CROSS-REFERENCE TO RELATED APPLICATION

[0001] This Application claims benefit under 35 U.S.C. § 119(e) of the U.S. Provisional Application No. 62/519,412 filed June 14, 2017, the contents of which are incorporated herein by reference in its entirety.

GOVERNMENT SUPPORT

[0002] This invention was made with Government support under Grant No.: R37AI039394,

R24DK092760, and UOl-HL 100001 awarded by the National Institutes of Health. The Government has certain rights in the invention.

FIELD OF THE DISCLOSURE

[0003] This disclosure relates to in vitro production methods of hematopoietic stem cell (HSC) and hematopoietic stem and progenitor cell (HSPC) starting from hemogenic endothelia cells (HE) that were induced from pluripotent stem cells, including induced pluripotent stem cells (iPSC), and also relates to long-term multilineage hematopoiesis with the engraftment of these HSCs and HSCPs.

BACKGROUND

[0004] There is a lack of supply of functional blood cells for in vivo cellular replacement therapy, and for in vitro studies of disease modeling, drug screening, and hematological diseases. Bone marrow transplantation is by far the most established cellular replacement therapy for a variety of hematological disorders. The functional unit of a bone marrow transplant is the hematopoietic stem cell (HSC), which resides at the apex of a complex cellular hierarchy and replenishes blood development throughout life. However, the scarcity of HLA-matched HSCs or patient-specific HSCs severely limits the ability to carry out transplantation, disease modeling, drug screening, and in vitro studies of hematological diseases. Often, there is not a large enough cell population transplanted to ensure sufficient engraftment and reconstitution in vivo.

[0005] As such, many studies have been developed to generate HSCs from alternative sources. For example, reprogramming of somatic cells to induced pluripotent stem cells (iPSC) has provided access to a wide array of patient-specific pluripotent cells, a promising source for disease modeling, drug screens and cellular therapies. Pluripotent cells are induced in human and mouse somatic cells by the forced expression of the reprogramming factors: OCT4 (Oct4) and SOX2 (Sox2) with either the combinations of KLF4 (Klf4) and c-MYC (c-Myc) or NANOG (Nanog) and LIN28 (Lin28). Mouse iPS cell lines derived from bone marrow hematopoietic progenitor cells has been reported. Derivation of human iPS cells from postnatal human blood cells, from granulocyte colony-stimulating factor (G-CSF) mobilized peripheral blood (PB) CD34+ cells, and from human cord blood (CB) and adult bone marrow (BM) CD34+ cells without any pre-treatment such as G-CSF mobilization has been also reported. The iPSCs have been shown to differentiate into various cells belonging to the three germ layers, as demonstrated by the analysis of teratomas generated from human and mouse iPS cells. In addition, the pluripotency of iPS cells is confirmed by the contribution of iPS cell-derived cells to various organs of the chimeric mice developed from iPS cell-introduced blastocysts.

[0006] Another approach to generate HSCs from pluripotent stem cells (PSC) is to specify HSCs from its ontogenetic precursors. It is now widely accepted that HSCs originate from hemogenic endothelium (HE) in the aorta-gonad-mesonephros (AGM) and arterial endothelium in other anatomical sites. Recent work on the directed differentiation of HE from human PSC have provided valuable insights into some of the signaling pathways that control the emergence of primitive or definitive populations; however, the endothelial-to-hematopoietic transition remains incompletely understood in human hematopoietic development, making rational intervention challenging. For example, there are reports of induced definitive HE differentiated from human embryonic bodies (EB) that were derived from iPS cells.

However, these HE from PSCs do not engraft in vivo. In contrast, other have shown that real hemogenic cells from human fetal tissues can engraft in mice, indicating missing signals to confer HSC fate on PSCs.

[0007] Therefore, there are still barriers to the generation of HSC from these alternative sources. In addition to the cell quantity and cell source problems, there is still a hurdle in producing hematopoietic stem and progenitor cells derived from human pluripotent stem cells (hPSCs) or the differentiated cells therefrom that would engraft in vivo. Mostly, the primitive HSC and HSPC produced from these alternative sources do not sustain blood production in vivo.

SUMMARY OF THE DISCLOSURE

[0008] It is difficult to harvest de novo enough hematopoietic stem cells (HSCs) and hematopoietic stem and progenitor cells (HSPCs) from animals and humans. It is also difficult to ex vivo culture expand enough of these cells for any meaningful therapeutic purposes. Sometimes, the ex vivo culture-expanded cells do not differentiate into all the hematopoietic lineage potentials.

[0009] Additionally, it is difficult to differentiate HSCs and HSPCs from pluripotent stem cells (PSCs) where the HSCs and HSPCs exhibit all the hematopoietic lineage potentials. One of the most common problems with HSCs and HSPCs derived from PSCs is that the HSCs and HSPCs do not engraft well and in sufficient number in the host after transplantation to sustain blood production in vivo. One of the problems to solve in achieving in vivo long-term multilineage hematopoiesis with the engraftment of these HSCs and HSCPs from the PSCs.

[0010] The inventors have found a process to make PSCs-derived HSCs and HSPCs that would differentiate into all the hematopoietic lineage potentials and would also engraft well in the host after transplantation so that there is sufficient engrafted cells to sustain blood production in vivo. This discovery provides a method for producing functionally relevant HSCs and HSPCs in sufficient quantities for both meaningful experimental and therapeutic purposes. For example, in vitro experiments, these PSCs-derived HSCs and HSPCs can be differentiated to the desired hematopoietic lineage, e.g., erythroid cells, lymphoid cells, and myeloid cells, for further studies, e.g, drug studies. For example, in in vivo studies, these PSCs-derived HSCs and HSPCs would engraft in a host, and differentiate into a variety of hematopoietic progeny cells, and reconstitute and populate the circulatory and immune system of the host.

[0011] Embodiments of the present disclosure are based, in part, to the discovery of a few key transcription factors that would bring about the differentiation of HSCs and HSPCs that are derived from pluripotent stem cells derived hemogenic endothelia cells (HE). First, the inventors showed that embryonic bodies (EB) are made from pluripotent stem cells, e.g., including induced pluripotent cells. Second, the HE are harvested from the EB, and cultured to induce endothelial-to-hematopoietic transition (EHT) in vitro. Then, the HE cells are transfected with coding gene sequences of at least the following transcription factors: ERG, HOXA9, HOXA5, LCOR and RU X1, for the expression of the respective transcription factors, thereby to promote differentiation of the HE into HSCs and HSPCs that exhibit all the hematopoietic lineage potentials. These multilineage HSCs and HSPCs engraft well in recipient host after implantation. Additionally, it is shown herein that the transfection of the transcription factors described herein (e.g., ERG, HOXA9, HOXA5, LCOR and RU X1) via a non-integrative vector (e.g., an epsiomal vector) increasing the yield and efficacy of engratftment as compared to an integrative vector (e.g., a lenti virus).

[0012] Accordingly, in one aspect, provided herein is a method for making hematopoietic stem cells (HSCs) and hematopoietic stem and progenitor cells (HSPCs) comprising in vitro transfecting hemogenic endothelia cells (HE) with an exogenous gene coding copy of each of the following transcription factors: ERG, HOXA9, HOXA5, LCOR and RU X1 comprised in a non-integrative vector, wherein the transcription factors are expressed in the transfected cells to produce a population of multilineage HSCs and HSPCs that engrafts in recipient host after implantation. Additional transcription factors, HOXA10 and SPI1, are optionally included.

[0013] In another aspect, this disclosure provides is a method of making hematopoietic stem cells (HSCs) and hematopoietic stem and progenitor cells (HSPCs) comprising (a) generating embryonic bodies (EB) from pluripotent stem cells; (b) isolating hemogenic endothelia cells (HE) from the resultant population of EB; (c) inducing endothelial-to-hematopoietic transition (EHT) in culture in the isolated HE in order to obtain hematopoietic stem cells, and (d) in vitro transfecting the induced HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RU X1 comprised in a non-integrative vector. Additional transcription factors, HOXA 10 and SPI1, are optionally included.

[0014] In another aspect, this disclosure provides is an engineered cell derived from a population of HE that is produced by a method comprising (a) generating embryonic bodies (EB) from pluripotent stem cells; (b) isolating hemogenic endothelia cells (HE) from the resultant population of EB; (c) inducing endothelial-to-hematopoietic transition (EHT) in culture in the isolated HE in order to obtain

hematopoietic stem cells, and (d) in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RU X1 comprised in a non-integrative vector. Additional transcription factors, HOXA10 and SPI1, are optionally included. [0015] In another aspect, this disclosure provides is an engineered cell derived from a population of HE that is produced by a method comprising in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RU X1. Additional transcription factors, HOXAIO and SPIl, are optionally included.

[0016] In another aspect, this disclosure provides is an engineered cell comprises an exogenous copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RU X1. Additional transcription factors, HOXAIO and SPIl, are optionally included.

[0017] In another aspect, this disclosure provides is a composition comprising a population of engineered cells derived from a population of HE and produced by a method comprising (a) generating embryonic bodies (EB) from pluripotent stem cells; (b) isolating hemogenic endothelia cells (HE) from the resultant population of EB; (c) inducing endothelial-to-hematopoietic transition (EHT) in culture in the isolated HE in order to obtain hematopoietic stem cells, and (d) in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RU X1 comprised in a non-integrative vector. Additional transcription factors, HOXAIO and SPIl, are optionally included. In some embodiments, this composition is useful for cellular replacement therapy in a subject. In other embodiments, this composition is useful for research and laboratory uses. For examples, in drug screening and testing.

[0018] In another aspect, this disclosure provides is a composition comprising a population of engineered cells derived from a population of HE and produced by a method comprising in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RU X1. Additional transcription factors, HOXAIO and SPIl, are optionally included. In some embodiments, this composition is useful for cellular replacement therapy in a subject. In other embodiments, this composition is useful for research and laboratory uses.

[0019] In another aspect, this disclosure provides is a composition comprising a population of engineered cells wherein the cells comprise an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RU X1. Additional transcription factors, HOXAIO and SPIl, are optionally included. Additionally, the engineered cells further comprises reprogramming factors OCT4, SOX2, KLF4 and optionally c-MYC or NANOG and LIN28.

[0020] In another aspect, this disclosure provides is a pharmaceutical composition comprising a population of engineered cells derived from a population of HE and a pharmaceutically acceptable carrier, wherein the engineered cells are produced by a method comprising (a) generating embryonic bodies (EB) from pluripotent stem cells; (b) isolating hemogenic endothelia cells (HE) from the resultant population of EB; (c) inducing endothelial-to-hematopoietic transition (EHT) in culture in the isolated HE in order to obtain hematopoietic stem cells, and (d) in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RU X1 comprised in a non-integrative vector. Additional transcription factors, HOXAIO and SPI1, are optionally included. In some embodiments, this pharmaceutical composition is useful for cellular replacement therapy in a subject.

[0021] In another aspect, this disclosure provides is a pharmaceutical composition comprising a population of engineered cells derived from a population of HE and a pharmaceutically acceptable carrier, wherein the engineered cells are produced by a method comprising in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNXl . Additional transcription factors, HOXA10 and SPI 1, are optionally included. In some embodiments, this pharmaceutical composition is useful for cellular replacement therapy in a subject.

[0022] In another aspect, this disclosure provides is a pharmaceutical composition comprising a population of engineered cells and a pharmaceutically acceptable carrier, wherein the engineered cells comprise an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNXl . Additional transcription factors, HOXA10 and SPI1, are optionally included.

[0023] In another aspect, this disclosure provides is a method of cellular replacement therapy in a subject in need thereof, the method comprising administering a population of engineered cells to a recipient subject, the population of engineered cells are produced by a method comprising (a) generating embryonic bodies (EB) from pluripotent stem cells; (b) isolating hemogenic endothelia cells (HE) from the resultant population of EB; (c) inducing endothelial-to-hematopoietic transition (EHT) in culture in the isolated HE in order to obtain hematopoietic stem cells, and (d) in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNXl comprised in a non-integrative vector. Additional transcription factors, HOXA10 and SPI 1, are optionally included.

[0024] In another aspect, this disclosure provides is a method of cellular replacement therapy in a subject in need thereof, the method comprising administering a population of engineered cells to a recipient subject, the population of engineered cells are produced by a method comprising in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNXl . Additional transcription factors, HOXA10 and SPI 1, are optionally included.

[0025] In another aspect, this disclosure provides is a method of cellular replacement therapy in a subject in need thereof, the method comprising administering a population of engineered cells to a recipient subject, the population of engineered cells comprise an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNXl . Additional transcription factors, HOXA10 and SPI1, are optionally included.

[0026] In another aspect, this disclosure provides is an engineered cell derived from a population of HE and produced by a method described herein.

[0027] In another aspect, this disclosure provides is a composition comprising a population of engineered cells described herein. [0028] In another aspect, this disclosure provides is a pharmaceutical composition comprising a population of engineered cells described herein and a pharmaceutically acceptable carrier.

[0029] In another aspect, this disclosure provides is a pharmaceutical composition described herein for use in cellular replacement therapy in a subject.

[0030] In another aspect, this disclosure provides is a method of cellular replacement therapy in a subject in need thereof, the method comprising administering a population of engineered cells described, or a composition described, or a pharmaceutical composition described to a recipient subject.

[0031] In another aspect, this disclosure provides is a use of an engineered cell described herein, a composition comprising of engineered cells described herein, or a pharmaceutical composition comprising of engineered cells described herein for the cellular replacement therapy in a subject in need thereof, or for the manufacture of medicament for cellular replacement therapy in a subject in need thereof.

[0032] In one embodiment of any one aspect described, the method described is an in vitro method.

[0033] In one embodiment of any one aspect described, the EB are generated or induced from PSC by culturing or exposing the PSC to mophogens for about 8 days.

[0034] In one embodiment of any one aspect described, the mophogens for generating EBs from PSC are selected from the group consisting of holo-transferrin, mono-thioglycerol (MTG), ascorbic acid, bone morphogenetic protein (BMP)-4, basic fibroblast growth factor (bFGF), SB431542, CHIR99021, vascular endothelial growth factor (VEGF), interleukin (IL)-6, insulin-like growth factor (IGF)- l, interleukin (IL)-l 1, stem cell factor (SCF), erythropoietin (EPO), thrombopoietin (TPO), interleukin (IL)-3, and Fms related tyrosine kinease 3 ligand (Flt-3L). The combination of all these factors required to produce definitive HE.

[0035] In one embodiment of any one aspect described, the method described herein further comprises selecting EBs that are formed from the PSC after having been exposed or contacted with the described morphogens.

[0036] In one embodiment of any one aspect described, the selected EBs are less than 800 microns in size and are selected.

[0037] In one embodiment of any one aspect described, the EB cells within the selected EBs are compactly adhered to each other and requires trypsin digestion in order to dissociate the cells to individual cells.

[0038] In one embodiment of any one aspect described, the EB cells of the selected EBs are dissociated prior to the isolation of HE therefrom.

[0039] In one embodiment of any one aspect described, the population of PSC used for generating EBs is induced pluripotent stem cells (iPS cells) or embryonic stem cells (ESC).

[0040] In one embodiment of any one aspect described, the iPS cells are produced by introducing only reprogramming factors OCT 4, SOX2, and KLF4, and optionally c-MYC into mature cells. In one embodiment of any one aspect described, the iPS cells are produced by introducing only reprogramming factors OCT 4, SOX2, and KLF4, and optionally NANOG and LIN28 into mature cells. The introduction is via any method known in the arts, e.g., viral vectors (AAV, lentiviral, retroviral vectors), or other non- integrative episomal vectors (oriP/EBNA-1 [Epstein Barr nuclear antigen-1], the non-viral episomal vector pEPI-1) that are known in the art.

[0041] In one embodiment of any one aspect described, the mature cells for producing iPS cells are selected from the group consisting of B lymphocytes (B-cells), T lymphocytes, (T-cells), fibroblasts, and keratinocytes. Any matured, differentiated cells in the body of a multicellular organism can be used to produce iPCs.

[0042] In one embodiment of any one aspect described, the induced pluripotent stem cells are produced by introducing the reprogramming factors once, or two or more times into the mature cells.

[0043] In one embodiment of any one aspect described, the disclosed transcription factors are expressed in the transfected cells, that is, the respective transcription factors: ERG, HOXA9, HOXA5, LCOR, RU Xl, HOXA10, or SPI1, is expressed in the transfected cells. In one embodiment, the respective transcription factors: ERG, HOXA9, HOXA5, LCOR, RUNXl, HOXA10, or SPI1, is expressed in the transfected cells via a non-integrative vector.

[0044] In one embodiment, the non-integrative vector is an episomal vector.

[0045] In one embodiment, at least 2, at least 3, at least 4, or at least 5 transcription factors are transfected.

[0046] In another embodiment of any one aspect described, the disclosed transcription factors are expressed in the engineered cells of this disclosure.

[0047] In one embodiment of any one aspect described, the expression of the disclosed transcription factors in the transfected or engineered cells produces a population of multi-lineage HSCs and HSPCs.

[0048] In one embodiment of any one aspect described, the population of multi-lineage HSCs and

HSPCs, produced by the expression of the disclosed transcription factors in the transfected or engineered cells, engrafts in vivo in the recipient subject and produces blood cells in vivo.

[0049] In one embodiment of any one aspect described, the population of multilineage HSCs and

HSPCs, produced by the expression of the disclosed transcription factors in the transfected or engineered cells, reconstitutes the hematopoietic system in vivo in the recipient subject.

[0050] In one embodiment of any one aspect described, the population of multi-lineage HSCs and

HSPCs differentiate to myeloid cells in vivo after implantation in a host recipient subject. The myeloid cells produce MPO upon PMA or cytokine stimulation in vivo.

[0051] In one embodiment of any one aspect described, the population of multi-lineage HSCs and HSPCs differentiate to functional T- and B-cells in vivo after implantation in a host recipient subject. The functional T- and B-cells produce IgM and IgG. The functional T- and B-cells also undergo

immunoglobulin class switching in response to ovalbumin stimulation. The functional T- and B-cells also produces INF-γ.

[0052] In one embodiment of any one aspect described, the engineered cells disclosed herein express at least one of the following transcription factors: ERG, HOXA9, HOXA5, LCOR, RUNXl, HOXA10, or SPI1, from an exogenous gene encoding the transcription factors in the cells. [0053] In one embodiment of any one aspect described, the engineered cells disclosed herein are multilineage HSCs and HSPCs that are CD34+.

[0054] In one embodiment of any one aspect described, the engineered cells disclosed herein are multilineage HSCs and HSPCs that are CD34+ and CD45+.

[0055] In one embodiment of any one aspect described, the engineered cells disclosed herein are multilineage HSCs and HSPCs that are CD34+ CD45+ and CD38-.

[0056] In one embodiment of any one aspect described, the engineered cells disclosed herein are CD34+.

[0057] In one embodiment of any one aspect described, the engineered cells disclosed herein are are CD34+ and CD45+.

[0058] In one embodiment of any one aspect described, the engineered cells disclosed herein are CD34+ CD45+ and CD38-.

[0059] In one embodiment of any one aspect described, the engineered cells disclosed herein are multilineage HSCs and HSPCs that engraft in vivo in a host recipient subject and produce blood cells in vivo.

[0060] In one embodiment of any one aspect described, the engineered cells disclosed herein are multilineage HSCs and HSPCs that reconstitutes the hematopoietic system in vivo when transplanted into a host recipient subject.

[0061] In one embodiment of any one aspect described, the engineered cells disclosed herein are multilineage HSCs and HSPCs that differentiate to myeloid cells in vivo, and the myeloid cells produce MPO upon PMA or cytokine stimulation in vivo.

[0062] In one embodiment of any one aspect described, the engineered cells disclosed herein are multilineage HSCs and HSPCs that differentiate to functional T- and B-cells in vivo, the functional T- and B-cells produce IgM and IgG. The functional T- and B-cells also undergo immunoglobulin class switching in response to ovalbumin stimulation. The functional T- and B-cells also produces INF-γ.

[0063] In one embodiment of any one aspect described, the HE are definitive HE.

[0064] In one embodiment of any one aspect described, the HE are FLK1+, CD34+, CD43-, and CD235A-. These biomarkers are those on HE before the endothelial-to-hematopoietic transition (EHT).

[0065] Definitive HE is a population that is defined by combination of surface antigen markers.

CD34+FLK1+CD235A-CD43- before EHT.

[0066] In one embodiment of any one aspect described, the HE are isolated immediately from selected EBs and dissociated EB cells.

[0067] In one embodiment of any one aspect described, the HSCs are CD34+.

[0068] In one embodiment of any one aspect described, the HSCs are CD34+ and CD45+.

[0069] In one embodiment of any one aspect described, the HSPCs are CD34+.

[0070] In one embodiment of any one aspect described, the HSPCs are CD34+ and CD45+.

[0071] In one embodiment of any one aspect described, the EHT occurs by culturing the isolated HE in thrombopoietin (TPO), interleukin (IL)-3, stem cell factor (SCF), IL-6, IL-11, insulin-like growth factor (IGF)- l, erythropoietin (EPO), vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF), bone morphogenetic protein (BMP)4, Fms related tyrosine kinase 3 ligand (Flt-3L), sonic hedgehog (SHH), angiotensin II, and chemical AGTR1 (angiotensin II receptor type I) blocker losartan potassium.

[0072] In one embodiment of any one aspect described, the multilineage HSCs produced by the methods described in this disclosure are CD34+CD38-CD45+.

[0073] In one embodiment of any one aspect described, the multilineage HSPCs produced by the methods described in this disclosure are CD34+CD45+.

[0074] In one embodiment of any one aspect described, the engineered cell of this disclosure comprises an exogenous copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNX1.

[0075] In one embodiment of any one aspect described, the engineered cell of this disclosure further comprises an exogenous copy of each of the following reprogramming factors OCT4, SOX2, KLF4 and optionally c-MYC. Alternate reprogramming factors in lieu of c-MYC are NANOG and LIN28.

[0076] In one embodiment of any one aspect described, the composition of engineered cells of this disclosure further comprises a pharmaceutically acceptable carrier.

[0077] In one embodiment of any one aspect described, the subject is a patient who has undergone chemotherapy or irradiation or both chemotherapy and irradiation, and manifest deficiencies in immune or blood function or lymphocyte reconstitution or both deficiencies in immune function and lymphocyte reconstitution.

[0078] In one embodiment of any one aspect described, the subject prior to implantation, the immune cells are treated ex vivo with prostaglandin E2 and/or antioxidant N-acetyl-L-cysteine (NAC) to promote subsequent engraftment in a recipient subject.

[0079] In one embodiment of any one aspect described, the engineered cells of this disclosure are autologous to the recipient subject or at least HLA type matched with the recipient subject.

Definitions

[0080] As used herein, the term "comprising" means that other elements can also be present in addition to the defined elements presented. The use of "comprising" indicates inclusion rather than limitation.

[0081] The term "consisting of refers to methods, and respective components thereof as described herein, which are exclusive of any element not recited in that description of the embodiment.

[0082] As used herein the term "consisting essentially of refers to those elements required for a given embodiment. The term permits the presence of elements that do not materially affect the basic and novel or functional characteristic(s) of that embodiment of the disclosure.

[0083] As used herein, the terms "pharmaceutically acceptable", "physiologically tolerable" and grammatical variations thereof, as they refer to compositions, carriers, diluents and reagents, are used interchangeably and represent that the materials are capable of administration to or upon a mammal without the production of undesirable physiological effects such as nausea, dizziness, gastric upset and the like. A pharmaceutically acceptable carrier will not promote the raising of an immune response to an agent with which it is admixed, unless so desired. The preparation of a pharmacological composition that contains active ingredients dissolved or dispersed therein is well understood in the art and need not be limited based on formulation. Typically such compositions are prepared as injectable either as liquid solutions or suspensions, however, solid forms suitable for solution, or suspensions, in liquid prior to use can also be prepared. The preparation can also be emulsified or presented as a liposome composition. The active ingredient can be mixed with excipients which are pharmaceutically acceptable and compatible with the active ingredient and in amounts suitable for use in the therapeutic methods described herein. Suitable excipients include, for example, water, saline, dextrose, glycerol, ethanol or the like and combinations thereof. In addition, if desired, the composition can contain minor amounts of auxiliary substances such as wetting or emulsifying agents, pH buffering agents and the like which enhance the effectiveness of the active ingredient. The therapeutic composition of the embodiments of the present disclosure can include pharmaceutically acceptable salts of the components therein. Pharmaceutically acceptable salts include the acid addition salts (formed with the free amino groups of the polypeptide) that are formed with inorganic acids such as, for example, hydrochloric or phosphoric acids, or such organic acids as acetic, tartaric, mandelic and the like. Salts formed with the free carboxyl groups can also be derived from inorganic bases such as, for example, sodium, potassium, ammonium, calcium or ferric hydroxides, and such organic bases as isopropylamine, trimethylamine, 2-ethylamino ethanol, histidine, procaine and the like. Physiologically tolerable carriers are well known in the art. Exemplary liquid carriers are sterile aqueous solutions that contain no materials in addition to the active ingredients and water, or contain a buffer such as sodium phosphate at physiological pH value, physiological saline or both, such as phosphate-buffered saline. Still further, aqueous carriers can contain more than one buffer salt, as well as salts such as sodium and potassium chlorides, dextrose, polyethylene glycol and other solutes. Liquid compositions can also contain liquid phases in addition to and to the exclusion of water. Exemplary of such additional liquid phases are glycerin, vegetable oils such as cottonseed oil, and water-oil emulsions. The amount of an active agent used in the methods described herein that will be effective in the treatment of a particular disorder or condition will depend on the nature of the disorder or condition, and can be determined by standard clinical techniques. Suitable pharmaceutical carriers are described in Remington's Pharmaceutical Sciences, A. Osol, a standard reference text in this field of art. For example, a parenteral composition suitable for administration by injection is prepared by dissolving 1.5% by weight of active ingredient in 0.9% sodium chloride solution.

[0084] In one embodiment, the "pharmaceutically acceptable" carrier does not include in vitro cell culture media.

[0085] In one embodiment, the term "pharmaceutically acceptable" means approved by a regulatory agency of the Federal or a state government or listed in the U.S. Pharmacopeia or other generally recognized pharmacopeia for use in animals, and more particularly in humans. Specifically, it refers to those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.

[0086] The term "carrier" refers to a diluent, adjuvant, excipient, or vehicle with which the therapeutic is administered. Such pharmaceutical carriers can be sterile liquids, such as water and oils, including those of petroleum, animal, vegetable or synthetic origin, such as peanut oil, soybean oil, mineral oil, sesame oil and the like. Water is a preferred carrier when the pharmaceutical composition is administered intravenously. Saline solutions and aqueous dextrose and glycerol solutions can also be employed as liquid carriers, particularly for injectable solutions. Suitable pharmaceutical excipients include starch, glucose, lactose, sucrose, gelatin, malt, rice, flour, chalk, silica gel, sodium stearate, glycerol

monostearate, talc, sodium chloride, dried skim milk, glycerol, propylene, glycol, water, ethanol and the like. The composition, if desired, can also contain minor amounts of wetting or emulsifying agents, or pH buffering agents. These compositions can take the form of solutions, suspensions, emulsion, tablets, pills, capsules, powders, sustained-release formulations, and the like. The composition can be formulated as a suppository, with traditional binders and carriers such as triglycerides. Oral formulation can include standard carriers such as pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharine, cellulose, magnesium carbonate, etc. Examples of suitable pharmaceutical carriers are described in Remington's Pharmaceutical Sciences, 18th Ed., Gennaro, ed. (Mack Publishing Co., 1990). The formulation should suit the mode of administration.

[0087] A "subject," as used herein, includes any animal that exhibits a symptom of a monogenic disease, disorder, or condition that can be treated with the cell-based therapeutics, and methods disclosed elsewhere herein. In one embodiment, a subject includes any animal that exhibits symptoms of a disease, disorder, or condition of the hematopoietic system, e.g., a hemoglobinopathy, that can be treated with the cell-based therapeutics, and methods contemplated herein. Suitable subjects (e.g., patients) include laboratory animals (such as mouse, rat, rabbit, or guinea pig), farm animals, and domestic animals or pets (such as a cat or dog). Non-human primates and, preferably, human patients, are included. Typical subjects include animals that exhibit aberrant amounts (lower or higher amounts than a "normal" or "healthy" subject) of one or more physiological activities that can be modulated by gene therapy.

[0088] In one embodiment, as used herein "treatment" or "treating," includes any beneficial or desirable effect on the symptoms or pathology of a disease or pathological condition, and may include even minimal reductions in one or more measurable markers of the disease or condition being treated. In another embodiment, treatment can involve optionally either the reduction or amelioration of symptoms of the disease or condition, or the delaying of the progression of the disease or condition. "Treatment" does not necessarily indicate complete eradication or cure of the disease or condition, or associated symptoms thereof.

[0089] As used herein, the term "amount" refers to "an amount effective" or "an effective amount" of transduced therapeutic cells to achieve a beneficial or desired prophylactic or therapeutic result, including clinical results. [0090] A "prophylactically effective amount" refers to an amount of transduced therapeutic cells effective to achieve the desired prophylactic result. Typically, but not necessarily, since a prophylactic dose is used in subjects prior to or at an earlier stage of disease, the prophylactically effective amount is less than the therapeutically effective amount.

[0091] A "therapeutically effective amount" of transduced therapeutic cells may vary according to factors such as the disease state, age, sex, and weight of the individual, and the ability of the stem and progenitor cells to elicit a desired response in the individual. A therapeutically effective amount is also one in which any toxic or detrimental effects of the virus or transduced therapeutic cells are outweighed by the therapeutically beneficial effects. The term "therapeutically effective amount" includes an amount that is effective to "treat" a subject (e.g., a patient).

[0092] As used herein, the terms "administering," refers to the placement of a composition or engineered cells of this disclosure into a subject by a method or route which results in at least a desired effects, for example, increase number of immune cells or blood cells or platelets. The composition or engineered cells of this disclosure can be administered by any appropriate route which results in an effective treatment in the subject.

[0093] As used herein, in one embodiment, the term "hematopoietic stem cell" or "HSC" refers to a stem cell that give rise to all the blood cell types of the three hematopoietic lineages, erythroid, lymphoid, and myeloid. These cell types include the myeloid lineages (monocytes and macrophages, neutrophils, basophils, eosinophils, erythrocytes, megakaryocytes/platelets, dendritic cells), and the lymphoid lineages (T-cells, B-cells, NK-cells). In one embodiment, the term "hematopoietic stem cell" or "HSC" refers to a stem cell that have the following cell surface markers: CD34+, CD59+, Thyl/CD90+, CD381o/-, and C-kit/CD l 17+. In one embodiment, the term "hematopoietic stem cell" or "HSC" refers to a stem cell that is at least CD34+. In one embodiment, the term "hematopoietic stem cell" or "HSC" refers to a stem cell that is at least CD34+ and C -kit/CD 1 17+. In another embodiment, the term HSC refers to a stem cell that is at least CD34+. In another embodiment, the term HSC refers to a stem cell that is at least CD34+/CD45+. In another embodiment, the term HSC refers to a stem cell that is at least CD34+/CD45+/CD38-.

[0094] As used herein, the terms "iPS cell" and "induced pluripotent stem cell" are used interchangeably and refers to a pluripotent cell artificially derived by the transfection of the following reprogramming factors OCT4, SOX2, KLF4 and optionally c-MYC or optionally NANOG and LIN28, into a

undifferentiated cell from a differentiated cell.

[0095] As used herein, the term "lineage" when used in the context of stem and progenitor cell differentiation and development refers to the cell differentiation and development pathway which the cell can take to becoming a fully differentiated cell. For example, a HSC has three hematopoietic lineages, erythroid, lymphoid, and myeloid; the HSC has the potential, ie., the ability, to differentiate and develop into those terminally differentiated cell types known for all these three lineages. When the term

"multilineage" used, it means the cell is able in the future differentiate and develop into those terminally differentiated cell types known for more than one lineage. For example, the HSC has multilineage potential. When the term "limited lineage" used, it means the cell can differentiate and develop into those terminally differentiated cell types known for one lineage. For example, a common myeloid progenitor cell or a megakaryocyte-erythroid progenitor has a limited lineage because the cell can only differentiate and develop into those terminally differentiated cell types of the myeloid lineage and not that of the lymphoid lineage. Terminally differentiated cells of the myeloid lineage include erythrocytes, monocytes, macrophages, megakaryocytes, myeloblasts, dendritic cells, and granulocytes (basophils, neutrophils, eosinophils, and mast cells); and terminally differentiated cells of the lymphoid lineage include T lymphocytes/ T cells, B lymphocytes/B cells, and natural killer cells.

