Abstract
Background
The two defining characteristics of pluripotent stem cells are unlimited replicative capacity and the potential to differentiate into any somatic cell type. 1 Using recently developed techniques, somatic cells can now be reprogrammed into induced pluripotent stem (iPS) cells by the introduction of four transcription factors, Oct4, KLF4, Sox-2, and c-Myc 2 Like embryonic stem (ES) cells, iPS cells possess capabilities of self-renewal and pluripotency that make these cells so therapeutically promising, but are also responsible for a potential tumorigenic risk; however, iPS cells do not present the ethical dilemmas associated with ES cells. From a clinical perspective, iPS cells provide a source of cells genetically identical to the patient; such cells will not elicit an immune response, thereby significantly improving the probability of successful therapy.3,4 As evidence of their potential utility for tissue engineering and clinical applications, iPS cells have been used to generate cardiomyocytes, neurons, pancreatic beta cells, hepatocytes, and retinal pigment epithelium (RPE).5–13
The RPE, a specialized layer of pigmented epithelial cells located at the back of the retina, performs several functions that are essential to maintain visual health and function. RPE dysfunction caused by damage or disease underlies the pathology of blinding diseases such as age-related macular degeneration (AMD), Stargardt's disease, and retinitis pigmentosa (RP).
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As currently available treatments do not effectively prevent vision loss, the best option may be to replace diseased RPE with transplanted healthy cells.15,16 RPE derived from iPS (iPS-RPE) is a possible source of cells to replace the damaged RPE. Published studies have demonstrated that iPS-RPE are functionally and phenotypically similar to RPE harvested from retinal explants; the iPS-RPE expresses characteristic RPE proteins LRAT, CRALBP, PEDF, and RPE65; displays the classical highly pigmented hexagonal RPE morphology; and performs RPE functions such as phagocytosis,
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retinoid processing, and secretion of
Cutting-edge high-throughput technologies such as microarray, RNA-Seq, ChIP-Seq, and proteomics have enabled systematic analyses of genetic and epigenetic differences, leading to a better understanding of biological systems in a temporal/spatial-specific manner and across a wide range of subcellular, cellular, tissue, and organism scales.18–23 For example, microarray approaches can distinguish both the transcriptional and translational signatures of closely related cells, ie, stem cells and their differentiated progeny.24–26 Since the development of microarray technology, this technique has been optimized to allow transcriptomic analysis of not only the messenger RNA (mRNA), but also the small non-coding RNAs such as miRNAs.27,28 MiRNAs are short, ~22-nucleotide strands of RNA that function by binding to mRNA, thus inducing either translational repression or degradation of the transcript.
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MiRNAs are transcribed within the nucleus as long pri-miRNA transcripts, which are then processed first by the endonuclease Drosha to generate pre-miRNA. After leaving the nucleus, the pre-miRNA is further cleaved by the RNA enzyme Dicer, to produce the mature miRNA. Since their discovery in the early 1990s,
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over 2,000 miRNAs have been identified in the human genome. Upwards of 50% of mammalian RNA may be regulated by miRNA; nearly every cellular process, including pluripotent stem cell self-renewal and cell fate specification, is controlled at some point by miRNA intervention. Several investigators have provided compelling evidence that miRNAs play a critical role in maintaining pluripotency and facilitating differentiation.
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For instance, knockout of the RNA enzyme Dicer, required for maturation of miRNA, causes severe defects in the ability of stem cells to differentiate, suggesting that miRNA maturation is essential for stem cell differentiation
Based upon these studies, we hypothesize that miRNAs play an important role during the differentiation of RPE from iPS, and that miRNA expression profiling will distinguish iPS cells from their iPS-RPE progeny. To test this hypothesis, two distinct groups of miRNAs: those involved in maintaining the pluripotency of stem cells and those expressed after the differentiation of iPS into RPE, were compared. Analysis of the expression of miRNAs during the process of differentiation and identification of their associated target mRNAs will provide new understanding of the factors that regulate pluripotency, self-renewal, and cell fate determination.
