Paraish S. Misra, MD PhD

Paraish S. Misra, MD PhD

@paraish.bsky.social

Transplant nephrologist Research: pluripotent stem cells • organoids • regenerative med Diabetes, transplantation & kidney disease he/him • Views mine • No medical advice

44 followers49 following17 posts

Paraish S. Misra, MD PhD reposted

14/14 This project was a long, shared labour of love. Huge gratitude to the brilliant team who carried it forward, and to our friends in the Pavlinkova lab, whose elegant in vivo ISL1-CKO experiments were key to revealing the pancreatic EC story.

12/14 To probe mechanism, we compared endocrine specification under beta vs EC patterning. Most markers behaved similarly, but NGN3 stood out: it was transient with beta and persisted with EC patterning. ISL1-KO murine pancreatic EC-like cells also showed sustained Neurog3 expression.

13/14 Overall, we find that 1) EC-like cells can arise from well specified pancreatic progenitors, and 2) Tuning progenitor state plus endocrine patterning can be used to build “designer” hPSC-islets with defined endocrine mixes. There’s more in the paper, and much more yet to be discovered…

10/14 We then re-explored the importance of early progenitor patterning. We generated PDX1+ progenitors with different NKX6-1 expression levels (low, medium, or high NKX6-1), and exposed each to endocrine patterning protocols we designed to favour beta-, alpha-, or EC-like cells.

11/14 High-NKX6-1 progenitors did what we expected: under beta patterning they formed beta enriched islet like clusters. Low-NKX6-1 progenitors made more alpha- and EC-like cells under those respective conditions. Surprisingly, with beta patterning, they generated the most delta-like cells.

8/14 In the gut, EC fate is blocked by ISL1. We thus studied a mouse where ISL1 is deleted after pancreatic specification occurs. These islets also developed abundant EC-like cells, revealing that pancreatic progenitors have latent EC-forming potential even in vivo.

9/14 Back in our stem cell–derived islets, we dissected endocrine‑stage media. MEK and BMP inhibitors strongly biased endocrine progenitors toward EC‑like cells, especially together. In contrast, FGF2, Betacellulin, or BMP4 reduced EC‑like cells and boosted islet markers.

6/14 Next, we thought that “better” pancreatic progenitors would suppress off-target fates. Refining early endoderm patterning gave us >90% PDX1+NKX6 1+ progenitors by day 13 - a seemingly pancreas-committed population.

4/14 We first improved the earliest step: helping pluripotent stem cells cleanly exit pluripotency and become definitive endoderm. To counteract high-density effects, we used a short Latrunculin A (LatA) pulse, which made primitive streak and endoderm formation more uniform.

2/14 For diabetes therapy, we want stem cell-derived islets packed with functional beta cells and predictable numbers of other endocrine cells, without off-target lineages. Yet many hPSC-islet protocols generate abundant EC-like cells for unclear reasons.

3/14 These cells express SLC18A1, a marker normally found in EC cells of the gut, not in islet cells. First highlighted in hPSC-islets by Douglas Melton’s group, they may alter graft behavior and add uncertainty for therapies. Original report 👉 doi.org/10.1038/s415...

doi.orgCharting cellular identity during human in vitro β-cell differentiation - NatureSingle-cell transcriptional profiling of in vitro human pancreatic β-cell differentiation reveals progenitor and terminal fates, produces a detailed time course of endocrine induction and underpins a ...

Paraish S. Misra, MD PhD reposted

Paraish S. Misra, MD PhD reposted

Pretty exciting! I wonder how long the effect will last…

American Journal of Transplantation@amjtransplant.bsky.social

Article In Press! Can gene therapy help prevent rejection? AAV-mediated PD-L1 delivery during cold storage was associated with reduced acute rejection in a rat lung transplant model. www.amjtransplant.org/article/S160...

Paraish S. Misra, MD PhD reposted

Paraish S. Misra, MD PhD reposted

Paraish S. Misra, MD PhD reposted

Paraish S. Misra, MD PhD reposted

Recording up on our channel now youtu.be/e85gl9RydBM #NephGR #NephSky

youtu.bePrecision Diagnostics and Discovery for Diabetic Kidney Disease with Dr Justin ChunYouTube video by Ottawa Nephrology
Swapnil Hiremath 🍁🇨🇦@hswapnil.medsky.social

Happening this Thursday #NephGR at Ottawa on Precision Diagnostics in Diabetic Kidney Disease with Dr Justin Chun from @ucalgary.bsky.social @ucalgarymed.bsky.social

Paraish S. Misra, MD PhD reposted

Excited to enroll our first participant for testing an agent (tolimidone) we hope will promote beta cell regeneration, building on preclinical work from Dr Jean Buteau at @albertadiabetes.bsky.social. Supported by Alberta Diabetes Foundation & biodexa pharmaceuticals www.ualberta.ca/en/folio/202...

ualberta.caCould a pill cure diabetes? A U of A researcher is working on itA simple pill to treat or even cure diabetes could be possible, thanks to University of Alberta research — and funding that is laying vital groundwork.

Although a lot of work still to do, a great step forward for pluripotent stem cell-based therapies for kidney disease!

Harnessing Pluripotency@pluripotency.bsky.social

📣 NEW PAPER ALERT! 🧵 I love kidney organoids - tiny nephron clusters grown in the lab from pluripotent stem cells. But can they treat kidney disease? New data suggests they can (in mice)! Let's dive in ⬇️ tinyurl.com/mr3sd6vu #KidneyOrganoids #CellTherapy #ChronicKidneyDisease #AcuteKidneyInjury

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