- Petrus-Reurer, Sandra;
- Lederer, Alex R;
- Baqué-Vidal, Laura;
- Douagi, Iyadh;
- Pannagel, Belinda;
- Khven, Irina;
- Aronsson, Monica;
- Bartuma, Hammurabi;
- Wagner, Magdalena;
- Wrona, Andreas;
- Efstathopoulos, Paschalis;
- Jaberi, Elham;
- Willenbrock, Hanni;
- Shimizu, Yutaka;
- Villaescusa, J Carlos;
- André, Helder;
- Sundstrӧm, Erik;
- Bhaduri, Aparna;
- Kriegstein, Arnold;
- Kvanta, Anders;
- La Manno, Gioele;
- Lanner, Fredrik
Human embryonic stem cell-derived retinal pigment epithelial cells (hESC-RPE) are a promising cell source to treat age-related macular degeneration (AMD). Despite several ongoing clinical studies, a detailed mapping of transient cellular states during in vitro differentiation has not been performed. Here, we conduct single-cell transcriptomic profiling of an hESC-RPE differentiation protocol that has been developed for clinical use. Differentiation progressed through a culture diversification recapitulating early embryonic development, whereby cells rapidly acquired a rostral embryo patterning signature before converging toward the RPE lineage. At intermediate steps, we identified and examined the potency of an NCAM1+ retinal progenitor population and showed the ability of the protocol to suppress non-RPE fates. We demonstrated that the method produces a pure RPE pool capable of maturing further after subretinal transplantation in a large-eyed animal model. Our evaluation of hESC-RPE differentiation supports the development of safe and efficient pluripotent stem cell-based therapies for AMD.