[0096] As used herein, the term "a progenitor cell" refers to an immature or undifferentiated cell that has the potential later on to mature (differentiate) into a specific cell type, for example, a blood cell, a skin cell, a bone cell, or a hair cells. Progenitor cells have a cellular phenotype that is more primitive (e.g., is at an earlier step along a developmental pathway or progression than is a fully differentiated cell) relative to a cell which it can give rise to by differentiation. Often, progenitor cells also have significant or very high proliferative potential. Progenitor cells can give rise to multiple distinct differentiated cell types or to a single differentiated cell type, depending on the developmental pathway and on the environment in which the cells develop and differentiate. A progenitor cell also can proliferate to make more progenitor cells that are similarly immature or undifferentiated.

[0097] As used herein, the term "multilineage hematopoietic progenitor cells" or "hematopoietic stem and progenitor cells (HSPC)" refer to hematopoietic cells (cell that form the blood) that have the ability or potential to generate, or differentiate into, multiple types of hematopoietic lineage cells.

[0098] As used herein, the term "long-term" when used in the context of "multilineage hematopoiesis" refers to in vivo implanted HSCs and/or HSPCs being capable of producing the three hematopoietic lineage cells, erythroid, lymphoid, and myeloid, for up to at least 12 weeks post transplantation.

[0099] As used herein, the term "multilineage hematopoiesis" in the context of HSCs and/or HSPCs refers to these cells capable of producing at least the three hematopoietic lineage cells, erythroid, lymphoid, and myeloid.

[0100] The term "differentiated cell" is meant any primary cell that is not, in its native form, pluripotent as that term is defined herein. The term a "differentiated cell" also encompasses cells that are partially differentiated, such as multipotent cells (e.g. adult somatic stem cells). In some embodiments, the term "differentiated cell" also refers to a cell of a more specialized cell type derived from a cell of a less specialized cell type (e.g., from an undifferentiated cell or a reprogrammed cell) where the cell has undergone a cellular differentiation process.

[0101] In the context of cell ontogeny, the term "differentiate", or "differentiating" is a relative term meaning a "differentiated cell" is a cell that has progressed further down the developmental pathway than its precursor cell. Thus in some embodiments, a reprogrammed cell as this term is defined herein, can differentiate to lineage-restricted precursor cells (such as a mesodermal stem cell or a endodermal stem cell), which in turn can differentiate into other types of precursor cells further down the pathway (such as an tissue specific precursor, for example, a cardiomyocyte precursor, or a pancreatic precursoe), and then to an end-stage differentiated cell, which plays a characteristic role in a certain tissue type, and may or may not retain the capacity to proliferate further.

[0102] The term "multipotent" when used in reference to a "multipotent cell" refers to a cell that is able to differentiate into some but not all of the cells derived from all three germ layers. Thus, a multipotent cell is a partially differentiated cell. Multipotent cells are well known in the art, and examples of muiltipotent cells include adult somatic stem cells, such as for example, hematopoietic stem cells and neural stem cells, hair follicle stem cells, liver stem cells etc. Multipotent means a stem cell may form many types of cells in a given lineage, but not cells of other lineages. For example, a multipotent blood stem cell can form the many different types of blood cells (red, white, platelets, etc.), but it cannot form neurons; cardiovascular progenitor cell (MICP) differentiation into specific mature cardiac, pacemaker, smooth muscle, and endothelial cell types; pancreas-derived multipotent progenitor (PMP) colonies produce cell types of pancreatic lineage (cells that produces insulin, glucagon, amylase or somatostatin) and neural lineage (cells that are morphologically neuron-like, astrocytes-like or oligodendrocyte-like).

[0103] The term a "reprogramming gene", as used herein, refers to a gene whose expression, contributes to the reprogramming of a differentiated cell, e.g. a somatic cell to an undifferentiated cell (e.g. a cell of a pluripotent state or partially pluripotent state). A reprogramming gene can be, for example, genes encoding master transcription factors Sox2, Oct3/4, Klf4, Nanog, Lin-28, c-myc and the like. The term "reprogramming factor" refers to the protein encoded by the reprogramming gene.

[0104] The term "exogenous" refers to a substance present in a cell other than its native source. The terms "exogenous" when used herein refers to a nucleic acid (e.g. a nucleic acid encoding a

reprogramming transcription factor, e.g. Sox2, Oct3/4, Klf4, Nanog, Lin-28, c-myc and the like) or a protein (e.g., a transcription factor polypeptide) that has been introduced by a process involving the hand of man into a biological system such as a cell or organism in which it is not normally found or in which it is found in lower amounts. A substance (e.g. a nucleic acid encoding a sox2 transcription factor, or a protein, e.g., a SOX2 polypeptide) will be considered exogenous if it is introduced into a cell or an ancestor of the cell that inherits the substance.

[0105] The term "isolated" as used herein signifies that the cells are placed into conditions other than their natural environment. The term "isolated" does not preclude the later use of these cells thereafter in combinations or mixtures with other cells.

[0106] As used herein, the term "expanding" refers to increasing the number of like cells through cell division (mitosis). The term "proliferating" and "expanding" are used interchangeably.

[0107] As used herein, a "cell-surface marker" refers to any molecule that is expressed on the surface of a cell. Cell-surface expression usually requires that a molecule possesses a transmembrane domain. Some molecules that are normally not found on the cell-surface can be engineered by recombinant techniques to be expressed on the surface of a cell. Many naturally occurring cell-surface markers are termed "CD" or "cluster of differentiation" molecules. Cell-surface markers often provide antigenic determinants to which antibodies can bind to. A cell-surface marker of particular relevance to the methods described herein is CD34. The useful hematopoietic progenitor cells according to the present disclosure preferably express CD34 or in other words, they are CD34 positive.

[0108] A cell can be designated "positive" or "negative" for any cell-surface marker, and both such designations are useful for the practice of the methods described herein. A cell is considered "positive" for a cell-surface marker if it expresses the marker on its cell-surface in amounts sufficient to be detected using methods known to those of skill in the art, such as contacting a cell with an antibody that binds specifically to that marker, and subsequently performing flow cytometric analysis of such a contacted cell to determine whether the antibody is bound the cell. It is to be understood that while a cell may express messenger R A for a cell-surface marker, in order to be considered positive for the methods described herein, the cell must express it on its surface. Similarly, a cell is considered "negative" for a cell-surface marker if it does not express the marker on its cell-surface in amounts sufficient to be detected using methods known to those of skill in the art, such as contacting a cell with an antibody that binds specifically to that marker and subsequently performing flow cytometric analysis of such a contacted cell to determine whether the antibody is bound the cell. In some embodiments, where agents specific for cell-surface lineage markers used, the agents can all comprise the same label or tag, such as fluorescent tag, and thus all cells positive for that label or tag can be excluded or removed, to leave uncontacted hematopoietic stem or progenitor cells for use in the methods described herein.

[0109] As used herein, "reprogramming factors" refers to factors used to dedifferentiate a cell population. A number of such factors are known in the art, for example, a set of transcription factors that have been identified to, e.g., promoting dedifferentitation. Exemplary reprogramming factors include, but are not limited to Oct3, Soxl, Sox2, Sox3, Soxl5, Klfl, Klf2, Klf4, Klf5, c-Myc, L-Myc, N-Myc, Nanog, Lin-28, SV40LT, Glisl, and p53 shRNA. In one embodiment, a reprogramming factor is an

environmental condition, such as serum starvation.

[0110] The term "vector", as used herein, refers to a nucleic acid construct designed for delivery to a host cell or for transfer between different host cells. As used herein, a vector can be viral or non- viral. The term "vector" encompasses any genetic element that is capable of replication when associated with the proper control elements and that can transfer gene sequences to cells. A vector can include, but is not limited to, a cloning vector, an expression vector, a plasmid, phage, transposon, cosmid, artificial chromosome, virus, virion, etc.

[0111] As used herein, the term "viral vector" refers to a nucleic acid vector construct that includes at least one element of viral origin and has the capacity to be packaged into a viral vector particle. The viral vector can contain a nucleic acid encoding a polypeptide as described herein in place of non-essential viral genes. The vector and/or particle may be utilized for the purpose of transferring nucleic acids into cells either in vitro or in vivo. Numerous forms of viral vectors are known in the art.

[0112] As used herein, the term "expression vector" refers to a vector that directs expression of an RNA or polypeptide (e.g., a polypeptide encoding SIRT1) from nucleic acid sequences contained therein linked to transcriptional regulatory sequences on the vector. The sequences expressed will often, but not necessarily, be heterologous to the cell. An expression vector may comprise additional elements, for example, the expression vector may have two replication systems, thus allowing it to be maintained in two organisms, for example in human cells for expression and in a prokaryotic host for cloning and amplification. The term "expression" refers to the cellular processes involved in producing RNA and proteins and as appropriate, secreting proteins, including where applicable, but not limited to, for example, transcription, transcript processing, translation and protein folding, modification and processing.

[0113] A vector can be integrating or non-integrating. "Integrating vectors" have their delivered RNA/DNA permanently incorporated into the host cell chromosomes. "Non-integrating vectors" remain episomal which means the nucleic acid contained therein is never integrated into the host cell chromosomes. Examples of integrating vectors include retrovirual vectors, lentiviral vectors, hybrid adenoviral vectors, and herpes simplex viral vector.

[0114] One example of a non-integrative vector is a non-integrative viral vector. Non-integrative viral vectors eliminate the risks posed by integrative retroviruses, as they do not incorporate their genome into the host DNA. One example is the Epstein Barr oriP/Nuclear Antigen- 1 ("EBNA1") vector, which is capable of limited self-replication and known to function in mammalian cells. As containing two elements from Epstein-Barr virus, oriP and EBNA1, binding of the EBNA 1 protein to the virus replicon region oriP maintains a relatively long-term episomal presence of plasmids in mammalian cells. This particular feature of the oriP/EBNAl vector makes it ideal for generation of integration-free iPSCs. Another non-integrative viral vector is adenoviral vector and the adeno-associated viral (AAV) vector.

[0115] Another non-integrative viral vector is RNA Sendai viral vector, which can produce protein without entering the nucleus of an infected cell. The F-deficient Sendai virus vector remains in the cytoplasm of infected cells for a few passages, but is diluted out quickly and completely lost after several passages (e.g., 10 passages).

[0116] Another example of a non-integrative vector is a minicircle vector. Minicircle vectors are circularized vectors in which the plasmid backbone has been released leaving only the eukaryotic promoter and cDNA(s) that are to be expressed.

[0117] The term "lentivirus" refers to a group (or genus) of retroviruses that give rise to slowly developing disease. Viruses included within this group include HIV (human immunodeficiency virus; including HIV type 1, and HIV type 2), the etiologic agent of the human acquired immunodeficiency syndrome (AIDS); visna-maedi, which causes encephalitis (visna) or pneumonia (maedi) in sheep, the caprine arthritis-encephalitis virus, which causes immune deficiency, arthritis, and encephalopathy in goats; equine infectious anemia virus, which causes autoimmune hemolytic anemia, and encephalopathy in horses; feline immunodeficiency virus (FIV), which causes immune deficiency in cats; bovine immune deficiency virus (BIV), which causes lymphadenopathy, lymphocytosis, and possibly central nervous system infection in cattle; and simian immunodeficiency virus (SIV), which cause immune deficiency and encephalopathy in sub-human primates. Diseases caused by these viruses are characterized by a long incubation period and protracted course. Usually, the viruses latently infect monocytes and macrophages, from which they spread to other cells. HIV, FIV, and SIV also readily infect T

lymphocytes, i.e., T-cells.

[0118] The term "promoter/enhancer" refers to a segment of DNA which contains sequences capable of providing both promoter and enhancer functions. For example, the long terminal repeats of retroviruses contain both promoter and enhancer functions. The enhancer/promoter may be "endogenous,"

"exogenous," or "heterologous." An "endogenous" enhancer/promoter is one which is naturally linked with a given gene in the genome. An "exogenous" or "heterologous" enhancer/promoter is one which is placed in juxtaposition to a gene by means of genetic manipulation (i.e., molecular biological techniques) such that transcription of that gene is directed by the linked enhancer/promoter.

[0119] A "nucleic acid," as described herein, can be RNA or DNA, and can be single or double stranded, and can be selected, for example, from a group including: nucleic acid encoding a protein of interest, for example, transcription factors and reprogramming factors described herein.

BRIEF DESCRIPTION OF THE DRAWINGS

[0120] FIGS. 1A-1F collectively demonstrate the in vivo screening of TFs confers functional hematopoiesis.

[0121] FIG. 1A. hPSC-derived HE was cultured for additional 3 days in EHT media, then infected with library of 26 TFs. Cells were injected intrafemorally into sublethally irradiated (250 rads) NSG mice and treated with doxycycline for 2 weeks to induce transgene expression.

[0122] FIG. IB. Engraftment of human CD45+ cells was determined by flow cytometry of BM at 12 weeks. Library (N=6), 7 TFs (N=15), and 5 TFPoly (N=8). Defined 7 TFs and 5 TFPoly confer robust engraftment of HE. The chimerism of human CD45+ population in BM was measured at 12 weeks. HE transduced with either lentiviral library of HSC-specific TFs (Library); defined set of RUNX1, ERG, SPI1, LCOR, HOXA5, HOXA9, and HOXA10 (7 TFs); defined set of RUNX1, ERG, LCOR, HOXA5, and HOXA9 in polycistronic vectors (5 TFPoly).

[0123] FIG. lC. Multilineage contribution of donor-derived cells in BM. After 14 weeks, BM of NSG mice engrafted with TF library was analyzed for myeloid (M; CD33+), erythroid (E; GLY-A+), B- (CD19+), and T-cells (CD3+) within the human CD45+ population. Each bar represents individual recipients engrafted. From left, recipient ID#1, #5 and #6 engrafted with hiPSCs; recipient ID#2 left (L) femur and right (R) femur, recipient ID#3 left (L) femur and right (R) femur engrafted with hESCs; recipient ID#1 and #2 engrafted with CB-HSCs as a reference.

[0124] FIGS. ID-IE. Primary transplantation of BM engrafted with 7 TF (FIG.1D) and 5TFPoly (FIG. IF) at 12 weeks. Human CD45+ BM of engrafted NSG was analyzed for HSCs (CD34+CD38-), nucleated erythroid (GLY-A+SYTO60+), enucleated erythroid (GLY-A+SYTO60-), neutrophils (PECAM+CD15+), B-cells (IgM+CD19+), B progenitor cells (IgM-CD19+), Plasmacytoid lymphocytes (IgM-CD19+CD38++) and T-cells (CD3+/CD4, CD8).

[0125] FIG. IF. Lineage distribution of myeloid (CD33+), erythroid (GLY-A+), B-cells (CD19+) and T-cells (CD3+) was shown as a bar graph of individual recipients (N=5 for 7 TFs; N=4 for 5TFPoly). [0126] FIGS. 2A-2G collectively demonstrate the detection of TFs that confer multi-lineage engraftment.

[0127] FIG. 2A. Transgene detection in engrafted cells of secondary recipients of 7 TFs.

[0128] FIG. 2B. In vivo factor-minus-one (FMO) approach of defined 7 TFs to identify any required or unnecessary factors. BM of NSG was analyzed at 8 weeks for chimerism of human CD45+ population. The absence of RUNX1 (0.33-fold, p=0.037), ERG (0.40-fold, p=0.056), LCOR (0.23-fold, p=0.020), HOXA5 (0.37-fold, p=0.056) or HOXA9 (0.26-fold, p=0.026) reduced chimerism. Lentiviral vector with GFP was used as negative control. N=6 (4 for GFP). * p<0.05.

[0129] FIGS. 2C-2D. Secondary transplantation of BM engrafted with defined 7 TFs. After 8 weeks from primary transplantation, 2,000 human CD34+ BM cells were transplanted to secondary recipients, and followed up to 8-14 weeks. Compared with primary, secondary recipients had 0.34-fold fewer HSCs (p=0.12), 0.45-fold less nucleated erythroid (p=0.30), 3.3-fold more enucleated erythroid (p=0.11), 1.6- fold more neutrophils (p=0.18), 1.1-fold more mature B-cells (p=0.42), 0.65-fold more immature B-cells (p=0.10), and 0.56-fold less T cells (p=0.18). N=3 (primary), 2 (secondary).

[0130] FIGS. 2E-2F. Phenotypic characterization of HSC-like cells in BM engrafted with 7 TF HSPCs. Human CD45+ population from BM of NSG mice engrafted with 7 TF HSPCs at 8 weeks was analyzed for human CD34 and CD38.

[0131] FIG. 2G. The population of HSCs (CD34+CD38-CD45+) was analyzed for cell-cycle state by Ki67 and DAPI. HSCs from NSG engrafted with CB-HSCs at the same time point were used as reference. N=3. The percentage of HSCs in human CD45+ BM was 0.24-fold (p=0.058) (g); GO-phase was 0.22-fold (p=0.0025); Gl-phase was 2.3-fold (p=0.0052); S/G2/M was 2.5-fold (p=0.013) vs CB equivalents (h). * p<0.01; ** p<0.05.

[0132] FIGS. 3A-3H collectively demonstrate the functional characterization of terminally differentiated cells.

[0133] FIG. 3A. Globin switching in engrafted erythroid cells. Human GLY-A+ cells were isolated from lysed BM (to exclude enucleated cells) of NSG engrafted with 7 TF HSPCs at 8 weeks and analyzed by qRT-PCR to relatively quantify HBE, HBG and HBB transcripts. Cytospin image of isolated GLY-A+ cells are shown. CB; GLY-A+ erythroid cells from CB-engrafted in NSG BM, 7 TF HSPCs; GLY-A+ erythroid cells from 7 TF HSPC-engrafted in NSG BM, 5F; GLY-A+ erythroid cells from hPSCs transduced with ERG, RORA, HOXA9, SOX4 and MYB 17.

[0134] FIG. 3B. Enucleation of engrafted erythroid cells. BM of NSG mice engrafted with defined 7 TF HSPCs at 8 weeks time point was analyzed for human GLY-A and SYTO60. Cytospin images of RBCs from GLY-A+ populations separated by SYTO60 nuclear staining. Cells were isolated from unlysed BM of NSG engrafted with 7 TF HSPCs. Examples of nucleated and enucleated RBCs were shown. N=3.

[0135] FIG. 3C. Phenotyping of neutrophils. Human CD45+ population from BM of NSG mice engrafted with defined 7 TF HSPCs at 8 weeks was analyzed for human PECAM and CD 15.

Myeloperoxidase activity of isolated CD45+ PECAM+ CD 15+ neutrophils was measured with or without PMA stimulation. Neutrophils from NSG engrafted with CB-HSCs were used as reference. The basal level of MPO of HE was 0.40-fold less than CB (p=0.036). PMA stimulation increased MPO production 2.5-fold (p=0.010) (CB) and 3.0-fold (p=0.10) (7 TF). Stimulated MPO production of 7 TF was 0.47-fold (0.049) vs CB. * p<0.05. Data are from 2 independent experiments with 3 technical replicates each time.

[0136] FIGS. 3D-3E. Measuring production of Ig in serum. Serum was isolated from NSG mice engrafted with CB-HSCs or defined 7 TF HSPCs at 8 weeks (IgM) (FIG. 3D) and 14 weeks (IgG) (FIG. 3E). Production of IgM and IgG (ng/mL serum) was measured by ELISA. Serum from mock transplant and NSG engrafted with CB-HSCs was used as reference. The production of both human IgM and IgG was detected and boosted by OVA in 7 TF HSPCs. * p<0.05. Data are from 2 independent experiments with 3 technical replicates each time.

[0137] FIG. 3F. Human CD3+ cells were isolated from BM of NSG mice engrafted with CB-HSCs and defined 7 TF HSPCs at 8 weeks and cultured with or without PMA/Ionomycin stimulation for 6 hours, when production of IFNy was measured by ELISA. CD3+ T-cells from NSG engrafted with CB-HSCs were used as reference. The basal level of IFNy of HE was 0.53-fold (p=0.073) vs CB. PMA stimulation increased IFNy production 4.4-fold (p=0.17) (CB) and 3.0-fold (p=0.16) (HE). Stimulated IFNy production of HE was 0.36-fold (0.039) vs CB. IFNy production from CB-HSCs and HE themselves were shown as reference. * p<0.05. Data are from 2 independent experiments with 3 technical replicates each time.

[0138] FIG. 3G. Flow cytometric phenotyping of T-cells from engrafted 7 TF HSPCs. BM and thymus were collected at 8 weeks and analyzed for T cell markers (CD4, CD8, CD3, TCRaP and TCRy5). TCR phenotyping of the CD3+ population was shown. One out of 3 recipients showed the presence of TCRy5. N=3.

[0139] FIG. 3H. TCR rearrangement of T-cells showed clonal diversity in hiPSC-derived cells. Human CD3+ thymocytes of NSG mice engrafted with defined 7 TF HSPCs at 8 weeks was analyzed to detect TCR rearrangement by Immuno-seq. CD3+ Thymocytes from CB CD34+-engrafted NSG were used as a reference.

[0140] FIG. 4. Scheme of in vivo screening of transcription factors (TFs) to confer functional hematopoiesis in hPSC-derived hemogenicendothelium (HE). Human ESCs/iPSCswere differentiated to embryoidbodies (EBs) by cytokines for specification of hemogenicendothelium (HE). At day 8 time point, CD34+FLK1+CD43-CD235A-HE was isolated, and cultured in endothelial-to-hematopoietic transition (EHT) media for additional 3 days. Library of HSC-specific TFs was induced in HE via lentivirus and injected to sub-lethally irradiated immunodeficientNSG mice intrafemoraly. Engrafted hematopoietic cells were isolated and analyzed by genomic PCR to detect integrated TFs (positive hits).

[0141] FIG. 5. Venn diagram of TFs that conferred in vivo engraftment and in vitro CFU on PSC-HE.

[0142] FIGs 6A-6E show episomal-5TF-derived HSPCs show long-term multi-lineage engraftment in vivo. (FIG. 6A) Schematic illustration of the strategy followed for HSPC generation. (FIG. 6B)

Percentage of human CD45 ⁺ cells detected by flow cytometry in bone marrow of injected leg of mice analyzed at 10 (lenti-5TF n=12, epi-5TF n=12 and cord blood n=9 mice) and 16 weeks (lenti-5TF n=12, epi-5TF n=l 1 and cord blood n=9 mice) post transplantation. (FIG. 6C) Percentage of human CD45 ⁺ cells detected by flow cytometry in injected and contralateral leg of engrafted mice at 10 (lenti-5TF n=4, epi-5TF n=7 and cord blood n=9 mice) and 16 weeks (lenti-5TF n=4, epi-5TF n=9 and cord blood n=7 mice) post transplantation. Line indicates 0.01% of human chimerism. L1-L8 were transplanted with cells derived from hPSCs infected with lentiviral vectors (pINDUCER-21-L95 and pINDUCER-21-RE). El -El 6 were transplanted with cells derived from hPSCs transfected with episomal vectors (pCXLE- L95, pCXLE-RE, pCXLE-EGFP and pCXWB-EBNAl). CB 1-CB 16 were transplanted with human CD34 ⁺ umbilical cord blood cells. In grey is represented the engraftment in injected leg and in orange engraftment in the contralateral leg. (FIG. 6D) Lineage distribution of myeloid (M; CD33 ⁺ ), B (B;

CD19 ⁺ ) and T (T; CD3 ⁺ ) cells within the human CD45 ⁺ population of injected and contralateral leg ^' s bone marrow from primary engrafted mice (>0.01% of human chimerism) analyzed by flow cytometry at 10 and 16 weeks post injection. Injected leg is indicated as "I" and contralateral leg is indicated as "C". Mice with multi-lineage engraftment are indicated with an asterisk. (FIG. 6E) FACS plots showing representative engraftment in bone marrow of a primary mouse transplanted with cells derived from hPSCs transfected with episomal-5TF-vectors.

[0143] FIGs 7A-7C show episomal vectors are lost from hPSC-derived-5TF cells. (FIG. 7A) Scheme depicting sample collection for ddPCR analysis. (FIG. 7B) EBNA1 detection by ddPCR in DNA extracted from human CD45 ⁺ cells sorted from the bone marrow of primary mice transplanted with epi- 5TF cells at 6 (n=5 mice), 10 (n=6 mice) and 16 (n=6 mice) weeks post transplantation. 48 hours after transfection of HE cells with episomal-5TF-vectors, GFP ⁺ cells were sorted and used for DNA extraction to estimate the initial copy number of plasmids per genome (Epi-5TF Ow, n=3 replicates). (FIG. 7C) Plots showing representative ddPCR results at 0, 6, 10 and 16 weeks. Blue dots represent double negative droplets (NN), pink dots represent single positive droplets for the reference gene (CD90) (NP), green dots represent single positive droplets for the target gene (EBNA1) (PN) and yellow dots indicate double positive droplets for both target and reference genes (PP).

[0144] FIGs 8A-8F show limiting-dilution analysis reveals HSPC frequency of engrafted cell populations. (FIG. 8 A) Schematic illustration of the limiting dilution transplantation strategy followed to evaluate HSPCs frequency. (FIG. 8B) Percentage of human CD45 ⁺ cells detected by flow cytometry in bone marrow of injected leg of secondary mice transplanted with 30,000 (30K), 10,000 (10K) or 5,000 (5K) human CD34 ⁺ cells isolated from bone marrow of primary transplanted mice. Engraftment was determined by flow cytometry of bone marrow at 10 weeks post transplantation (n=8 mice transplanted with 30K lenti-5TF cells, n=13 mice transplanted with 30K epi-5TF cells, n=8 mice transplanted with 30K cord blood cells; n=8 mice transplanted with 10K lenti-5TF cells, n=l 1 mice transplanted with 10K epi-5TF cells, n=9 mice transplanted with 10K cord blood cells; n=7 mice transplanted with 5K lenti-5TF cells, n=8 mice transplanted with 5K epi-5TF cells and n=9 mice transplanted with 5K cord blood cells). (FIG. 8C) Percentage of human CD45 ⁺ cells detected by flow cytometry in injected (grey) and contralateral (orange) leg of engrafted mice (those with >0.01% human chimerism). LS 1-LS6 were transplanted with human CD34 ⁺ cells derived from the bone marrow of primary mice transplanted with lenti-5TF cells. ES 1-ES 12 were transplanted with human CD34 ⁺ cells derived from bone marrow of primary mice transplanted with epi-5TF. CBS1-CBS9 were transplanted with human CD34 ⁺ cells derived from bone marrow of primary mice transplanted with umbilical cord blood cells. Line indicates 0.01% of human chimerism. (FIG. 8D) Lineage distribution of myeloid (M; CD33 ⁺ ), B (B; CD19 ⁺ ) and T (T; CD3 ⁺ ) cells within the human CD45 ⁺ population of injected (I) and contralateral (C) leg ^' s bone marrow from secondary engrafted mice (>0.01% of human chimerism). Mice with multi -lineage engraftment are indicated with an asterisk. (FIG. 8E) FACS plots showing representative engraftment in bone marrow of a secondary mouse transplanted with human CD34 ⁺ cells isolated from the bone marrow of a primary mouse injected with epi-5TF cells. (FIG. 8F) Graphic representing frequency of HSPCs within human CD34 ⁺ cells isolated from the bone marrow of primary mice engrafted with epi-5TF cells, lenti-5TF cells or cord blood (defined as >0.01% multi-lineage human chimerism) calculated by ELDA software (http://bioinf.wehi.edu.au/software/elda/). The bottom table indicates the estimate HSPC frequency and confidence intervals.

[0145] FIGs 9A-9G show comparison of differentiated blood cells derived from cord blood and episomal-5TF cells. (FIG. 9A) Scheme depicting sample preparation for single-cell analysis. (FIG. 9B) Unsupervised hierarchical clustering analysis of cord blood and episomal-5TF single-cell transcriptomes. (FIG. 9C) t-SNE analysis color-coded by subpopulations identified using graph-based clustering of epi- 5TF single-cell transcriptomes. (FIG. 9D) t-SNE analysis color-coded by subpopulations identified using graph-based clustering of cord blood single-cell transcriptomes. (FIG. 9E) Gene ontology analysis of subpopulation-specific gene signatures identified from epi-5TF cells subpopulations. Immune response (IR), antigen processing and presentation of exogenous antigen (APPEA), antigen processing and presentation of peptide antigen (APPPA), antigen processing and presentation of peptide or

polysaccharide antigen (APPPPA), transesterification reactions with bulged adenosine as nucleophile (TRBAN), spliceosome (S), transesterification reactions (TR), sister chromatid (SC). GO terms shared by epi-5TF and cord blood cells are indicated in bold. (FIG. 9F) Gene ontology analysis of subpopulation- specific gene signatures identified from cord blood cells subpopulations. Cellular response (CR), positive regulation (PR), immune response (IR), catabolic process (CP), nonsense -mediated decay (NMD), cotranslational protein targeting to membrane (CPTM), bundle assembly (BA). GO terms shared by epi- 5TF and cord blood cells are indicated in bold. (FIG. 9G) Assignment of epi-5TF cells as belonging to one or more cord blood clusters based on majority vote (binary classification, 15% of the trees in the forest).

[0146] FIGs 10A and 10B show episomal vectors and expression of 5TFs in HE cells. (FIG. 10A) Polycistronic epi-5TFs vectors used for HSPCs generation. (FIG. 10B) qRT-PCR analysis ΟΪΗΟΧΑ9, HOXA5, RUNX1, LCOR and ERG in HE cells infected or transfected with lentiviral or episomal vectors. Plot indicates relative mRNA levels to hemogenic endothelium at 48h after the cell ^' s infection or transfection.

[0147] FIGs 1 lA-1 IE show fluorescence minus one (FMO) controls. (FIG. 11A) Lineage panel FACS plots and FMO controls. (FIG. 1 IB) HSPC panel FACS plot and FMO controls. (FIG. 11C) Neutrophil panel FACS plot and FMO controls. (FIG. 1 ID) T-cells panel FACS plot and FMO controls. (FIG. 1 IE) B-cells panel FACS plot and FMO controls.

[0148] FIG. 12 shows detection of episomal vectors by FACS analysis of GFP. GFP detection by flow cytometry within the human CD45 ⁺ cells identified in bone marrow of primary transplanted mice analyzed at 6 (n=5 mice), 10 (n=6 mice) and 16 (n=6 mice) weeks after injection with episomal-5TF cells.

[0149] FIGs 13A-13J show single-cell RNA-seq analysis of cord blood and episomal-5TFs-derived cells. (FIG. 13A) Subpopulation-specific gene signatures identified from epi-5TF single-cell transcriptomes. (FIG. 13B) Subpopulation-specific gene signatures identified from cord blood single-cell transcriptomes. (FIG. 13C) Classification probabilities of epi-5TF as cord blood subpopulations. (FIG. 13D) Mean classification probability of epi-5TF as cord blood clusters. (FIG. 13E) Subpopulation structure identified by CellRouter to reconstruct a differentiation trajectory from subpopulations on the extremes of the t-SNE plot (CR_8 and CR_5). (FIG. 13F) Clustering of gene expression trends during granulocyte differentiation (transition from CR 8 to CR 5). (FIG. 13G) Gene ontology analysis of genes clustered into 5 transcriptional profiles along the granulocyte differentiation trajectory. Immune response (IR), antigen processing and presentation (APP), peptide antigen (PA), peptide or polysaccharide antigen (PPA), exogenous peptide antigen (EPA), transmembrane transport (TT). (FIG. 13H) Top genes identified by CellRouter as dynamically regulated during granulocyte differentiation. (FIG. 131) Kinetic trends of genes presented in Figure S4H downregulated during granulocyte differentiation. (FIG. 13 J) Kinetic trends of genes presented in Figure S4H upregulated during granulocyte differentiation.

[0150] FIG. 14 show limiting dilution data for calculating frequency of HSPC from umbilical cord blood, epi-5TF and lenti-5TF-derived cells. Dose is the number of transplanted cells, tested is the number of mice analyzed and response is the number of mice that showed multi-lineage engraftment (human bone marrow chimerism > 0.01%).

[0151] FIG. 15A shows schematic of epicomal vector used herein.

[0152] FIG. 15B shows FACS plot of GFP and BNA-positive cells. Expression driven by episomal vector of FIG. 15 A.

[0153] FIG. 16 shows FACS plot of cell expressing the indicated markers. NSGW41 mice were intrafemorally injected with transfected cells the following day after the cell ^' s transfection (Injection of 100,000 cells per mice). 8 weeks after the cells transplantation is was possible to detect human cells in peripheral blood of mice injected with episomal 5F cells.

