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Skeletal muscle progenitor cell therapy using iPSC-derived CD54-positive myogenic progenitors

Molecular classification
Other
01

Overview

The provided “target” is not a single molecule or receptor but a cell therapy approach: human induced pluripotent stem cell (iPSC)-derived myogenic progenitor cells enriched by the surface marker CD54 (ICAM-1), sometimes in combination with integrin α9β1 and syndecan-2, for skeletal muscle regeneration via engraftment and differentiation. CD54 was identified as a PAX7 target and enables prospective isolation of PAX7-induced myogenic progenitors from human pluripotent stem cell cultures in a GMP-compatible manner; CD54+ (±α9β1, SDC2) cells engraft injured mouse muscle, generate human dystrophin- and human lamin A/C–positive fibers, and can persist long term, with evidence of repopulating the satellite cell niche. Pluripotent stem cell–derived myogenic progenitors remodel their prenatal-like transcriptional state after in vivo engraftment, converging toward adult satellite cell signatures and showing regenerative potential comparable to adult satellite cells in mouse models. Broader reviews note historical limitations of myoblast/MuSC transplants (poor survival/migration) and the need for optimized differentiation, selection markers (e.g., CD54, ERBB3, NGFR), and delivery strategies for effective skeletal muscle repair, including applications to Duchenne muscular dystrophy and injury.

Other names
iPSC-derived CD54+ myogenic progenitor cellsCD54+ (ICAM-1+) myogenic progenitors derived from pluripotent stem cellsPAX7-induced iPSC myogenic progenitors enriched by CD54iPSC-derived skeletal muscle progenitor cells (SMPCs)ERBB3+ NGFR+ PAX7+ hPSC SMPCs
02

Mechanism of action

Cell replacement therapy through engraftment, fusion, and differentiation into skeletal myofibers Repopulation of the satellite cell compartment to sustain regeneration

03

Biological functions

Cell differentiationCell engraftment and tissue regenerationCell adhesion and homing (via CD54/ICAM-1)Reconstitution of satellite cell niche/self-renewal capacity
04

Disease associations

Other (muscular dystrophies, skeletal muscle injury/degeneration)
05

Safety considerations

Risk of poor cell survival and limited migration/engraftment seen historically with myoblast transplantation; necessitates optimization of cell state and deliveryImmunogenicity/immune infiltration considerations; autologous iPSC-derived myogenic progenitors may be tolerated but require evaluation in appropriate modelsTumorigenicity risk from pluripotent cell contaminants; studies report no teratoma formation when using purified CD54+ progenitors in NSG mice up to 12 months, but this remains a key translational concernStandardization and GMP-compatible purification; CD54 alone proposed as a GMP-suitable enrichment marker
06

Biomarkers

CD54 (ICAM-1) surface expression used for purification/enrichmentPAX7 (induced expression identifies myogenic progenitors)Additional sorting markers reported in some protocols: integrin α9β1, syndecan-2 (SDC2); ERBB3 and NGFR for hPSC SMPCsDystrophin-positive human fibers and human lamin A/C as readouts of human engraftment in vivo

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