In Vitro Gametogenesis in Mammals
In Vitro Gametogenesis in Mammals
RES EARCH
                                Genetic/epigenetic integrity?
                                                                                                                  nuity of life.
                                                                                                                                     ▪
                                      Ethical issues?         Basic mechanisms                                    The list of author affiliations is available in the full article online.
                                                                 Modeling infertility                             *Corresponding author. Email: saitou@anat2.med.kyoto-u.ac.jp
                                                                  Improving ART                                   (M.S.); hayashik@hgs.med.kyushu-u.ac.jp (K.H.)
                                                                                                                  Cite this article as M. Saitou, K. Hayashi, Science 374,
                                                                                                                  eaaz6830 (2021). DOI: 10.1126/science.aaz6830
In vitro gametogenesis. IVG aims to recreate germ cell development in vitro using PSCs, including iPSCs
from somatic cells. Human IVG realization requires further efforts and will create new opportunities in                    READ THE FULL ARTICLE AT
reproductive biology research and medicine. ART, assisted reproductive technologies.                                       https://doi.org/10.1126/science.aaz6830
M
                                                                                                                         are well conserved among mammals. How-
          ammalian germ cells develop via intri-                   ation to demethylate DNA genome-wide and              ever, there are critical species differences in
                                        ExE                                      Al
                            ICM                            Mesoderm
                                                                                                                              Ovary                                                    Granulosa
                                                                                                                                                                               SG    SC
                                                                                                                                                                                                  R-ST         El-ST
                                                            PGCs                                                                                                     SG      (TypeB)
                                                                                                                                                                   (TypeA)
                          TE                                                                                                                              Pro-SG        Sertoli
                                         Epiblast           VE    Migrating PGCs           PGCs in
                                                                                           genital ridges   PGCs in gonads    Testis                                                                                        Spermatozoa
           Mouse
                                                                                                                                            Pro-SG
Fertilization 2cell   Blastocyst     E5.0           E6.5              E8.5                  E10.5            E12.5           E13.5                           Birth                                                          Puberty
                                                                                                                                                                                                                             1week
Fertilization 2cell   Blastocyst                      2wks             3wks                   5wks                     8wks            10wks               20wks                       Birth           Puberty
                                                                                                                                       Oogonia/Primary oocytes
                                                                                                                                               (Prophase I)                                       Antral               Oocytes (MII)
                                      Amnion
        Human                                                            PGCs in                                                                              Pm       Pr            Sc
                                                           PGCs
                                                                         york sac
                         ICM           Epiblast                                       Al
                                                                                                                             Ovary                                                Granulosa
                                                                                                                                                                                             SG SC          R-ST    El-ST
                                                                      York sac
                                                                                                                                                              Pro-SG                   SG (TypeB)
                                    Hypoblast                                                                                                                                        (TypeA)
                               TE                            ExMC                     Migrating PGCs                                                                             Sertoli
                                                                                                            PGCs in gonads Testis                                                                                             Spermatozoa
                                                                                                                                       Gonocytes/Pro-SG
                                                                                                                                                (Mitotic arrest)
Fig. 1. Scheme for germ cell development in mice and humans. Schematic                                             granulosa cell layers), and antral follicles (multiple granulosa cell layers with antral
representations of germ cell development in mice (top) and humans (bottom).                                        cavity). In testes, Sertoli cells surround gonocytes and prospermatogonia and
Embryonic days (E) in mice and developmental weeks (wks) in humans are                                             form seminiferous tubules, in which male germ cell development progresses both
shown, with 1-week periods marked with symbols, as indicated. In ovaries,                                          during development and in adults. ICM, inner cell mass; TE, trophectoderm; ExE,
granulosa cells surround oogonia and primary oocytes, creating primordial                                          extraembryonic ectoderm; Al, allantois; PGCs, primordial germ cells; Pm, primordial
follicles (a single squamous granulosa cell layer). They undergo follicle growth,                                  follicles; Pr, primary follicles; Sc, secondary follicles; MII, meiosis II; Pro-SG,
that is, oocyte growth coupled with expansion of the granulosa cell layers,                                        prospermatogonia; SG, spermatogonia; SC, spermatocyte; R-ST, round spermatids;
and develop into primary (a single cuboidal granulosa cell layer), secondary (several                              El-ST, elongating spermatids.
