human Monkey Chimera

profilepjurrel
HumanMonkeyChimera.pdf

Article

Chimeric contribution of human extended pluripotent stem cells to monkey embryos ex vivo

Graphical abstract

Highlights

d Generation of human-monkey chimeric embryos ex vivo with

hEPSCs

d hEPSCs differentiated into hypoblast and epiblast lineages

d scRNA-seq analyses revealed developmental trajectories of

human and monkey cells

d The approach may allow for enhancing chimerism between

evolutionarily distant species

Tan et al., 2021, Cell 184, 2020–2032 April 15, 2021 ª 2021 Elsevier Inc. https://doi.org/10.1016/j.cell.2021.03.020

Authors

Tao Tan, Jun Wu, Chenyang Si, ...,

Weizhi Ji, Yuyu Niu,

Juan Carlos Izpisua Belmonte

Correspondence [email protected] (T.T.), [email protected] (J.W.), [email protected] (W.J.), [email protected] (Y.N.), [email protected] (J.C.I.B.)

In brief

Human cells, in the form of extended

pluripotent stem cells, have the ability to

contribute to both embryonic and extra-

embryonic lineages in ex-vivo-cultured

monkey embryos.

ll

ll

Article

Chimeric contribution of human extended pluripotent stem cells to monkey embryos ex vivo Tao Tan,1,4,* Jun Wu,2,4,5,* Chenyang Si,1,4 Shaoxing Dai,1,4 Youyue Zhang,1,4 Nianqin Sun,1 E Zhang,1 Honglian Shao,1

Wei Si,1 Pengpeng Yang,1 Hong Wang,1 Zhenzhen Chen,1 Ran Zhu,1 Yu Kang,1 Reyna Hernandez-Benitez,2

Llanos Martinez Martinez,3 Estrella Nuñez Delicado,3 W. Travis Berggren,2 May Schwarz,2 Zongyong Ai,1 Tianqing Li,1

Concepcion Rodriguez Esteban,2 Weizhi Ji,1,* Yuyu Niu,1,* and Juan Carlos Izpisua Belmonte2,6,* 1State Key Laboratory of Primate Biomedical Research, Institute of Primate Translational Medicine, Kunming University of Science and Technology, Kunming, Yunnan 650500, China 2Gene Expression Laboratory, Salk Institute for Biological Studies, La Jolla, CA 92037, USA 3Universidad Católica San Antonio de Murcia (UCAM), Campus de los Jerónimos, No 135 12, Guadalupe 30107, Spain 4These authors contributed equally 5Present address: Department of Molecular Biology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA 6Lead contact

*Correspondence: [email protected] (T.T.), [email protected] (J.W.), [email protected] (W.J.), [email protected] (Y.N.), [email protected] (J. C.I.B.)

https://doi.org/10.1016/j.cell.2021.03.020

SUMMARY

Interspecies chimera formation with human pluripotent stem cells (hPSCs) represents a necessary alternative to evaluate hPSC pluripotency in vivo and might constitute a promising strategy for various regenerative medicine applications, including the generation of organs and tissues for transplantation. Studies using mouse and pig embryos suggest that hPSCs do not robustly contribute to chimera formation in species evolutionarily distant to humans. We studied the chimeric competency of human extended pluripotent stem cells (hEPSCs) in cynomolgus monkey (Macaca fascicularis) embryos cultured ex vivo. We demonstrate that hEPSCs survived, proliferated, and generated several peri- and early post-implantation cell lineages in- side monkey embryos. We also uncovered signaling events underlying interspecific crosstalk that may help shape the unique developmental trajectories of human and monkey cells within chimeric embryos. These re- sults may help to better understand early human development and primate evolution and develop strategies to improve human chimerism in evolutionarily distant species.

INTRODUCTION

Pluripotent stem cells (PSCs) are capable of indefinite self-

renewal in culture and generating all adult cell types (De Los An-

geles et al., 2015; Hackett and Surani, 2014; Rossant and Tam,

2017; Wu and Izpisua Belmonte, 2016). PSCs have recently been

harnessed for interspecies organogenesis via blastocyst

complementation, a technique that holds potential to provide

large quantities of in-vivo-generated human cells, tissues, and

organs for regenerative medicine applications, including organ

transplantation (Suchy and Nakauchi, 2018; Wu et al., 2016).

One of the requirements for successful interspecies blastocyst

complementation with human PSCs (hPSCs) is their ability to

contribute to chimera formation. The chimeric competency of

hPSCs has been systematically tested in several animal species

(Wu et al., 2016), but despite sustained efforts from different lab-

oratories, the general consensus is that hPSCs do not consis-

tently and robustly contribute to chimera formation when the

host animal has a high evolutionary distance from humans

(e.g., mice and pigs; Wu et al., 2016, 2017). This is the case

2020 Cell 184, 2020–2032, April 15, 2021 ª 2021 Elsevier Inc.

even when human cell apoptosis is inhibited (Das et al., 2020;

Huang et al., 2018; Wang et al., 2018). Xenogeneic barriers be-

tween hPSCs and evolutionarily distant host animal species

have been suggested to account for limited chimerism (Wu

et al., 2016, 2017), though the use of hPSCs for chimera studies

in host species evolutionarily close to humans remains unex-

plored to date.

