24 hours of polarization. One part was used for flow cytometric detection of M1/2-related surface markers, and the other part was RNA extracted. After reverse transcription, the expression levels of M1/2-related genes were detected by Q-PCR.
其中Q-PCR引物见表1:The Q-PCR primers are shown in Table 1:
表1Q-PCR引物Table 1Q-PCR primers
注:-q-表示q-PCR引物Note: -q- indicates q-PCR primers
2.5RNA提取与反转录2.5RNA extraction and reverse transcription
收集好待处理细胞,按照RaPure Total RNA Micro Kit(R4012-03)组织细胞RNA微量提取试剂盒提取RNA。按照TOYOBO ReverTra Ace试剂盒反转2ug RNA。Collect the cells to be processed and extract RNA according to the RaPure Total RNA Micro Kit (R4012-03) tissue cell RNA microextraction kit. Reverse 2ug RNA according to TOYOBO ReverTra Ace kit.
2.6Q-PCR检测M1/2型巨噬细胞经典基因RNA表达水平2.6 Q-PCR detection of RNA expression levels of classic genes in M1/2 macrophages
将反转录得到的cDNA用ddH2O稀释50倍,按表2配置Q-PCR反应体系,使用BIO-RAD仪器里设定好的程序进行实时荧光定量PCR检测指定基因的mRNA表达水平。具体参照chamQSYBR qPCR master mix(诺唯赞,Q311-03)试剂盒。Dilute the cDNA obtained by reverse transcription 50 times with ddH 2 O, configure the Q-PCR reaction system according to Table 2, and use the program set in the BIO-RAD instrument to perform real-time fluorescence quantitative PCR to detect the mRNA expression level of the specified gene. For details, refer to chamQSYBR qPCR master mix (Norvizan, Q311-03) kit.
表2 Q-PCR反应体系Table 2 Q-PCR reaction system
3、实验结果3. Experimental results
其中,图1为本发明从人多能干细胞分化到巨噬细胞的流程示意图及关键节点的明场照片,比例尺为100μm;由图1表明,通过本发明方法可以快速诱导人多能干细胞成功分化为巨噬细胞。Among them, Figure 1 is a schematic flow chart of the differentiation of human pluripotent stem cells into macrophages and bright field photos of key nodes according to the present invention. The scale bar is 100 μm. Figure 1 shows that human pluripotent stem cells can be quickly induced to successfully differentiate through the method of the present invention. for macrophages.
图2为本发明分化过程中,每次收获巨噬细胞计数统计情况;由图2表明,通过本发明方法最终可多批次收获大量巨噬细胞。Figure 2 shows the statistics of macrophage counts for each harvest during the differentiation process of the present invention; Figure 2 shows that a large number of macrophages can ultimately be harvested in multiple batches through the method of the present invention.
图3为本发明流式检测成熟巨噬细胞经典表面标志物的表达情况;由图3表明,通过本发明方法分化获得的人多能干细胞来源的巨噬细胞高表达巨噬细胞经典的表面标志物,证明是成熟的巨噬细胞。Figure 3 shows the expression of classic surface markers of mature macrophages detected by flow cytometry according to the present invention; Figure 3 shows that macrophages derived from human pluripotent stem cells differentiated by the method of the present invention highly express classic surface markers of macrophages. The cells were found to be mature macrophages.
图4为本发明成熟巨噬细胞形态展示图(姬姆萨染色),比例尺10μm;由图4表明,通过本发明方法分化获得的人多能干细胞来源的巨噬细胞形态表现为正常巨噬细胞形态。Figure 4 is a diagram showing the morphology of mature macrophages of the present invention (Giemsa staining), the scale bar is 10 μm; Figure 4 shows that the morphology of macrophages derived from human pluripotent stem cells differentiated by the method of the present invention is normal macrophages. form.
图5为本发明荧光乳胶微球吞噬实验,照片展示以及流式检测,乳胶微球荧光通道为PE,比例尺10μm;由图5表明,通过本发明方法分化获得的人多能干细胞来源的巨噬细胞具有吞噬能力。Figure 5 shows the fluorescent latex microsphere phagocytosis experiment of the present invention, photo display and flow cytometric detection. The latex microsphere fluorescence channel is PE, and the scale bar is 10 μm. Figure 5 shows that macrophages derived from human pluripotent stem cells differentiated by the method of the present invention are Cells have phagocytic ability.
图6为本发明成熟巨噬细胞极化前后明场照片,比例尺50μm;由图6表明,通过本发明方法分化获得的人多能干细胞来源的巨噬细胞具有极化能力。Figure 6 is a bright field photo of mature macrophages before and after polarization of the present invention, scale bar 50 μm; Figure 6 shows that macrophages derived from human pluripotent stem cells obtained through differentiation by the method of the present invention have polarization ability.
图7为本发明流式检测巨噬细胞极化前后M1,M2相关的表面标志物CD80,CD86和CD163,CD206表达情况;由图7表明,通过本发明方法分化获得的人多能干细胞来源的巨噬细胞可以响应极化信号,并具有极化为M1、M2型巨噬细胞的能力。Figure 7 shows the expression of M1 and M2-related surface markers CD80, CD86, CD163, and CD206 detected by flow cytometry before and after macrophage polarization according to the present invention; Figure 7 shows that human pluripotent stem cells derived from differentiation obtained by the method of the present invention Macrophages can respond to polarizing signals and have the ability to polarize into M1 and M2 macrophages.
图8为本发明实时荧光定量PCR检测巨噬细胞极化前后M1和M2相关的经典基因打RNA表达水平,误差线表示三次重复实验平均值±标准差。采用非配对的双尾T检验进行显著性分析,****表示P<0.0001;由图8表明,通过本发明方法分化获得的人多能干细胞来源的巨噬细胞可以极化为M1、M2型巨噬细胞并表达相关基因。Figure 8 shows the RNA expression levels of classic genes related to M1 and M2 detected by real-time fluorescence quantitative PCR of the present invention before and after macrophage polarization. The error bars represent the mean ± standard deviation of three repeated experiments. Unpaired two-tailed T test was used for significance analysis, **** means P<0.0001; Figure 8 shows that macrophages derived from human pluripotent stem cells differentiated by the method of the present invention can be polarized into M1 and M2 macrophages and express related genes.
综上可知,本发明提供了一种新型单层分化法来获得人多能干细胞来源的巨噬细胞,该方法无需经过HSPCs的分化阶段,可直接分化获得功能成熟的巨噬细胞;极大的简化了巨噬细胞分化体系,缩短了分化周期,并能显著降低生产成本。In summary, the present invention provides a novel monolayer differentiation method to obtain macrophages derived from human pluripotent stem cells. This method does not need to go through the differentiation stage of HSPCs and can directly differentiate to obtain functionally mature macrophages; extremely The macrophage differentiation system is simplified, the differentiation cycle is shortened, and the production cost can be significantly reduced.
尽管上面已经示出和描述了本发明的实施例,可以理解的是,上述实施例是示例性的,不能理解为对本发明的限制,本领域的普通技术人员在本发明的范围内可以对上述实施例进行变化、修改、替换和变型。Although the embodiments of the present invention have been shown and described above, it can be understood that the above-mentioned embodiments are illustrative and should not be construed as limitations of the present invention. Those of ordinary skill in the art can make modifications to the above-mentioned embodiments within the scope of the present invention. The embodiments are subject to changes, modifications, substitutions and variations.
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