To the best of my knowledge, this is the first attempt to specifically differentiate human GHRH neurons from hESCs.
I established a conventional, well-defined protocol for growth factor-based cellular differentiation for this cell type, and also developed a method to efficiently drive their formation by direct programming with CRISPRa. Although these differentiated cells needs to be characterized in a further step, such as their intracellular packing of GHRH, the secretion of GHRH, intracellular calcium signal, electrophysiology and even in vivo functions.
These novel cell models can be used for drug-screening and development of innovative approaches to modulate endogenous growth hormone (GH) secretion, and the results should be applicable not only to patients with growth hormone deficiency (GHD) but also to those with GH excess (i.e. acromegaly). Secondly, the best current estimate for the percentage of patients that can obtain molecular genetic diagnosis for combined pituitary hormone deficiency is as low as 8%, which reflects the urgent need for better understanding of molecular genetic etiology of diseases affecting the hypothalamus. Indeed, this figure is surprisingly low in the era of next generation sequencing. Finally, height and weight have culture-bound dimensions in different countries, which is why elucidating the basic mechanisms for their regulation is expected to arouse the interest of not only stem cell researchers but also the general public.