[0154] FIGs 17A and 17B show cells expressing human CD45 in bone marrow after injection. Injected mice were sacrificed 10-12 weeks after the cell ^' s injection and their bone marrow was analyzed for the presence of human cells (hCD45, Fig. 17A) detecting six mice that showed human cells in their bone marrow. Multi-lineage capacity of the engrafted cells was also analyzed (Fig. 17B), revealing four mice with multi -lineage (both lynphoid and myeloid cells).

[0155] FIGs 18A and 18B show lentiviral (L2 and L6) and episomal (E3, E5 and E6) injected mice with remarkable engraftment. FIG. 18A is a FACs plots of hCD45+ cells found in these mice bone marrow 10-12 weeks after the cell ^' s injection. FIG. 18B is a FACS plot of multi-lineage FACs analysis of human engrafted cells.

[0156] FIGs 19A and 19B show long-term capacity of episomal 5F-transfected cells was evaluated sacrifying mice 16 weeks after the cell ^' s intrafemoral injection. Fig 19A shows % of hCD45 cells found in mice bone marrow. This experiment confirmed the long-term potential of episomal 5F cells. Fig. 19B shows cells derived from episomal 5F cells also showed multi-lineage capacity.

[0157] FIG. 20 shows STR analysis for identifying short tandem repeats was done using DNA extracted from episomal 5F-derived engrafted cells. Cells were recovered from mice ^' s bone marrow, 16 weeks after the cell ^' s transplantation. This analysis confirmed the induced pluripotent stem cell origin of the episomal 5F-derived cells.

[0158] FIGs 21A-21C show detection of episomal plasmid in engrafted cells. FIG. 21A is a schematic of the episomal plasmid. qPCR (Fig. 21B) and droplet digital PCR analysis (Fig. 21C) of DNA extracted from human engrafted cells derived from episomal 5F cells confirmed that the episomal plasmids are lost from the cells 16 weeks after the cell ^' s transplantation.

[0159] FIGs 22A and 22B show detection of lentiviral plasmid in engrafted cells. FIG. 22A is a schematic of the lentiviral plasmid. No lentiviral vectors were detected on the episomal engrafted cells, confirming that there was no cross-contamination between samples.

[0160] FIG. 23A-23C show engraftment of episomal 5F-cells in bone marrow. FIG. 23A is a schematic of the experiment. FIG. 23B shows percentage of human CD45+ cells found in mice ^' s bone marrow analyzed between 10-12 weeks after lentiviral or episomal 5TF -cell ^' s transplantation. Mice injected with human cord-blood cells were used as control. FIG. 23C shows epresentative FACs plots of lentiviral (L2, L6, L8) and episomal (E3, E5, E6) 5TF-injected mice with remarkable engraftment of human cells in bone marrow.

[0161] FIGs 24A and 24B show episomal 5F-cells have long term engraftment potential and homing capacity. Long-term engraftment analysis of human 5TF-cells. FIG. 24A show percentage of human CD45+ cells found in mice ^' s bone marrow analyzed at 16 weeks after lentiviral or episomal 5TF -cell ^' s transplantation. In grey, data from injected leg (I) and in green human CD45+ cells found at the contralateral leg (CL) FIG. 24B show multi-lineage contribution of human cells in bone marow of engrafted mice analyzed 16 weeks after cell ^' s intrafemoral injection. Bone marrow was analyzed for human myeloid cells (M; CD33+), B cells (B; CD19+), and T cells (T; CD3+). Mice with multi-lineage engraftment are indicated with a black dot. Mice injected with human cord-blood cells were used as control.

DETAILED DESCRIPTION

[0162] Unless otherwise explained, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs. It should be understood that this disclosure is not limited to the particular methodology, protocols, and reagents, etc., described herein and as such can vary. The terminology used herein is for the purpose of describing particular embodiments only, and is not intended to limit the scope of the embodiments of the present disclosure, which is defined solely by the claims.

[0163] Definitions of common terms in molecular biology can be found in The Merck Manual of Diagnosis and Therapy, 19th Edition, published by Merck Sharp & Dohme Corp., 2011 (ISBN 978-0- 911910-19-3), (2015 digital online edition at the website of Merck Manuals), Robert S. Porter et al. (eds.), The Encyclopedia of Molecular Cell Biology and Molecular Medicine, published by Blackwell Science Ltd., 1999-2012 (ISBN 9783527600908); and Robert A. Meyers (ed.), Molecular Biology and Biotechnology: a Comprehensive Desk Reference, published by VCH Publishers, Inc., 1995 (ISBN 1- 56081-569-8); Immunology by Werner Luttmann, published by Elsevier, 2006; Janeway's

Immunobiology, Kenneth Murphy, Allan Mowat, Casey Weaver (eds.), Taylor & Francis Limited, 2014 (ISBN 0815345305, 9780815345305); Lewin's Genes XI, published by Jones & Bartlett Publishers, 2014 (ISBN- 1449659055); Michael Richard Green and Joseph Sambrook, Molecular Cloning: A Laboratory Manual, 4 ^th ed., Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y., USA (2012) (ISBN 1936113414); Davis et al, Basic Methods in Molecular Biology, Elsevier Science Publishing, Inc., New York, USA (2012) (ISBN 044460149X); Laboratory Methods in Enzymology: DNA, Jon Lorsch (ed.) Elsevier, 2013 (ISBN 0124199542); Current Protocols in Molecular Biology (CPMB), Frederick M. Ausubel (ed.), John Wiley and Sons, 2014 (ISBN 047150338X,

9780471503385), Current Protocols in Protein Science (CPPS), John E. Coligan (ed.), John Wiley and Sons, Inc., 2005; and Current Protocols in Immunology (CPI) (John E. Coligan, ADA M Kruisbeek, David H Margulies, Ethan M Shevach, Warren Strobe, (eds.) John Wiley and Sons, Inc., 2003 (ISBN 0471142735, 9780471142737), the contents of which are all incorporated by reference herein in their entireties. Further, unless otherwise required by context, singular terms shall include pluralities and plural terms shall include the singular.

[0164] Unless otherwise stated, the embodiments of the present disclosure were performed using standard procedures known to one skilled in the art, for example, in Michael R. Green and Joseph Sambrook, Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y., USA (2012); Davis et al., Basic Methods in Molecular Biology, Elsevier Science

Publishing, Inc., New York, USA (1986); Current Protocols in Molecular Biology (CPMB) (Fred M. Ausubel, et al. ed., John Wiley and Sons, Inc.), Current Protocols in Immunology (CPI) (John E. Coligan, et. al., ed. John Wiley and Sons, Inc.), Current Protocols in Cell Biology (CPCB) (Juan S. Bonifacino et. al. ed., John Wiley and Sons, Inc.), Culture of Animal Cells: A Manual of Basic Technique by R. Ian Freshney, Publisher: Wiley-Liss; 5th edition (2005), Animal Cell Culture Methods (Methods in Cell Biology, Vol. 57, Jennie P. Mather and David Barnes editors, Academic Press, 1st edition, 1998), Methods in Molecular biology, Vol.180, Transgenesis Techniques by Alan R. Clark editor, second edition, 2002, Humana Press, and Methods in Meolcular Biology, Vo. 203, 2003, Transgenic Mouse, editored by Marten H. Hofker and Jan van Deursen, which are all herein incorporated by reference in their entireties. [0165] It should be understood that embodiments of the present disclosure are not limited to the particular methodology, protocols, and reagents, etc., described herein and as such may vary. The terminology used herein is for the purpose of describing particular embodiments only, and is not intended to limit the scope of the embodiments of the present disclosure, which is defined solely by the claims.

[0166] Other than in the operating examples, or where otherwise indicated, all numbers expressing quantities of ingredients or reaction conditions used herein should be understood as modified in all instances by the term "about." The term "about" when used in connection with percentages will mean ±1%.

[0167] All patents and publications identified are expressly incorporated herein by reference for the purpose of describing and disclosing, for example, the methodologies described in such publications that might be used in connection with the embodiments of the present disclosure. These publications are provided solely for their disclosure prior to the filing date of the present application. Nothing in this regard should be construed as an admission that the inventors are not entitled to antedate such disclosure by virtue of prior embodiments of the present disclosure or for any other reason. All statements as to the date or representation as to the contents of these documents is based on the information available to the applicants and does not constitute any admission as to the correctness of the dates or contents of these documents.

[0168] The disclosure described herein, in a preferred embodiment, does not concern a process for cloning human beings, processes for modifying the germ line genetic identity of human beings, uses of human embryos for industrial or commercial purposes or processes for modifying the genetic identity of animals which are likely to cause them suffering without any substantial medical benefit to man or animal, and also animals resulting from such processes.

[0169] The disclosure described herein does not concern the destruction of a human embryo.

[0170] There is no one well tested and reliable method of producing HSCs and HSPCs from PSCs where these HSCs and HSPCs have all the hematopoietic lineage potentials and would engraft and reconstitute in vivo, i.e., multi-lineage HSCs and HSPCs that capable of producing blood cells in vivo. The disclosure seeks to provide improved PSCs-derived HSCs and HSPCs that exhibit long-term multilineage hematopoiesis in vivo after implantation in a host subject. For example, long-term multilineage hematopoiesis in vivo for at least 12 weeks or longer after implantation.

[0171] A variety of tissue lineages can be derived in vitro by stepwise exposure of pluripotent stem cells (PSCs) to morphogens in an attempt to mimic embryonic development ¹ , or by conversion of one differentiated cell type directly into another by enforced expression of master transcription factors (TFs) ² . Despite considerable effort, neither approach has yielded functional human hematopoietic stem cells (HSCs). Building upon recent evidence that HSCs derive from definitive hemogenic endothelium (HE) ^3"9 , the inventors performed morphogen-directed differentiation of human PSCs into HE followed by combinatorial screening of 26 candidate HSC-specifying TFs for the potential to promote hematopoietic engraftment in irradiated immune deficient murine hosts. The inventors recovered seven TFs (ERG, HOXA5, HOXA9, HOXA10, LCOR, RUNX1, SPI1) that together were sufficient to convert HE into hematopoietic stem and progenitor cells (HSPCs) that engraft primary and secondary murine recipients with myeloid cells, beta globin-expressing erythrocytes, IgM+/CD19+ B-cells, and αβ and γδ T-cells. Five TFs, ERG, HOXA5, HOXA9, LCOR, and RUNXl, are the minimum TFs necessary to convert HE into HSPCs. Integration analysis of virally-transduced transgenes detected common clones in myeloid and lymphoid lineages, indicating derivation of HSC-like cells from PSCs. This combined approach of morphogen-driven differentiation and TF-mediated cell fate conversion from PSCs yields HSPCs that hold promise for modeling hematopoietic disease in humanized mice and for therapeutic strategies in genetic blood disorders.

[0172] Described herein, the inventors demonstrated a process of making PSCs-derived HSCs and HSPCs that would differentiate into all the hematopoietic lineage potentials and would also engraft well in the host after transplantation so that there is sufficient engrafted cells to sustain blood production in vivo. This method produces functionally relevant HSCs and HSPCs in sufficient quantities for both meaningful experimental and therapeutic purposes. For example, in vitro experiments, these PSCs- derived HSCs and HSPCs can be differentiated to the desired hematopoietic lineage, e.g., erythroid cells, lymphoid cells, and myeloid cells, for further studies. For example, in in vivo studies, these PSCs-derived HSCs and HSPCs would engraft in the host, and differentiate into the variety of hematopoietic progeny cells, and reconstitute and populate the circulatory and immune system of the host.

[0173] Embodiments of the present disclosure are based, in part, to the discovery of that transcription factors, ERG, HOXA5, HOXA9, LCOR, RUNXl, HOXA10, and SPI1, would bring about the differentiation of HSCs and HSPCs from PSC-derived hemogenic endothelia cells (HE). First, the inventors showed that embryonic bodies (EB) are made from pluripotent stem cells, e.g., including induced pluripotent cells. Second, the HE are harvested from the EB. Then, the HE cells are induced to undergo EHT and subsequently transfected with exogenous copies of at least the following transcription factors: ERG, HOXA9, HOXA5, LCOR and RUNXl, to promote differentiation of the HE into HSCs and HSPCs that exhibit all the hematopoietic lineage potentials. These multi -lineage HSCs and HSPCs engraft in recipient host after implantation and made all kinds of blood cells in vivo after implantation.

[0174] Accordingly, in one aspect, provided herein is a method for making HSCs and HSPCs comprising in vitro transfecting hemogenic endothelia cells (HE) with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNXl, wherein the transcription factors are expressed in the transfected cells to produce a population of multilineage HSCs and HSPCs that engrafts in recipient host after implantation.

[0175] In another aspect, this disclosure provides is a method of making HSCs and HSPCs comprising (a) generating EB from PSCs; (b) isolating hemogenic endothelia cells (HE) from the resultant population of EB; (c) inducing EHT in culture in the isolated HE in order to obtain hematopoietic stem cells, and (d) in vitro transfecting the induced HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNXl, wherein the transcription factors are expressed in the transfected cells to produce a population of multilineage HSCs and HSPCs. In one embodiment, the method further comprises selecting EBs that are generated from the PSCs, prior to isolating the HE. In one embodiment, the HE is isolated from the selected EBs.

[0176] In some aspects, this disclosure provides methods for enhancing or improving the in vivo engraftment, or reconstitution, or both of hematopoietic related cells that have been implanted into a subject. In one embodiment, the method comprises providing populations of multilineage HSCs and HSPCs that have an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RU X1, and optionally an exogenous gene coding copy of the transcription factors HOXA10, and SPI1, and implanting into a host subject. In one embodiment, the multilineage HSCs and HSPCs further comprise and an exogenous gene coding copy of each of the following reprogramming factors OCT4, SOX2, KLF4 and optionally c-MYC or nanog and LIN28. In another embodiment, the method comprises making HSCs and HSPCs by any one method in this disclosure and implanting into a host subject. In one embodiment, the subject donates some mature cells from which iPSCs are induced. From the iPSCs, EBs are induced from which HEs are isolated and induced to EHT, followed by the transfection of transcription factor genes to produce HSCs and HSPCs. These HSCs and HSPCs are then implanted back into the donor subject, wherein the donor and recipient is the subject. In one embodiment, a donor subject donates some mature cells from which iPSCs are induced. From the iPSCs, EBs are induced from which HEs are isolated and induced to EHT, followed by the transfection of transcription factor genes to produce HSCs and HSPCs. These HSCs and HSPCs are then implanted back into a recipient subject, wherein the donor and recipient are two different subjects.

[0177] In some aspects, this disclosure provides compositions of modified (also referred to as engineered) cells for use in in vivo cellular replacement therapy, for the manufacture of medicament for treatment of hematological diseases, blood disorders, hematopoietic disorders, and for in vitro studies of disease modeling, drug screening, and hematological diseases. In one embodiment, the engineered cells are multilineage HSCs and HSPCs that have an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RU X1, and optionally also contain an exogenous gene coding copy of the transcription factors HOXA10, and SPI1. In one embodiment, the engineered cells are multilineage HSCs and HSPCs that further comprise an exogenous gene coding copy of each of the following reprogramming factors OCT4, SOX2, KLF4 and optionally c-MYC or NANOG and LIN28. In another embodiment, the engineered cells are HSCs and HSPCs made by any one method described in this disclosure. In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative.

[0178] In another aspect, this disclosure provides is an engineered cell derived from a population of HE that is produced by a method comprising (a) generating EB from PSCs; (b) isolating HE from the resultant population of EB; (c) inducing EHT in culture in the isolated HE in order to obtain

hematopoietic stem cells, and (d) in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNX1. In one embodiment, the method further comprises selecting EBs that are generated from the PSCs, prior to isolating the HE. In one embodiment, the HE is isolated from the selected EBs. In another embodiment, the population of HE is further transfected with an exogenous gene coding copy of the transcription factors HOXAIO, and SPIl . In one embodiment, the engineered cells are the multilineage HSCs and HSPCs are produced from the resultant transfection of the described TFs. In one embodiment, the engineered cell further comprise an exogenous gene coding copy of each of the following reprogramming factors OCT4, SOX2, KLF4 and optionally c-MYC or NANOG and LIN28. In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative.

[0179] In another aspect, this disclosure provides is an engineered cell derived from a population of HE that is produced by a method comprising in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNX 1. In another embodiment, the population of HE is further transfected with an exogenous gene coding copy of the transcription factors HOXAIO, and SPIl . In one embodiment, the engineered cells are the multilineage HSCs and HSPCs are produced from the resultant transfection of the described TFs. In one embodiment, the engineered cell further comprise an exogenous gene coding copy of each of the following reprogramming factors OCT4, SOX2, KLF4 and optionally c-MYC or NANOG and LIN28. In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative.

[0180] In another aspect, this disclosure provides is an engineered cell comprises an exogenous copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNX1. In another embodiment, the engineered cell further comprises an exogenous gene coding copy of the transcription factors HOXAIO, and SPIl . In one embodiment, the engineered cell further comprise an exogenous gene coding copy of each of the following reprogramming factors OCT4, SOX2, KLF4 and optionally c-MYC or NANOG and LIN28. In another embodiment, the engineered cells are HSCs and HSPCs made by any one method described in this disclosure. In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative.

[0181] In another aspect, this disclosure provides is a composition comprising a population of engineered cells derived from a population of HE and produced by a method comprising (a) generating embryonic bodies (EB) from pluripotent stem cells; (b) isolating hemogenic endothelia cells (HE) from the resultant population of EB; (c) inducing EHT in culture in the isolated HE in order to obtain hematopoietic stem cells, and (d) in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNX1. In one embodiment, the population of HE is further transfected with an exogenous gene coding copy of the transcription factors HOXAIO, and SPIl . In one embodiment, the engineered cells are the multilineage HSCs and HSPCs are produced from the resultant transfection of the described TFs. In one embodiment, the engineered cell further comprise an exogenous gene coding copy of each of the following reprogramming factors OCT4, SOX2, KLF4 and optionally c-MYC or NANOG and LIN28. In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative. In some embodiments, this composition is useful for cellular replacement therapy in a subject.

[0182] In another aspect, this disclosure provides is a composition comprising a population of engineered cells derived from a population of HE and produced by a method comprising in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNXl . In one embodiment, the population of HE is further transfected with an exogenous gene coding copy of the transcription factors HOXA10, and SPI1. In another embodiment, the engineered cells are HSCs and HSPCs made by any one method described in this disclosure. In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative. In some embodiments, this composition is useful for cellular replacement therapy in a subject, and for in vitro studies of disease modeling, drug screening, and hematological diseases.

[0183] In another aspect, this disclosure provides is a composition comprising a population of engineered cells wherein the cells comprise an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNXl . In one embodiment, the cells further comprise an exogenous gene coding copy of the transcription factors HOXA10, and SPI 1. In another embodiment, the engineered cells are HSCs and HSPCs made by any one method described in this disclosure. In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative.

[0184] In another aspect, this disclosure provides is a pharmaceutical composition comprising a population of engineered cells derived from a population of HE and a pharmaceutically acceptable carrier, wherein the engineered cells are produced by a method comprising (a) generating EB from PSCs; (b) isolating HE from the resultant population of EB; (c) inducing EHT in culture in the isolated HE in order to obtain hematopoietic stem cells, and (d) in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNX 1. In one embodiment, the population of HE is further transfected with an exogenous gene coding copy of the transcription factors HOXA10, and SPI1. In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative. In some embodiments, this pharmaceutical composition is useful for cellular replacement therapy in a subject.

[0185] In another aspect, this disclosure provides is a pharmaceutical composition comprising a population of engineered cells derived from a population of HE and a pharmaceutically acceptable carrier, wherein the engineered cells are produced by a method comprising in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNXl . In one embodiment, the population of HE is further transfected with an exogenous gene coding copy of the transcription factors HOXAIO, and SPIl . In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative. In some embodiments, this pharmaceutical composition is useful for cellular replacement therapy in a subject.

[0186] In another aspect, this disclosure provides is a pharmaceutical composition comprising a population of engineered cells and a pharmaceutically acceptable carrier, wherein the engineered cells comprise an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNXl . In one embodiment, the engineered cells further comprise an exogenous gene coding copy of the transcription factors HOXAIO, and SPIl . In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative.

[0187] In another aspect, this disclosure provides is a method of cellular replacement therapy in a subject in need thereof, the method comprising administering a therapeutically effective amount of a population of engineered cells to a recipient subject, the population of engineered cells are produced by a method comprising (a) generating EB from PSCs; (b) isolating HE from the resultant population of EB; (c) inducing ENT in culture in the isolated HE in order to obtain hematopoietic stem cells, and (d) in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNXl . In one embodiment, the population of HE is further transfected with an exogenous gene coding copy of the transcription factors HOXAIO, and SPIl . In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative.

[0188] In another aspect, this disclosure provides is a method of cellular replacement therapy in a subject in need thereof, the method comprising administering a therapeutically effective amount of a population of engineered cells to a recipient subject, the population of engineered cells are produced by a method comprising in vitro transfecting the population of HE with an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNXl. In one embodiment, the population of HE is further transfected with an exogenous gene coding copy of the transcription factors HOXAIO, and SPIl . In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative.

[0189] In another aspect, this disclosure provides is a method of cellular replacement therapy in a subject in need thereof, the method comprising administering a therapeutically effective amount of a population of engineered cells to a recipient subject, the population of engineered cells comprise an exogenous gene coding copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RU X1. In one embodiment, the engineered cells further comprise an exogenous gene coding copy of the transcription factors HOXAIO, and SPIl . In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative.

[0190] In another aspect, this disclosure provides engineered cells derived from a population of HE and produced by a method described herein. In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative.

[0191] In another aspect, this disclosure provides is a composition comprising a population of engineered cells described herein. In one embodiment, the engineered cells are multilineage HSCs and HSPCs are produced from the resultant transfection of the described TFs. In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative.

[0192] In another aspect, this disclosure provides is a pharmaceutical composition comprising a population of engineered cells described herein and a pharmaceutically acceptable carrier. In one embodiment, the engineered cells are CD34+. In another embodiment, the engineered cells are CD34+ and CD45+. In another embodiment, the engineered cells are CD34+, CD45+, and CD38 negative.

[0193] In another aspect, this disclosure provides is a pharmaceutical composition described herein for use in cellular replacement therapy in a subject.

[0194] In another aspect, this disclosure provides is a method of cellular replacement therapy in a subject in need thereof, the method comprising administering a therapeutically effective amount of a population of engineered cells described, or a composition described, or a pharmaceutical composition described to a recipient subject.

[0195] In one embodiment of any one aspect described, the method of generating HSCs and HSPCs described is an in vitro or ex vivo method.

[0196] In one embodiment of any one method, engineered cell, or composition described, the multilineage hematopoietic progenitor cells are generated by introducing in vitro or ex vivo each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RU X1, in the HE cells derived from PSC-induced EBs. For example, by transfecting with a vector or more, the vector(s) collectively carry an exogenous gene coding copy of each of the following transcription factors, ERG, HOXA9, HOXA5, LCOR and RU X1, for in vivo expression of the transcription factor in the transfected cells.

[0197] In one embodiment of any one method, engineered cell, or composition described, the multilineage hematopoietic progenitor cells are generated by contacting a population of HEs with a vector or more, wherein the vector(s) collectively carrying an exogenous gene coding copy of each of the following transcription factors, ERG, HOXA9, HOXA5, LCOR and RUNX1, for the in vivo expression of the factors in the contacted cells, and wherein the transfected transcription factors are expressed in vivo in the contacted cells. [0198] In one embodiment of any one method, engineered cell, or composition described, the method further comprising in vitro transfecting the HE with an exogenous gene coding copy of the transcription factor, HOXA10, wherein the transfected transcription factor is expressed in vivo in the transfected cells.

[0199] In one embodiment of any one method, engineered cell, or composition described, the method further comprising in vitro transfecting the HE with an exogenous gene coding copy of the transcription factor, SPI1, wherein the transfected transcription factor is expressed in vivo in the transfected cells.

[0200] In one embodiment of any one method, engineered cell, or composition described, the method further comprising in vitro transfecting the HE with an exogenous gene coding copy of the transcription factors, HOXA10 and SPI1, wherein the transfected transcription factors are expressed in vivo in the transfected cells.

[0201] In one embodiment of any one method, engineered cell, or composition described, the engineered cell of this disclosure is a mammalian cell.

[0202] In one embodiment of any one method, engineered cell, or composition described, the engineered mammalian cell is a primate cell.

[0203] In one embodiment of any one method, engineered cell, or composition described, the engineered primate cell is a human cell.

[0204] In one embodiment of any one method, engineered cell, or composition described, the engineered cell is CD34+.

[0205] In another embodiment of any one method, engineered cell, or composition described, the engineered cell is CD34+ and CD45+.

[0206] In another embodiment of any one method, engineered cell, or composition described, the engineered cell is CD34+, CD45+, and CD38 negative.

[0207] In another embodiment of any one method, engineered cell, or composition described, the engineered cell has an exogenous gene of at least one of the following transcription factors: ERG, HOXA9, HOXA5, HEXA 10, SPI 1, LCOR and RU X 1.

[0208] In another embodiment of any one method, engineered cell, or composition described, the engineered cell has an exogenous gene of at least one of the following reprogramming factors: OCT4, SOX2, KLF4, c-MYC, NANOG, and LIN28.

[0209] In one embodiment of any one method, engineered cell, or composition described, the engineered cells disclosed herein are multilineage HSCs and HSPCs that engraft in vivo in a host recipient subject and produce blood cells in vivo.

[0210] In one embodiment of any one method, engineered cell, or composition described, the engineered cells disclosed herein are multilineage HSCs and HSPCs that reconstitutes the hematopoietic system in vivo when transplanted into a host recipient subject.

[0211] In one embodiment of any one method, engineered cell, or composition described, the engineered cells disclosed herein are multilineage HSCs and HSPCs that differentiate to myeloid cells in vivo, and the myeloid cells produce MPO upon PMA or cytokine stimulation in vivo. [0212] In one embodiment of any one method, engineered cell, or composition described, the engineered cells disclosed herein are multilineage HSCs and HSPCs that differentiate to functional T- and B-cells in vivo, the functional T- and B-cells produce IgM and IgG. The functional T- and B-cells also undergo immunoglobulin class switching in response to ovalbumin stimulation. The functional T- and B-cells also produces INF-γ.

[0213] In one embodiment of any one method, engineered cell, or composition described, the engineered cells produce blood cells in vivo when engrafted in vivo in a host recipient subject.

[0214] In one embodiment of any one method, engineered cell, or composition described, the engineered cells reconstitutes the hematopoietic system in vivo when transplanted into a host recipient subject.

[0215] In one embodiment of any one method, engineered cell, or composition described, the engineered cells differentiate to myeloid cells in vivo, and the myeloid cells produce MPO upon PMA or cytokine stimulation in vivo.

[0216] In one embodiment of any one method, engineered cell, or composition described, the engineered cells differentiate to functional immune cells in vivo, e.g., T- and B-cells, wherein the functional immune cells produce IgM and IgG. The functional immune cells also undergo immunoglobulin class switching in response to ovalbumin stimulation. The functional immune cells also produce INF-γ.

[0217] In one embodiment of any one method, engineered cell, or composition described, the HE cells are cells that are derived from embryoid bodies (EBs) obtained from a population of pluripotent stem cells (PSC). In one embodiment, the HE are definitive HE.

[0218] In one embodiment of any one method, engineered cell, or composition described, the population of PSC is induced pluripotent stem cells (iPSc) or embryonic stem cells (ESC).

[0219] In one embodiment of any one method, engineered cell, or composition described, the PSC are human PSC or mouse PSC.

[0220] In one embodiment of any one method, engineered cell, or composition described, the iPSCs are produced by in vitro or ex vivo introducing exogenous copies of only three reprogramming factors OCT4, SOX2, and KLF4 into mature cells.

[0221] In one embodiment of any one method, engineered cell, or composition described, the iPSC having exogenous copies of OCT4, SOX2, and KLF4 is further introduced in vitro or ex vivo with an exogenous copy of c-MYC into the cells.

[0222] In one embodiment of any one method, engineered cell, or composition described, the iPSC having exogenous copies of OCT4, SOX2, and KLF4 is further introduced in vitro or ex vivo with an exogenous copies of NANOG and LIN28 into the cells.

[0223] In one embodiment of any one method, engineered cell, or composition described, the iPSC are produced by introducing in vitro or ex vivo exogenous copies of reprogramming factors OCT4, SOX2, and KLF4, and optionally with c-MYC or NANOG and LIN28 into the mature cells.

[0224] In one embodiment of any one method, engineered cell, or composition described, the iPSC are produced by in vitro or ex vivo contacting the mature cells with a vector or more, wherein the vector(s) collectively carry exogenous copies of reprogramming factors OCT4, SOX2, and KLF4, and optionally with c-MYC or NANOG and LIN28 into mature cells, and wherein the reprogramming factors are expressed in vivo in the contacted mature cells.

[0225] In one embodiment of any one method, engineered cell, or composition described, the mature cells from which iPSC are made can be from any cell type in a donor subject. For examples, cells from a blood sample, or bone marrow sample, B lymphocytes (B-cells), T lymphocytes, (T-cells), fibroblasts, keratinocytes etc. In some embodiments, any mature cell type from the donor subject can be used except a cell with no nucleus, such as a human red blood cell.

[0226] In one embodiment of any one method, engineered cell, or composition described, the iPSC are produced by in vitro or ex vivo introducing the disclosed reprogramming factors two or more times into the mature cells.

[0227] In one embodiment of any one method, engineered cell, or composition described, the iPSC are produced by in vitro or ex vivo contacting the mature cells with the disclosed vector(s) factors two or more times into the mature cells.

[0228] In one embodiment of any one method, engineered cell, or composition described, the mature cells from which iPSC are made are mammalian cells.

[0229] In one embodiment of any one method, engineered cell, or composition described, the mature cells from which iPSC are made are primate cells.

[0230] In one embodiment of any one method, engineered cell, or composition described, the mature cells from which iPSC are made are human cells.

[0231] In one embodiment of any one method, engineered cell, or composition described, the mature cells from which iPSC are made are autologous to a recipient subject who would be receiving the engineered cells that are derived from the mature cells according to any one of the methods described in this disclosure.

[0232] In one embodiment of any one method, engineered cell, or composition described, the mature cells from which iPSC are made are HLA matched with a recipient subject who would be receiving the engineered cells that are derived from the mature cells according to any one of the methods described in this disclosure.

[0233] In one embodiment of any one engineered cell or composition described, the pharmacological acceptable carrier is not cell culture media.

[0234] In one embodiment of any one composition described, the pharmacological composition is a cryopreserved composition comprising at least one cryopreservative agent known in the art. For examples, dimethyl sulphoxide (DMSO), polyvinylpyrrolidone (PVP), fetal calf serum (FCS), polyethylene glycol (PEG), glycerol, ethylene glycol (EG)and trehalose. Combinations of two or more cryopreservative agents can be used.

Pluripotent stem cells for generating embryonic bodies, HE, and HSC and HSPC.

[0235] Pluripotent stem cells (PSCs) have the potential to give rise to all the somatic tissues. Directed differentiation of PSCs aims to recapitulate embryonic development to generate patient-matched tissues by specifying the three germ layers. A common theme in directed differentiation across all germ layers is the propensity of PSCs to give rise to embryonic- and fetal-like cell types, which poses a problem for integration and function in an adult recipient. This distinction is particularly striking in the hematopoietic system, which emerges in temporally and spatially separated waves at during ontogeny (Dzierzak and Speck, 2008). The earliest "primitive" progenitors emerge in the yolk sac at 8.5 dpc and give rise to a limited repertoire of macrophages, megakaryocytes and nucleat-ed erythrocytes (Baron et al 2005, Tavian and Peault 2005, Ferkowicz et al 2005). These early embryonic-like progenitors are generally myeloid-based and cannot functionally repopulate the bone marrow of adult recipients. By contrast, "definitive" cells with hematopoietic stem cell (HSC) potential emerge later in arterial endothelium within the aorta-gonad-mesonephros (AGM) and other anatomical sites (Dzierzak and Speck, 2008). Directed differentiation of PSCs gives rise to hematopoietic progenitors, which resemble those found in the yolk sac of the early embryo. These lack functional reconstitution potential, are biased to myeloid lineages, and express embryonic globins.

[0236] In one embodiment of any one aspect described, the population of PSC used for generating EBs is induced pluripotent stem cells (iPS cells) or embryonic stem cells (ESC).

[0237] In one embodiment of any one aspect described, the iPS cells are produced by introducing only reprogramming factors OCT 4, SOX2, KLF4 and optionally c-MYC or NANOG and LIN28 into mature cells.

[0238] In one embodiment of any one aspect described, the mature cells for producing iPS cells are selected from the group consisting of B lymphocytes (B-cells), T lymphocytes, (T-cells), fibroblasts, and keratinocytes.