at ~E5.5 to E6.5 show primed pluripotency                              iPSCs (miPSCs) (28, 29) (Fig. 4), establishing                                       chromosome trisomy, such as XXY (Klinefelter
with a biased differentiation potential and con-                       a foundation for IVG.                                                                syndrome), preferentially lose the extra sex
tribute little, if any, to chimeras under conven-                         The state exhibited by mEpiLCs or pregas-                                         chromosome, and the resultant euploid XY
tional conditions (25, 26). mEpiSCs self-renew                         trulating mouse epiblast has been proposed                                           miPSCs differentiate into mPGCLCs and
in the presence of activin and FGF and exhibit                         to represent a formative state, an immediately                                       contribute to spermatogenesis and offspring,
properties similar to the epiblast after E6.5                          precursory state for multilineage differenti-                                        providing a strategy for overcoming infer-
(27) (Fig. 2).                                                         ation, including germ cell differentiation, in                                       tility with abnormal sex chromosome con-
   mEpiSCs are refractory to differentiation                           response to external cues (30) (Fig. 3). Con-                                        stitutions (40).
into germ cells (28). A strategy to induce mESCs                       sistently, mEpiLCs have a distinctive epigenome
into competent epiblast-like cells (mEpiLCs)                           with abundant bivalent histone modifications                                         In vitro oogenesis
was explored, leading to the finding that an                           in key developmental genes, which are poised                                         On the basis of organ and reaggregation cul-
~2-day stimulation by activin and FGF induces                          for timely expression (31, 32). Recently, by                                         ture of embryonic ovaries (41–43), a method-
mESCs into mEpiLCs bearing properties sim-                             mainly modulating activin and WNT signal-                                            ology for rOvary culture has been established
ilar to the epiblast at E5.5 to E6.0 (28) (Figs. 2                     ing, a formative state has been stably captured                                      (44) (Fig. 4). rOvaries are cultured under an
and 4). In response to BMP4, mEpiLCs robustly                          in vitro (33, 34).                                                                   air–liquid interface condition for in vitro de-
differentiated into mPGC-like cells (mPGCLCs)                             The mPGCLC induction system has been                                              velopment (IVD; ~3 weeks), followed by in vitro
with properties similar to mPGCs at the migrat-                        useful in analyzing the mechanisms of mPGC                                           growth (~2 weeks). During IVD, mPGCLCs dif-
ing stage (~E9.5). mPGCLC induction faithfully                         specification (35–39) (Fig. 5). For example, the                                     ferentiate into oogonia and then into oocytes
recapitulated the mPGC specification process                           finding that T (also known as TBXT), a down-                                         with an entry into the prophase of meiosis I
in vivo. Male mPGCLCs contributed to sper-                             stream effector of WNT signaling, activates                                          (MI) and form oocytes at the secondary follicle
matogenesis when transplanted into testes of                           Blimp1 and Prdm14 illuminates a mechanism                                            stage. Under the in vitro growth conditions,
neonatal mice lacking endogenous spermato-                             that bridges the external signaling and in-                                          they differentiate into fully grown oocytes at
genesis (28); female mPGCLCs contributed to                            ternal transcription network for mPGC(LC)                                            the antral follicle stage, which can be induced
oogenesis when aggregated with mouse em-                               specification (35) (Fig. 3). Homeobox protein                                        into oocytes at the meiosis II (MII) stage through
bryonic ovarian somatic cells (reconstituted                           OTX2, a TF essential for anterior neuroecto-                                         in vitro maturation (Fig. 4). The MII oocytes
ovaries, or rOvaries) and transplanted under                           derm specification, has been shown to act as                                         from both mESCs and miPSCs can be fertilized
the ovarian bursa of immune-deficient mice                             a repressor of mPGC(LC) specification, whose                                         to form offspring (44), establishing a proof-of-
(29); the resultant spermatozoa and fully                              absence leads to an extended competence of                                           concept for IVG.
