Trilineage Differentiation of Multipotent Human Mesenchymal Stem Cells (MSCs) into Osteocytes, Adipocytes and Chondrocytes

Mesenchymal stem cells (MSCs) are fibroblastoid multipotent adult stem cells with a high capacity for selfrenewal and differentiation. These cells have been isolated from several human tissues, including bone marrow, adipose tissue, umbilical cord matrix, tendon, lung, and the periosteum.¹ Recently it has been shown that MSC originate from the perivascular niche, a tight network present throughout the vasculature of the whole body. These perivascular cells lack endothelial and hematopoietic markers, e.g. CD31, CD34 and CD45, but express CD146, PDGFR beta, and alkaline phosphatase.² According to the position paper published by the International Society for Cellular Therapy (ISCT), MSC express the surface markers CD73, CD90 and CD105 and stain negative for CD14 or CD11b, CD34, CD45, CD79α or CD19, and HLADR.³ In addition to surface marker analysis, the most common and reliable way to identify a population of MSC is to verify their multipotency. MSC can differentiate into adipocytes, osteoblasts, myocytes, and chondrocytes in vivo and in vitro.^1,4 Transdifferentiation of MSC into cells of nonmesenchymal origin, such as hepatocytes, neurons and pancreatic islet cells, has also been observed in vitro when specific culture conditions and stimuli are applied.¹ The directed differentiation of MSCs is carried out in vitro using appropriate differentiation media, such as the readytouse PromoCell MSC Differentiation Media (C-28016, C-28012, C-28014, C-28013, C-28015).

Osteogenesis Differentiation Protocol

1. Coat the culture vessel. Coat a 6well tissue culture plate with 10 μg/mL human fibronectin or bovine fibronectin according to the instruction manual.
2. Seed Mesenchymal Stem Cells. Plate MSCs at 1x10⁵ cells per well in the fibronectincoated tissue culture plate using MSC Growth Medium 2 (C-28009). Work in duplicate.
3. Allow Mesenchymal Stem Cells to grow. Allow the cells to reach 8090% confluency. This will take 2448 hours.
4. Induce Mesenchymal Stem Cells. Induce one of the duplicate samples with MSC Osteogenic Differentiation Medium (C-28013). Use MSC Growth Medium 2 for the remaining well as a negative control.
5. Induce Mesenchymal Stem Cells. Incubate for 1214 days. Change the medium every third day. Be careful not to disturb the cell monolayer.
6. Wash the cells. After differentiation steps are complete, remove the cells from the incubator and carefully aspirate the medium. Gently wash the cells with Dulbecco’s phosphatebuffered saline (PBS) w/o Ca++/Mg++ (D8537).
7. Fix the cells. Carefully aspirate the PBS and add enough Saccomanno Fixation Solution to cover the cellular monolayer. After at least 30 min gently aspirate the fixation solution and wash the cells with distilled water.
8. Stain the cells. Immediately before use, pass the required amount of Alizarin Red S staining solution (TMS008) through a 0.22 μm Millex PES filter. Carefully aspirate the distilled water and add enough filtered Alizarin Red S staining solution to cover the cellular monolayer. Incubate at room temperature in the dark for 1015 min. Monitor staining progress for 10 min and stop the process when staining intensity is sufficient.
9. Wash the cells. Carefully aspirate the Alizarin Red S staining solution and wash the cell monolayer four times with 1 mL distilled water. Carefully aspirate the distilled water and add PBS.
10. Analyze the cells Analyze the sample immediately, as the dye may bleed upon prolonged storage without embedding. Undifferentiated MSC (without extracellular calcium deposits) are colorless/slightly purple, whereas MSC derived osteoblasts (with extracellular calcium deposits) stain bright orangered (Figure.1).

Figure 2. Alizarin Red S staining of extracellular calcium deposits in mineralized hMSCBM derived mature osteoblasts. MSC cells were cultured for 12 days in PromoCell MSC Growth Medium 2 for the negative control (upper panel) or MSC Osteogenic Differentiation Medium for the differentiation sample (lower panel). In contrast with the negative control, the mature osteoblasts differentiated from MSC show intense redorange staining of mineralized bone matrix. Note also the concentration of Alizarin Red S staining in some of the larger bone nodules.