[0239] In one embodiment of any one aspect described, the iPSCs are produced by introducing the reprogramming factors two or more times into the mature cells.

Induced Pluripotent Stem Cells

[0240] In some embodiments, the pluripotent stem cells (PSCs) described herein are derived from isolated induced pluripotent stem cells (iPSCs). An advantage of using iPSCs is that the cells can be derived from the same subject to which the eventual immune cells would be reintroduced. That is, a somatic cell can be obtained from a subject, reprogrammed to an induced pluripotent stem cell, and then transfected and differentiated into a modified immune cell to be administered to the subject (e.g., autologous cells). Since the progenitors are essentially derived from an autologous source, the risk of engraftment rejection or allergic responses is reduced compared to the use of cells from another subject or group of subjects. In some embodiments, the cells for generating iPSCs are derived from non- autologous sources. In addition, the use of iPSCs negates the need for cells obtained from an embryonic source. Thus, in one embodiment, the PSCs used in the disclosed methods are not embryonic stem cells.

[0241] Although differentiation is generally irreversible under physiological contexts, several methods have been recently developed to reprogram somatic cells to induced pluripotent stem cells. Exemplary methods are known to those of skill in the art and are described briefly herein below.

[0242] As used herein, the term "reprogramming" refers to a process that alters or reverses the differentiation state of a differentiated cell (e.g., a somatic cell). Stated another way, reprogramming refers to a process of driving the differentiation of a cell backwards to a more undifferentiated or more primitive type of cell. It should be noted that placing many primary cells in culture can lead to some loss of fully differentiated characteristics. Thus, simply culturing such cells included in the term

differentiated cells does not render these cells non-differentiated cells (e.g., undifferentiated cells) or pluripotent cells. The transition of a differentiated cell to pluripotency requires a reprogramming stimulus beyond the stimuli that lead to partial loss of differentiated character in culture. Reprogrammed cells also have the characteristic of the capacity of extended passaging without loss of growth potential, relative to primary cell parents, which generally have capacity for only a limited number of divisions in culture.

[0243] The cell to be reprogrammed can be either partially or terminally differentiated prior to reprogramming. In some embodiments, reprogramming encompasses complete reversion of the differentiation state of a differentiated cell (e.g., a somatic cell) to a pluripotent state or a multipotent state. In some embodiments, reprogramming encompasses complete or partial reversion of the differentiation state of a differentiated cell (e.g., a somatic cell) to an undifferentiated cell (e.g., an embryonic-like cell). Reprogramming can result in expression of particular genes by the cells, the expression of which further contributes to reprogramming. In certain embodiments described herein, reprogramming of a differentiated cell (e.g., a somatic cell) causes the differentiated cell to assume an undifferentiated state (e.g., is an undifferentiated cell). The resulting cells are referred to as

"reprogrammed cells," or "induced pluripotent stem cells (iPSCs or iPS cells)."

[0244] Reprogramming can involve alteration, e.g., reversal, of at least some of the heritable patterns of nucleic acid modification (e.g., methylation), chromatin condensation, and epigenetic changes, genomic imprinting, etc., that occur during cellular differentiation. Reprogramming is distinct from simply maintaining the existing undifferentiated state of a cell that is already pluripotent or maintaining the existing less than fully differentiated state of a cell that is already a multipotent cell (e.g., a common myeloid stem cell). Reprogramming is also distinct from promoting the self-renewal or proliferation of cells that are already pluripotent or multipotent, although the compositions and methods described herein can also be of use for such purposes, in some embodiments.

[0245] The specific approach or method used to generate pluripotent stem cells from somatic cells (broadly referred to as "reprogramming") is not critical to the claimed embodiments of the present disclosure. Thus, any method that re-programs a somatic cell to the pluripotent phenotype would be appropriate for use in the methods described herein.

[0246] Reprogramming methodologies for generating pluripotent cells using defined combinations of transcription factors have been described to induced pluripotent stem cells from somatic cells. Yamanaka and Takahashi converted mouse somatic cells to ES cell-like cells with expanded developmental potential by the direct transduction of Oct4, Sox2, Klf4, and optionally c-Myc. See US Patent Nos: 8058065 and 9045738 to Yamanaka and Takahashi. iPSCs resemble ES cells as they restore the pluripotency- associated transcriptional circuitry and much of the epigenetic landscape. In addition, mouse iPSCs satisfy all the standard assays for pluripotency: specifically, in vitro differentiation into cell types of the three germ layers, teratoma formation, contribution to chimeras, germline transmission, and tetraploid complementation.

[0247] Subsequent studies have shown that human iPS cells can be obtained using similar transduction methods, and the transcription factor trio, OCT4, SOX2, and NANOG, has been established as the core set of transcription factors that govern pluripotency. The production of iPS cells can be achieved by the introduction of nucleic acid sequences encoding stem cell-associated genes into an adult, somatic cell, using viral vectors. In general, retroviruse- or adenoviruse-based vectors are used to deliver the desired gene/nucleic acid. Other viruses used as vectors include adeno-associated viruses, lentiviruses, pox viruses, alphaviruses, and herpes viruses. Additionally, non-integrative episomal vectors (oriP/EBNA-1 [Epstein Barr nuclear antigen- 1], the non-viral episomal vector pEPI-1) that are known in the art are used to deliver the desired gene/nucleic acid.

[0248] iPS cells can be generated or derived from terminally differentiated somatic cells, as well as from adult stem cells, or somatic stem cells. That is, a non-pluripotent progenitor cell can be rendered pluripotent or multipotent by reprogramming. In such instances, it may not be necessary to include as many reprogramming factors as required to reprogram a terminally differentiated cell. Further, reprogramming can be induced by the non-viral introduction of reprogramming factors, e.g., by introducing the proteins themselves, or by introducing nucleic acids that encode the reprogramming factors, or by introducing messenger R As that upon translation produce the reprogramming factors (see e.g., Warren et al., Cell Stem Cell, 2010 Nov 5;7(5):618-30, this reference is incorporated herein by reference in its entirety.). Reprogramming can be achieved by introducing a combination of nucleic acids encoding stem cell-associated genes including, for example Oct-4 (also known as Oct-3/4 or Pouf51), Soxl, Sox2, Sox3, Sox 15, Sox 18, NANOG, , Klfl, Klf2, Klf4, Klf5, NR5A2, c-Myc, 1-Myc, n-Myc, Rem2, Tert, and LIN28. In one embodiment, reprogramming using the methods and compositions described herein can further comprise introducing one or more of Oct-3/4, a member of the Sox family, a member of the Klf family, and a member of the Myc family to a somatic cell. In one embodiment, the methods and compositions described herein further comprise introducing one or more of each of Oct 4, Sox2, Nanog, c-MYC and Klf4 for reprogramming. As noted above, the exact method used for reprogramming is not necessarily critical to the methods and compositions described herein. However, where cells differentiated from the reprogrammed cells are to be used in, e.g., human therapy, in one embodiment the reprogramming is not effected by a method that alters the genome. Thus, in such embodiments, reprogramming is achieved, e.g., without the use of viral or plasmid vectors.

[0249] The efficiency of reprogramming (i.e., the number of reprogrammed cells) derived from a population of starting cells can be enhanced by the addition of various small molecules as shown by Shi, Y., et al (2008) Cell-Stem Cell 2:525-528, Huangfu, D., et al (2008) Nature Biotechnology 26(7):795- 797, and Marson, A., et al (2008) Cell-Stem Cell 3 : 132- 135. This reference is incorporated herein by reference in its entirety. Thus, an agent or combination of agents that enhance the efficiency or rate of induced pluripotent stem cell production can be used in the production of patient-specific or disease- specific iPSCs. Some non-limiting examples of agents that enhance reprogramming efficiency include soluble Wnt, Wnt conditioned media, BIX-01294 (a G9a histone methyltransferase), PD0325901 (a MEK inhibitor), DNA methyltransferase inhibitors, histone deacetylase (HDAC) inhibitors, valproic acid, 5'-azacytidine, dexamethasone, suberoylanilide hydroxamic acid (SAHA), vitamin C, and trichostatin (TSA), among others.

[0250] Other non-limiting examples of reprogramming enhancing agents include: Suberoylanilide Hydroxamic Acid (SAHA (e.g., MK0683, vorinostat) and other hydroxamic acids), BML-210,

Depudecin (e.g., (-)-Depudecin), HC Toxin, Nullscript (4-(l,3-Dioxo-lH,3H-benzo[de]isoquinolin-2-yl)- N-hydroxybutanamide), Phenylbutyrate (e.g., sodium phenylbutyrate) and Valproic Acid ((VP A) and other short chain fatty acids), Scriptaid, Suramin Sodium, Trichostatin A (TSA), APHA Compound 8, Apicidin, Sodium Butyrate, pivaloyloxymethyl butyrate (Pivanex, AN-9), Trapoxin B, Chlamydocin, Depsipeptide (also known as FR901228 or FK228), benzamides (e.g., CI-994 (e.g., N-acetyl dinaline) and MS-27-275), MGCD0103, NVP-LAQ-824, CBHA (m-carboxycinnaminic acid bishydroxamic acid), J J16241199, Tubacin, A-161906, proxamide, oxamflatin, 3-Cl-UCHA (e.g., 6-(3- chlorophenylureido)caproic hydroxamic acid), AOE (2-amino-8-oxo-9, 10-epoxydecanoic acid), CHAP31 and CHAP 50. Other reprogramming enhancing agents include, for example, dominant negative forms of the HDACs (e.g., catalytically inactive forms), siRNA inhibitors of the HDACs, and antibodies that specifically bind to the HDACs. Such inhibitors are available, e.g., from BIOMOL International, Fukasawa, Merck Biosciences, Novartis, Gloucester Pharmaceuticals, Aton Pharma, Titan

Pharmaceuticals, Schering AG, Pharmion, MethylGene, and Sigma Aldrich.

[0251] To confirm the induction of pluripotent stem cells for use with the methods described herein, isolated clones can be tested for the expression of a stem cell marker. Such expression in a cell derived from a somatic cell identifies the cells as induced pluripotent stem cells. Stem cell markers can be selected from the non-limiting group including SSEA3, SSEA4, CD9, Nanog, Fbxl5, Ecatl, Esgl, Eras, Gdf3, Fgf4, Cripto, Daxl, Zpf296, Slc2a3, Rexl, Utfl, and Natl . In one embodiment, a cell that expresses Oct4 or Nanog is identified as pluripotent. Methods for detecting the expression of such markers can include, for example, RT-PCR and immunological methods that detect the presence of the encoded polypeptides, such as Western blots or flow cytometric analyses. In some embodiments, detection does not involve only RT-PCR, but also includes detection of protein markers. Intracellular markers may be best identified via RT-PCR, while cell surface markers are readily identified, e.g., by immunocytochemistry.

[0252] The pluripotent stem cell character of isolated cells can be confirmed by tests evaluating the ability of the iPSCs to differentiate to cells of each of the three germ layers. As one example, teratoma formation in nude mice can be used to evaluate the pluripotent character of the isolated clones. The cells are introduced to nude mice and histology and/or immunohistochemistry is performed on a tumor arising from the cells. The growth of a tumor comprising cells from all three germ layers, for example, further indicates that the cells are pluripotent stem cells.

[0253] Many US Patents and Patent Application Publications teach and describe methods of generating iPSCs and related subject matter. For examples, US Patent Nos: 9347044 , 9347042 , 9347045, 9340775, 9341625, 9340772, 9250230, 9132152, 9045738, 9005975, 9005976, 8927277, 8993329, 8900871, 8852941, 8802438, 8691574, 8735150, 8765470, 8058065, 8048675, and US Patent Publication Nos: 20090227032, 20100210014, 201 10250692, 201 10201 1 10, 20110200568, 201 10306516, 20100021437, 201 10256626, 201 10044961, 20120276070, 20120263689, 20120128655, 20120100568, 20130295064, 20130029866, 20130189786, 20130295579, 20130130387, 20130157365, 20140234973, 20140227736, 20140093486, 20140301988, 20140170746, 20140178989, 20140349401, 20140065227, and

20150140662. These references are incorporated herein by reference in their entirety.

Somatic Cells for reprogramming

[0254] Somatic cells, as that term is used herein, refer to any cells forming the body of an organism, excluding germline cells. Every cell type in the mammalian body— apart from the sperm and ova, the cells from which they are made (gametocytes) and undifferentiated stem cells— is a differentiated somatic cell. For example, internal organs, skin, bones, blood, and connective tissue are all made up of differentiated somatic cells.

[0255] Additional somatic cell types for use with the compositions and methods described herein include: a fibroblast (e.g., a primary fibroblast), a muscle cell (e.g., a myocyte), a cumulus cell, a neural cell, a mammary cell, an hepatocyte and a pancreatic islet cell. In some embodiments, the somatic cell is a primary cell line or is the progeny of a primary or secondary cell line. In some embodiments, the somatic cell is obtained from a human sample, e.g., a hair follicle, a blood sample, a biopsy (e.g., a skin biopsy or an adipose biopsy), a swab sample (e.g., an oral swab sample), and is thus a human somatic cell.

[0256] Some non-limiting examples of differentiated somatic cells include, but are not limited to, epithelial, endothelial, neuronal, adipose, cardiac, skeletal muscle, skin, immune cells, hepatic, splenic, lung, peripheral circulating blood cells, gastrointestinal, renal, bone marrow, and pancreatic cells. In some embodiments, a somatic cell can be a primary cell isolated from any somatic tissue including, but not limited to brain, liver, gut, stomach, intestine, fat, muscle, uterus, skin, spleen, endocrine organ, bone, etc. Further, the somatic cell can be from any mammalian species, with non-limiting examples including a murine, bovine, simian, porcine, equine, ovine, or human cell. In some embodiments, the somatic cell is a human somatic cell.

[0257] When reprogrammed cells are used for generation of thyroid progenitor cells to be used in the therapeutic treatment of disease, it is desirable, but not required, to use somatic cells isolated from the patient being treated. For example, somatic cells involved in diseases, and somatic cells participating in therapeutic treatment of diseases and the like can be used. In some embodiments, a method for selecting the reprogrammed cells from a heterogeneous population comprising reprogrammed cells and somatic cells they were derived or generated from can be performed by any known means. For example, a drug resistance gene or the like, such as a selectable marker gene can be used to isolate the reprogrammed cells using the selectable marker as an index.

[0258] Reprogrammed somatic cells as disclosed herein can express any number of pluripotent cell markers, including: alkaline phosphatase (AP); ABCG2; stage specific embryonic antigen- 1 (SSEA-1); SSEA-3; SSEA-4; TRA-1-60; TRA-1-81; Tra-2-49/6E; ERas/ECAT5, E-cadherin; β-ΙΙΙ-tubulin; <x- smooth muscle actin (ot-SMA); fibroblast growth factor 4 (Fgf4), Cripto, Daxl; zinc finger protein 296 (Zfp296); N-acetyltransferase- 1 (Natl); (ES cell associated transcript 1 (ECAT1);

ESG1/DPPA5/ECAT2; ECAT3; ECAT6; ECAT7; ECAT8; ECAT9; ECAT10; ECAT15-1; ECAT15-2; Fthll7; Sall4; undifferentiated embryonic cell transcription factor (Utfl); Rexl; p53; G3PDH;

telomerase, including TERT; silent X chromosome genes; Dnmt3a; Dnmt3b; TRIM28; F-box containing protein 15 (Fbxl5); Nanog/ECAT4; Oct3/4; Sox2; Klf4; c-Myc; Esrrb; TDGF1; GABRB3; Zfp42, FoxD3; GDF3; CYP25A1; developmental pluripotency-associated 2 (DPPA2); T-cell lymphoma breakpoint 1 (Tell); DPPA3/Stella; DPPA4; other general markers for pluripotency, etc. Other markers can include Dnmt3L; Soxl5; Stat3; Grb2; β-catenin, and Bmil . Such cells can also be characterized by the down-regulation of markers characteristic of the somatic cell from which the induced pluripotent stem cell is derived.

Embryonic bodies (EBs) from pluripotent stem cells

[0259] In one embodiment of any one aspect described, the EB are generated or induced from PSCs, for example, iPSCs or embryonic stem cells (ESCs) derived from the blastocyst stage of embryos from mouse (mESC), primate, and human (hESC) sources.

[0260] EBs are three-dimensional aggregates of pluripotent stem cells produced and cultured in vitro in the presence of serum. EBs largely exhibit heterogeneous patterns of differentiated cell types, generating a mixture of primitive and definitive hematopoietic progenitor cell types. Primitive progenitors equate to those that arise in vivo naturally in the earliest stages of embryonic development, whereas at later stages of maturation the embryonic populations give rise to definitive progenitors cells, which behave similarly to the cells typical of adult hematopoiesis.

[0261] EB formation is often used as a method for initiating spontaneous differentiation toward the three germ lineages. EB differentiation begins with the specification of the exterior cells toward the primitive endoderm phenotype. The cells at the exterior then deposit extracellular matrix (ECM), containing collagen IV and laminin, similar to the composition and structure of basement membrane. In response to the ECM deposition, EBs often form a cystic cavity, whereby the cells in contact with the basement membrane remain viable and those at the interior undergo apoptosis, resulting in a fluid-filled cavity surrounded by cells. Subsequent differentiation proceeds to form derivatives of the three germ lineages. In the absence of supplements, the "default" differentiation of ESCs is largely toward ectoderm, and subsequent neural lineages. However, alternative media compositions, including the use of fetal bovine serum as well as defined growth factor additives, have been developed to promote the differentiation toward mesoderm and endoderm lineages.

[0262] As a result of the three-dimensional EB structure, complex morphogenesis occurs during EB differentiation, including the appearance of both epithelial- and mesenchymal -like cell populations, as well as the appearance of markers associated with the epithelial-mesenchymal transition (EMT).

Additionally, the inductive effects resulting from signaling between cell populations in EBs results in spatially and temporally defined changes, which promote complex morphogenesis. Tissue-like structures are often exhibited within EBs, including the appearance of blood islands reminiscent of early blood vessel structures in the developing embryo, as well as the patterning of neurite extensions (indicative of neuron organization) and spontaneous contractile activity (indicative of cardiomyocyte differentiation) when EBs are plated onto adhesive substrates such as gelatin. More recently, complex structures, including optic cup-like structures were created in vitro resulting from EB differentiation.

[0263] A non-limited method for producing EBs from iPSC is as follows. Human iPSCs were differentiated as EBs in the presence of BMP4 and cytokines, as previously described (Chadwick et al, 2003, Blood, 102:906-915). Briefly, iPSC colonies were scraped into non-adherent rotating 10 cm plates. EB media was KO-DMEM + 20% FBS (Stem Cell Technologies), 1 mM L-glutamine, 1 mM NEAA, penicillin/streptomycin, 0.1 mM β-mercaptoethanol, 200 μg/ml h-transferrin, and 50 μg/ml ascorbic acid. After 24 hrs, media was changed by allowing EBs to settle by gravity, and replaced with EB media supplemented with growth factors: 50 ng/ml BMP4 (R&D Systems), 300 ng/ml SCF, 300 ng/ml FLT3, 50 ng/ml G- CSF, 20 ng/ml IL-6, 10 ng/ml IL-3 (all Peprotech). Media was changed on day 3, 5, 8 and 10. EBs were observed by day 5. EBs can be selected and dissociated to individual cells anywhere from day 8-14 by digesting with collagenase B (Roche) for 2 hrs, followed by treatment with enzyme-free dissociation buffer (Gibco), and filtered through an 80 μ m filter.

[0264] An alternative method of producing EBs from iPSC is as follows. Confluent human or mouse iPSC colonies were disrupted to small aggregates using collagenase IV (1 mg/ml, 15 minutes at 37 °C). Cell aggregates were resuspended in StemPro fully defined medium (StemPro-34 Serum-Free Media, Gibco proprietary formulation, guaranteed as animal protein-free by the manufacturer) supplemented with 0.5 ng/ml human recombinant BMP -4 (R&D Systems) at a ratio of 2 confluent ESC/iPSC wells for 1 well of differentiation. During all the differentiation process, cell attachment was prevented using low cluster tissue culture dishes (Corning Costar). On day 1 of differentiation, embryoid bodies (EB) were harvested and transferred to fresh StemPro media supplemented with 10 ng/ml BMP-4 and 5 ng/ml bFGF. After 72 hours, EB were harvested again and transferred to a medium consisting of StemPro media supplemented with 100 ng/ml human recombinant VEGF (R&D Systems), 5 ng/ml bFGF, 100 ng/ml SCF (kind gift from Amgen), 100 ng/ml FLT3-L (kind gift from Amgen) and 40 ng/ml TPO (Peprotech, UK) for 4 additional days. All differentiation steps were performed in hypoxic conditions (5% O2) in a humidified incubator at 37 °C. After 8 days of differentiation, EB were harvested and spun at 65 g for 4 min. Supernatants containing non-adherent cells were stored on ice and EB were disrupted using Trypsin-EDTA followed by manual disruption in FBS -containing blocking medium using a 21G needle. After centrifugation, cells were resuspended in freshly prepared collagenase IV solution (0.2 mg/ml) for 30 min at 37 °C. Cells were disrupted again using a 21G needle and filtered over a 70 μπι cell strainer (Falcon). Supernatants from the initial centrifugation were pooled with these suspensions and magnetic bead associated cell sorting (MACS) for the CD34 epitope was performed following manufacturer's instructions (Miltenyi Biotech). [0265] Other methods of generating EBs from ESC and iPSC are known in the art. For example, as described in U.S. Patent Nos: 6602711; 7220584; 7452718; 7648833; 7795026; 7803619; 8278097, 8501474; and 8986996, the contents of each are incorporated herein by reference in its entirety.

[0266] In one embodiment of any one aspect described, the EB are generated or induced from PSCs by culturing or exposing the PSCs to morphogens for about 8 days.

[0267] In one embodiment of any one aspect described, the exposure to the morphogens is for about 5- 14 days, 5-13 days, 5-12 days, 5-11 days, 5-10 days, 5-9 days, 5-8 days, 5-7 days, 5-6 days, 6-14 days, 6- 13 days, 6-12 days, 6-11 days, 6-10 days, 6-9 days, 6-8 days, 6-7 days, 7-14 days, 7-13 days, 7-12 days, 7-11 days, 7-10 days, 7-9 days, 7-8 days, 8-14 days, 8-13 days, 8-12 days, 8-11 days, 8-10 days, 8-9 days, 9-14 days, 9-13 days, 9-12 days, 9-11 days, 9-10 days, 10-14 days, 10-13 days, 10-12 days, 10-11 days, 11-14 days, 11-13 days, 11-12 days, 12-14 days, 12-13 days, or 13-14 days.

[0268] In one embodiment of any one aspect described, the exposure to the morphogens of the PSCs is for about 5 days, 6 days, 7 days, 9 days, 10 days, 11 daysl 12 days, 13 days or 14 days.

[0269] In one embodiment of any one aspect described, the morphogens for inducing EBs formation from PSCs is/are selected from the group consisting of holo-transferrin, mono-thioglycerol (MTG), ascorbic acid, bone morphogenetic protein (BMP)-4, basic fibroblast growth factor (bFGF), SB431542, CHIR99021, vascular endothelial growth factor (VEGF), interleukin (IL)-6, insulin-like growth factor (IGF)-l, interleukin (IL)-l 1, stem cell factor (SCF), erythropoietin (EPO), thrombopoietin (TPO), interleukin (IL)-3, and Fms related tyrosine kinease 3 ligand (Flt-3L).

[0270] In some embodiments of any one aspect described, a combination of two or more of these morphogens are selected to generate EBs from PSCs.

[0271] In one embodiment of any one aspect described, a combination of all morphogens holo- transferrin, MTG, ascorbic acid, BMP-4, bFGF, SB431542, CHIR99021, VEGF, IL-6, IGF-1, IL-11, SCF, EPO, TPO, IL-3, and Flt-3L are used to generate EBs from PSCs.

[0272] In one embodiment of any one aspect described, the morphogens for inducing EBs formation from PSCs consist essentially of holo-transferrin, MTG, ascorbic acid, BMP-4, bFGF, SB431542, CHIR99021, VEGF, IL-6, IGF-1, IL-11, SCF, EPO, TPO, IL-3, and Flt-3L.

[0273] In one embodiment of any one aspect described, the morphogens for inducing EBs formation from PSCs consist of holo-transferrin, MTG, ascorbic acid, BMP-4, bFGF, SB431542, CHIR99021, VEGF, IL-6, IGF-1, IL-11, SCF, EPO, TPO, IL-3, and Flt-3L.

[0274] In one embodiment of any one aspect described, the method further comprises selecting EBs that are generated from the PSCs, prior to isolating HE from the selected EBs.

[0275] In one embodiment of any one aspect described, the desired EBs are less than 800 microns in size and are selected.

[0276] In other embodiments of any one aspect described, the EBs selected are less than 790 μπι, less than 780 μπι, less than 770 μπι, less than 760 μπι, less than 750 μπι, less than 740 μπι, less than 730 μπι, less than 720 μπι, less than 710 μπι, less than 700 μπι, less than 690 μπι, less than 680 μπι, less than 670 μπι, less than 660 μπι, less than 650 μπι, less than 640 μπι, less than 630 μπι, less than 620 μπι, less than 610 μηι, less than 600 μηι, less than 590 μηι, less than 580 μηι, less than 570 μηι, less than 560 μηι, less than 550 μηι, less than 540 μηι, less than 530 μηι, less than 520 μηι, less than 510 μηι, less than 500 μηι, less than 490 μηι, less than 480 μηι, less than 470 μηι, less than 460 μηι, less than 450 μηι, less than 440 μηι, less than 430 μηι, less than 420 μηι, less than 410 μηι, less than 400 μηι, less than 390 μηι, less than 380 μηι, less than 370 μηι, less than 360 μηι, less than 350 μηι, less than 340 μηι, less than 330 μηι, less than 320 μηι, less than 310 μηι, less than 300 μηι, less than 290 μηι, less than 280 μηι, less than 270 μηι, less than 260 μηι, less than 250 μηι, less than 240 μηι, less than 230 μηι, less than 220 μηι, less than 210 μηι, less than 200 μηι, less than 190 μηι, less than 180 μηι, less than 170 μηι, less than 160 μηι, less than 150 μηι, less than 140 μηι, less than 130 μηι, less than 120 μηι, less than 1 10 μηι, or less than 100 μηι in size.

[0277] In other embodiments of any one aspect described, the EBs selected are about 800 μιη, about 790 μιη, about 780 μιη, about 770 μιη, about 760 μιη, about 750 μιη, about 740 μιη, about 730 μm, about 720 μιη, about 710 μιη, about 700 μm, about 690 μιη, about 680 μm, about 670 μιη, about 660 μιη, about 650 μm, about 640 μιη, about 630 μm, about 620 μιη, about 610 μιη, about 600 μm, about 590 μιη, about 580 μm, about 570 μιη, about 560 μιη, about 550 μm, about 540 μιη, about 530 μm, about 520 μιη, about 510 μιη, about 500 μm, about 490 μιη, about 480 μm, about 470 μιη, about 460 μιη, about 450 μm, about 440 μιη, about 430 μm, about 420 μιη, about 410 μm, about 400 μιη, about 390 μιη, about 380 μm, about 370 μιη, about 360 μm, about 350 μιη, about 340 μιη, about 330 μm, about 320 μιη, about 310 μm, about 300 μιη, about 290 μιη, about 280 μm, about 270 μιη, about 260 μm, about 250 μιη, about 240 μιη, about 230 μm, about 220 μιη, about 210 μm, about 200 μιη, about 190 μm, about 180 μιη, about 170 μιη, about 160 μm, about 150 μιη, about 140 μm, about 130 μιη, about 120 μιη, about 1 10 μm, or about 100 μιη in size.

[0278] The EB size selection can be achieved by any method known in the art. For example, by filtration through a filter with the desired pore size, e.g., a 200 μπι filter. For example, selection is done visually.

[0279] In one embodiment of any one aspect described, the EB cells within the EBs selected are compactly adhered to each other and are dissociated to individual EB cells.

[0280] In one embodiment of any one aspect described, the EB cells within the EBs selected are dissociated to individual EB cells by digestion with trypsin or collagenase.

[0281] In one embodiment of any one aspect described, the EB cells of the selected EBs are dissociated to individual EB cells prior to the isolation of HE.

Hemogenic endothelia cells (HE) isolated from the dissociated individual EB cells

[0282] Hemogenic endothelium (HE) is a special subset of endothelial cells scattered within blood vessels that can differentiate into hematopoietic cells. During embryonic development, multilineage HSCs/progenitor cells are derived from specialized endothelial cells, termed hemogenic endothelium, within the yolk sac, placenta, and aorta. The multilineage HSCs/progenitor cells responsible for the generation of all blood cell types during definitive hematopoiesis arise from hemogenic endothelium. All blood cells emerge from hemogenic endothelial-expressing cells through an endothelial-to-hematopoietic transition (EHT). [0283] In vitro differentiation EB produces a hetergenous population of cells, including cells that are hemogenic endothelial -like. These are the HE cells that are isolated and induced to under go EHT in culture. In one embodiment of any one aspect described, the HE are isolated from the selected and dissociated EB cells.

[0284] In one embodiment of any one aspect described, the HE are isolated immediately from the selected and dissociated EB cells. In other embodiments of any one aspect described, the HEs are isolated less than three hours, less than two hours, less than one hour, less than 55 min, less than 50 min, less than 45 min, less than 40 min, less than 35 min, less than 30 min, less than 25 min, less than 20 min, less than 15 min, and less than 10 min after the dissociation of the select EBs to individual EB cells. In other embodiments of any one aspect described, the HEs are isolated within three hours, within two hours, within one hour, within 55 min, within 50 min, within 45 min, within 40 min, within 35 min, within 30 min, within 25 min, within 20 min, within 15 min, and within 10 min after the dissociation of the select EBs to individual EB cells.

[0285] In one embodiment of any one aspect described, the isolated HE are definitive HE. Definitive HE is a population that is defined by combination of surface antigen markers CD34+FLK1+CD235A-CD43-. Definitive hematopoietic stem cells (HSCs) are the cells responsible for the continuous production of all mature blood cells during the entire adult life span of an individual. Similarly, definitive HE are the cells that are responsible for the continuous production of all mature blood cells during the entire adult life span of an individual.

[0286] In one embodiment of any one aspect described, the isolated HE are FLK1+, CD34+, CD43- and CD235A-.

[0287] In one embodiment of any one aspect described, the isolated HE are Flkl+cKit+CD45-.

[0288] These are the cell surface biomarkers on the isolated HE before the endothelial-to-hematopoietic transition (EHT).

[0289] The HEs can be isolated by any method known in the art. For example, by immune -magnetic beads directed to the cell surface biomarkers that are characteristics of HEs. For example, by positive selection for FLK1+ and CD34+ cells from the dissociated individual EB cells followed by negative selection for CD43+ cells, and for CD235A+ cells from the resultant FLK1+ and CD34+ cells. FLK1+ and CD34+ cells that are CD43+ are discarded. FLK1+ and CD34+ cells that are CD235A + are also discarded. The remaining FLK1+ and CD34+ cells are therefore CD43- and CD235A- cells, the desired HEs.

[0290] Other methods of generating HEs from ESC and iPSC are known in the art. For example, as described in U.S. Patent No: 9382531, the contents of which is incorporated herein by reference in its entirety.

Endothelial-to-hematopoietic transition (EHT)

[0291] The endothelial to hematopoietic transition (EHT) is a key developmental event leading to the formation of blood stem and progenitor cells during embryogenesis. In embryogenesis, the development of hematopoietic cells in the embryo proceeds sequentially from mesoderm through the hemangioblast to the hemogenic endothelium (HE) and hematopoietic progenitors cells. The HE then undergoes the EHT by becoming pre-hematopoietic stem and progenitor cells (Pre-HSPC). Eventually after losing all their endothelial characteristics they become HSPC.

[0292] In vitro culture, it is possible to induce EHT in HE with certain factors and cytokines.

Combination of all these factors is required for efficient achievement of EHT.

[0293] In one embodiment of any one aspect described, the EHT occurs by culturing or contacting the isolated HE in culture with thrombopoietin (TPO), interleukin (IL)-3, stem cell factor (SCF), IL-6, IL-11, insulin-like growth factor (IGF)-l, erythropoietin (EPO),vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF), bone morphogenetic protein (BMP)4, Fms related tyrosine kinase 3 ligand (Flt-3L), sonic hedgehog (SHH), angiotensin II, and chemical AGTR1 (angiotensin II receptor type I) blocker losartan potassium.

[0294] In one embodiment of any one aspect described, the isolated HEs are incubated in the EHT media for a period of time.