Methods
Culture and differentiation of iPS cells
Human iPS cells (IMR-90–1, WiCell Research Institute, Madison, WI, USA) were cultured on six-well plates coated with matrigel (BD Biosciences, San Jose, CA, USA) and maintained in mTeSR1 medium (Stem Cell Technologies, Vancouver, BC, Canada). Differentiation was initiated by replacing the mTeSR1 medium with differentiation medium consisting of 10% knockout serum replacement (Life Technologies, Grand Island, NY, USA), 0.1 mM β-mercaptoethanol, 0.1 mM nonessential amino acids, 2.0 mM glutamine, and 10 μg/mL gentamicin in DMEM/F12. iPS-RPE appeared around day 30 of differentiation in the form of pigmented foci. The foci were manually dissected out of the culture and trypsinized to prepare a single cell suspension. The iPS-RPE were cultured in fetal RPE media 34 with media changes every other day for 17 days until collected for RNA extraction.
RNA extraction
The iPS and iPS-RPE cells were lysed by running the samples through a Qi Shredder column (Qiagen, Valencia, CA, USA). Total RNA was extracted using the miRNA mini kit (Qiagen, Valencia, CA, USA), 35 followed by checking with a Nanodrop spectrophotometer (Thermo Scientific, Wilmington, DE, USA) for the concentration. RNA samples without organic solvent carryover, showing OD 260/230 above 1.7 were recommended to proceed for RNA quality determination. The quality of the RNA was determined with Eukaryote Total RNA Pico kit (Agilent Technologies, Santa Clara, CA) performed on a 2100 Bioanalyzer and software (Agilent Technologies) that detects 28S and 18S ribosomal RNA ratio and total RNA Integrity Number (RIN). The RIN software algorithm allows the classification of total RNA, based on a numbering system from 1 to 10, with 1 being the most degraded and 10 being the most intact. Only samples with 28S and 18S ribosomal RNA ratio higher than 1.8 and RIN higher than 8 were used in this study.
miRNA analysis
MiRNA expression analysis was performed using the Agilent Human miRNA v16 microarrays in 8x60 K format according to the manufacturer's protocol (Agilent Technologies, Santa Clara, CA, USA). Each microarray provides genome-wide coverage of well-characterized miRNAs and candidates primarily selected from the miRBase database. 36 The Human miRNA 8x60K microarrays contain eight arrays, each with ~56,000 probes, representing 3,523 unique probe sequences for 1,205 human miRNAs, which cover approximately 64% of the miRNA repertoire in the human genome, and 142 miRNAs from other species. The microarrays were scanned using an Agilent Technologies Scanner G2505C (Agilent Technologies) and then miRNA expression data for analysis were generated.
Microarray data processing and analysis
Quantile normalization was performed on the expression value (MATLAB/Bioinformatics Toolbox, MathWorks, Natick, MA, USA). After removing the control probes, median values for each unique probe were calculated and values lower than 1 were set to 1 for the convenience of log2-transform. Duplicated microarrays were averaged to represent each experiment condition. Differential miRNA expressions were determined by performing two-sample
Functional enrichment analysis, pathway and network analysis, and miRNA target analysis
Functional pathway and network analyses of differentially expressed miRNAs were performed using Ingenuity Pathway Analysis (IPA) (Ingenuity® Systems, Redwood City, CA, USA). The Ingenuity Knowledge Base, a repository of biological and chemical interactions, was used as a reference set.
Functional enrichment analysis
The functional analysis module in IPA was used to identify over-represented molecular and cellular functions of differentially expressed miRNAs. The probability that each biological function assigned to the data set was due to chance alone was estimated, and a false discovery rate (FDR) <0.05 was used in multiple hypothesis testing to correct for multiple comparisons and to minimize false positives among significantly enriched functions. Gene ontology and KEGG pathway enrichment analysis was performed using the DAVID functional analysis tool. 37 Bonferroni, Benjamini–Hochberg, and FDR were used for multiple test correction.