grown oocytes produced fertile offspring                               the epiblast and mEpiLCs to adopt the germ                                              Compared with in vivo oogenesis, however,
(28, 29) (Fig. 4). These processes were rep-                           cell fate (38). Moreover, it has been shown that                                     the fidelity of the in vitro oogenesis procedure
licated using both male and female mouse                               miPSCs generated from infertile mice with sex                                        is compromised. The developmental rate of
                                                                                                                                                                                                                            GSCLCs
                                                                                                EpiLCs                    PGCLCs                      EpiLCs
                                                      PGCLCs
                              EpiLCs                                                                                                                                                                  PGCLCs
                                                                                                                      Reaggregation with
                                                 Reaggregation with                                                   E12.5 ovarian soma
                                                 E12.5 ovarian soma                             PGCLCs                                               PGCLCs                                       Expansion in vitro
PGCLCs Injection
Mouse
                                                                                                                            Early oocytes
                                                                                                                                                                                                                                Pro-spermatogonia
                                                                                                                                                                                                                                -like cells
                                                                                                                                                                      Immature spermatogonia
                                                                                                                                                                                                                                    Hwang et al.
                                                                                                                                                                             Sosa et al.
                                                                                                                                                                     Derivation of rhesus                                      Derivation of human
                                                                                                                              Yamashiro et al.                       monkey PGCLCs                                             pro-spermatogonia
                                                                                                                           Derivation of human
                                                                                                                           oogonia/primary oocytes
Fig. 4. Progress of IVG research in mice and humans. A research timeline of the progress of key IVG research in mice (top) and humans and monkeys (bottom).
Top right inset image shows elongated spermatids expressing the Ddx4-RFP transgene (red) and peanut agglutinin (green) counterstained with DAPI (white). Bottom
inset image shows early oocytes expressing DDX4 (magenta) and SCP3 (cyan).
                                       EpiLCs                                                          PGCLCs
                                                  Blimp1, Prdm14, Tfap2c                                               Transplantation into testes
                                                             Nakaki et al.
                                                                                                                                                                                                                                   Spermatozoa
                                       EpiLCs                                                          PGCLCs
                                                               Nanog
                                                           Murakami et al.                                                                              Primary oocytes
                                                                                                      PGCLCs
                                                                                                                                  Zglp1                                                                                           Oocyte-like cells
                                                                                                                                                                                                                                   (w/o meiosis)
                 ESCs                                                                                                        Nagaoka et al.
                                                                                                                                                                                            Nobox, Figla, Lhx8, Tbpl2
                                                                                                        Skip                                                                                Sohlh1, Stat3, Sub1, Dynll1
                                                                                                                                                                                                    Hamazaki et al.
    Mouse                            Epiblast
                ICM            Epiblast/Amnion
                                                                                                         PGCs                                           Primary oocytes Primordial
                                                                                                                                                         (Prophase I)    follicles                                                       MII oocytes
                                     ESCs (4i)                                                         PGCLCs
                                                        SOX17, BLIMP1
                                                           Kobayashi et al.
   Human
                                                                                                                                                 Oogonia
                                     iMeLCs                                                            PGCLCs
                                                        GATA3 or GATA2
                                                        SOX17, TFAP2C                                                  Reaggregation
                                                             Kojima et al.                                             with E12.5 mouse
                                                                                                                       ovarian soma
Fig. 5. TF-based IVG research in mice and humans. Schematic illustrations of the progress of key TF-based IVG research in mice (top) and humans (bottom). The
cell types in which indicated TFs are expressed and the resultant cell types are shown, with an alignment with in vivo cell types bearing the closest similarity.
lineage, indicating that they capture the po-            petence for germline differentiation (28). hPSCs     demethylation, which might result in trans-
tential of preimplantation embryonic cells               appear to bear an extended primed pluripo-           generational epigenetic inheritance.