[0295] In one embodiment of any one aspect described, the incubation of the isolated HE in the EHT media is for about 3-10 days.

[0296] In one embodiment of any one aspect described, the incubation of the isolated HE in the EHT media is for about 3-9 days, 3-8 days, 3-7 days, 3-6 days, 3-5 days, 3-4 days, 4-10 days, 4-9 days, 4-8 days, 4-7 days, 4-6 days, 4-5 days, 5-10 days, 5-9 days, 5-8 days, 5-7 days, 5-8 days, 5-7 days, 5-6 days, 6-10 days, 6-9 days, 6-8 days, 6-7 days, 7-10 days, 7-9 days, 7-8 days, 8-10 days, 8-9 days, or 9-10 days.

[0297] In one embodiment of any one aspect described, incubation of the isolated HE in the EHT media is for about 3 days, 4 days, 5 days, 6 days, 7 days, 8 days, 9 days, or 10 days.

[0298] To determine that EHT has occurred in the HE, morpholigical detection of round cells under microscopy was performed. In addition, FACS analysis of surface markers CD34+CD45+ is performed.

[0299] In one embodiment of any one aspect described, the isolated HE that have undergone EHT exhibit round cell morphology.

Transcription factors that induced differentiation of HE to multi-lineage HSCs and HSPCs

[0300] To specifying HSCs and HSPCs from the HE having undergone EHT, the inventors use a strategy that is defined as "respecification". Respecification combines directed differentiation with transcription-based reprogramming to re-establish HSC fate. The molecular differences between primary human HSCs and progenitors have been well characterized by gene expression profiling, providing a rational approach to introduce stem cell genes back into progenitors. The inventors were able to obtain transplantable HSC by restoring the HSC transcription factor network in the HE derived from hPSCs.

[0301] The inventors tailored transcription factor combinations for the HE. The minimally required five transcription factors: ERG, HOXA9, HOXA5, LCOR and RU X1. Additionally, HOXA10 and SPI1 transcription factors can be used to induce differentiation of the HE to multilineage hematopoietic progenitors.

[0302] Generation of iPSCs by somatic cell reprogramming involves global epigenetic remodeling, and chromatin-modifying enzymes have been characterized as barriers or facilitators of reprogramming. Within the hematopoietic system, there are many epigenetic changes that mediate blood development during ontogeny and differentiation from HSCs to mature progeny. The progression from HSCs to differentiated progeny involves coordinated control of gene expression programs leading to the activation or repression of lineage-specific genes. The events that lead to the formation of all mature hematopoietic cells involve regulation of both gene expression and DNA recombination, mainly through the control of chromatin accessibility. HSC state is controlled by a large number of transcription factors and epigenetic modifiers. The inventors used screening strategies find additional factors that regulate of the HSC fate.

[0303] Accordingly, in one embodiment of any method, cells, or composition described herein, the multilineage hematopoietic progenitor cells are generated by introducing in vitro an exogenous gene coding copy each of the following transcription factors: ERG, HOXA9, HOXA5, LCOR and RU X1, into the HE, the HE having undergone EHT and exhibit round cell morphology. In one embodiment, a vector is used as the transport vehicle to introduce any of the herein described exogenous gene coding copies into the HE. For example, by transfecting the HE with a vector or more, wherein the vector(s) collectively carry an exogenous gene coding copy of each of the following transcription factors, ERG, HOXA9, HOXA5, LCOR and RU X1, for the in vivo expression of the transcription factor in the transfected cells. For example, by contacting the HE with a vector or more, wherein the vector(s) collectively carry an exogenous gene coding copy of each of the following transcription factors, ERG, HOXA9, HOXA5, LCOR and RU X1, for the in vivo expression of the transcription factor in the contacted cells. For example, by contacting the isolated HE with a nucleic acid or more, wherein the nucleic acid (s) collectively carry an exogenous gene coding copy of each of the following transcription factors, ERG, HOXA9, HOXA5, LCOR and RU X 1, for the in vivo expression of the transcription factor in the contacted cells.

[0304] In one embodiment of any method, cells, or composition described herein, the multilineage hematopoietic progenitor cells are generated by contacting a population of HE with a vector or more, wherein the vector(s) collectively carrying an exogenous gene coding copy of each of the following transcription factors, ERG, HOXA9, HOXA5, LCOR and RUNX 1, for the in vivo expression of the factors in the contacted cells, and wherein the transfected transcription factors are expressed in vivo in the contacted cells. The contacting is in vitro or ex vivo.

[0305] In one embodiment of any method, cells, or composition described herein, the multilineage hematopoietic progenitor cells are generated by contacting the HE with a nucleic acid or more, wherein the nucleic acid (s) collectively comprises an exogenous gene coding copy of each of the following transcription factors, ERG, HOXA9, HOXA5, LCOR and RUNX 1, for the in vivo expression of the transcription factor in the contacted cells. The contacting is in vitro or ex vivo.

[0306] In one embodiment of any method, cells, or composition described herein, the contacting of the HE with any vector(s), nucleic acid(s) or compositions comprising the vector(s) or nucleic acid(s) described herein occurs in vitro or ex vivo. [0307] In one embodiment of any methods, cells, or composition described herein, the contacting or introduction is repeated at least once. In one embodiment of any methods, cells, or composition described herein, the contacting or introduction is repeated twice or more times.

[0308] In one embodiment of any method, cells, or composition described herein, the method further comprising transfecting the HE with an exogenous gene coding copy of the transcription factor, HOXA10 or SPI1 or both HOXA10 and SPI1, wherein the transfected transcription factor(s) is/are expressed in vivo in the transfected cells. The transfecting is in vitro or ex vivo.

[0309] In one embodiment of any method, cells, or composition described herein, the method further comprising transfecting the HE with an exogenous gene coding copy of the transcription factors, HOXA10, wherein the transfected transcription factor is expressed in vivo in the transfected cells.

[0310] In one embodiment of any method, cells, or composition described herein, the method further comprising transfecting the HE with an exogenous gene coding copy of the transcription factors, SPI1, wherein the transfected transcription factor is expressed in vivo in the transfected cells.

[0311] In one embodiment of any one aspect described, the disclosed transcription factors are expressed in the transfected cells.

[0312] In another embodiment of any one aspect described, the disclosed transcription factors are expressed in the engineered cells.

[0313] In one embodiment of any one aspect described, the expression of the disclosed transcription factors in the transfected or engineered cells produces a population of multi-lineage HSCs and HSPCs. Transcription factors

[0314] Runt Related Transcription Factor 1 (RUNX1) is the alpha subunit 2 of a heterodimeric transcription factor that binds to the core element of many enhancers and promoters. The protein encoded by this gene RUNX1 represents the alpha subunit of the heterodimeric transcription factor and is thought to be involved in the development of normal hematopoiesis. Chromosomal translocations involving this gene are well-documented and have been associated with several types of leukemia. Three transcript variants encoding different isoforms have been found for this gene. RUNX1 is essential for

hematopoietic commitment of HE and can convert endothelial cells to hematopoietic progenitor cells. The REFSEQ mRNAs for RUNX1 are NM_001001890.2; NM 001122607.1; NM_001754.4;

XM_005261068.3; ani XM_005261069.4.

[0315] Ligand Dependent Nuclear Receptor Corepressor (LCOR) is a transcriptional corepressor widely expressed in fetal and adult tissues that is recruited to agonist-bound nuclear receptors through a single LxxLL motif, also referred to as a nuclear receptor (NR) box. LCOR is a component of histone deacetylation complex, is mutated in B-cell lymphoma, indicating a role in B-lymphopoiesis, but this factor has not previously been implicated in HSC functions and its role remains to be defined. LCOR may act as transcription activator that binds DNA elements with the sequence 5-

CCCTATCGATCGATCTCTACCT-3 (By similarity). It is a repressor of ligand-dependent transcription activation by target nuclear receptors, repressing of ligand-dependent transcription activation by ESR1, ESR2, NR3C1, PGR, RARA, RARB, RARG, RXRA and VDR The REFSEQ mRNAs iox LCOR are NM_015652.3; NM_001170765.1; NM_001170766.1; NM_001346516.1; and NM_032440.3.

[0316] ERG (ETS-related gene) is an oncogene meaning that it encodes a protein that typically is mutated in cancer. ERG is a member of the ETS (erythroblast transformation- specific) family of transcription factors. The ERG gene encodes for a protein, also called ERG that functions as a transcriptional regulator. Genes in the ETS family regulate embryonic development, cell proliferation, differentiation, angiogenesis, inflammation, and apoptosis. The external idenifications for ERG gene are as follows: HGNC: 3446; Entrez Gene: 2078; Ensembl: ENSG00000157554; OMIM: 165080;

UniProtKB: PI 1308; EMBL: AY204741 mRNA and the corresponding mRNA translation:

AAP41719.1; and GENBANK: AY204742 mRNA and the corresponding mRNA translation:

AAP41720.1.

[0317] Spi-1 Proto-Oncogene (SPI1, also known as PU.1) is required for hematopoietic progenitor cell emergence and regulates myeloid specification. The oncogene is an ETS-domain transcription factor that activates gene expression during myeloid and B-lymphoid cell development. The nuclear protein binds to a purine-rich sequence known as the PU-box found near the promoters of target genes, and regulates their expression in coordination with other transcription factors and cofactors. The protein can also regulate alternative splicing of target genes. Multiple transcript variants encoding different isoforms have been found for this gene. The external idenifications for SPI1 gene is as follows: HGNC: 11241; Entrez Gene: 6688; Ensembl: ENSG00000066336; OMIM: 165170; and UniProtKB: P17947. The REFSEQ mRNAs for SPH are NM_001080547.1; NM_003120.2; XM_011520307.1 and XM 017018173.1.

[0318] Homeobox protein Hox-A9 is a protein that in humans is encoded by the HOXA9 gene. In vertebrates, the genes encoding the homeobox genes class of transcription factors are found in clusters named A, B, C, and D on four separate chromosomes. Expression of these proteins is spatially and temporally regulated during embryonic development. Hox-A9 is part of the A cluster on chromosome 7 and encodes a DNA-binding transcription factor which may regulate gene expression, morphogenesis, and differentiation. The external idenifications for HOXA9 gene are as follows: HGNC: 5109; Entrez Gene: 3205; Ensembl: ENSG00000078399; OMIM: 142956; UniProtKB: P31269; EMBL: BT006990 mRNA and the corresponding mRNA translation: AAP35636.1; and GENBANK:AC004080 Genomic DNA. The REFSEQ mRNAs for HOXA9 is NM_152739.3

[0319] HOX family members have been reproducibly implicated in hematopoiesis across species.

HOXA9 is the key homeotic gene that defines HSC identity, interacting with ERG to support HSC renewal during embryogenesis and stress hematopoiesis, indicating a basis for the functional cooperation of HOXA9 and ERG in the system presented herein. HOXA5 is a transcriptional target of Notch signaling in T-cell progenitors along with HOXA9 and HOXA10, consistent with a role in T- lymphopoiesis. These factors share binding sites in the genome and cooperate to recruit chromatin modulators (e.g. RUNX1 and HOXA families) to induce and maintain HSPCs. The external

idenifications for HOXA5 gene are as follows: HGNC: 5106; Entrez Gene: 3202; Ensembl:

ENSG00000106004; OMIM: 142952; and UniProtKB: P20719. The REFSEQ mRNAs ϊοχ ΗΟΧΑδ is NM_019102.3. The external idenifications for HOXA5 gene are as follows: HGNC: 5100; Entrez Gene: 3206; Ensembl: ENSG00000253293; OMIM: 142957, and UniProtKB: P31260. The REFSEQ mR As for HOXA10 are NM_018951.3 and NM_153715.3.

[0320] HOX- and ETS-family transcription factors HOXA9 and ERG are inducers of self-renewal and multilineage potential in hematopoietic progenitors differentiated from hPSCs. RORA is a nuclear receptor that plays a role in maintaining quiescence of hematopoietic progenitors. The addition of SOX4 and MYB modulates this network to enable myeloid and erythroid engraftment in vivo.

[0321] OCT4, SOX2, KLF4 and c-MYC are the original four transcription factors identified to reprogram mouse fibroblasts into iPSCs. These same four factors were also sufficient to generate human iPSCs. OCT3/4 and SOX2 function as core transcription factors of the pluripotency network by regulating the expression of pluripotency-associated genes. Kriippel-like factor 4 (KLF4) is a

downstream target of LIF-STAT3 signaling in mouse ES cells and regulates self-renewal. Human iPSCs can also be generated using four alternative factors; OCT4 and SOX2 are required but KLF4 and c-MYC could be replaced with NANOG, a homeobox protein important for the maintenance of pluripotency in both ES cells and early embryos, and LIN28, an RNA binding protein.

[0322] Transcription factor SOX-4 (SOX4). This intronless gene encodes a member of the SOX (SRY- related HMG-box) family of transcription factors involved in the regulation of embryonic development and in the determination of the cell fate. The encoded protein act as a transcriptional regulator after forming a protein complex with other proteins, such as syndecan binding protein (syntenin). The protein may function in the apoptosis pathway leading to cell death as well as to tumorigenesis and may mediate downstream effects of parathyroid hormone (PTH) and PTH-related protein (PTHrP) in bone

development. The external idenifications for Homo sapiens (Human) SOX4 gene are as follows: HGNC: 1 1200; Entrez Gene: 6659; Ensembl: ENSG00000124766; OMIM: 184430; UniProtKB: Q06945;

EMBL: BC072668 mRNA mRNA and the corresponding mRNA translation: AAH72668.1; GENBANK: X65661 mRNA and the corresponding mRNA translation: CAA46612.1.

[0323] The cDNA encoding the described and desired transcription factors can be cloned by methods known in the art into expression vectors for in vivo expression in the cells. The expression vectors can be constitutive or inducible vectors. The protein and DNA information for transcription factors can be found in the publically available databases such as the GenBank™ database on the National Institute of Health, the UniProt at the Protein knowledgebase, and GeneCard database at the Weizmann Institute for Science. The cDNA clones or plasmids carrying the cDNA can be purchased at BioCat GmbH, and the lentivirus carrying the cDNAs for expression can also be purchased at Applied Biological Materials (ABM) Inc.

[0324] In one embodiment of any method, cells, or composition described herein, a vector is used as a transport vehicle to introduce any of the herein described exogenous gene coding copies of transcription factors or reprogramming factors or nucleic acid inhibitor into the target cells selected from the disclosed HE.

[0325] In one embodiment of any method, cells, or composition described herein, a vector is used as a transport vehicle to introduce any of the herein described nucleic acid comprising the described exogenous gene coding copies of transcription factors or reprogramming factors or nucleic acid inhibitor into the target cells selected from the disclosed HE.

[0326] In one aspect, the present specification provides a vector or more, wherein the vector(s) collectively comprises an exogenous gene coding copies of each of the transcription factors or reprogramming factors or nucleic acid inhibitor described. The exogenous gene coding copy is for the expression of transcription factors or reprogramming factors inside the cells. In one embodiment, each vector consists essentially of a transcription factors or reprogramming factor described herein. In one embodiment, each vector consists essentially of two or more of the described transcription factors or reprogramming factors.

[0327] In one aspect, the present specification provides a vector or more, wherein the vector(s) collectively comprises nucleic acids comprising the described exogenous gene coding copies of transcription factors or reprogramming factors or nucleic acid inhibitor. The nucleic acid is for the expression of the transcription factors or reprogramming factors inside the cells.

[0328] In one aspect, the present specification provides a vector or more, wherein the vector(s) collectively comprises an exogenous gene coding copy of each of the following transcription factors,

ERG, HOXA9, HOXA5, LCOR and RUNX1 described herein. In another aspect, the vector(s) collectively further comprise an exogenous gene coding copy of HO XA 10 and SPI1.

[0329] In another aspect, the disclosed herein also provides a host cell comprising a vector or more described herein or nucleic acid(s) of the transcription factors or reprogramming factors or both described herein.

[0330] In another aspect, the disclose also provides a host cell comprising a vector or more described herein or nucleic acid(s) of the transcription factors, ERG, HOXA9, HOXA5, LCOR and

RUNX1 described herein.

[0331] In another aspect, the host cell further comprises a vector or more described herein or nucleic acid(s) of the transcription factors HOXA10 and SPI1.

[0332] In another aspect, the host cell further comprises a vector or more described herein or nucleic acid(s) of reprogramming factors or both described herein, OCT4, SOX2, and KLF4, and optionally with c-MYC or nanog and LIN28. For example, the one or more vectors collectively carry the nucleic acids of the reprogramming factors OCT4, SOX2, NANOG, and LIN28, or collectively carry the nucleic acids of the reprogramming factors OCT4, SOX2, and KLF4, or OCT4, SOX2, KLF4, and c-MYC.

[0333] In one embodiment of any method, cells, or composition described herein, the vector further comprises a spleen focus-forming virus promoter, a tetracycline-inducible promoter, a Doxycycline (Dox)-inducible, or a β-globin locus control region and a β-globin promoter. In one embodiment, the promoter provided for targeted expression of the nucleic acid molecule therein. Other examples of promoters include but are not limited to the CMV promoter and EFlot promoters for the various transgenes.

[0334] In one embodiment of any method, cells, or composition described herein, the vector is a virus. [0335] In one embodiment of any method, cells, or composition described herein, the vector is an episomal vector.

[0336] In one embodiment of any method, cells, or composition described herein, the vector is a non- integrative episomal vector.

[0337] Non-limiting examples of non-integrative episomal vectors known in the art are oriP/EBNA-1 [Epstein Barr nuclear antigen- 1], and the non-viral episomal vector pEPI-1, and those disclosed herein, and in the U.S. Patent Nos: 5674703, 5624820, 5830725, 5976807, 6077992, 6110490, 6255071, 6436392, 6635472, 6642051, 6632980, 6808923, and 8187836, and in the US patent publication numbers: US20020123034, US20100184227, US200201 19570, and US20040161741, the contents are hereby incorporated by reference in their entirety.

[0338] Episomal vectors for use in, e.g., gene therapy, is further reviewed in, e.g., Ehrhardt, A., et al. Current Gene Therapy. 2008; 8: 147-161, which is incorporated herein by reference. Episomal vectors for use in, e.g., gene expression, is further reviewed in, e.g., Van Craenenbroeck, K., et al. Eur. J. Biochem. 2000; 267: 5665-5678, which is incorporated herein by reference.

[0339] Episomal iPSC reprogramming vectors are commercially available, e.g., via ThermoFisher Scientific (Waltham, A). Information regarding these episoma; iPSC reprogamming vectors can be found on the world wide wibe, e.g., at www.thermofisher.com/order/catalog/product/A14703.

[0340] A DNA molecule that replicates independently of chromosomal DNA is an episome. By this definition a plasmid is (usually) an episome. If a plasmid integrates into a chromosome by some mechanism (as for example in Hfir strains of E. coli where the F plasmid is integrated) the plasmid loses its episomal status.

[0341] In one embodiment of any method, cells, or composition described herein, the episomal vector described herein for the exogenous gene transfer does not integrate into the chromosomal DNA of the host cells, e.g., the iPSCs, or EBs or hemogenic endothelia cells (HEs) or HEs that have undergone EHT.

[0342] In one embodiment of any method, cells, or composition described herein, the episomal vector described herein for the exogenous gene transfer contains a mammalian origin of replication.

[0343] In one embodiment of any method, cells, or composition described herein, the vector is a non- integrative oriP/EBNA-1 based vector, a non-viral episomal vector pEPI-1, or a replication deficient AAV, or a S/MAR-based vector or mammalian / human artificial chromosomes (MAC/HAC) described herein.

[0344] A episomal vector can encode a single transcription vector requested in the invention described herein (e.g., ERG, HOXA9, HOXA5, LCOR or RUNX1). Alternatively, a episomal vector can encode at least 2 or more transcription factors. In one embodiment, the non-integrative vector (e.g., an episomal vector) encodes one transcription factor. In another embodiment, the non-integrative vector (e.g., an episomal vector) encodes at least two, at least three, at least four, at least five or more transcription factors of the invention described herein (e.g., ERG, HOXA9, HOXA5, LCOR or RUNX1). [0345] In one embodiment of any method, cells, or composition described herein, the virus is a lentivirus, an adenovirus, an adeno-associated virus, a pox virus, an alphavirus, or a herpes virus. In one embodiment of any method, cells, or composition described herein, the virus is an avian viral vector.

[0346] In one embodiment of any method, cells, or composition described herein, the in vivo expression of the described transcription factors are regulatable. That is, the promoters used in the vectors for gene expression are inducible.

[0347] In one aspect of any method, cells, or composition described herein, the lentivirus is selected from the group consisting of: human immunodeficiency virus type 1 (HIV-1), human immunodeficiency virus type 2 (HIV-2), caprine arthritis-encephalitis virus (CAEV), equine infectious anemia virus (EIAV), feline immunodeficiency virus (FIV), bovine immune deficiency virus (BIV), and simian

immunodeficiency virus (SIV).

[0348] As used herein, the term "vector" refers to a nucleic acid molecule capable of transporting another nucleic acid to which it has been linked. One type of vector is a "plasmid", which refers to a circular double stranded DNA loop into which additional nucleic acid segments can be ligated. Another type of vector is a viral vector, wherein additional nucleic acid segments can be ligated into the viral genome. Certain vectors are capable of autonomous replication in a host cell into which they are introduced (e.g., bacterial vectors having a bacterial origin of replication and episomal mammalian vectors). Other vectors (e.g., non-episomal mammalian vectors) are integrated into the genome of a host cell upon introduction into the host cell, and thereby are replicated along with the host genome.

Moreover, certain vectors are capable of directing the expression of genes to which they are operatively linked. Such vectors are referred to herein as "recombinant expression vectors", or more simply

"expression vectors." In general, expression vectors of utility in recombinant DNA techniques are often in the form of plasmids. In the present specification, "plasmid" and "vector" can be used interchangeably as the plasmid is the most commonly used form of vector. However, the methods and compositions described herein can include such other forms of expression vectors, such as viral vectors (e.g., replication defective retroviruses, lentiviruses, adenoviruses and adeno-associated viruses), which serve equivalent functions.

[0349] Within an expression vector, "operably linked" is intended to mean that the nucleotide sequence of interest is linked to the regulatory sequence(s) in a manner which allows for expression of the nucleotide sequence (e.g., in an in vitro transcription/translation system or in a target cell when the vector is introduced into the target cell). The term "regulatory sequence" is intended to include promoters, enhancers and other expression control elements (e.g., polyadenylation signals). Such regulatory sequences are described, for example, in Goeddel; Gene Expression Technology: Methods in

Enzymology 185, Academic Press, San Diego, CA ( 1990). Regulatory sequences include those which direct constitutive expression of a nucleotide sequence in many types of host cell and those which direct expression of the nucleotide sequence only in certain host cells (e.g., tissue-specific regulatory sequences). Furthermore, the DNA-targeting endonuclease can be delivered by way of a vector comprising a regulatory sequence to direct synthesis of the DNA-targeting endonuclease at specific intervals, or over a specific time period. It will be appreciated by those skilled in the art that the design of the expression vector can depend on such factors as the choice of the target cell, the level of expression desired, and the like.

[0350] Suitable viral vectors include, but are not limited to, vectors based on RNA viruses, such as retrovirus-derived vectors (for example, Moloney murine leukemia virus (MLV)-derived vectors), and more complex retrovirus-derived vectors (such as Lentivirus-derived vectors); and vectors based on DNA viruses, such as adenovirus-based vectors and adeno-associated virus (AAV)-based vectors. In some embodiments, the polynucleotide delivery system comprises a retroviral vector, more preferably a lentiviral vector. Non-limiting examples of viral vector include lentivirus vectors derived from human immunodeficiency virus 1 (HIV-1), HIV-2, feline immunodeficiency virus (FIV), equine infectious anemia virus, simian immunodeficiency virus (SIV) and maedi/visna virus.

[0351] In one embodiment of any one aspect described, the population of multi-lineage HSCs and HSPCs, produced by the expression of the disclosed transcription factors in the transfected or engineered cells, engrafts in vivo in the recipient subject and produces blood cells in vivo.

[0352] In one embodiment of any one aspect described, the population of multi-lineage HSCs and HSPCs, produced by the expression of the disclosed transcription factors in the transfected or engineered cells, reconstitutes the hematopoietic system in vivo in the recipient subject.

[0353] In one embodiment of any one aspect described, the engineered cell comprises an exogenous copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNX1.

[0354] In one embodiment of any one aspect described, the engineered cell further comprises an exogenous copy of each of the following reprogramming factors OCT4, SOX2, KLF4 and optionally c- MYC.

[0355] In one embodiment of any one aspect described, the engineered cell further comprises an exogenous copy of each of the following reprogramming factors OCT 4, SOX2, NANOG, and LIN28.

[0356] In one embodiment of any one aspect described, the composition of engineered cells further comprises a pharmaceutically acceptable carrier.

[0357] In one embodiment of any one aspect described, the subject is patients who has undergone chemotherapy or irradiation or both, and manifest deficiencies in immune or blood function or lymphocyte reconstitution or both deficiencies in immune function and lymphocyte reconstitution.

[0358] In one embodiment of any one aspect described, the subject prior to implantation, the immune cells are treated ex vivo with prostaglandin E2 and/or antioxidant N-acetyl-L-cysteine (NAC) to promote subsequent engraftment in a recipient subject.

[0359] In one embodiment of any one aspect described, the disclosed engineered cells are autologous to the recipient subject or at least HLA type matched with the recipient subject.

[0360] It is also envisioned that the methods described herein can be used as prophylaxis

Uses of Enginerred Immune cells derived from pluripotent stem cells

[0361] The engineered cells described herein are useful in the laboratory for biological studies. For examples, these cells can be derived from an individual having a genetic disease or defect, and used in the laboratory to study the biological aspects of the diseases or defect, and to screen and test for potential remedy for that diseases or defect. Contemplated but not limited to are congenital hematologic disorders such as Diamond-Blackfan-Anemia, Shwatchman-Diamond-Anemia, and immune deficiency such as Omenn syndrome.

[0362] Alternatively, the engineered cells described herein are useful in cellular replacement therapy in subjects having the need. For example, patients who have undergone chemotherapy. For example, patients who have undergone chemotherapy or irradiation or both, and manifest deficiencies in immune function and/or lymphocyte reconstitution. For example, cellular replacement therapy can be performed in subjects with congenital hematologic disorders described herein.

[0363] In various embodiments, the engineered cells described herein are administered (ie. implanted or transplanted) to a subject in need of cellular replacement therapy. The implanted engineered cell engrafts and reconstitutes the hematopoietic system in the recipient subject.

[0364] As used herein, the terms "administering," "introducing" and "transplanting" are used interchangeably in the context of the placement of described cells, e.g. HSC, HSPC, hematopoietic progenitor cells, into a subject, by a method or route which results in at least partial localization of the introduced cells at a desired site, such as a site of injury or repair, such that a desired effect(s) is produced. The cells e.g. HSC, HSPC, hematopoietic progenitor cells, or their differentiated progeny can be administered by any appropriate route which results in delivery to a desired location in the subject where at least a portion of the implanted cells or components of the cells remain viable.

[0365] In various embodiments, the engineered cells described herein are optionally expanded ex vivo prior to administration to a subject. In other embodiments, the engineered cells are optionally cryopreserved for a period, then thawed prior to administration to a subject.

[0366] The engineered cells used for cellular replacement therapy can be autologous/autogeneic ("self) or non-autologous ("non-self," e.g., allogeneic, syngeneic or xenogeneic) in relation to the recipient of the cells. "Autologous," as used herein, refers to cells from the same subject. "Allogeneic," as used herein, refers to cells of the same species that differ genetically to the cell in comparison. "Syngeneic," as used herein, refers to cells of a different subject that are genetically identical to the cell in comparison. "Xenogeneic," as used herein, refers to cells of a different species to the cell in comparison. In other embodiments, the engineered cells of the embodiments of the present disclosure are allogeneic.

[0367] In various embodiments, the engineered cell described herein that is to be implanted into a subject in need thereof is autologous or allogeneic to the subject.

[0368] In various embodiments, the engineered cell described herein can be derived from one or more donors, or can be obtained from an autologous source. In some embodiments of the aspects described herein, the enginerred cells are expanded in culture prior to administration to a subject in need thereof.

[0369] In various embodiments, the engineered cell described herein can be derived from one or more donors, or can be obtained from an autologous source.

[0370] In various embodiments, prior to implantation, the recipient subject is treated, or was previously been treated with chemotherapy and/or radiation. [0371] In one embodiment, the chemotherapy and/or radiation are to reduce endogenous stem cells in the recipient subject to facilitate engraftment of the implanted cells.

[0372] In one embodiment, the chemotherapy and/or radiation have reduced the ability of the recipient subject to synthesize sufficient hematopoietic cells to sustain life, e.g., inability to make blood cells, platelet cells, etc.

[0373] In various embodiments, prior to implantation, the engineered immune cells or the inhibited, reverse-lineage multilineage hematopoietic progenitor cells are treated ex vivo with prostaglandin E2 and/or antioxidant N-acetyl-L-cysteine (NAC) to promote subsequent engraftment in a recipient subject.

[0374] In various embodiments, the receipient subject is a human.

[0375] In various embodiments, the subject is diagnosed with HIV, a hematological disease, undergoing a cancer treatment, or an autoimmune disease. For example, the subject has aplastic anemia, X-linked lymphopenic immune deficiency, Wiskott-Aldrich syndrome, Fanconi anemia, cancer, or acute lymphoblastic leukemia (ALL).

[0376] In one aspect of any method, cells and composition described herein, a subject is selected to donate a somatic cell which would be used to produce iPSCs and an engineered immune cell described herein. In one embodiment, the selected subject has a genetic disease or defect.

[0377] In various embodiments, the donor subject is a human.

[0378] In various embodiments, the donor or the recipient subject is an animal, human or non-human, and rodent or non-rodent. For example, the subject can be any mammal, e.g., a human, other primate, pig, rodent such as mouse or rat, rabbit, guinea pig, hamster, cow, horse, cat, dog, sheep or goat, or a non-mammal such as a bird.

[0379] In various embodiments, the donor or the recipient subject is diagnosed with HIV, a hematological disease or cancer.

[0380] In one aspect of any method, cells and composition described herein, a biological sample or a population of embryonic stem cells, somatic stem cells, progenitor cells, bone marrow cells, hematopoietic stem cells, or hematopoietic progenitor cells is obtained from the donor subject.

[0381] In various embodiments, biological sample or a population of embryonic stem cells, somatic stem cells, progenitor cells, bone marrow cells, hematopoietic stem cells, or hematopoietic progenitor cells described herein can be derived from one or more donors, or can be obtained from an autologous source.

[0382] In one embodiment, the embryonic stem cells, somatic stem cells, progenitor cells, bone marrow cells, hematopoietic stem cells, hematopoietic progenitor cells are isolated from the donor subject, transfected, cultured (optional), and transplanted back into the same subject, i. e. an autologous cell transplant. Here, the donor and the recipient subject is the same individual. In another embodiment, the embryonic stem cells, somatic stem cells, progenitor cells, bone marrow cells, hematopoietic stem cells, or hematopoietic progenitor cells are isolated from a donor who is an HLA-type match with a subject (recipient). Donor-recipient antigen type-matching is well known in the art. The HLA-types include HLA-A, HLA-B, HLA-C, and HLA-D. These represent the minimum number of cell surface antigen matching required for transplantation. That is the transfected cells are transplanted into a different subject, i.e., allogeneic to the recipient host subject. The donor's or subject's embryonic stem cells, somatic stem cells, progenitor cells, bone marrow cells, hematopoietic stem cells, or hematopoietic progenitor cells can be transfected with a vector or nucleic acid comprising the nucleic acid molecule(s) described herein, the transfected cells are cultured, inhibited, and differentiated as disclosed, optionally expanded, and then transplanted into the recipient subject. In one embodiment, the transplanted engineered immune cells engrafts in the recipient subject. In one embodiment, the transplanted engineered immune cells reconstitute the immune system in the recipient subject. The transfected cells can also be cryopreserved after transfected and stored, or cryopreserved after cell expansion and stored.

[0383] The engineered cells having multilineage hematopoietic progenitor cells described herein may be administered as part of a bone marrow or cord blood transplant in an individual that has or has not undergone bone marrow ablative therapy. In one embodiment, genetically modified cells contemplated herein are administered in a bone marrow transplant to an individual that has undergone chemoablative or radioablative bone marrow therapy.

[0384] In one embodiment, a dose of cells is delivered to a subject intravenously. In one embodiment, the cells are intravenously administered to a subject.

