Application Note 41

Transduction with AAV and long-term
culture of HUH7, primary hepatocytes
and iPSc derived hepatocytes in 3D withGrowDex*Jonathan Sheard, PhD, UPM Biomedicals

INTRODUCTION

Adeno-associated viruses (AAVs) are non-enveloped single-strand DNA viruses which are nonpathogenic with little immunogenicity. AAVs are able to infect both dividing and non-dividing(quiescent) cells whilst remaining as an extrachromosomal vector without integrating into the hostcells genome. Therefore, AAVs are the leading candidate vectors for human gene therapy.
Five treatments using AAVs have now been approved for commercialization whilst many more are
currently under clinical trial and development [1]. AAVs can be delivered directly to a patient (invivo) or to a patient’s cells ex vivo, where they are then implanted back into the patient.
Screening for AAV gene therapy candidates for in vivo and ex vivo therapy is usually performed
on 2D cell culture models thought to be a more high-throughput approach. However, such arudimentary approach and culture model does not reflect the physiological cell environmentaccurately, specifically lacking the role of the extracellular matrix (ECM) and cell-cell 3D contact,
finally allowing only short-term studies. Therefore, it is important to develop more physiologically
representative culture models with high throughput screening capabilities and long-term culture
time, to screen AAV gene therapy candidates for successful clinical therapy.
The study presented here had three main objectives. The first objective of this study was to culture
primary hepatocytes (PH), induced pluripotent stem cell (iPSC) derived hepatocytes and HUH7hepatocytes in GrowDex to generate spheroids for up to 25 days. Secondly, it was necessary
to determine if the hepatocyte spheroid culture model would allow functional AAV transduction(integration of the virus into the cell followed by expression of the gene of interest). Finally, it was
important to determine how long the spheroids could be cultured, remaining healthy and functional.

MATERIALS• HUH7 hepatic cell line (RRID:CVCL_0336)• Primary human hepatocytes (PH, Male, single donor)• iPSc-derived hepatocytes (purchased ready-to-use)• Maintenance media for HUH7 cell:• DMEM low glucose (Cat No. D6046, Merck) supplemented with 10% FBS and• GlutaMAX 1X (Cat No. 35050061, ThermoFisher Scientific)• Maintenance media for PH and iPSc-derived hepatocytes: from supplier’s protocol• TrypLE™ Select Enzyme (1X) (Cat No. 12563011, ThermoFisher Scientific)• Mitomycin C from Streptomyces caespitosus (Cat No. M4287, Merck)• GrowDex® 1.5% (Cat No. 100 103 005, UPM Biomedicals)• AAV-GFP (5e5 viral genomes/cell)• Corning™ Costar™ 96-Well, Ultra-Low Binding, Flat-Bottom Microplate (#10554961)• Fluorescent microscope• LDH assay kit (cytotoxicity) (Cat No. ab65393, Abcam)• SpectraMax® i3 plate reader (Molecular Devices)METHODSTransduction:
1. A solution of GrowDex was prepared to 0.5% using maintenance media specific for eachcell type. Briefly, 1ml of complete culture media was placed into an Eppendorf and 500µlof GrowDex was added to it then mixed thoroughly by pipetting, whilst avoiding bubble
formation. Following this, 100μl of 0.5% GrowDex was transferred in each well of a flatbottom, ultra-low binding 96-well plate. The plate was then incubated at 37°C for less than
1h prior to cell seeding as described in the step 3.
2. HUH7 cells were maintained in culture until the beginning of the GrowDex study, treated with10μg/ml mitomycin C for 1h at 37°C, washed with maintenance media, lifted using TrypLE
solution, washed, counted, and seeded on top of GrowDex as detailed in step 3. The PH and
iPSC derived hepatocytes were thawed and counted following the supplier’s instructions, andthen used as detailed in step 3.
3. Following preparation, cells were seeded in 100µl of media on top of the GrowDex layer
according to the following table:
Cell type

GrowDexconcentrationand volume

Cellconcentration

Volumeseededper well

Total numberof cells perwell

Total
AAV vectors

HUH70.5%, 100µl

400 cells/μl

100μl

40,0002e10

PH0.5%, 100µl

400 cells/μl

100μl

40,0002e10

iPSc

0.5%, 100µl

800 cells/μl

100μl

80,000

4e10

4.

5.
6.
7.
8.

Following 30min after seeding, transduction mix was prepared using cell type specificmaintenance media, and 50μl (with 5e5 viral genomes/cell) was added to the cells per well,gently mixed manually, and then left overnight at 37°C, 5% CO2. The total well volume was250µl.
After overnight incubation, half of the media was renewed in each well.
A 50% media change was then performed every second or every third day for 5 weeks ofculture.
For cytotoxicity analysis (LDH release) supernatant was collected once per week, 2 days after
the last media change.
During the first week, readouts were performed every second day, then once a week for 5
weeks of culture. Readouts included:a. Bright field microscopy imaging and image analysis of spheroid formation and size.
b. GFP fluorescence microscopy to assess expression for transduction efficiency.
c. Media collection for cytotoxicity analysis by measuring LDH release.