Cultured PSCs reflect the continuum of pluripotency that is

seen in vivo, and different cell culture formulations result in

distinct pluripotency states in vitro (Morgani et al., 2017; Smith,

2017; Weinberger et al., 2016). hPSCs in different pluripotency

states exhibit distinct transcriptional, epigenetic, and metabolic

features. They also differ in their chimeric potential when intro-

duced into animal embryos (De Los Angeles, 2019; Harvey

et al., 2019; Zhang et al., 2018). Recently, we and others identi-

fied human extended PSCs (hEPSCs) that demonstrated

improved chimeric capability in mouse conceptuses (Gao

et al., 2019; Yang et al., 2017b). To date, however, the chimeric

competency of hEPSCs has not been determined in other

species.

ll Article

Leveraging a recently developed culture system that enables

cynomolgus monkey (monkey for short) embryos to develop

up to 20 days ex vivo (Ma et al., 2019; Niu et al., 2019), we per-

formed microinjection of hEPSCs into monkey blastocysts and

examined their contribution to cultured monkey embryos at

different time points (Figure 1A). We found that hEPSCs could

integrate into the inner cell masses (ICMs) of late monkey blasto-

cysts and contributed to both embryonic and extra-embryonic

lineages in peri- and early post-implantation stages during pro-

longed embryo culture. We also determined the differentiation

trajectory of hEPSCs within cultured monkey embryos by sin-

gle-cell RNA sequencing (scRNA-seq) analysis.

RESULTS

Generation of human-monkey chimeric blastocysts in vitro

To determine the chimera competency of hPSCs in a closely

related non-human primate species, we used a well-character-

ized hEPSC line generated by cellular reprogramming, iPS1-

EPSCs, which demonstrated improved chimerism in embryonic

day 10.5 (E10.5) mouse conceptuses over other reported hPSCs

(Yang et al., 2017b). Consistent with the previous report, iPS1-

EPSCs exhibited a dome-shaped colony morphology and ex-

pressed the core pluripotency transcription factors OCT4,

NANOG, and SOX2 (Figure S1A). To generate human-monkey

chimeric embryos, early blastocysts from cynomolgus monkeys

(6 days post-fertilization [d.p.f.6]) were injected with 25 iPS1-

EPSCs labeled with tdTomato (TD). Injected embryos were first

cultured to the late blastocyst stage (d.p.f.7) for analysis. The

proliferation of hEPSCs within monkey blastocysts was evident

(Video S1). In total, TD+ iPS1-EPSCs were detected in all

d.p.f.7 monkey blastocysts (100%, n = 132) (Figure S1B).

Chimeric contribution of hEPSCs to peri- and post- implantation monkey embryos We next took advantage of a recently established prolonged em-

bryo culture system that supports ex vivo primate (human and

monkey) embryogenesis to the gastrulation stage (Deglincerti

et al., 2016; Ma et al., 2019; Niu et al., 2019; Shahbazi et al.,

2016; Xiang et al., 2020; Zhou et al., 2019). In this embryo culture

system, the zona pellucida is removed and the denuded blasto-

cysts are allowed to attach to the culture dish for further develop-

ment. We used this system to trace the fate of hEPSCs in

monkey embryos at peri- and post-implantation stages. Similar

to noninjected controls (92.31%, n = 104) (Niu et al., 2019),

most embryos injected with hEPSCs attached at approximately

d.p.f.10 (92.79%, n = 111). After attachment, the injected em-

bryos continued to grow, and an embryonic disc became visible

at approximately d.p.f.11 as seen with controls (Figure 1B). TD+

human cells were found in the embryonic disc of more than half

of the injected embryos at d.p.f. 9, but this ratio progressively

declined at approximately one-third by d.p.f.13 (Figure 1C). To

determine whether introduced hEPSCs may affect embryo

development, we evaluated and compared the developmental

status of injected and control embryos (Niu et al., 2019). We

found that the developmental ratios of injected embryos were

slightly lower than that of controls (Figure 1D). Furthermore,

similar to controls, the developmental ratios of injected embryos

dropped sharply at approximately d.p.f.15, which may reflect the

limitation of the 2D attachment embryo culture system

(Figure 1D).