[0385] In particular embodiments, patients receive a dose of the cells, e.g., engineered cells of this disclosure, of about 1 x 10 ⁵ cells/kg, about 5 x 10 ⁵ cells/kg, about 1 x 10 ⁶ cells/kg, about 2 x 10 ⁶ cells/kg, about 3 x 10 ⁶ cells/kg, about 4 x 10 ⁶ cells/kg, about 5 x 10 ⁶ cells/kg, about 6 x 10 ⁶ cells/kg, about 7 x 10 ⁶ cells/kg, about 8 x 10 ⁶ cells/kg, about 9 x 10 ⁶ cells/kg, about 1 x 10 ⁷ cells/kg, about 5 x 10 ⁷ cells/kg, about 1 x 10 ⁸ cells/kg, or more in one single intravenous dose.

[0386] In certain embodiments, patients receive a dose of the cells, e.g., engineered cells, of at least 1 x

10 ⁵ cells/kg, at least 5 x 10 ⁵ cells/kg, at least 1 x 10 ⁶ cells/kg, at least 2 x 10 ⁶ cells/kg, at least 3 x 10 ⁶ cells/kg, at least 4 x 10 ⁶ cells/kg, at least 5 x 10 ⁶ cells/kg, at least 6 x 10 ⁶ cells/kg, at least 7 x 10 ⁶ cells/kg, at least 8 x 10 ⁶ cells/kg, at least 9 x 10 ⁶ cells/kg, at least 1 x 10 ⁷ cells/kg, at least 5 x 10 ⁷ cells/kg, at least

1 x 10 ⁸ cells/kg, or more in one single intravenous dose.

[0387] In an additional embodiment, patients receive a dose of the cells, e.g., engineered cells of this disclosure, of about 1 x 10 ⁵ cells/kg to about 1 x 10 ⁸ cells/kg, about 1 x 10 ⁶ cells/kg to about 1 x 10 ⁸ cells/kg, about 1 x 10 ⁶ cells/kg to about 9 x 10 ⁶ cells/kg, about 2 x 10 ⁶ cells/kg to about 8 x 10 ⁶ cells/kg, about 2 x 10 ⁶ cells/kg to about 8 x 10 ⁶ cells/kg, about 2 x 10 ⁶ cells/kg to about 5 x 10 ⁶ cells/kg, about 3 x

10 ⁶ cells/kg to about 5 x 10 ⁶ cells/kg, about 3 x 10 ⁶ cells/kg to about 4 x 10 ⁸ cells/kg, or any intervening dose of cells/kg.

[0388] In general, the engineered cells described herein are administered as a suspension with a pharmaceutically acceptable carrier. For example, as therapeutic compositions. Therapeutic compositions contain a physiologically tolerable carrier together with the cell composition and optionally at least one additional bioactive agent as described herein, dissolved or dispersed therein as an active ingredient. In a preferred embodiment, the therapeutic composition is not substantially immunogenic when administered to a mammal or human patient for therapeutic purposes, unless so desired. One of skill in the art will recognize that a pharmaceutically acceptable carrier to be used in a cell composition will not include buffers, compounds, cryopreservation agents, preservatives, or other agents in amounts that substantially interfere with the viability of the cells to be delivered to the subject. A formulation comprising cells can include e.g., osmotic buffers that permit cell membrane integrity to be maintained, and optionally, nutrients to maintain cell viability or enhance engraftment upon administration. Such formulations and suspensions are known to those of skill in the art and/or can be adapted for use with the cells as described herein using routine experimentation.

[0389] In some embodiments, the compositions of engineered cells described further comprise a pharmaceutically acceptable carrier. In one embodiment, the pharmaceutically acceptable carrier does not include tissue or cell culture media.

[0390] In various embodiments, a second or subsequent dose of cells is administered to the recipient subject. For example, second and subsequent administrations can be given between about one day to about 30 weeks after the previous administration. Two, three, four or more total administrations can be delivered to the individual, as needed.

[0391] A cell composition can be administered by any appropriate route which results in effective cellular replacement treatment in the subject, i.e. administration results in delivery to a desired location in the subject where at least a portion of the composition delivered, i.e. at least 1 x 10 ⁴ cells are delivered to the desired site for a period of time. Modes of administration include injection, infusion, or instillation, "Injection" includes, without limitation, intravenous, intra-arterial, intraventricular, intracardiac injection and infusion. For the delivery of cells, administration by injection or infusion is generally preferred.

[0392] Efficacy testing can be performed during the course of treatment using the methods described herein. Measurements of the degree of severity of a number of symptoms associated with a particular ailment are noted prior to the start of a treatment and then at later specific time period after the start of the treatment.

[0393] The embodiments of the present disclosure can be defined in any of the following numbered paragraphs:

1. A method for making hematopoietic stem cells (HSCs) and hematopoietic stem and progenitor cells (HSPCs) comprising in vitro transfecting hemogenic endothelia cells (HE) with an exogenous gene coding copy of at least one of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RU X1 comprised in a non-integrative vector, wherein the transcription factors are expressed in the transfected cells to produce a population of multilineage HSCs and HSPCs that engrafts in recipient host after implantation.

2. A method of making hematopoietic stem cells (HSCs) and hematopoietic stem and progenitor cells (HSPCs) comprising:

a. generating embryonic bodies (EB) from pluripotent stem cells;

b. isolating hemogenic endothelia cells (HE) from the resultant population of EB; c. inducing endothelial-to-hematopoietic transition (EHT) in culture in the isolated HE to obtain hematopoietic stem cells, and d. in vitro transfecting the induced HE with an exogenous gene coding copy of at least one of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RU X1 comprised in a non-integrative vector.

The method of paragraphs 1 or 2, wherein the method is an in vitro method.

The method of any one of paragraphs 1-3, wherein the EB are generated or induced from pluripotent stem cells (PSC) by culturing or exposing the PSC to mophogens for about 8 days. The method of paragraph 4, wherein the mophogens selected from the group consisting of Holo- Transferrin, mono-thioglycerol (MTG), ascorbic acid, bone morphogenetic protein (BMP)-4, basic fibroblast growth factor (bFGF), SB431542, CHIR99021, vascular endothelial growth factor (VEGF), interleukin (IL)-6, insulin-like growth factor (IGF)-l, interleukin (IL)-l 1, stem cell factor (SCF), erythropoietin (EPO), thrombopoietin (TPO), interleukin (IL)-3, and Fms related tyrosine kinease 3 ligand (Flt-3L).

The method of any one of paragraphs 1-5, wherein the EBs are less than 800 microns in size and are selected.

The method of any one of paragraphs 1-6, wherein the EB cells within the EBs are compactly adhered to each other and requires trypsin digestion in order to dissociate the cells to individual cells.

The method of paragraph 6 or 7, wherein the EB cells of the selected EBs are dissociated prior to the isolation of HE.

The method of any one of paragraphs 1-8, wherein the population of PSC is induced pluripotent stem cells (iPS cells) or embryonic stem cells (ESC).

The method of paragraph 9, wherein the induced pluripotent stem cells are produced by introducing only reprogramming factors OCT 4, SOX2, KLF4 and optionally c-MYC or nanog and LIN28 into mature cells.

The method of paragraph 10, wherein the mature cells are selected from the group consisting of B lymphocytes (B-cells), T lymphocytes, (T-cells), fibroblasts, and keratinocytes.

The method of paragraph 8, 9 or 10, wherein the induced pluripotent stem cells are produced by introducing the reprogramming factors two or more times into the mature cells.

The method of any one of paragraphs 1-12, wherein the HE are definitive HE.

The method of any one of paragraphs 1-13, wherein the HE are isolated immediately from selected and dissociated EB.

The method of any one of paragraphs 1-14, wherein the HE are FLK1+, CD34+, CD43-, and CD235A-. (these biomarkers are those on HE before the endothelial-to-hematopoietic transition?)

The method of any one of paragraphs 1-15, wherein the hematopoietic cells are CD34+ and CD45+.

The method of any one of paragraphs 1-16, wherein the endothelial-to-hematopoietic transition occurs by culturing the isolated HE in thrombopoietin (TPO), interleukin (IL)-3, stem cell factor (SCF), IL-6, IL- 1 1, insulin-like growth factor (IGF)-l, erythropoietin (EPO),vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF), bone morphogenetic protein (BMP)4, Fms related tyrosine kinase 3 ligand (Flt-3L), sonic hedgehog (SHH), angiotensin II, chemical AGTR1 (angiotensin II receptor type I) blocker losartan potassium.

The method of any one of paragraphs 1- 17, wherein the multilineage HSCs are CD34+CD38- CD45+.

The method of any one of paragraphs 1- 18, wherein the multilineage HSPCs are CD34+CD45+. The method of paragraph 1 or 2, wherein the non-integrative vector is an episomal vector.

The method of paragraph 1 or 2, wherein at least 2, at least 3, at least 4, or at least 5 transcription factors are transfected.

An engineered cell derived from a population of HE and produced by a method of any one of paragraphs 1-21.

The engineered cell of paragraph 22, wherein the engineered cell comprises an exogenous copy of each of the following transcription factors ERG, HOXA9, HOXA5, LCOR and RUNX1.

The engineered cell of paragraph 22 or 23, wherein the engineered cell further comprises an exogenous copy of each of the following reprogramming factors OCT4, SOX2, KLF4 and optionally c-MYC.

A composition comprising a population of engineered cells of any one of paragraphs 22-24. The composition of paragraph 25, further comprising a pharmaceutically acceptable carrier. A pharmaceutical composition comprising a population of engineered cells of any one of paragraphs 22-24 and a pharmaceutically acceptable carrier.

A pharmaceutical composition of paragraph 27 for use in cellular replacement therapy in a subject.

A method of cellular replacement therapy in a subject in need thereof, the method comprising administering a population of engineered cells of paragraphs 22-24, or a composition of paragraph 25-26, or a pharmaceutical composition of paragraph 27 to a recipient subject.

The method of cellular replacement therapy of paragraph 29, wherein the subject is a patient who has undergone chemotherapy or irradiation or both, and manifest deficiencies in immune function or lymphocyte reconstitution or both deficiencies in immune function and lymphocyte reconstitution.

The method of cellular replacement therapy of paragraph 29 or 30, wherein the subject prior to implantation, the immune cells are treated ex vivo with prostaglandin E2 and/or antioxidant N- acetyl-L-cysteine (NAC) to promote subsequent engraftment in a recipient subject.

The method of cellular replacement therapy of paragraph 29 or 30 or 31, wherein the immune cells are autologous to the recipient subject or at least HLA type matched with the recipient subject. [0394] The embodiments of the present disclosure are further illustrated by the following example which should not be construed as limiting. The contents of all references cited throughout this application, as well as the figures and table are incorporated herein by reference.

[0395] Those skilled in the art will recognize, or be able to ascertain using not more than routine experimentation, many equivalents to the specific embodiments of the present disclosure described herein. Such equivalents are intended to be encompassed by the following claims.

EXAMPLE

Materials and Methods

hPSC Culture

Example 1

[0396] Material and Methods

[0397] hPSC culture. All experiments were performed with H9 hESC (NIHhESC- 10-0062), PB34 iPS ⁵⁹ , MSC-IPS1 ⁶⁰ , PB34 iPS ⁶⁵ , MSC-iPSl ⁶⁶ , 1045-iPSC, and 1157-iPSC established by hES (human embryonic stem cell) core facility at Boston Children's Hospital. See the Children's Hospital webpage at stemcell period childrenshospital period org. Human embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs) were maintained on mouse embryonic fibroblasts (GLOBALSTEM) feeders in DMEM/F12 + 20% KNOCKOUTSERUM Replacement (INVITROGEN), 1 mM L-glutamine, 1 mM NEAA, 0.1 mM beta-mercaptoethanol, and 10 ng/ml bFGF on 10 cm gelatinized culture dish. Media was changed daily, and cells were passaged 1 :4 onto fresh feeders every 7 days using standard clump passaging with collagenase IV. Morphology of pluripotent stem cells (PSCs) was checked under microscopy daily. As a quality control, only dishes with more than 70% of typical PSC colonies were processed for embryoid bodies (EBs) formation. EBs are three-dimensional aggregates of pluripotent stem cells. Cell lines were tested for mycoplasma routinely.

[0398] EB Differentiation. EB differentiation was performed as previously described ¹⁹ . Briefly, human pluripotent stem cells (hPSCs) colonies were dissociated with 0.05% Trypsin for 5 min in at 37°C, pipetted thoroughly with plOOO until single cells or small aggregates, washed twice with PBS with 2% fetal bovine serum (FBS), and re-suspended in StemPro-34-based media prior to seeding. StemPro-34 (INVITROGEN, 10639-011) is supplemented with L-glutamine (2 mM), penicillin/streptomycin (10 ng/mL), ascorbic acid (1 mM), human holo-Transferrin (150 μg/mL, SIGMA T0665), and

monothioglycerol (MTG, 0.4 mM) (referred to as "Supplemented StemPro-34), BMP -4 (10 ng/mL) and Y-27632 (lOuM). The suspended cells were seeded into non-adherent spheroid formation 10 cm plates (EZSPHERE™, ASAHI GLASS CO; Well Size (μιη) Diameter: 400-500, Depth: 100-200; No. of well 14,000/dish) at a cell density of 2-5 million cells/dish. About 24 h after seeding, bFGF (5 ng/mL) and BMP4 (10 ng/mL) were added to the media. At day 2 in culture, the developing EBs were collected and re-suspended in supplemented StemPro-34 with SB431542 (6 μΜ), CHIR99021 (3 μΜ), bFGF (5 ng/mL) and BMP4 (10 ng/mL). The formation of EBs were checked under microscopy at day 4 and the decision was made to continue EB formation based on the size and morphology of aggregations (quality control; >100uM, compaction-like tight contact of cells). At day 4, the media is replaced by supplemented StemPro-34 with VEGF (15 ng/mL) and bFGF (10 ng/mL). At day 6, the media is replaced by supplemented StemPro-34 with bFGF (10 ng/mL), VEGF (15 ng/mL), IL-6 (10 ng/mL), IGF-1 (25 ng/mL), IL-11 (5 ng/mL) and SCF (50 ng/mL). Cultures were maintained in a 5% C0 ₂ /5% O ₂ /90% N ₂ environment. After 8 days in culture, the EBs are harvested and sorted for definitive HE via surface markers.

[0399] HE Sorting. To avoid potential damage with hydrodynamic pressure and contamination through FACS (Elliot et al, 2009), for functional assay, the isolation of HE was carried out by MACS. Freshly dissociated EB cells (at day 8 time point) were filtered through a 70 um filter and stained with CD34 microbeads (MILTENYI) for 30 min at 4°C. CD34+ cells were isolated with LS columns (MILTENYI). Around 0.1-0.5xl0 ⁶ cells were obtained per 10 cm dish of EB formation. A sample from each batch was analyzed by FACS to validate its purity of HE. The following antibodies or dyes are used in the FACS: CD34 PE-Cy7 (8G12; BD), FLK1 AF647 (89106; BD), CD235a/Glycophorin (GLY)-A FITC (11E4B-7- 6; Coulter), CD43 PE (1G10; BD) and DAPI. For accurate isolation of HE for expression profile by microarray and qRT-PCR, isolation of HE was carried out by FACS. Dissociated EBs (at day 8 time point) were re-suspended at l-3xl0 ⁶ per 100 ml staining buffer (PBS + 2% FBS). Cells were stained with a 1 :50 dilution of CD34 PE-Cy7 (8G12; BD), FLK1 AF647 (89106; BD), CD235a/Glycophorin (GLY)- A FITC (11E4B-7-6; Coulter), CD43 PE (1G10; BD) and DAPI for 30 min at 4°C dark. All FACS sorting was performed on a BD FACS Aria II cell sorter using a 100 micrometer nozzle to avoid potential damage to HE.

[0400] Microarray and CellNet analysis of HE. All the samples used for microarray analysis were FACS sorted. The following antibodies are used for identifying HE: CD34 PE-Cy7 (8G12; BD), FLK1 AF647 (89106; BD), CD235a/Glycophorin (GLY)-A FITC (11E4B-7-6; Coulter), CD43 PE (1G10; BD). Fetal liver hematopoietic stem cells (HSCs) were purchased from STEMCELL Technologies and stained with the following antibodies for identifying HSC: CD38 PE-Cy5 (LSI 98-4-3; Clontech), CD34 PE-Cy7, and CD45 PE (HI30; BD). Between 10,000 - 50,000 cells were sorted for each cell type for each replicate (n=2 or 3). The RNAeasy Microkit (QIAGEN) was used to collect and prepare total RNA for microarray analysis. The Ovation Picokit (NUGEN) was used for pre-amplification, where required. Gene expression profiling was performed on AFFYMETRIX 430 2.0 gene chips per standard protocol.

Microarray data were analyzed per standard protocol using R Bioconductor. The classification and GRN of HE were analyzed by CellNet (Cahan et al., 2014). Briefly, it was reasoned that the extent to which a GRN is established in a sample is reflected in the expression of the genes in the GRN such that the GRN genes should fall within a range of expression observed in the corresponding C/T in the training data. This notion was formalized as a GRN status metric, defined in comparison to the complete training data set. The status of C/T GRN in a query sample is defined as the weighted mean of the Z scores of the genes in the GRN, where the Z score is defined in reference to the expression distribution of each gene in a C/T. The GRN status score can be weighted by the absolute expression level of each gene in a C/T so that genes more highly expressed have more influence on the GRN status (default) and/or by the importance to the Random Forest classifier. [0401] Endothelial-to-hematopoietic transition (ΈΗΤ) culture. EBs were dissociated on day 8 by digestion with 0.05% Trypsin for 5 min at 37°C, pipetted thoroughly with plOOO pipette to generate a single cell suspension and washed with PBS+2%FBS. Dissociated EBs were immediately processed for the isolation of HE. Unlike HSPCs in previous report that used frozen batches ¹⁷ , HE delayed

(approximately 2-3 days) recovery of morphology and growth once frozen, thus all the experiments were done with freshly isolated HE. Thus, cells were re-suspended in ImL of PBS+2%FBS and incubated with human CD34 MicroBead kit for lh (MILTENYL BIOTEC, 130-046-702). After incubation, cells were washed with PBS+2%FBS and isolated by magnetic cell isolation (MACS) using LS columns

(MILTENYL BIOTEC, 130-042-401). Sorted CD34+ cells were re-suspended in supplemented StemPro- 34 media, containing Y-27632 (lOuM), TPO (30 ng/mL), IL-3 (10 ng/mL), SCF (50 ng/mL), IL-6 (10 ng/mL), IL-11 (5 ng/mL), IGF-1 (25 ng/mL), VEGF (5 ng/mL), bFGF (5 ng/mL), BMP4 (10 ng/mL), and Flt-3L (10 ng/mL) as reported ²⁰ and seeded at a density of 25-50 x 10 ⁴ cells per well onto thin-layer MATRIGEL-coated 24-well plates. All recombinant factors are human and most were purchased from Peprotech.

[0402] Sorted HE cells were seeded onto thin-layer MATRIGEL-coated 96-well plates (flat-bottom) at a density of 5 ^χ 10 ⁴ / well in supplemented StemPro-34 media, containing TPO (30 ng/ml), IL-3 (30 ng/ml), SCF (100 ng/ml), IL-6 (10 ng/ml), IL-11 (5 ng/ml), IGF-1 (25 ng/ml), EPO (2 U/ml), VEGF (5 ng/ml), bFGF (5 ng/ml), BMP4 (10 ng/ml), Flt-3L (10 ng/ml), SHH (20 ng/ml), angiotensin II (10 μ _§ /1) and the chemical AGTR1 (angiotensin II receptor type I) blocker losartan potassium (100 μΜ, Tocris) as reported ²⁰ . All recombinant factors are human and most were purchased from Peprotech. The exception is angiotensin II, which was purchased from Sigma.

[0403] Lenti virus Production. Plasmids for the TF library were obtained as Gateway plasmids (Harvard Plasmid Serive; GeneCopoeia). Open reading frames were cloned into lentiviral vectors using LR Clonase (INVITROGEN). Two vectors were used, pSMAL-GFP (constitutive) and pINDUCER-21 ⁶¹ . Lentiviral particles were produced by transfecting 293T-17 cells (ATCC) with the second-generation packaging plasmids (pMD2.G and psPAX2 from Addgene). Virus was harvested 36 and 60 hr after transfection and concentrated by ultracentrifugation at 23,000 rpm for 2 hr 15min at 4°C. Virus was reconstituted with 50 uL of EHT culture media. Constructs were titered by serial dilution on 293T cells using GFP as an indicator. Polycistronic vectors were made as follows. LCOR-P2A-HOXA9-T2A- HOXA5 and RUNX 1 -P2A-ERG DNA fragments were synthesized and cloned into TOPO-D cloning vector respectively by GENSCRIPT, then Gateway -recombined with pINDUCER-21.

[0404] Lentiviral Gene Transfer. At day 3 of EHT culture, HE cells were beginning to produce potentially hematopoietic 'round' cells, the occurrence of this phenomenon used as quality control of HE induction and transition to hematopoietic cells for each batch of experiment. The infection media was EHT culture media supplemented with Polybrene (8ug/mL, SIGMA). Lentiviral infections were carried out in a total volume of 150 ul or 250 ul (for a 24-well plate). The multiplicity of infection for the factors was as follows: Library 3.0 for each, ERG 5.0, HOXA5 5.0, HOXA9 5.0, HOXA10 5.0, LCOR 5.0, RUNX1 5.0, and SPI1 5.0. HE was vulnerable to damage during spinoculation, thus infections were carried out static for 12 hours, then 50 uL or 250 uL of fresh EHT media was supplemented to dilute Polybrene. Parallel wells were kept cultured for additional 3 days to measure infection efficiency by percentage of GFP+ DAPI- cells by FACS, 30-70% infection efficiency.

[0405] In vitro screening via CFU. Followed by lentiviral gene transfer, cells were maintained for 5 days in EHT culture media supplemented with doxycycline (2ug/mL, SIGMA) to induce transgene expression in vitro. 5xl0 ⁴ cells were plated into 3 ml of complete methylcellulose (H4434; STEMCELL

Technologies). Additional cytokines added were: 10 ng/ml FLT3, 10 ng/ml IL6, and 50 ng/ml TPO (R&D Systems). The mixture was distributed into two 60 mm dishes and maintained in a humidified chamber at 37°C for 14 days. Colonies were scored manually or using the BD Pathway 855 fluorescent imager. At 14 days, granurocyte/erythrocyte macrophage/mega- karyocyte (GEMM) colonies were picked up by P20 pipette. Between 10 - 20 GEMM colonies were picked for each replicates (n=3). The QIAamp DNA Micro kit (QIAGEN) was used to collect and prepare total genomic DNA for PCR detection of transgenes. Nested PCR reactions were: 1st round with LNCX Fwd primer (5'-AGC TCG TTT AGT GAA CCG TCA GAT C-3') and EGFP N Rev primer (5'-CGT CGC CGT CCA GCT CGA CCA G-3'). This PCR program consists of 1 cycle of 95°C for 5 min, 36 cycles of 95°C for 30 sec followed by 60°C for 30 sec then followed by 72°C for 5 min, 1 cycle of 72°C for 10 min, and a terminating cycle of 4°C for indefinite period; 2nd round with forward primer for each gene (listed in Table) and HA Rev primer (5'-TCT GGG ACG TCG TAT GGG TA-3'). This PCR program consists of 1 cycle of 95°C for 5 min, 36 cycles of 95°C for 30 sec followed by 60°C for 30 sec then followed by 72°C for 30 sec, 1 cycle of 72°C for 10 min, and a terminating cycle of 4°C for indefinite period.

[0406] In vivo screening via transplantation. 12 hours after lentiviral gene transfer, cells were recovered by dispase for 5 min at 37°C, and washed by PBS three times to ensure no carry-over of virus. Cells were re-suspended at 0.5-1.0 xlO ⁶ cells per 25 uL buffer (PBS + 2% FBS from STEMCELL Technologies) and kept on ice until injection. 0.5-1.0 xlO ⁶ cells were intrafemorally injected to NOD/LtSz- scidIL2Rgnull (NSG) mice and treated with doxycycline as described in the section on Mouse transplantation. Up to 100 uL peripheral blood (PB) were collected every 2-4 weeks, through 14 weeks. Mice were sacrificed and harvested for bone marrow (BM) and thymus at 8-14 weeks. For transgene detection in engrafted cells, each lineage cells were FACS sorted from BM. The following antibodies are used for identifying cell types, myeloid cells: CD33 APC (P67.6; BD), CD45 PE-Cy5 (J33; Coulter). B- cells: CD19 PE (HIB19; BD), CD45 PE-Cy5 (J33; Coulter); T-cells: CD3 PE-Cy7 (SK7; BD), CD45 PE- Cy5 (J33; Coulter). Between 10,000 - 50,000 cells were isolated with 2 or 3 biological replicates for multiple cell lines (iPSCs and ESCs). The QIAamp DNA Micro kit (QIAGEN) was used to collect and prepare total genomic DNA for PCR detection of transgenes. Nested PCR reaction was done as similar to in vitro screening of above section.

[0407] Mouse transplantation. NOD/LtSz-scidIL2Rgnull (NSG) (Jackson Labs) mice were bred and housed at the Boston Children's Hospital (BCH) animal care facility. Animal experiments were performed in accordance to institutional guidelines approved by BCH animal care committee. Intra- femoral transplants have been previously described. Briefly, 6 - 10 week old mice were irradiated (250 rads) 12 hrs before transplant. Prior to transplantation, mice were temporarily sedated with isoflurane. A 27g needle was used to drill the left femur (injected femur), and 0.5-1.0 xlO ⁶ cells were transplanted in a 25 volume using a 28.5g insulin needle. Sulfatrim was administered in drinking water to prevent infections after irradiation. 625 ppm Doxycycline Rodent Diet (Envigo-Teklad Diets) and Doxycycline (1.0 mg/ml) was added to the drinking water to maintain transgene expression in vivo for 2 weeks ¹² . Secondary transplantation was carried with 1,000 -2,000 human CD34+ cells (isolated from BM by MACS with CD34 microbeads) at 8 weeks. Isolated cells were resuspended at 1,000 - 2,000 cells per 25 uL buffer (PBS + 2% FBS from STEMCELL Technologies) and kept on ice until injection. Cells were intrafemorally injected to NOD/LtSz-scidIL2Rgnull (NSG) and treated with Doxycycline via food and drinking water for 2 weeks.

[0408] Flow cytometry. Cells grown in EHT culture or harvested animal tissues were stained with the following antibody panels. HE panel: CD34 PE-Cy7 (8G12; BD), FLK1 AF647 (89106; BD),

CD235a/Glycophorin (GLY)-A FITC (11E4B-7-6; Coulter), CD43 PE (1G10; BD). HSPC panel: CD38 PE-Cy5 (LS 198-4-3; Clontech), CD34 PE-Cy7, and CD45 PE (HI30; BD). Lineage panel:

CD235a/Glycophorin (GLY)-A PE-Cy7 or FITC (11E4B-7-6; Coulter), CD33 APC (P67.6; BD), CD19 PE (HIB19; BD), IgM BV510 (G20-127; BD), CD4 PE-Cy5 (13B8.2; Coulter), CD3 PE-Cy7 (SK7; BD), CD8 V450 (RPA-T8; BD), TCRo BV510 (T10B9; BD), TCRy5 APC (B l; BD), CD45 PE-Cy5 (J33; Coulter), CD15 APC (HI98; BD) and CD31/PECAM PE (WM59; BD). All stains were performed with <lxl06 cells per 100 μΐ staining buffer (PBS + 2% FBS) with 1 : 100 dilution of each antibody, 30 min at 4C in dark. Compensation was performed by automated compensation with anti-mouse Igk negative beads (BD) and CB MNC stained with individual ab. All acquisition was performed on BD Fortessa cytometer. For detection of engraftment, human cord blood-engrafted mouse marrow was used as a control to set gating; Sorting was performed on a BD FACS Aria II cell sorter.

[0409] Cvtospin of erythroid and neutrophils. 5,000-10,000 of FACS sorted erythroid

(CD235a/Glycophorin (GLY)-A PE-Cy7 or FITC (11E4B-7-6; Coulter)), plasmacytoid lymphocytes (CD19 PE (HIB19; BD), IgM BV510 (G20-127; BD), CD38 PE-Cy5 (LS198-4-3; Clontech)) and neutrophils (CD15 APC (HI98; BD), CD31/PECAM PE (WM59; BD) and CD45 PE-Cy5 (J33; Coulter)) were cytospun onto slides (500 rpm for 10 minutes), air dried, and stained with May-Grunwald and Giemsa stains (both from Sigma), washed with water, air dried, and mounted, followed by examination by light microscopy.

[0410] Quantitative PCR. RNA extraction was performed using the RNAeasy Microkit (QIAGEN). Reverse transcription was performed using Superscript III (>5,000 cells) or VILO reagent (<5,000 cells) (Invitrogen). Quantitative PCR was carried out in triplicate with SYBR Green (Applied Biosystems). Transcript abundance was calculated using the standard curve method. Primers used for globin genes62: huHbB F (5'-CTG AGG AGA AGT CTG CCG TTA-3') (SEQ ID NO: **), huHbB R (5'-AGC ATC AGG AGT GGA CAG AT-3') (SEQ ID NO: **), huHbG F (5'-TGG ATG ATC TCA AGG GCA C-3') (SEQ ID NO: **), huHbG R (5'-TCA GTG GTA TCT GGA GGA CA-3') (SEQ ID NO: **), huHbE F (5 '-GCA AGA AGG TGC TGA CTT CC-3 ') (SEQ ID NO: * *), huHbE R (5 '-ACC ATC ACG TTA CCC AGG AG-3 ') (SEQ ID NO: * *).

[0411] ELISA of terminally differentiated cells. FACS isolated neutrophils (CD 15+PECAM+CD45+), T-cells (CD3+CD45+) were cultured in IMDM+10%FBS overnight in 96-well pate (flat-bottom). Then supernatant was taken and analyzed by MPO- or IFNy-ELISA -Ready-SET-Go! Kit (eBioscience) according to the manufacturer's protocol. The amount of IFNy was normalized per 1,000 cells. Human Ig production was measured from 50 uL of serum from NSG mice at 8 weeks (IgM) and 14 weeks post engraftment (IgG). Immunization of mice was done with OVA (F5503, Sigma) with Freund's complete adjuvant (F5881, Sigma), followed by booster doses of Freund's incomplete adjuvant (F5506, Sigma) according to manufacture's instruction.

[0412] T-cell receptor CDR3 sequencing. Human CD3+ T cells were FACS-isolated from thymus of engrafted NSG mice. Purified DNA was subjected to next generation sequencing of the complementarity determining region 3 (CDR3) using immunoSEQ (Adaptive Biotechnology, Seattle, WA) and analyzed with the immunoSEQ Analyzer software (Adaptive Biotechnology).

[0413] Affvmetrix SNP 6.0 genotvping of engrafted cells. 250 ng aliquots of genomic DNA from human CD45+ BM cells (CD45 PE-Cy5 (J33; Coulter)) from engrafted NSG mice and original PSCs (2 biological replicates) were digested with either Nsp 1 or Sty 1. A universal adaptor oligonucleotide was then ligated to the digested DNAs. The ligated DNAs were diluted with water and three 10 uL aliquots from each well of the Sty 1 plate and four 10 uL aliquots from each well of the Nsp 1 plate were transferred to fresh 96-well plates. PCR master mix was added to each well and the reactions cycled as follows: 94 °C for 3 min; 30 cycles of 94 °C for 30 s, 60 °C for 45 s, 68 °C for 15 s; 68 °C for 7 min; 4 °C hold. Following PCR, the 7 reactions for each sample were combined and purified by precipitation from 2-propanol/7.5M ammonium acetate. The UV absorbance of the purified PCR products was measured to insure a yield > 4 ug/uL. 45 uL (>180 ug) of each PCR product was fragmented with DNAse 1 so the largest fragments were < 185 bp. The fragmented PCR products were then end-labeled with a biotinylated nucleotide using terminal deoxynucleotidyl transferase. For hybridization, the end-labeled PCR products were combined with hybridization cocktail, denatured at 95 °C for 10 min and incubated at 49 °C. 200 mL of each mixture was loaded on a GeneChip and hybridized overnight at 50 °C and 60 rpm. Following 16-18 hrs of hybridization, the chips were washed and stained using the

GenomeWideSNP6_450 fluidics protocol with the appropriate buffers and stains. Following washing and staining, the GeneChips were scanned on a GeneChip Scanner 3000 using AGCC software. Genotype calls (chp files) were generated in Affymetrix Genotyping Console using the default parameters. The resulting chp files were analyzed for familial relationships using the identity by state algorithm implemented in Partek Genomics Suite.