Canonical pathway analysis
Over-represented canonical signaling and metabolic pathways in the input data were determined based on two parameters: (1) The ratio of the number of molecules from the focus miRNA set that map to a given pathway divided by the total number of molecules that map to the canonical pathway, and (2) a
Network analysis
Network analysis used focus miRNAs as “seeds” to infer de novo interaction networks. Direct or indirect interactions between focus loci and other molecules were inferred based on experimentally observed relationships supported by at least one reference from the literature. Additional molecules from the Ingenuity Knowledge Base were added to the network to fill or join smaller networks. The network score was based on the hypergeometric distribution and calculated with the right-tailed Fisher's exact test. A higher score indicates a lower probability of finding the observed number of focus molecules in a given network by chance.
MiRNA Target Filter was used to explore experimentally validated miRNA–mRNA interactions based on relevant biological information and expression information from TarBase 38 and miRecords. 39 TargetScan was used to predict novel miRNA–mRNA interactions. 40
Results and Discussion
The genome-wide miRNA expression profiles for iPS and iPS-RPE cells were revealed by miRNA microarray analysis. We derived the iPS-RPE and demonstrated that they displayed the classical highly pigmented hexagonal RPE morphology (Fig. 1), expressed RPE proteins, and performed functions of retinoid processing and secretion of 11

(A) Brightfield images of iPS and iPS-RPE. Brightfield images (magnification 100x) of iPS prior to differentiation (left) and RPE derived from iPS (right) (magnification 100x). iPS-RPE display classical RPE morphology of hexagonal shape and pigmentation. (B) iPS express pluripotent markers OCT3/4, TRA-1–60, and alkaline phosphatase (AP) (magnification 200x). iPS-RPE express RPE-specific marker RPE-65 (magnification 400x).

Hierarchical clustering of miRNA expression profiles between iPS and iPS-RPE.
Distinct miRNA profiles between iPS and iPS-RPE: promoting differentiation and inhibiting proliferation
The differentiation from iPS to iPS-RPE is a complex, orchestrated process. MiRNAs form an important regulatory layer that contributes to this lineage-specific cell fate transition. Our miRNA microarray analysis identified 155 probes that were statistically differentially expressed (fold change >2, and
Representative miRNAs that were up-regulated during the differentiation from iPS to iPS-RPE.
The first class included 53 up-regulated probes corresponding to 42 unique miRNAs. Six miRNAs were previously reported to be up-regulated during the differentiation of human ES cells into RPE, including miR-181c, miR-100, miR-22, miR-222, miR-23a, and miR-26.41,42 The highest fold-change (31-fold) was observed in miR-181c in iPS-RPE. MiR-181c is known for its tissue specificity, with preferential expression in the retina and brain. 43 MiR-181c was found to promote skeletal muscle differentiation by targeting a homeobox protein HOX-A11. 44 Its high expression in iPS-RPE suggested its role in activating and reinforcing differentiation of RPE. Thirty-six more miRNAs were newly identified as up-regulated in iPS-RPE (Table 1). The expression of miR-129–5p was elevated 28-fold in iPS-RPE. Like miR-181c, miR-129–5p is expressed in the brain tissue. 45 Growing evidence suggested that it is antiproliferative; its validated targets include cell cycle regulator cyclin-dependent kinase (CDK6), 46 eukaryotic translation initiation factor 2C3 (EIF2C3), and calmodulin binding transcription activator 1 (CAMTA1).47,48 Other up-regulated miRNAs in iPS-RPE, such as miR-24, have been implicated in either inhibiting cell proliferation or promoting differentiation in various cell types.41,49
The second class of 102 probes were down-regulated, corresponding to 71 unique miRNAs. Eight miRNAs were found to be down-regulated during differentiation of RPE from human ES cells,42,50 including miR-130a, miR15-b, miR-17, miR-18a, miR-25, miR302c, miR302d, and miR-363. Among them, miR302c and miR302d, members of the miR302 cluster, are known to promote self-renewal in human ES cells, which are directly regulated by pluripotency factors Oct4/Sox-2 and subsequently target the critical cell cycle regulator cyclin D1. 8 Our expression profiling revealed an additional 63 miRNAs that were repressed during the RPE differentiation process (Table 2). The most reduced expression fold change (3,757-fold) was observed in miR-367, which is a validated pluripotency inducer. It was reported that miR-367 and miR-302, in combination with inhibition of the chromatin remodeling factor histone deacetylase (HDAC2), were able to reprogram somatic cells into pluripotency without any exogenous transcription factors. 51 It is therefore not surprising that miR-367 was shut off during RPE differentiation. Similarly, other highly repressed miRNAs such as miR-18b, miR-20b, and miR-17 are involved in cell proliferation and cell adhesion.52,53
Representative miRNAs that were down-regulated during the differentiation from iPS cells to iPS-RPE.