(72, 73). Accordingly, recent studies showed             tency competent to generate all the cell types          Human female fetal germ cells (FGCs) can
that under appropriate three-dimensional cul-            that emerge from the epiblast after implan-          be classified into four cell types [mitotic (hPGCs
ture conditions, naïve hPSCs self-organize into          tation, including the amnion and germ cells.         and oogonia), RA-responsive, meiotic, and
human blastocyst-like structures with epiblast-,         Accordingly, recent studies have reported a          oogenesis], whereas male FGCs can be classified
trophectoderm-, and hypoblast-like cell differ-          potential reconstitution of amnion differen-         into at least three [migrating (hPGCs), mitotic
entiation (74, 75).                                      tiation from hPSCs (83).                             (gonocytes), and mitotic arrest (fetal pros-
   A histological study showed that cynomolgus              With the hPGCLC induction system, the             permatogonia)] (5, 100). RA-responsive FGCs
monkey PGCs (cyPGCs) that express key mark-              mechanism of hPGC(LC) specification has been         emerge starting at around week 11 and express
ers [SOX17 and TFAP2C (see below)] originate             explored (79, 80, 84–88). It has been shown          genes such as ZGLP1, STRA8, and ANHX at
in the amnion, which differentiates from the             that SOX17, which is known as a key TF for           high levels while repressing early hPGC genes,
epiblast after implantation (68) (Fig. 2). cyPGCs        endoderm differentiation but is dispensable          yet they show low-level expression of meiotic
are observed in the amnion from around E11 to            for PGC specification in mice, acts as one of        genes including SYCP1, SPO11, and PRDM9;
E17, initially dorsally and later posteriorly, and       the most upstream TFs for hPGC(LC) specifi-          meiotic FGCs that express such meiotic genes at
increase their numbers and migrate in the                cation, and BLIMP1 functions downstream of           high levels emerge starting at around week 14,
hindgut. The amnion itself expresses not only            SOX17 (79, 84) (Fig. 3). SOX17 appears to be         suggesting that it should take ~3 weeks for
BMP4 and its effectors, but also mesodermal              critical in PGCs not only among primates             RA-responsive FGCs to mature into meiotic
markers, including T, fulfilling the properties          (68, 89, 90) but also in evolutionarily distant      FGCs. In mice, the corresponding transition
of cells destined toward the germ cell fate (68).        mammals such as pigs (91), suggesting that the       occurs much more quickly (in under ~2 days),
Experiments involving an extended culture of             mouse may have evolved a distinct strategy for       and the RA-responsive state has not been rec-
cynomolgus monkey or human preimplanta-                  PGC specification. Indeed, hPGCLC specifica-         ognized as a distinct entity. Consistent with
(Xa and Xi, respectively). However, the Xi                  Concomitantly, the development of organ           alies. Thus, IVG-derived animals should be
in hPSCs is unstable, with the expression of             (ovary or testis) culture systems that allow the     scrutinized with respect to many parameters,
XIST (X-inactive specific transcript), a long            maturation of immature germ cells in humans          including gene expression, epigenetic proper-
noncoding RNA important for X inactivation,              and other species represents a critical chal-        ties, behavior, longevity, and disease suscep-
being progressively repressed upon hPSC pas-             lenge. Meanwhile, transplantation-based strat-       tibility. Given that some epigenetic mutations
sages, leading to a partial derepression of Xi           egies could be a first option to demonstrate         are heritable (125), these evaluations should be
(an X-eroded state, Xe) (107–109). There is a            the feasibility of generating PGCLC-derived          performed for several generations. It is also
trend in which female hPSCs show lower effi-             gametes in primates and other species, par-          essential to create IVG-derived animal models
ciency for hPGCLC induction than do male                 ticularly in males (89, 90, 119–121). Efforts to     more relevant to human physiology, such as
hPSCs (92, 110), and the degree of the X chro-           expand SSCs in vitro (GSCs) in humans and            IVG-derived macaques, and to perform similar
mosome reactivation in oogonia might re-                 other species are also critical.                     normality assessments.
flect the original X chromosome state in hPSCs              An ultimate goal of IVG research will be to          Concomitantly, the genetic and epigenetic
and influence the maturation of oogonia into             reconstitute the entirety of gametogenesis           quality of hPSCs and the resultant gametes
oocytes (81).                                            using defined factors only. The processes of         require careful assessment. It has become in-
                                                         mPGCLC specification, propagation, epigenetic        creasingly evident that somatic cells accumu-
Key challenges                                           reprogramming, and female sex determination          late de novo mutations widely (126, 127) and
IVG has established itself as a key research             have been recapitulated (60–62), and hPGCLCs         that iPSCs acquire additional genetic and epi-
area in biomedical science, one facing a num-            have been propagated to ~106-fold under de-          genetic mutations during their derivation
ber of salient challenges in coming years.               fined conditions (94). Moreover, key TFs driv-       (49, 50), although most such mutations can
Although in vitro oogenesis in mice has been             ing the corresponding respective processes as        be neutral. In contrast, germ cells exhibit a
achieved, PSC-based in vitro spermatogenesis             well as oocyte growth have been determined           mutation rate that is about 1/10 that of somatic
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