[0414] Pooled RNA-sequencing. Engrafted human CD34+CD38-CD45+ HSCs were isolated from BM from either iPS-derived HE- or CB-injected NSG mice, then RNA was purified with RNeasy Micro kit (QIAGEN). QC of RNA was done by Bioanalyzer and Qubit analysis. Passed samples were converted into library and sequenced by Nextseq PE75 kit. [0415] Single-cell RNA-sequencing with in-droplet-seq technology. Engrafted human CD34+CD38- CD45+ HSCs were isolated from BM from either iPS-derived HE- or CB-injected NSG mice, then processed for in-droplet-barcoding according to a previous report ⁶³ . Library was QCed with Bioanalyzer and sequenced by Nextseq PE 75 kit.

[0416] Lentiviral integration detection by ligation-mediated PCR and next-generation sequencing. Either CD33+ myeloid, CD19+ B- and CD3+ T-cells were isolated from BM from HE-injected NSG mice. Genomic DNA was purified with QIAamp DNA Micro kit (QIAGEN). Ligation-mediated PCR-based detection of lentiviral integration sites was done with Lenti-X Integration Site Analysis Kit (Clontech) according to manufacture's instruction. Sequencing-based detection (Integ-seq) was done following a previous report ⁶⁴ .

[0417] Single-cell RNA-sequencing with in-droplet-seq technology. Engrafted human CD34+CD38- CD45+ HSCs were isolated from BM from either iPS-derived HE- or CB-injected NSG mice, then processed for in-droplet-barcoding according to a previous report 72. Library was QCed with

Bioanalyzer and sequenced by Nextseq PE 75 kit. The t-Distributed Stochastic Neighbor Embedding (t- SNE) algorithm was used to visualize transcriptome similarities and population heterogeneity of cord blood HSCs and iPSC-derived HSCs. t-SNE performs a dimensionality reduction of multidimensional single-cell RNA-seq data into a low dimensional space, preserving pairwise distances between data- points as good as possible, allowing a global visualization of subpopulation structure and cell-cell similarities. The R package tsne was used in the analyses presented herein. The t-SNE map was initialized with point-to-point distances computed by classical multidimensional scaling and the R plot function was used to visualize t-SNE maps annotated by cord blood or iPSC-derived HSCs. Plots showing t-SNE maps colored by expression of selected genes were created using the ggplot2 package. For subpopulation identification, the top 500 genes with highest variance were used to elucidate global differences among single cells. To assess transcriptome similarities in terms of induction of

hematopoietic genes in iPSC-derived HSCs, 62 hematopoietic genes were used for t-SNE analysis.

[0418] GSEA. GSEA was performed with the desktop client version (javaGSEA, software is available at the Broad Institute website) with default parameters. RPKM values from the 7F-HSPC were obtained from the RNA seq (described previously). These values were normalized to a terminally differentiated cell (e.g., T-cells or B-cells) and the normalized values were used to rank the most differentially expressed genes. These differentially expressed genes were used to run GSEA with gene sets obtained from mSigDB (KEGG, Hallmark, immunological, transcription factors and chemical and genetic perturbations gene sets were used). In addition, gene sets specific to progenitors, cord blood or fetal -liver HSC were obtained from previous reports ^{73 23} . FDR <0.25 with a p-value of <0.05 was considered significant.

[0419] Lentiviral Integration Detection by Ligation-mediated PCR and Next-generation Sequencing. Either CD33+ myeloid, CD19+ B- and CD3+ T-cells were isolated from BM from HE-injected NSG mice. Genomic DNA was purified with QIAamp DNA Micro kit (QIAGEN). Ligation-mediated PCR- based detection of lentiviral integration sites was done with Lenti-X Integration Site Analysis Kit (Clontech) according to manufacture's instruction. Sequencing-based detection (Integ-seq) was done following a previous report ⁷⁴ .

Results

[0420] Cell identity is defined by gene regulatory networks that are governed by transcription factors (TFs) ^{10 11} . By supplying TFs that drive hematopoietic gene regulatory networks, several groups have generated hematopoietic stem and progenitor cells from sources as diverse as fibroblasts, endothelial cells, and differentiated blood cells ^12"18 . In a prior study, a set of 9 HSC-specific TFs were screened for their potential to induce in vitro hematopoietic colony forming activity and in vivo engraftment from hPSC-derived myeloid cells, and isolated a set of five TFs (HoxA9, ERG, RORA, SOX4, and MYB) that promoted short-term engraftment of erythroid and myeloid cells, but did not achieve long-term multilineage hematopoiesis ¹⁷ . Recent approaches have recapitulated HE differentiation from hPSCs to generate cells with myeloid and T cell hematopoietic potential in vitro ^19'21 ; however, few, if any, cells capable of engrafting irradiated murine hosts were generated.

[0421] A protocol was adapted to derive HE from hPSCs and verified its hematopoietic potential ²⁰ . HE (characterized by these markers: FLK1+CD34+CD43-CD235A-) were isolated at day 8 of embryoid body (EB) formation (data not shown), and upon further culture supplemented with hematopoietic cytokines observed the endothelial to hematopoietic transition. Consistent with previous reports ^19,20 , a decrease in expression of endothelial genes (YAP, FOXC1, COUPTFII) was documented, an increase in levels of hematopoietic lineage genes (RU X1, MYB, GATA2, SCL), and concomitant emergence of CD34+CD45+ hematopoietic cells (data not shown). However, multiple attempts to engraft irradiated immune deficient recipients with these cultured cells failed.

[0422] Without wishing to be bound by a particular theory, it was hypothesized that introduction of HSC-specific TFs would endow hPSC-derived HE with the potential to engraft multi-lineage hematopoiesis in vivo. The HE was quieried by CellNet, a cell-type classification algorithm that compares in vitro derived cells against a panel of comparator cell types ²² . HE was classified as predominantly endothelium with partial identity to hematopoietic stem and progenitor cells (HSPCs; data not shown). To identify TFs likely to specify HSPC fate, it was reasoned that functionally relevant TFs would be evolutionarily conserved. Thus, two independent mouse ^23,24 and two human ^25,26 datasets were used to select 12 TFs enriched in fetal liver-HSCs (FL-HSCs) relative to HE (data not shown), and selected other candidates from prior reports that used TFs to covert endothelial cells ¹³ , hPSC-derived myeloid cells ¹⁷ , or committed lymphoid cells ¹² to hematopoietic progenitor cells. For the data set, comparison of the expression profile of HSC-specific TFs between HE (CD34+FLK1+CD43-CD235A-) vs FL-HSCs (CD34+CD38-CD90+CD45+) were made. 12 HSC-specific TFs were enriched in FL-HSCs and downregulated in HE. Those TFs were cloned to Dox-inducible lentiviral vector. The expression level of SOX17, a marker of HE, was 2.4-fold higher in HE (N=7) than FL-HSCs (N=10). * PO.001. All together, a library of 26 TFs was assembled, which were cloned into a doxycycline-inducible lentiviral vector (FIG.1A). The library was infected into HE at day 3 of endothelial-to-hematopoietic transition (EHT) culture (efficiency was >50%; FIGS. 1A and 4). The transduced cells were injected intrafemorally into sublethally irradiated immune-deficient NOD/SCID/Gamma (NSG) mice. Mice received doxycycline in their drinking water and diet for two weeks to induce transgene expression ¹² , after which doxycycline was withdrawn. Human CD45+ cells were observed in peripheral blood of injected mice up to 14 weeks, indicating long-term hematopoietic engraftment (FIG. IB). Examination of BM and thymus demonstrated the presence of human erythroid (GLY-A+), myeloid (CD33+), B

(CD 19+) and T-cells (CD3+) (FIG.1C). When human cord blood (CB)-HSCs engraft in NSG mice, a predominance of B-cells over T cells is typical ²⁷ . Analysis of BM from 3 of 6 recipients engrafted with hiPSC-derived HE and 2 of 5 recipients engrafted with hESC-derived HE at 10-14 weeks showed notable reconstitution of T-cells and/or B-cells, comprising 46±20% and 37±9.7% proportion of human grafts, compared with CB-HSC derived grafts, in which B-cells comprised 86±11% of engrafted human cells (FIG.1C). Intrafemoral injection of HSCs into one femur repopulates the contralateral femur through expansion and homing of HSCs ²⁸ . Notably, following unilateral intrafemoral injection of transduced HE, engraftment in both femurs was observed. Engraftment of human CD45+ cells in BM averaged 2.5±3.4% from transduced HE, compared with 46±18% from CB-HSCs. To confirm the hPSC origin of the engrafted cells, it was demonstrated by SNP array genotyping that human CD45+ cells collected from peripheral blood were identical to the input hPSCs (data not shown). Together, these results demonstrate that infection with a 26-TF library enables multi-lineage hematopoietic engraftment from hPSC-derived HE.

[0423] It was then determined which of the 26 TFs could be detected in the engrafted human cells by PCR amplification in sorted populations of CD33+ myeloid, CD 19+ B cell, and CD3+ T cells. 7 TFs (ERG, HOXA5, HOXA9, HOXA10, LCOR, RUNX1, SPI1) were consistently detected in myeloid, B- and T-cells of five engrafted recipients, indicating that these factors conferred multipotency. FIG.5 shows the Venn diagram of expression profile of TFs during hematopoietic ontogeny. ZKSCAN1, SSBP2, MAFF, DACH1, and SOX4 were detected in certain infected cultures but not consistently across all animals, perhaps reflecting their potential to enhance engraftment under some experimental conditions, or perhaps indicating that these genes are passengers.

[0424] It was next determined whether the 7 common TFs were sufficient to support multilineage engraftment of HE in vivo. HE with these 7 TFs were transduced, injected cells intrafemorally into sublethally irradiated NSG mice, and treated with doxycycline for 2 weeks. Chimerism of human CD45+ in murine BM at 8 weeks was 1.9±1.8% for library transduced cells, 12±5.1% for cells transduced with the defined 7 TFs, and 43±4.2% for CB-HSCs (FIGS. IB and ID), reflecting considerably enhanced engraftment potential for the 7TFs. It was sought to determine the minimal combination of TFs required for multilineage engraftment by a factor-minus-one (FMO) approach. Exclusion of individual factors did not ablate engraftment, though RUNX1, ERG, LCOR, HOXA5 or HOXA9 omission reduced chimerism in BM most significantly at 8 weeks (FIG. 2B). These data indicate that at a minimum, RUNX1, ERG, LCOR, HOXA5 and HOXA9 facilitate optimal engraftment.

[0425] Mice engrafted with HE transduced with the defined 7 TFs were monitored until 12 weeks. 2 out of 5 recipients had multi-lineage engraftment with erythroid (GLY-A+), myeloid (CD33+), B-cells (CD19+) and T-cells (CD3+) (FIGS. ID and IF). The 3 other recipients had both B-cells and T-cells and either erythroid or myeloid cells (FIG. IF). The self-renewal capacity of HE-derived cells was next validated by secondary transplantation. 2 out of 5 recipients engrafted with multilineage erythroid, neutrophils, B-cells and T-cells at 8 weeks (FIG. 2C). The percentage of phenotypic HSCs

(CD34+CD38-) was lower in secondary than primary mice, indicating depletion of the HSC-like population over time, however, multilineage engrafts were still observed over 14 weeks (FIG. 2D).

[0426] To determine which of 7 TFs were consistently isolated in multiple lineages of secondary engrafted mice, PCR amplification of myeloid, B and T cells was performed from 2 mice and detected LCOR, HOXA5, HOXA9 and RU X1 in every lineage, while ERG was noted in only myeloid and B- cells. SPI1 and HOXA10 appeared dispensable (FIG.2A). IT was then investigated if ERG, LCOR, HOXA5, HOXA9 and RU X1 are essential to confer functional hematopoiesis on iPS-HE. 5 factors (LCOR-HOXA5-HOXA9 / RUNXl-ERG) were induced by polycistronic lentiviral vectors and conferred multilineage erythroid, neutrophils, B-cells (including plasmacytoid lymphocytes) and T-cells at 12 weeks (FIGS. IE and IF).

[0427] The RUNX1 TF is well known to facilitate EHT ²⁹ . It was determined if defined TFs enhance EHT using the RUNX1 + 24 enhancer-tdTomato reporter that activates during hematopoietic cell emergence from HE ³⁰ . Upon expression of 7 TFs in HE, the reporter was induced 2.4-fold compared to control, correlating with an increase in hematopoietic genes (MYB, HDAC1, GATA2) (data not shown). These data indicated that the 7 TFs drive hematopoiesis in part through facilitating Runxl -mediated EHT.

[0428] A previous report demonstrated the induction of engraftable progenitor cells from hESCs, however, it is uncertain if myeloid and lymphoid progeny came from monoclonal origin that is feature of stem cells, or distinctly committed progenitor cells ¹⁸ . It was then determined whether the myeloid and lymphoid progeny of the iPS-derived HE transduced with the 7 TFs were of monoclonal origin by comparing lentiviral integration patterns. Genomic DNA was isolated from myeloid (CD33+), B- (CD19+) and T-cells (CD3+) from BM and thymus at 10 weeks post transplantation, followed by adaptor-ligation PCR to detect lentiviral integration sequences. Common integration sequences were detected in myeloid, B-cells, and T-cells in each individual recipient (data not shown), consistent with a monoclonal origin of at least some of the cells. Remarkably, T-cells had several unique minor integrations indicating the presence of a diverse human T-cell pool in engrafted NSG, as reported previously ³¹ . These data demonstrate that in vivo screening identified a core set of between 5-7 TFs that induce HSC-like cells capable of repopulating irradiated primary and secondary mice with multi-lineage hematopoiesis.

[0429] Although some recipient mice manifest clonal multi-lineage hematopoiesis indicative of reconstitution from HSC-like cells, secondary mice showed a reduced frequency of CD34+38- phenotypic HSCs. The frequency of phenotypic HSCs in BM was 2.0% (CB-HSC engrafted group) versus 0.47% (HE engrafted group) (FIG.2F). The cycling state of 7 TF HSPCs (based on Ki67 expression) was significantly higher than that of CB-HSCs in secondary recipients (FIG.2G). Human CD45+ cells recovered from engrafted BM revealed residual transgene expression despite cessation of doxyxcyline (data not shown). Interestingly, LCoR has been reported to be a negative regulator of p21 expression ³² , and p21 -deficient HSCs are known to undergo exhaustion due to persistent cycling ³³ . Thus, trace levels of residual transgene expression compromise the long term cycling of the HSPC-like cells.

[0430] Erythroid, myeloid, and lymphoid cells recovered from engrafted mice were examined, and compared their functional properties to CB-HSC-derived cells. Definitive erythropoiesis is characterized by globin switching and enucleation ^{34 35} . Most erythroid cells generated from hPSCs express embryonic and fetal globins and retain nuclei ¹⁷ . The human erythroid cells recovered from engrafted mice lacked expression of embryonic HBE, and expressed fetal HBG and adult HBB at levels comparable to CFU-E from human CB (FIG.3A). Remarkably, 1/4 of human GLY-A+ cells derived from the 7TF HSPCs were enucleated (FIG.3B). Human myeloid cells in NSG recipients respond to cytokine stimuli by activation of myeloperoxidase (MPO) ³⁶ . CD45+CD15+PECAM+ neutrophils were isolated from engrafted BM at 8 weeks, and compared MPO production to engrafted CB-derived cells. PMA stimulation enhanced the production of MPO 3.0-fold relative to unstimulated neutrophils (FIG.3C). Bona fide human HSCs generate functional T- and B-cells in NSG mice ²⁷ . IgM and IgG antibody could be detected in the serum of NSG mice engrafted with 7 TF HSPCs, indicating the cooperative activity of T and B cells in mediating immunoglobulin class switching, secretion and boosted by Ovalbumin (OVA) (FIGS.3D and 3E). mature CD3+ T-cells from BM were isolated and interferon γ (IFNy) production was measured. Notably, this CD3+ population expressed CD4, and not CD8. PMA/Ionomycin (PMAI)-stimulation enhanced IFNy production 3.0-fold in 7 TF CD3+ cells vs 4.4-fold in CB-derived CD3+ (FIG.3F). T- cells develop from CD4-CD8- double-negative cells followed by CD4+CD8+ double-positive cells that express surface TCR CD3 complex, which differentiate to either CD4 or CD8 single-positive T cells in thymus, which migrate to blood and BM37. At 8 weeks, 7 TF HSPC-derived thymocytes were predominantly CD4+CD8+ (55±22%), with few CD4+CD8- (1.8±0.42%) and CD4-CD8+ (0.80±0.36%). Human CD3+ T-cells differentiated from HSCs in NSG possess either TCRo$ (>60%) or TCRy5 (<30%) ²⁷ , consistent with the observation that 7 TF HSPC-derived grafts produced both TCRo$

(89±9.3%) and TCRy5 (3.8±6.6%) cells (FIG.3G). Development of a diverse population of antigen- specific T cells requires rearrangement of germline -encoded TCR genes ³⁸ , largely mediated by the complementarity determining region 3 (CDR3) within variable (V) gene segments of the TCRA and TCRB genes ³⁹ . To determine clonotype diversity, the CDR3 region of TCRB on CD3+ T-cells was profiled in reconstituted mice using next generation sequencing. A high degree of combinatorial diversity was observed in the V gene segment in CD3+ T-cells isolated from either CB-engrafted NSG or 7 TF HSPC-engrafted NSG mice with the CDR3 length following a standard Gaussian distribution (FIG.3H).

[0431] The generation of functional HSC-like cells from PSCs has been a long sought goal in hematology research. By directed differentiation of hPSCs to HE followed by in vivo screening of TFs for hematopoietic progenitor specification, 7 TFs that together confer HSC-like engraftment, self-renewal and multilineage capacity were identified. Considerable work remains to establish engraftment with transgene-free cells, and to achieve stable, long-term multi-lineage hematopoietic chimerism in humanized mice. Such a system will facilitate modeling a multitude of genetic blood disorders that are not faithfully recapitulated in genetically engineered murine models, and for which adequate marrow samples are not readily obtained, as for patients with bone marrow failure syndromes.

[0432] Combinations of TFs have been introduced into differentiated blood cells ^{12 17} to endow HSC-like properties in a murine system ¹² , but transplantable human HSCs with multilineage capacity have to date not been derived from hPSCs. Recent advances in the directed differentiation of PSCs to definitive HE have provided a supportive context for screening of HSC-specifying TFs. Each of the identified TFs in the study presented herein plays a role in HSC development, maintenance of long-term HSCs, or lineage commitment. RUNXl is essential for hematopoietic commitment of HE and can convert endothelial cells to hematopoietic progenitor cells ^{13 40 41} . LCOR, a component of histone deacetylation complex, is mutated in B-cell lymphoma, indicating a role in B-lymphopoiesis ^{42 43} , but this factor has not previously been implicated in HSC functions and its role remains to be defined. SPI1 (also known as PU.1) is required for hematopoietic progenitor cell emergence and regulates myeloid specification ^{44 45 46} . HOX family members have been reproducibly implicated in hematopoiesis across species ¹⁷ ' ^47,48 . HOXA9 is the key homeotic gene that defines HSC identity ⁴⁹ ' ⁵⁰ , interacting with ERG to support HSC renewal during embryogenesis and stress hematopoiesis ^51"53 , indicating a basis for the functional cooperation of HOXA9 and ERG in the system presented herein. HOXA10 augments induction of erythroid cells from ESCs ⁵⁴ , but appears to be at least partially dispensable in the system presented herein. Ectopic expression of HOXA5 induces commitment of HSCs to myeloid lineages ⁵⁵ . HOXA5 is a transcriptional target of Notch signaling in T-cell progenitors along with HOXA9 and HOXA10, consistent with a role in T- lymphopoiesis ⁵⁶ . These factors share binding sites in the genome and cooperate to recruit chromatin modulators (e.g. RUNXl and HOXA families) ⁵³ ' ⁵⁷ to induce and maintain HSPCs.

[0433] The FMO approach presented herein to the defined 7 TFs indicated that they are part of a common gene regulatory network with some redundancy, as exclusion of individual factors did not fully abrogate engraftment of HE. The possibility remains that 7 TF HSPCs are predominantly fetal as shown in hESC-derived hematopoietic cells in a previous study ⁵⁸ , supported by their rapid cycling state, and predominance of CD4+CD8+ T cells in the thymus.

[0434] The study presented herein indicates a potential of derivation of HSC-like cells from renewable sources like pluripotent stem cells. Such cells, when derived from patients with genetic blood disorders, offer considerable promise for modeling human blood disease, for humanizing mice for research applications, and for testing the capacity of gene therapy vectors or pharmacologic agents to restore hematopoietic function. The long term goal remains the derivation of bona fide transgene-free HSCs for applications in research and therapy.

[0435] The references cited herein and throughout the specification are incorporated herein by reference.

[0436] References

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Example 2

[0437] Hematopoietic stem and progenitor cells (HSPCs) generated from pluripotent stem cells (PSCs) constitute a valuable resource for modeling human blood diseases, drug screening or cell therapies. Derivation of human HSPCs from PSCs requires integrative viral vectors that may alter cell differentiation and restrict their clinical use. Shown herein is the generation of human HSPCs using non- integrating episomal vectors to transiently express transcription factors that convert PSC-derived hemogenic endothelium into HSPCs. It is demonstrated herein that these HSPCs maintain long-term multi-lineage engraftment after the loss of episomal plasmids, indicating faithful reprogramming in the absence of sustained expression of exogenous transgenes. A limiting -dilution transplantation assay in secondary mice revealed a similar frequency of HSPCs in the CD34+ cells engrafted in primary mice from PSCs as for umbilical cord blood (UBC). Finally, single-cell mRNA sequencing showed that mature blood cells derived from UBC and episomal HSPCs were markedly similar, supporting integration-free HSPCs for translational approaches.

Introduction

[0438] Treatment of genetic blood diseases by transplantation of allogeneic hematopoietic stem cells

(HSCs) can be curative, but wider use is limited by the lack of optimal donors and complications associated with immune mismatch (Morgan et al., 2017). The possibility of using autologous HSCs derived from human pluripotent stem cells (hPSCs) or patient-derived somatic cells would overcome these limitations. It is known that cell fate conversion can be achieved by the ectopic expression of transcription factors (TFs) (Cahan et al., 2014; Ivanovs et al., 2017). In this regard, hematopoietic cells have been generated by conversion of somatic cell types such as fibroblasts, endothelium, or respecification along distinct lineages of differentiated blood cells through the induction of specific combinations of TFs (Batta et al., 2014; Doulatov et al., 2013; Elcheva et al., 2014; Pereira et al., 2013; Riddell et al, 2014; Sandler et al., 2014; Szabo et al., 2010) _iaa EN EF _aa 38. Until recently, these strategies have not been successful for the generation of functional human HSCs, presumably due to a lack of sufficient knowledge of the full regulatory complexities of human hematopoiesis and a limited understanding of developmental trajectories within the hematopoietic system (Guibentif and Gottgens, 2017; Lummertz da Rocha et al., 2018). E EF 25

[0439] Several groups have now achieved the derivation in vitro of hematopoietic stem and progenitor cells (HSPCs) with in vivo engraftment potential (Lis et al., 2017; Sugimura et al., 2017; Tan et al, 2018; Tsukada et al., 2017). It is now well-known that HSCs derive from hemogenic endothelial (HE) cells (Bertrand et al., 2010; Boisset et al., 2010; Chen et al., 2011; de Bruijn et al., 2002; Dieterlen-Lievre, 1975; Dzierzak and Speck, 2008; Ivanovs et al., 2017; Ivanovs et al., 2011). Using lentiviral transduction, work described herein demonstrated that five transcription factors (5TFs) (LCOR, HOXA9, HOXA5, RUNX1 and ERG) are sufficient to drive conversion of HE cells into HSPCs with multi -lineage and self- renewal engraftment capacities (Sugimura et al, 2017). This successful strategy combines morphogen- directed differentiation aimed at recapitulating human HSC specification in vitro with conversion mediated by TF induction (Sugimura et al., 2017). However, the doxycycline (DOX)-inducible lentiviral vectors used for activating the expression of the 5TFs integrate into the cell ^' s genome, potentially leading to insertional mutations and limiting the capacity of these cells to undergo terminal maturation (Okita et al., 2007; Yu et al., 2007). To overcome these limitations, a strategy for transgene expression from non- integrating episomes was employed to drive HSPC production from human PSCs. Data presented herein demonstrate that fully reprogrammed HSPCs can be achieved through transient expression of the previously established 5TF combination, thereby laying a foundation for applications in research and therapy.

Results

[0440] EpisomalSTF-derived HSPCs show long-term, multi-lineage engraftment in vivo.

[0441] Overexpression of 5TFs (e.g., LCOR, HOXA9, HOXA5, RUNX1 and ERG) using lentiviral transduction of hemogenic endothelial (HE) cells is sufficient to generate HSPCs with multi-lineage engraftment (Sugimura et al, 2017). To induce TF expression using non-integrating vectors, an episomal system previously developed by Okita et al. was adapted for reprogramming fibroblasts into PSCs (Okita et al., 2013). Two polycistronic episomal vectors, pCXLE-L95 (LCOR-V2K-HOXA9-T2K-HOXA5) and pCXLE-RE (RUNX1-F2A-ERG), were generated by Gateway cloning of the TF open reading frames, extracted from pINDUCER-21-i?£/N 7-P2A-£i?G and pINDUCER-21-ZCOi?-P2A-H0X49-T2A- HOXA5 vectors, into the pCXLE-gw backbone (FIG. 10A). 2A peptides were used for polycistronic co- expression.

[0442] hPSC-derived HE cells were isolated from embryoid bodies (EBs) after 8 days of differentiation by magnetic cell isolation of a CD34 ⁺ population (Figure 6A) (Ditadi and Sturgeon, 2016; Sugimura et al., 2017). Subsequently, cells were cultured in a combination of cytokines and morphogens that induce an endothelial-to-hematopoietic transition (EHT) (Ditadi et al., 2015), and after 3 days infected or transfected the cells with lentiviral or episomal vectors (Figure 6A), respectively. Expression of the 5TFs in HE cells was verified by quantitative reverse transcription polymerase chain reaction (qRT-PCR) (Figure 10B). The day after infection or transfection, cells were injected intrafemorally into immune- deficient NOO£g-Kit ^{W 13} Tyr ⁺ PrMc ^sad Il2rg ^MWjl /Tho J (NBSGW) mice to evaluate their engraftment and repopulation capacity. Mice transplanted with cells infected with lentiviral vectors (lenti-5TF) were treated with doxycycline for 2 weeks to induce TF expression. Human CD45 ⁺ cells were detected in bone marrow of mice transplanted with HE cells transfected with episomes (epi-5TF) at 10 weeks post- injection, demonstrating human blood cell engraftment in vivo (Figure 6B). In a second cohort of mice, human CD45 ⁺ cells were detected in bone marrow of animals transplanted with epi-5TF cells at 16 weeks, thereby revealing the long-term engraftment potential of the cells (Figure 6B). Mice injected with human CD34 ⁺ umbilical cord blood cells (UCBs) and sacrificed at 10 and 16 weeks were used as reference for engraftment (Figure 6B-6D).

[0443] Using a standard of human bone marrow chimerism > 0.01%, it was found that 4 of 12 mice transplanted with lentivirally-derived cells were engrafted at 10 weeks (Figures 6B and 6C). In a second cohort of mice, another 4 out of 12 mice were engrafted at 16 weeks (Figures 6B and 6C). In side-by-side experiments with separate cohorts of mice, engraftment was detected in 7 of 12 mice transplanted with epi-5TF cells at 10 weeks, and 9 of 11 at 16 weeks (Figures 6B and 6C). Human CD45 ⁺ cells were detected in the bone marrow of both the injected leg and the contralateral femur of some of the mice engrafted with epi-5TF cells analyzed at 10 and 16 weeks post-transplant, indicating the capacity of these cells to migrate and repopulate distant niches in the bone marrow (Figure 6C and 6D).

[0444] Using human CD34 ⁺ cord blood HSPCs engrafted in NBSGW mice as a reference, myeloid (CD33 ⁺ ), B (CD19 ⁺ ) and T (CD3 ⁺ ) cells were detected in 3 out of 4 engrafted mice analyzed at 10 weeks, and 1 out of 4 engrafted mice analyzed at 16 weeks post injection with lenti-5TF cells (Figure 6D).

Among the animals transplanted with epi-5TF cells, 6 out of 7 and 5 out of 9 engrafted mice evaluated at 10 and 16 weeks, respectively, showed multi -lineage engraftment (Figure 6D). Multi -lineage capacity of HSPCs derived from hPSC-hemogenic endothelium transfected with epi-5TFs was further validated by an extended fluorescence-activated cell sorting (FACS) analysis of bone marrow from primary engrafted NBSGW mice, which revealed human CD45 ⁺ cells, HSPCs (CD34 ⁺ CD38 ), neutrophils

(PECAM ⁺ CD15 ⁺ ), T (CD3 ⁺ /CD4, CD8), B (IgM ⁺ CD19 ⁺ ) and B progenitor cells (IgM CD19 ⁺ ) (Figures 6E and 1 lA-1 IE). These results indicated the multi-lineage differentiation and long-term engraftment potential of epi-5TF cells.

[0445] Episomal vectors are lost from h PSC- deriv eel- 5 IF cells.

[0446] The episomal plasmids used herein carry the OriP and EBNA1 components of the Epstein-Barr virus that allow for self-replication of the vectors (Okita et al, 2013). GFP ⁺ cells were sorted from HE cells transfected with epi-5TFs 48 hours after transfection to quantify the initial copy number of plasmids per genome (Figure 7A). To evaluate the presence of episomes within the engrafted cells, DNA was extracted from human CD45 ⁺ cells sorted from bone marrow of primary transplanted mice sacrificed at 6, 10 and 16 weeks after injection, and analyzed by droplet digital polymerase chain reaction (ddPCR) to detect cytoplasmic episomal DNA or the presence of episomal DNA that might have integrated into the donor cells' genome (Figure 7A). Engrafted cells from 4 of 5 mice analyzed at 6 weeks had more than one copy of EBNA1 per genome, whereas none of the samples sorted from the bone marrow of mice sacrificed at 10 (n=6) or 16 (n=6) weeks revealed presence of the episomal vectors over the levels of the target reference gene (CD90) (Figures 7B and 7C). Additionally, as HE cells were transfected with pCXLE-EGFP together with the polycistronic vectors, GFP signal was evaluated within the human CD45 ⁺ population found in recipient bone marrow by FACS. Although less sensitive than the ddPCR analysis, this independent approach identified GFP ⁺ cells in 2 out of 5 mice examined at 6 weeks, but no positive signal in cells sorted from the recipient bone marrow at 10 (n=6) or 16 (n=6) weeks after transplantation (Figure 12). Together, these results indicate loss of the episomal vectors in vivo in engrafted cells that persist up to 16 weeks in engrafted primary animals.

[0447] Limiting-dilution analysis reveals HSPCs frequency and self-renewal capacity of the episomal- 5TF-HSPCs obtained from hPSCs.

[0448] To explore the self-renewal ability of the epi-5TF-HSPCs and quantify their frequency, human CD34 ⁺ cells were purified by magnetic-activated cell sorting (MACS) from the bone marrow of multi- lineage engrafted mice and transplanted into secondary recipient NBSGW mice at a dose of 5,000, 10,000 or 30,000 cells (Figure 8A). Transplantation of 30,000 and 10,000 human CD34 ⁺ cells from cord blood, lenti-5TF or epi-5TF primary injected mice resulted in human CD45 ⁺ cells engrafted in bone marrow of secondary recipients analyzed at 10 weeks, while none of the animals injected with 5,000 cells showed engraftment (Figure 8B). More precisely, 5 of 8 mice which had undergone secondary transplantation with 30,000 lenti-5TF cells, 9 of 13 injected with 30,000 epi-5TF, and 6 of 8 with 30,000 cord blood-derived cells revealed human CD45 ⁺ chimerism > 0.01% in the bone marrow (Figures 8B and 3C). Notably, chimerism of human CD45 ⁺ cells > 0.01% was also identified in the contralateral leg of 4 out of 9 secondary mice engrafted with 30,000 human CD34 ⁺ cells derived from epi-5TF primary transplanted mice (Figure 8C and 8D).

[0449] It was also documented herein that multi-lineage hematopoiesis was present in secondary recipient mice (Figure 8D). An extended FACS analysis of bone marrow from secondary NBSGW mice engrafted with epi-5TF -derived cells demonstrated the presence of human CD45 ⁺ cells, HSPCs

(CD34 ⁺ CD38 ), neutrophils (PECAM ⁺ CD 15 ⁺ ), T (CD37CD4+, CD8+), B (IgM ⁺ CD 19 ⁺ ) and B progenitor cells (IgM ^" CD 19 ⁺ ) (Figures 8E and 1 lA- 1 IE). These secondary transplantation results allowed for the determination that the HSPCs frequency of the epi-5TF cells was 1 in 40,659, which was similar to the 1 in 34, 180 cells present in cord blood-derived cells, and almost 2-fold enhanced over the frequency of 1 in 75,479 present in recipients of primary donor derived lentiviral-5TF cells (Figure 8F and 14). Taken together, data presented herein indicate HSC-like potential of the HE cells transfected with episomal-5TFs vectors.