Enrichment analysis confirmed that the most over-represented functional classes in the set of up- and down-regulated miRNAs were associated with cell fate determination including cellular development, cellular growth and proliferation, cell cycle, cell death, and survival (Fig. 3). These miRNAs were also involved in other fundamental processes such as cellular movement, assembly and organization, DNA replication, recombination, and repair. In addition, 20 miRNAs were reported to regulate cell-to-cell signaling and interactions. For example, inhibition of miR-16 in human laryngeal carcinoma cells could suppress cell motility as well as enhance cellular adhesion. 54 Similarly, miR-24 was thought to play an important role in actin adhesion, which controls epithelial stratification and cytoskeleton remodelling. 41

The molecular and cellular functions that were over-represented in the differentially expressed miRNAs during differentiation from iPS to iPS-RPE.
Differentially expressed miRNAS are involved in sophisticated cellular networks.
To achieve a systems-level understanding of miRNA dynamics and its impact on iPS-RPE differentiation, we performed pathway and network analysis. Not surprisingly, no canonical pathways were over-represented in differentially expressed miRNAs; this is likely due to the fact that the biochemical and molecular functions of the majority of miRNAs are yet to be discovered and the crosstalk between miRNAs and their upstream regulators/downstream effectors is yet to be elucidated.
An important step toward a better understanding of miRNA regulatory networks is to identify their target mRNAs. The IPA miRNA Target Filter using TarBase
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and miRecords
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revealed that 846 mRNAs were experimentally validated targets of 40 differentially expressed miRNAs (Supplementary Table 2). Enrichment analysis showed that these genes are mainly involved in cell death and survival (
Notably a large number of target genes are oncogenes, tumor suppressors, or transcriptional regulators (Table 3). KEGG pathway analysis using DAVID Bioinformatics Resource
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revealed that 86 genes were involved in pathways related to cancer (

A molecular network associated with miRNA and tumor suppressor gene TP53.
Representative targets of differentially expressed miRNAs and their biological functions.
It is therefore important to systematically assess the potential roles of miRNAs in iPS-derived RPEs in carcinogenesis.55,56 Several up-regulated miRNAs in iPS-RPE are tumor suppressors. For example, miR-34, which is directly regulated by TP53, acts as a strong tumor suppressor by inhibiting cell proliferation, epithelial-mesenchymal transition (EMT), metastasis, and invasion. MiR-34 is commonly silenced in a variety of cancer types. 57 The expression of miR-34 was amplified by five-fold in iPS-RPE, suggesting the low proliferation potential in these fully differentiated cells. Similarly, miR-16, a suppressor miRNA that targets a number of oncogenes such as BCL2, JUN, and EGFR, was more abundant in iPS-RPE than in the iPS cells. By contrast, a number of down-regulated miRNAs in iPS-RPE are oncogenic miRNAs. The miR-17–92 cluster is found to be highly activated in solid tumors; one possible activation mechanism is through c-Myc transactivation. 58 The members of this cluster, miR-20b, miR-92, miR-17, miR-18a, and miR-19b, were either silenced or repressed in iPS-RPE cells by 626-fold, 25-fold, 19-fold, 16-fold, and 3-fold, respectively.