To study the developmental potential of hEPSCs in monkey

embryos, we performed immunofluorescence (IF) studies using

antibodies specific for several embryonic and extra-embryonic

lineages. Analyses were performed between d.p.f.9 and

d.p.f.19. At the peri-implantation stage (d.p.f.9), on average,

10.2 ± 7.2 (n = 9) iPS1-EPSCs were found incorporated into

the ICM (the number of TD+OCT4+ cells found within or close

to NANOG+ or OCT4+ monkey cells) (Figure 2A). Although these

cells expressed OCT4, only a few of them expressed NANOG

(Figure S1C). Supporting their epiblast (EPI)-like identity, we

did not observe GATA6 (a hypoblast [HYP] marker) expression

in these cells (Figure S1C). In addition, TD+GATA4+ HYP-like

cells were also detected (Figure 2B). In contrast to the results re-

ported in mice (Yang et al., 2017b), only a few iPS1-EPSCs were

detected in the trophectoderm (TE) layer of monkey blastocysts

and expressed TE (TE or trophoblast) marker genes (e.g.,

TFAP2C and CK7) (Figure 2C).

At d.p.f.11, TD+OCT4+cells were also detected in the EPI layer

of monkey embryos, and these cells rarely expressed T+ (also

known as Brachyury), a marker of gastrulation. By contrast, T+

monkey cells were detected at the dorsal amnion of the embryos

(Figure 2D). In addition, TD+ human cells expressing a HYP

marker, platelet-derived growth factor receptor-alpha

(PDGFRa), were found intermingled within monkey HYP cells

(Figure 2E). OCT4+ human cells expressing COL6A1, a marker

of extra-embryonic mesenchyme cells (EXMCs), were found

outside of the EPI layer, suggesting ongoing differentiation of

hEPSCs toward EXMCs (Figure S1D). At d.p.f.13, hEPSCs

were detected beneath the EPI layer and expressed an endo-

derm marker, SOX17, suggesting that they have initiated gastru-

lation (Figure 2F). Interestingly, we found that from d.p.f.13

onward human cells tended to group together and segregate

from the monkey EPI layer. These human cells appeared to un-

dergo differentiation into gastrulating cells as evidenced by the

gained expression of OTX2 (Martyn et al., 2018; Vincent et al.,

2003) while maintaining OCT4 expression (Figure S1E). Overall,

we found that hEPSCs exhibited reasonable contribution to the

EPI (with the highest contribution of 7.08% observed at

d.p.f.15), relatively lower contribution to the HYP (with the high-

est contribution of 4.96% observed at d.p.f.19), and limited

contribution to the TE in peri- and post-implantation monkey em-

bryos (Figure 2G).

Transcriptional landscape of human-monkey chimeric embryos To further delineate the developmental trajectory of human-

monkey chimeric embryos, scRNA-seq analysis was carried

out to profile the transcriptomes of human and monkey cells at

different developmental stages. Following embryo dissociation,

single human (TD+) and monkey (TD�) cells were manually collected using fluorescence microscopy and subjected to

scRNA-seq. In total, we sequenced 227 human and 302 monkey

cells isolated from chimeric embryos at different time points dur-

ing ex vivo culture (d.p.f.9–d.p.f.17; Table S2). TD expression and

Cell 184, 2020–2032, April 15, 2021 2021

Figure 1. Generation and developmental capability of human-monkey ex-vivo chimeras

(A) Schematic of the generation and analyses of chimeric embryos derived from blastocyst injection of hEPSCs (created with BioRender.com). hEPSCs, human

extended pluripotent stem cells; EPI, epiblast; HYP, hypoblast; TE, trophectoderm; EXMC, extra-embryonic mesenchyme cell; GAS, gastrulating cell; IF,

immunofluorescence.

(B) Representative bright-field images of hEPSC-injected monkey embryos cultured in vitro until d.p.f.19 (n = 111 embryos for d.p.f.9; n = 91 embryos for d.p.f.11;

n = 60 embryos for d.p.f.13; n = 38 embryos for d.p.f.15; n = 12 embryos for d.p.f.17 and n = 3 embryos for d.p.f.19). Scale bar, 100 mm. Yellow dotted lines indicate

ICM (d.p.f.9) or embryonic disc (d.p.f.11 to d.p.f.19).

(C) Histogram showing the percentages of host monkey embryos containing human cells within ICM or embryonic disc (yellow dotted lines in B).

(D) Dynamics of developmental ratios of chimeric (n = 126, d.p.f.8) and non-chimeric monkey embryos (n = 104, data from Niu et al., 2019). Embryos without clear

embryonic disc structure and/or appear dead were excluded from the analysis.