Adipogenesis Differentiation Protocol

1. Coat the culture vessel. Coat a 6well tissue culture plate with 10 μg/mL human fibronectin or bovine fibronectin according to the instruction manual.
2. Seed the Mesenchymal Stem Cells. In a fibronectincoated 6well tissue culture plate, plate 1 x 10⁵ MSC per well using MSC Growth Medium 2 (C-28009). Work in duplicate.
3. Allow the Mesenchymal Stem Cells grow. Allow the cells to reach 8090% confluency. This will take 2448 hours.
4. Induce the Mesenchymal Stem Cells. Induce one of the duplicate samples with MSC Adipogenic Differentiation Medium 2 (C-28016). Use MSC Growth Medium 2 for the remaining well as a negative control.
5. Differentiation of the induced Mesenchymal Stem Cells. Incubate for 1214 days. Change the medium every third day taking care not to disturb the cell monolayer.
6. Wash the cells. After differentiation steps are complete, remove the cells from the incubator and carefully aspirate the medium. Gently wash the cells with Dulbecco’s phosphatebuffered saline (PBS) w/o Ca⁺⁺/Mg⁺⁺ (D8537).
7. Fix the cells. Carefully aspirate the PBS (D8537) and add enough Saccomanno Fixation Solution to cover the cell monolayer. Incubate at room temperature for at least 30 min.
8. Wash the cells. Carefully aspirate the fixation buffer and wash the cell monolayer with distilled water. Gently aspirate the water and add enough 60% isopropanol to cover the cell monolayer. Incubate at room temperature for 5 min.
9. Stain the cells. Carefully aspirate the 60% isopropanol and add enough OilRedO staining solution (O1391) to cover the cell monolayer. Incubate at room temperature for 1015 min.
10. Wash the cells. Carefully aspirate the staining solution and wash the cell monolayer several times with distilled water until the water is clear. Blot the vessel containing the stained cells upside down on a paper towel to remove as much water as possible.
11. Analyze the cells. Cover with PBS and analyse the stained samples promptly as the dye tends to fade upon prolonged light exposure. Intracellular lipid vesicles in mature adipocytes will be stained bright red.

Chondrogenesis Differentiation Protocol

1. Preparation of the Negative Control Medium. The negative control medium is Dulbecco’s Modified Eagle’s Medium (DMEM, lowglucose) with 2 mM L-glutamine and 10% fetal bovine serum.
2. Seed Mesenchymal Stem Cells. Plate MSC at 2 x 10⁵ cells per well in a 96well Ubottom suspension culture plate using the negative control medium. Work in duplicate.
3. MSCspheroid formation. Spheroids will spontaneously form within 2448 hours of incubation.
4. Induce MSCspheroids. Induce one of the duplicate samples with MSC Chondrogenic Differentiation Medium (C-28012). Use the negative control medium for the remaining wells.
5. Differentiate induced MSCspheroids. Incubate for 21 days. Change the medium every third day taking care not to aspirate the spheroids.
6. Wash the cartilage spheroids. After differentiation steps are complete, remove the cells from the incubator and carefully aspirate the medium. Gently wash the spheroids with Dulbecco’s phosphatebuffered saline (PBS) w/o Ca⁺⁺/Mg⁺⁺ (D8537).
7. Fixation of the cartilage spheroids. Carefully aspirate the PBS. Add enough Saccomanno Fixation Solution to cover the cartilage spheroids. Incubate at room temperature for 3 hours.
8. Wash the cartilage spheroids. Carefully aspirate the fixative and wash the spheroids twice with distilled water.
9. Stain the cells. Immediately before use, pass the required amount of Alcian Blue staining solution (TMS010) through a 0.22 μm Millex PES filter. Carefully aspirate the distilled water and add enough filtered Alcian Blue staining solution to generously cover the cartilage spheroids, as some evaporation will occur. Incubate in the dark for 45 minutes at room temperature.
10. Wash the cells. Carefully aspirate the Alcian Blue staining solution and wash the cartilage spheroids with the destaining solution for 10 min. Repeat the wash step twice. Carefully aspirate the destaining solution and add PBS.
11. Analyze the cartilage spheroids. Cartilage will be stained an intense dark blue, whereas other tissue will, at most, stain light blue.