9.

RESULTSLDH release was quantified according to the manufacturer’s instructions.

Spheroids of HUH7 cells were seen to form as early as 1 day post seeding (Figure 1, left
column), iPSC derived hepatocytes formed spheroids following 2 to 4 days of culture (Figure 1right column), whilst the primary hepatocytes (PH) formed spheroids between 8 to 10 days post
seeding (Figure 1, centre column).

Figure 1. Evolution of the spheroid’s formation in GrowDex 0.5% for three different hepatic celltypes. Scale bar is 200µm.
The quality and size of the spheroids are shown in Figure 2, where HUH7 cells form tightspheroids between 100 to 150μm in average diameter. The PH spheroids were also seen tobe tightly formed with an average diameter of approximately 100μm. Finally, iPSC derived
hepatocytes also formed tight spheroids measuring on average 75 to 100μm in diameter, whilst
many single cells were also seen in the culture conditions.

Figure 2. Examples of tight spheroids 11 days post seeding for each different hepatic cell type.
Spheroids could be seen to form from 1 day through 10 days depending on the cell type. 		
Scale bar is 100µm.
Cells and spheroids showed a normal and healthy morphology up to 25 days of culture (Figure
2 and Figure 3). Following 25 days post seeding, spheroid size and quality appeared toreduce, and the morphology was seen to have altered. Thus, showing that the culture model
requires improvements, such as testing the viral titre, the cell seeding density as well as the media
composition to better support the cells.
As soon as the spheroids began to form, GFP expression was detected – indicating transduction.
GFP expression was detected until 32 days post transduction. The expression of GFP only began toreduce after the spheroid quality changed from 25 to 28 days of culture.

Figure 3. Functional transduction efficiency in spheroids from three different hepatic cell type.
Cells were transduced with AAV-GFP 30 minutes after seeding on 0.5% GrowDex matrix. GFP
expression was monitored using a fluorescent microscope from 2 through 20 days of culture. 		
Scale bar is 200µm.
As shown in Figure 4, LDH levels in both the untreated control and AAV treated cultures werehigh from the iPSc derived liver cell cultures, decreasing steadily through 15 days of culture andstabilizing as cells proliferate and form spheroids. Additionally, in both culture conditions, the LDHlevels from HUH7 and PH cells were also seen to stabilise from 12 days post seeding.
The levels of LDH may be explained by the cells in the early days of culture whilst forming cellclusters and subsequent spheroids. This is especially evident in the iPSc cultures. Therefore, it issuggested to seed cells at a higher seeding density when repeating this culture.

Figure 4. Evolution of the LDH release in the culture supernatant of the spheroids from threedifferent hepatic cell types. Cells were seeded and cultured as control (left graph) or transduced(right graph) with 5e5vg/cell AAV-GFP. Supernatants from all cultures were collected at indicatedtime points and stored at -20°C until the end of the study and analysed for LDH release. N=6.

CONCLUSIONSIt has been shown through this study that it was possible to culture primary hepatocytes, iPSC
derived hepatocytes and HUH7 hepatocytes on GrowDex, and to quickly generate uniform andstable spheroids for up to 25 days.
It was also possible to show that the three different hepatocyte spheroid types can be successfullyand efficiently transduced with GFP expressing AAV vectors leading to functional gene expression.
Finally, it was illustrated that these AAV infected hepatocyte spheroids remained viable and theGFP expression was functional for up to 25 days with low cytotoxicity.
However, it was also seen that during the first 10 days of cell seeding and culture, the levels ofLDH were raised whilst cells were clustering and forming spheroids. These increased LDH levels
were similar between both the control and transduced cultured and most pronounced from theiPSc derived hepatocytes. Thus, to improve cell viability and AAV transduction efficiency for iPSc
derived hepatocytes, it is recommended to seed the cells at a higher seeding density or to allow thecells to form clusters and spheroids prior to AAV transduction or analysis.
More replicative 3D cell environment will help to improve, test and deliver AAV for safe andefficient clinical applications. These 3D culture models will also help to further the design ofappropriate viral delivery vehicles where local, sustained, and controlled expression of therapeutic
nucleic acids and/or proteins can be accomplished [2].

ACKNOWLEDGEMENTS*Jonathan Sheard would like to thank and acknowledge the contributor who has chosen to remainanonymous due to company privacy policies, for their kind provision of this data and contribution
to the completion of this application note.

REFERENCES

1.
2.

Mendell, J.R., et al. (2021). "Current Clinical Applications of In Vivo Gene Therapy withAAVs." Molecular Therapy 29(2): p. 464-488.
Shams, S. and Silva, E.A. (2020). Chapter 4 - Bioengineering strategies for gene delivery.
Engineering Strategies for Regenerative Medicine. T.G. Fernandes,M.M. Diogo, andJ.M.S.
Cabral, Academic Press: 107-148.

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