The need for a reliable supply of O-negative (universal donor) red blood cells has driven ex vivo RBC manufacture closer to reality in recent years. However, the necessity for erythropoietin (EPO) in the cell culture to promote lineage maturation has remained a significant cost burden. New work from Stanford and UCSF aims to overcome this.
The research utilises protein and genome engineering to create a synthetic EPO receptor (SynEPOR) on HPSCs that is induced by a small molecule rather than by EPO. This is achieved with equivalent performance to EPO but with a 500-fold reagent cost reduction.
In flow cytometric analysis, to determine the differentiation towards fully matured RBCs, DRAQ5™ was employed to show extent of enucleation. Far-red fluorescing DRAQ5™ has been confidently employed in this way for two decades (Fraser, 2005).
The cell-engineering concept described in this work should be transferable to other clinically desirable cells and cell behaviours, to similarly put phenotypic differentiation under the control of small molecule inductions (or suppressions) to achieve a desired terminal cell functionality.