Further integrated miRNA–mRNA target analysis identified two inter-connected cancer-related networks: (1) The first network is related to cancer, organismal injury and abnormalities, and reproductive system disease (Fig. 5). The targets with high connectivity included: (a) the Smad2/3 complex, which is essential for the transforming growth factor beta (TGF-β) signaling pathway that regulates cell proliferation, differentiation, and apoptosis. A small RNA-Seq assay showed that SMAD can directly induce miR-92 in mouse ES cells. 59 MiR-92 is a proven oncogenic miRNA and its aberrant expression has been reported in various cancers such as hepatocellular carcinoma. 60 Our microarray analysis confirmed that the oncogenic miR-92 was significantly repressed in iPS-RPE; (b) vascular endothelial growth factor (VEGF), which plays a pivotal role in angiogenesis. VEGF was shown to induce miR-17 and miR-18 in pathological angiogenesis and tumors. 61 Both oncogenic miRNAs were down-regulated in iPS-RPE cells. (2) The second network is related to cancer, gastrointestinal disease, and hepatic system disease (Fig. 6). Tumor suppressor miR-100 was implicated in acute lymphoblastic leukemia (ALL) and child adrenocortical tumors. It was found to promote apoptosis by targeting the insulin-like growth factor 1 receptor (IGF1R)-mTOR signaling pathway. 62 The expression of miR-100 was enhanced by 27-fold in iPS-RPE cells, showing a strong antiproliferative effect. Similarly, miR-23 was also induced in iPS-RPE cells (by 18-fold); its tumor suppressor function is not exerted mainly through the regulation of cell cycle, but through the regulation of cell motility. MiR-23 targets a number of cytoskeleton proteins such as PLAU by enhancing cell-to-cell adhesion and inhibiting cell migration and metastasis. 63 Other targets in this network, such as mitogen-activated protein kinase 1 (MAPK1), mitogen-activated protein kinase kinase kinase 12 (MAP3K12), and cyclin-dependent kinase inhibitor 1B (CDKN1B), play integral roles in cell cycle progression and differentiation. Overall, the miRNA signature in these cancer-related networks seemed to operate to stabilize a differentiated state in iPS-RPE.

A molecular network associated with organismal injury and abnormalities, and reproductive system disease.

A molecular network associated with cancer, gastrointestinal disease, and hepatic system disease.
Concluding Remarks
MiRNA profiling of iPS and iPS-RPE cells revealed distinct molecular signatures of post-transcriptional regulation during the differentiation process. These differentially expressed miRNAs may invoke complex miRNA-target interaction networks that coordinate a cascade of signaling responses required to suppress cell proliferation, reinforce differentiation, thereby reducing carcinogenesis. A systematic interrogation of temporal and spatial expression of iPS-RPE miRNAs and their associated target mRNAs will provide new insights into the molecular mechanisms of carcinogenesis, eye differentiation and development.
Author Contributions
Conceived and designed the experiments: HCW, YW, JSG. Analyzed the data: HIHC, WAG, HC, RRK, HCW, YW. Wrote the first draft of the manuscript: HCW, YW, WAG, HIHC. Contributed to the writing of the manuscript: JSG, HC. Agree with manuscript results and conclusions: HCW, WAG, RRK, JSG, HIHC, HC, YW. Jointly developed the structure and arguments for the paper: HCW, YW. Made critical revisions and approved final version: HCW, WG, RRK, JSG, HIHC, HC, YW. All authors reviewed and approved of the final manuscript.