[0450] Molecular similarity of mature blood cells derived from cord blood and episomalSTF cells.

[0451] To evaluate the degree of similarity between the gene expression profiles of mature blood cell populations derived from epi-5TF cells and UCB, human CD34 ⁺ cells were isolated from the bone marrow of primary multi-lineage engrafted mice by MACS. MACS-isolated cells were then cultured in methylcellulose supplemented with hematopoietic cytokines to form colony-forming units of mature blood cells in vitro (Figure 9A). After 3 to 4 weeks in culture, human CD45 ⁺ cells representing differentiated myeloid cells were isolated by FACS and processed for in-droplet barcoding and single cell R A-sequencing (Figure 9A) (Klein et al., 2015). Unsupervised hierarchical clustering of epi-5TF and UCB single-cell transcriptomes revealed that epi-5TF and UCB cells cluster together, indicating transcriptome-wide similarities (Figure 9B). Graph-based clustering of single-cell transcriptomes was also performed and visualized subpopulation structure and cell -cell relationships using t-Distributed Stochastic Neighbor Embedding (t-SNE) (Figures 9C and 9D) (Mateen and Hinton, 2008). This analysis allowed the identification of nine transcriptionally distinct clusters for each sample (Figures 9C, 9D, 13A and 13B). Gene ontology (GO) analysis of epi-5TF and cord blood subpopulation-specific gene signatures revealed enrichments for granulocyte/neutrophil-related biological processes (Figures 9E and 9F), consistent with the myeloid lineage bias of standard CFU assays (Majeti et al., 2007). These analyses indicated the marked similarity of cell types generated from both epi-5TF and cord blood samples.

[0452] Next, to quantitatively evaluate these molecular similarities and putative cell identities between cord blood and episomal-5TF-derived cells, cluster-specific binary random forest (RF) classifiers were created based on cord blood clusters and signatures (Figure 13B), where each RF learns how to distinguish one cluster relative to all others (Habib et al., 2017), and asked how similar epi-5TF cells are relative to these cord blood clusters (Figure 13C). This analysis indicated that the majority of epi-5TF- derived cells are highly similar to the most abundant cord blood clusters (clusters 0 and 1), identified as granulocytes/neutrophils based on GO analysis (Figures 9E, 9F, 13C and 13D). There were also similarities, although less robust, between epi-5TF cells and cord blood clusters 2 and 4 (which are also putative granulocyte cell types) (Figures 9F, 9G, 13C, 13D). Reconstruction of a granulocyte

differentiation trajectory using CellRouter (Lummertz da Rocha et al, 2018) revealed complex expression patterns, with not only genes upregulated along the trajectory enriched for granulocyte-related GO terms, but also genes downregulated or transiently up or downregulated, capturing the complex nature of differentiation (Figure 13E-13G). Top genes dynamically regulated along this cell fate transition revealed that cells along this trajectory express a gradient of marker genes, such as S 100A8 and MMP9 (Figure 13H-13J). Furthermore, binary RF models were used to assign a specific cord blood class to each epi-5TF cell. This analysis demonstrated, for example, that -60% of epi-5TF cells in cluster 1, 5 and 7 are classified as belonging to the cord blood cluster 0, -60% of cells in episomal clusters 0 and 6 and -80% of cells in episomal clusters 3 and 4 are classified as cord blood cluster 1 (Figure 9G). Taken together, these analyses indicated that the most abundant myeloid cell types generated by either cord blood or episomal-5TF cells following methylcellulose culture, show highly comparable transcriptional profiles, indicating a high degree of molecular similarity.

Discussion

[0453] In work presented herein HSC-like cells were derived from human PSCs using a combination of morphogen-directed differentiation and cell fate conversion by transient expression of 5 transcription factors. Building upon prior studies that establish definitive hemogenic endothelium as the origin of HSCs (Bertrand et al., 2010; Boisset et al, 2010; Dieterlen-Lievre, 1975; Dzierzak and Speck, 2008; Ivanovs et al., 2017; Ivanovs et al., 201 1), and the derivation of definitive HE from human pluripotent stem cells (Ditadi et al, 2015; Kennedy et al., 2012), it was verified herein that enforced expression of TFs LCOR, HOXA9, HOXA5, RUNX1 and ERG using polycistronic episomal vectors can generate transgene-free HSPCs with long-term multi-lineage reconstitution and self-renewal potential.

[0454] Generation of HSC-like cells has been reported with combinations of TFs or even just a single factor (Lis et al, 2017; Sugimura et al., 2017; Tan et al, 2018; Tsukada et al., 2017). In prior work the transcription factor cocktail oiLCOR, HOXA9, HOXA5, RUNX1 and ERG (5TFs) was described as sufficient to generate HSPCs from hPSCs-derived HE cells (Sugimura et al., 2017). However, these cells were generated using integrating lentiviral vectors, and doxycycline addition was required to activate the expression of the 5TFs. With the goal of creating improved and safer HSPCs for translational approaches, the expression of these same 5TFs was induced in HE cells using polycystronic non- integrating episomal vectors. Herein its is demonstrated that despite complete loss of episomal constructs through cell divisions between 6 to 10 weeks after their transplantation, episomal-5TF -derived cells function as HSCs in vivo, maintaining multi -lineage differentiation and secondary engraftment potential.

[0455] Human HSCs are defined by two major properties: multipotency, or the ability to generate all blood cell lineages, and long-term self-renewal, characterized by the capacity of these cells to achieve serial transplantations (Bhatia et al, 1997; Cashman et al., 1997; Hogan et al., 2002; Majeti et al., 2007). Accordingly, transplantation of episomal-5TF-HE-derived cells into secondary recipients has proven to be successful, with the identification of multi-lineage human CD45 ⁺ cells in the bone marrow of injected mice at limiting dilution, indicating clonal repopulation. Notably, engrafted cells derived from episomal- 5TF cells can be found in the contralateral femur, indicating that the migration and homing potential of these cells is preserved, further reinforcing the presence of functional stem cell properties in epi-5TF- derived cells.

[0456] To evaluate the frequency of HSPCs from episomal-5TF, lentiviral-5TF or cord blood-derived cells, a limiting-dilution assay was performed, an approach widely used for quantifying biological units such as stem cells (Huang et al., 2016; Szilvassy et al, 2002) .. ENREF ...5. Interestingly, despite the fact that the percentage of human engrafted cells in bone marrow of primary engrafted mice transplanted with cord blood is higher than with episomal-5TF cells, the frequency of secondary repopulating units in the CD34+ population of engrafted cells is comparable, indicative of a similar stem cell potential between these cells.

[0457] Although previous work described the ability of hPSC-derived HSPCs to produce mature blood cells in vivo, global transcriptomics analysis showed that lentiviral-HE-derived cells clustered closest to HE cells, indicating that cells obtained with the lentiviral strategy may not be completely converted to a HSC-like state, compromising their ability to produce mature blood cells molecularly similar to UCB derivatives (Sugimura et al., 2017). Thus, single-cell RNA sequencing profiling was performed in mature cells derived from episomal-5TF and cord blood cells. By using inDrop single-cell RNA-seq (Klein et al., 2015), a close transcriptional resemblance was observed between mature blood cells derived from episomal-5TF and cord blood cells after in vitro methycellulose culture, which assesses directly for the first time the ability of the system described herein to produce terminally differentiated mature effector blood cells whose gene expression profiles are comparable to cord blood derived cells.

[0458] Work described herein further supports the use of harnessing HSPCs derived from hPSCs for personalized cell therapies. Using these episomal 5TF-hPSC-derived cells, modeling of human blood disorders and evaluating and optimizing therapeutic strategies for HSC production is now conceivable. Materials and Methods

[0459] Cell lines. Experiments were performed with human CD34 ⁺ umbilical cord blood cells purchased from AllCells, H9 human embryonic stem cells (ESC) (WiCell) and human iPSC lines (1157-iPSC, 1157-2 -iPSC, and 1045-iPSC) generated by the human Stem Cell Core Facility at Boston Children ^' s Hospital (BCH) from peripheral blood mononuclear cells (PBMNCs) of healthy donors reprogrammed using Epi5™ Episomal iPSC Reprogramming Kit (Thermo Fisher Scientific).

[0460] Mice. NOD.Cg-Kit<W-41J> Tyr<+> Prkdc<scid> I12rg<tmlWjl>/ThomJ (NBSGW) mice (The Jackson Laboratory) were bred and housed at the BCH animal care facility. All the animal experiments were performed in accordance to institutional guidelines approved by BCH animal care committee.

[0461] Episomal and lentiviral plasmids. Polycistronic 5TFs-episomal plasmids were constructed from the previously described lentiviral pINDUCER-21-i?£/N 7-P2A-£i?G and pINDUCER-21-ZCOi?-P2A- ΗΟΧΑ9-Ί2Α-ΗΟΧΑ5 vectors (Addgene plasmids #97045 and #97044) by Gateway-recombination with pCXLE-gw plasmid (Addgene plasmid #37626) (Okita et al., 2013; Sugimura et al., 2017) _^ The resulting polycistronic vectors were named: pCXLE-L95, containing the fragment (LCOR-F2A-HOXA9-T2A- HOXA5); pCXLE-RE, containing the fragment (R UNX1 -P2K-ERG) . Episomal vectors (pCXLE-L95, pCXLE-RE, pCXLE-EGFP and pCXWB-EBNAl) were co-transfected into HE cells on day 3 of endothelial to hematopoietic transition (EHT) culture using Lipofectamine® LTX with Plus™ Reagent (Thermo Fisher Scientific) (1.5 μg of DNA and 2 μΐ of Lipofectamine per well) following manufacturer's instructions. pCXLE-gw, pCXLE-EGFP and pCXWB-EBNAl were a gift from Shinya Yamanaka (Addgene plasmids #37626, #27082 and #37624) (Okita et al., 2011; Okita et al, 2013).

[0462] HEK 293T/17 cells (ATCC) were transfected with the second-generation packaging plasmids pMD2.G and psPAX2 (A gift from Didier Trono, Addgene #12259 and #12260) with either pINDUCER- 21-RE or pINDUCER-21-L95 using X-tremeGENE 9 ( Sigma- Aldrich) to produce lentiviral particles. 36 and 60 hours after transfection, virus were harvested, filtered with a 0.45 μπι syringe filter, and concentrated by ultracentrifugation at 23,000 r.p.m. for 2 hours at 4°C. Viruses were then reconstituted with 50 μΐ of EHT culture medium and titered by serial dilution on HEK 293T/17 cells using GFP as indicator. Infection of HE cells was done in 200 μΐ of EHT media supplemented with Polybrene (8 μg ml ^{" l} , Sigma) on day 3 of EHT culture and the multiplicity of infection was 2.0 for each lentiviral plasmid.

[0463] hPSC culture. Human iPSCs and ESCs were maintained using human ESC-qualified Matrigel (BD) in mTeSRl media (STEMCELL Technologies). Media were changed daily and cells were passaged at 1 : 8 ratio every 7 days using standard clump passaging techniques with Dispase (STEMCELL Technologies) or Versene (Thermo Fisher Scientific). Prior to initiation of EBs differentiation, colonies were expanded for 6 to 7 days over mouse embryonic fibroblasts (MTI-GlobalStem or Gibco, by Life Technologies) in DMEM/F12 (STEMCELL Technologies) supplemented with 20% KnockOut Serum Replacement (KOSR) (Invitrogen), 1 mM L-glutamine (Life Technologies), 1 mM nonessential amino acids (NEAA) (Life Technologies), 0.1 mM β-mercaptoethanol (Life Technologies), and 10 ng/mL basic fibroblast growth factor (bFGF) (Life Technologies).

[0464] Embryoid body differentiation. Embryoid body differentiation was performed as previously described (Ditadi and Sturgeon, 2016; Sugimura et al, 2017). Briefly, hPSC colonies were incubated with 0.05% trypsin-EDTA for 5 min at 37°C and dissociated to form small aggregates that were then washed and resuspended in StemPro-34 (Invitrogen, 10639-011) supplemented with L-glutamine (2 mM), human holo-Transferrin (150 μg mL ^"1 , Sigma T0665), monothioglycerol (MTG, 0.4 mM; Sigma), penicillin/streptomycin (10 ng mL ^"1 ; Life Technologies), ascorbic acid (1 mM; Sigma) (indicated as "supplemented StemPro-34"), Y-27632 (10 μΜ; StemCell Technologies Inc.) and BMP4 (10 ng mL ^"1 ). Cells were distributed into non-adherent 100 mm EZSPHERE dishes (EZSPHERE, Asahi Glass, ReproCELL; well size diameter 400-500 μπι, depth 100-200 μπι, 14,000 wells per dish) at a density of approximately 5 million per dish. After 24 hours, bFGF (Life Technologies) and BMP4 were added to the media of each plate to make a final concentration of 5 ng mL ^"1 for each cytokine. On day 2, EBs were harvested, pelleted, and resuspended in supplemented StemPro-34 with BMP4 (10 ng mL ^"1 ), bFGF (5 ng mL ^"1 ; Life Technologies), SB431542 (6 μΜ; STEMCELL-Technologies Inc.) and CHIR99021 (3 μΜ; STEMCELL-Technologies Inc.). On day 3, medium was replaced with supplemented StemPro-34 with bFGF (5 ng mL ^"1 ) and VEGF (15 ng mL ^"1 ; R&D Systems). 72 hours later, EBs were harvested and resuspended in supplemented StemPro-34 with bFGF (2.5 ng mL ^"1 ), VEGF (7.5 ng mL ^"1 ), SCF (100 ng mL ^"1 ), EPO (2 U mL ^"1 ; Amgen), IGF-1 (25 ng mL ^"1 ), interleukin (IL)-l 1 (5 ng mL ^"1 ) and IL-6 (10 ng mL ^{" l} ). Throughout the process of EB formation, cultures were kept in a multi-gas incubator set at 5% CO2 5% O290% N2 and 37 °C. All recombinant factors were human and purchased from Peprotech unless specifically indicated.

[0465] Isolation of HE and EHT culture. EBs were collected on day 8 of EB differentiation and washed with phosphate-buffered saline (PBS) before dissociation with 0.05% of trypsin-EDTA (Thermo Fisher Scientific) for 5 min at 37°C. EBs were then pipetted up and down with a 5 mL pipette to generate a single-cell suspension and washed with PBS + 2% of fetal bovine serum (FBS). Cells were filtered through a 70 μιη filter and incubated with CD34 Microbead Kit (Miltenyi Biotec, 130-046-702) for 30 minutes on ice following manufacturer ^' s indications. After incubation, CD34 ⁺ cells were isolated using magnetic cell isolation with LS columns (Miltenyi Biotec, 130-042-401). Sorted cells were resuspended in supplemented StemPro-34 media containing TPO (30 ng ml ^"1 ), Y-27632 (10 μΜ; STEMCELL Technologies Inc.), IL-6 (10 ng mL ^"1 ), SCF (100 ng mL ^"1 ), IL-3 (30 ng mL ^"1 ), VEGF (5 ng mL ^"1 ), IGF-1 (25 ng mL ^"1 ), IL-11 (5 ng mL ^"1 ), bFGF (5 ng mL ^"1 ), Flt-3L (10 ng mL ^"1 ), BMP4 (10 ng mL ^"1 ), EPO (2 U mL ^"1 ), angiotensin II (10 μg L ^"1 ; Sigma Aldrich), SHH (20 ng mL ^"1 ) and angiotensin II receptor type I (AGTR1) blocker losartan potassium (100 μΜ; Fisher Scientific) and seeded into 24-well plates pre- coated with Growth Factor Reduced Matrigel (Fisher Scientific) at a density of 2.5xl0 ⁴ to 5xl0 ⁴ cells. All recombinant factors were human and purchased from Peprotech, unless specifically indicated.

[0466] Mice transplantation and analysis. On day 4 of EHT culture, HE cells transfected or infected with episomal or lentiviral 5TFs were carefully washed with PBS and incubated with Accutase (STEMCELL Technologies) 3 minutes at 37 °C. Cells were collected and wells were washed twice with PBS + 2% of FBS to recover all the cells. 0.8xl0 ⁵ to 2.0xl0 ⁵ range of cells resuspended in PBS + 2% of FBS were intrafemorally transplanted into 6-10 weeks old NOD.Cg-Kit<W-41J> Tyr<+> Prkdc<scid>

I12rg<tml Wjl>/ThomJ (NBSGW) female or male mice (The Jackson Laboratory) in a 10 μΐ volume using a 28.5-gauge insulin needle (Mcintosh et al, 2015). Mice transplanted with approximately 20,000 human CD34 ⁺ umbilical cord blood cells were used as a reference for engraftment. Prior to

transplantation, mice were sedated with isoflurane and their femur was cannulated using a 26-half-gauge needle. Primary transplanted mice with lentiviral-5TF -derived cells were fed with Doxycycline Rodent Diet (Envigo-Teklad Diets; 625 p.p.m.) and Doxycycline (1.0 mg mL ^"1 ) was added to the drinking water to maintain transgene expression in vivo for 2 weeks. Sulfatrim was added to the drinking water together with the doxycycline. Secondary transplantation for limiting dilution assay was performed with increasing doses of 5,000, 10,000 or 30,000 human CD34 ⁺ cells injected intrafemorally into unirradiated female NBSGW mice. Human CD34 ⁺ cells were isolated using magnetic cell isolation with CD34 microbeads from the bone marrow of injected and contralateral leg of primary engrafted mice showing >0.01% of multi-lineage human chimerism. Cells were kept on ice until injection. Mice were sacrificed at indicated time points, and femur and tibiae from the injected leg and contralateral leg were collected for analysis. Single cell suspension was prepared using cell dissociation techniques in PBS + 2% FBS.

Samples were lysed with Red Blood Cell Lysing Buffer Hybri-Max™ (Sigma). From the cell suspension, 100-150 μΐ (approximately 5xl0 ⁵ -lxl0 ⁶ cells) were stained in a total volume of 200 μΐ of staining buffer (PBS + 2% FBS).

[0467] qRT-PCR and ddPCR analysis. GFP ⁺ cells were sorted 48 hours after infection or transfection of HE with lentiviral or episomal 5TFs. Lentiviral-5TF-infected cells were incubated 24 hours with doxycycline (2 μg mL ^"1 ). Total RNA was isolated from GFP ⁺ cells and HE cells without infection or transfection, using Picopure RNA isolation kit, following the manufacturer's instructions (Thermo Fisher Scientific). cDNA was synthesized with Superscript VILO cDNA Synthesis Kit (Invitrogen).

Quantitative reverse transcription polymerase chain reaction (qRT-PCR) was carried out in duplicate or triplicate for each sample using Power SYBR green PCR Master Mix (Applied Biosystems). Gene expression was normalized using GAPDH as endogenous control. The following oligonucleotides were used in the study; HOXA9 wd: 5 ^' - TGTACCACCACCATCACCAC-3 (SEQ ID NO: **), HOXA9_rev: 5 ^' - CAGCGGTTCA GGTTTAATGC-3 ^' (SEQ ID NO: **) (Integrated DNA Technologies);

HOXA5Jwd: 5 ^' - GGCTACAATGG CATGGATCT-3 ^' (SEQ ID NO: **); HOXA5_rev: 5 ^' - GCTGGAGTTGCTTAGGGAGTT-3 ^' (SEQ ID NO: **) (Integrated DNA Technologies); LCORJwd: 5 ^' - CACTTCCCTGAGCCACTCTC-3 (SEQ ID NO: **); LCOR rev: 5 ^' - TGGAGTGTCCAAAACCTTCC-3 ' (SEQ ID NO: **) (Integrated DNA Technologies); RUNX1 (QT00026712, Quiagen QuantiTect); ERG1 (QT00074193, Quiagen QuantiTect) and GAPDH

(QT00079247, Quiagen QuantiTect).

[0468] For droplet digital polymerase chain reaction (ddPCR) analysis, human CD45 ⁺ cells were sorted from murine bone marrow at the indicated time points or GFP ⁺ cells were sorted within HE cells 48 hours after the cell ^' s transfection. Cells were pelleted and resuspended in a solution of 25% DirectPCR Lysis Reagent (Viagen #301-C) and 75% v/v water with Proteinase K Solution (Viagen #501-PK) to a final concentration of 400 μg/mL. Lysis was carried out at 56 ^° C for two hours, then the reaction was inactivated at 85 ^° C for 45 minutes. ddPCR reactions were prepared using ddPCR SuperMix for Probes (No dUTP) (Biorad #186-3023). 25 reactions were prepared comprised of 12.5 SuperMix, 1.25 μΐ _^ FAM probeset, 1.25 μί _^ HEX probeset, 2.5 μΐ _^ DNA (viagen lysate) and Ί.5μΙ _^ water. For analysis of sorted GFP ⁺ cells, the viagen lysate was diluted 1 :800-1 : 1000. Reactions were mixed thoroughly and droplets were generated using the QXlOO droplet generator (Biorad) per manufacturer's instruction. 20 μΐ _^ of droplet suspension was used for PCR and analysis. PCR settings were as follows: 95 ^° C - 10 minutes, 94 ^° C - 30 seconds, 58. TC - 1 minute, 98 ^° C - 10 minutes, with steps 2 and 3 repeated 40 times. After PCR, samples were analyzed using the QXlOO droplet reader (Biorad) and the CNV2 assay setting. Assay sensitivity and technical run quality was confirmed using pCXLE-RE plasmid digested with EcoRI (NEB #R0101) and spiked into a 20 ng/μΕ solution of human genomic DNA in water (Promega #G1471) at known concentrations. Standard samples containing 0, 6 and 6000 plasmids per reaction volume were run in parallel with each experimental sample. Thresholds for positive signal were determined based on standard samples and were the same for all samples in each run. Copy number present per 20 μΐ _^ reaction volume was calculated by the built-in software (Biorad) and R/Bioconductor package was used for representations as previously described (Chiu et al., 2017). Episomal plasmids were detected with FAM-labeled probeset targeting EBNA1 which is unique to the plasmids. The probesets were as follow: EBNA1 F: GCTCACCATCTGGGCCAC (SEQ ID NO: **) P: /56-

TCATCATCATCCGGGTCTCC (SEQ ID NO: **) (Vo et al., 2016LHEX-labeled reference probes were designed to the human CD90 (Thyl) locus. CD90 F: CAGAGGCTTGGTTTTATTGTGC (SEQ ID NO: **), P: /5HEX/CGGTGGTTC/ZEN/TTCCTGTTCTGTGACT/3IABkFQ/ (SEQ ID NO: **), R: GGACACTT CTCAGGAAATGGCTTTT (SEQ ID NO: **). All probesets were ordered as IDT Standard PrimeTime qPCR assays (Integrated DNA Technologies).

[0469] Flow cytometry. Cells grown in culture or harvested from animal tissues were stained with 4:200-1 :200 dilution of each antibody for at least 30 min on ice in the dark, with the following antibody panels: Lineage panel, CD45 PE-Cy5 (Beckman Coulter), CD33 APC (BioLegend), CD19 PE

(BioLegend), CD3 PE-Cy7 (BioLegend), mouse CD45.1-APC-Cy7 (BioLegend) and 4 ,6-diamidino-2- phenylindole (DAPI) (Fisher Scientific); HSPC panel, CD34 PE-Cy7 (BioLegend), CD38 PE-Cy5 (BioLegend), mouse CD45.1-APC-Cy7 and DAPI; B cell panel CD45 PE-Cy5, CD 19 PE, IgM BV510 (BioLegend), CD20 PE-Cy7 (BioLegend), mouse CD45.1-APC-Cy7 and DAPI; T cell panel, CD45 PE (BD Biosciences), CD3 PE-Cy7, CD4 PE-Cy5 (BioLegend), CD8 BV421 (BD Bioscience), mouse CD45.1-APC-Cy7 and DRAQ7 (BioLegend); neutrophil panel CD45 PE-Cy5, CD15 APC (BioLegend), PECAM (CD31) PE (BD Bioscience), mouse CD45.1-APC-Cy7 and DAPI.

[0470] Cord blood mononuclear cells (MNCs) (AllCells) stained with individual antibodies were used as a positive control for antibody staining and compensation. To determine the gating, bone marrow from human cord blood engrafted mice was used as a control and fluorescence minus one (FMO) controls were performed with bone marrow of episomal-5TFs engrafted mice. Unless specifically indicated, all the antibodies used are against human cells. Acquisitions were done on BD FACSAria II cell sorter or BD LSRFortessa cytometer. Sorting was performed on a BD FACSAria II cell sorter. Flow cytometry data were analyzed using FlowJo V.10.

[0471] Single-cell RNA-seq using inDrop technology. Engrafted human CD34 ⁺ cells were isolated from the bone marrow of episomal-5TF (n=2) or cord blood (n=2) injected NBSGW mice using magnetic cell isolation as previously introduced. 2xl0 ³ to 54xl0 ³ cells were resuspended into 3 mL of methylcellulose (H4434; StemCell Technologies) supplemented with IL-6 (10 ng mL ^"1 ), Flt-3L (10 ng mL ^"1 ), TPO (50 ng mL ^"1 ), EPO (2 U mL ^"1 ) and 30 μΐ of a lOOx concentrate in penicillin/streptomycin. The cell's suspension was then plated into 60 mm plates and kept in a humidified chamber at 37°C and 5% of CO2. After 3 to 4 weeks, from each sample, several individual colony-forming units of granulocyte -macrophage (CFU- GM) were picked manually, combined, and washed with PBS + 2% FBS to remove the methylcellulose. Human CD45 ⁺ mouse CD45-negative and DAPI-negative live cells were then FACS-sorted and processed for inDrop barcoding at the single-cell core of the Harvard Medical School.

[0472] Thus, approximately 6,000 cells from each condition were encapsulated and libraries were prepared the same day, with the same stock of primer-gels and RT-mix. Transcriptome barcoding and libraries preparation for single-cell messenger ribonucleic acid (mRNA) sequencing was performed using the most up-to-date inDrop protocol (Zilionis et al., 2017). Libraries were sequenced on an Illumina NextSeq 500 sequencer using a NextSeq High 75 cycle kit: 61 cycles for read 1, 8 cycles for index i7 read, 8 cycles for index i5 read, and 14 cycles for read 2. Raw sequencing reads were processed using the inDrop pipeline ( which can be found on the world wide web at www.github.com/indrops/indrops) using default parameters.

[0473] ELDA software analysis. To estimate the frequency of HSPCs from episomal-5TF, lentiviral- 5TF and cord blood cells, the number of mice showing multi-lineage engraftment with human CD45 ⁺ cells > 0.01% was evaluated for injection of 5,000, 10,000 and 30,000 cells, and the log fraction of non- engrafted (non-responding) mice was plotted relative to cell dose. Number of mice injected and engrafted with each condition is indicated in Results section, legend of Figure 8A-8F and 14. Data obtained from the limiting dilution assay were analyzed using ELDA software (Hu and Smyth, 2009).

[0474] Single-cell inDrop RNA-seq quality control and downstream analysis. To analyze Single-cell inDrop RNA-seq data quality control, dimensionality reduction, clustering and differential expression was performed analysis using the R package Seurat (Satija et al., 2015). Next, cord blood and epi-5TF samples were separately analyzed and applied the same quality control metrics. All genes that were not detected in at least 30 cells were excluded. All cells with less than 500 genes detected were excluded. As expression of ribosomal or mitochondrial genes was shown to be markers of technical variation in single- cell RNA-data (Ilicic et al., 2016), cells were removed where the proportion of the transcript counts derived from mitochondrial genes was greater than 10%. Among the cells remaining after quality control, in the combined dataset, the median number of genes detected per cell control was 5,028. 6,375 cells were analyzed (out of 9,492 cells in total) and 32,041 genes fulfilled quality control metrics. For the analysis of individual datasets, 3,055 cord blood-derived cells (total: 4,587 cells) were analyzed and 31,567 genes (total: 41,569 genes) where the median number of detected genes per cell was 5,736. In epi- 5TF cells (total: 4,905 cells), 3,321 cells remained after quality control and the median number of genes detected per cell was 4,231 with 32,221 genes (out of 41,569) passing the quality control metrics.

[0475] Transcript counts were normalized by using a global scaling normalization method

"LogNormalize" that normalizes gene expression measurements for each cell by the total expression, multiplies this by a scale factor of 10,000, and log-transforms the result, as implemented in the package Seurat. Next, a set of most variable genes were identified across all cells from the cord blood (1,313 genes) or the episomal-5TF (1,380 genes) conditions by calculating the average expression and dispersion for each gene, placing these genes into bins and calculating a z-score for dispersion within each bin. Cell cycle scores were calculated and predicted the cell cycle phase of each single cell in both experimental conditions. Then, to reduce the effect of library quality and complexity, cell cycle effects and mitochondrial gene content, this unwanted sources were regressed out of variation by using a linear model. The z-score scaled residuals of this linear model were used for dimensionality reduction and clustering. Next, a principal component (PC) analysis were performed using the most variable genes and selected statistically significant components using a permutation test. For the cord blood-derived cells dataset, the first 31 PCs were used while 21 PCs were used for the episomal-5TF -derived cells dataset. These PCs were used for graph-based clustering to identify the subpopulation structure of cord blood- derived and episomal-5TF single-cell transcriptomes. 9 subpopulations were identified in the cord blood and episomal datasets. The t-stochastic neighbor embedding (t-SNE) were used to visualize cell-cell relationships and the underlying subpopulation structure in a space of reduced dimensionality. Lastly, subpopulation-specific gene signatures were identified in each dataset. To annotate subpopulations identified from cord blood and episomal-5TF derived cells, gene ontology (GO) analysis was preformed using the gene signatures previously identified. The R package ClusterProfiler was used for GO analysis.

[0476] InDrop-Seq Clusters to Train RF Classifiers. Cluster labels was identified by graph-based clustering to train random forest (RF) classifiers on the cord blood dataset presented herein. These RF models were used to quantitatively compare the similarity of episomal-5TF and cord blood-derived cells. A RF classifier is a machine learning approach based on an ensemble of decision trees, each trained on a random "bag" of features (e.g. genes).

[0477] Cord blood-derived cells were used to train RF classifiers and evaluate the congruence between cord blood and episomal-5TF cells subpopulations. Only clusters containing more than 90 cells were used to create a training dataset. The training set was composed of 3,001 cells (-98% of the cord blood dataset presented herein) and Seurat ^' s scaled expression vectors was used to train the RF classifiers. These models were used to classify 3,321 episomal-5TF -derived cells and determine the similarity between the cell types generated by either cord blood or epi-5TF cells. Binary RF classifiers were then trained using 2,000 trees on the cord blood dataset using the R package randomForest. Cluster-specific gene signatures were identified by Seurat as features. Two independent strategies were used for binary classification. In the first one, the probability of indistinguishability of epi-5TF cells and each cord blood subpopulation relative to all other subpopulations such that each episomal cell has a probability to be indistinguishable from cord blood subpopulations (Figures S4C and S4D). In the second one, votes received by each episomal-5TFs cell were combined and assigned a label (one of 7 possible labels) to each episomal-5TFs cell. A valid assignment was determined only if over 15% of the trees in the forest contributed to the majority vote to a particular cord blood cluster (Figure 4G). When this criterion is not fulfilled, episomal-5TFs cells were not assigned to any cord blood subpopulation.

[0478] Reconstitution of granulocyte single-cell trajectory using CellRouter. A granulocyte

differentiation trajectory was reconstructed from epi-5TF cells selecting subpopulations on the "extreme ends" of the t-SNE analysis (Subpopulation 8 and 5). It was noticed that subpopulation 5 expresses high levels of the myeloid marker S 100A8, and chose these subpopulation as the starting point of the granulocyte differentiation trajectory. Genes were identified dynamically regulated along this trajectory and clustered kinetic trends into 5 transcriptional clusters, which include genes monotonically up or downregulated as well as genes transiently up or downregulated. Gene ontology analysis using genes in each transcriptional cluster was performed using the R package clusterProfiler (Yu et al, 2012) _^

[0479] Data and software availability. The single-cell RNA-seq data generated in this study are: inDrop single cell RNA sequencing of mature cells differentiated in CFU conditions from integration-free hematopoietic cells derived from human pluripotent stem cells. The degree of similarity was evaluated between the gene expression profiles of mature blood cells populations derived from epi-5TF cells and UCB cells. The accession number for the RNA-seq data reported in this paper is GSE114339.

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