See also Figure S1 and Video S1.

ll

2022 Cell 184, 2020–2032, April 15, 2021

Article

Figure 2. hEPSCs contribute to chimera

formation in peri- and post-implantation

monkey embryos

(A) Representative IF images showing integration

of TD-positive hEPSCs into ICM of host monkey

embryos at d.p.f.9 (n = 7). The embryos were

stained for OCT4 (green) and NANOG (gray). Scale

bar, 250 mm. Bottom, enlargements of the insert

(white dotted line) in the top panel. Arrows indicate

TD-positive hEPSCs expressing OCT4 and

NANOG. Yellow dotted line indicates ICM. Scale

bar, 50 mm.

(B) Representative IF images showing hEPSCs

differentiated into HYP-like cells within host

monkey embryos at d.p.f.9. The embryos were

stained for GATA4 (gray) and NANOG (green).

Scale bar, 250 mm. Bottom, enlargements of the

insert (white dotted line) in the top panel. Arrow

indicates a TD-positive hEPSC expressing

GATA4. Yellow dotted line indicates ICM. Scale

bar, 100 mm.

(C) Representative IF images showing integration

of TD-positive hEPSCs into TE of host monkey

embryos at d.p.f.9 (n = 3). The embryos were

stained for TFAP2C (gray) and CK7 (green). Scale

bar, 100 mm. Bottom, enlargements of the insert

(white dotted line) in the top panel. Arrow indicates

a TD-positive hEPSC expressing TFAP2C and

CK7. Scale bar, 50 mm.

(D) Representative IF images showing incorporation

of hEPSCs into EPI of host monkey embryo at

d.p.f.11 (n = 3). The embryos were stained for T

(gray) and OCT4 (green). Scale bar, 250 mm. Bot-

tom: enlargements of inserts (white dotted line) in

the top panel. Notably, hEPSCs rarely express T

(arrow), a marker of mesoderm, whereas the

expression of T is detected in monkey cells

(arrowhead). Yellow dotted line indicates EPI. Scale

bar, 25 mm.

(E) Expression of HYP marker, PDGFRa, in hEPSCs

at d.p.f.11 (n = 2). The embryos were stained for

PDGFRa (green). Scale bar, 50 mm. Bottom: en-

largements of the insert (white dotted line) in the top

panel. Arrow indicates a tdTomato-positive hEPSC

expressing PDGFRa. Yellow dotted line indicates

EPI. Scale bar, 10 mm.

(F) IF images of sections of monkey embryos at

d.p.f.13 (n = 5) staining for SOX17 (green).

Arrows indicate tdTomato-positive hEPSCs expressing SOX17. Scale bar, 50 mm. Yellow dotted line indicates EPI.

(G) Levels of chimerism of hEPSCs within EPI, HYP, and TE. EPI cells expressed only OCT4, and HYP cells expressed GATA6 and/or GATA4, whereas TE expressed

CK7 (a total of 25 embryos and 17,938 cells were analyzed). EPI, epiblast; HYP, hypoblast; TE, trophectoderm; TD, tdTomato; DAPI, 40,6-diamidino-2-phenylindole. See also Figure S1.

ll Article

the ratio of reads mapped to the human or cynomolgus monkey

genomes were used to further confirm each cell’s species of

origin (Figures S2A and S2B). After stringent filtering, 200 human

and 272 monkey cells were used for further analyses (Table S2).

On average, 9,798 genes (transcripts per million [TPM] > 0) and

27,936,953 reads were detected per cell. There was no statistical

difference in the number of genes and reads detected between

human and monkey cells (Figure S2C). For comparison, we

also included published scRNA-seq datasets containing cells

from monkey and human embryos in the analyses (Nakamura

et al., 2016; Niu et al., 2019; Xiang et al., 2020; Zhou et al.,

2019). To avoid batch-specific systematic variations of scRNA-

seq caused by integration of different datasets, we used an ‘‘an-

chors’’ method that is recommended for batch-effect removal

(Stuart et al., 2019) (Figure S2C).

We first performed t-distributed stochastic neighbor embed-

ding (t-SNE) analysis on the scRNA-seq datasets. Based on

the expression of known lineage markers, we identified four ma-

jor cell clusters that were present in all samples (both chimeric

and control embryos): EPI, HYP, TE, and EXMC (Figures 3A,

3B, and S2D). These cells also expressed lineage-specific

markers that showed conservation between humans and

Cell 184, 2020–2032, April 15, 2021 2023

A

C

D

B Figure 3. Transcriptional landscape of hu- man-monkey chimeric embryos

(A) t-SNE plot of cells from chimeric and control

non-chimeric embryos. Cells were identified as

EPI, HYP, TE, and EXMC. Cells were colored by

different species origins and datasets.

(B) Expression of lineage-specific marker genes of

EPI, HYP, and TE exhibited on t-SNE plots. A

gradient of gray, yellow, and red indicates low to

high expression.

(C) The phylogenetic tree shows the cluster of EPI,

HYP, and TE cells from chimeric embryos at

different stages (d.p.f.9, 11, 13, 15, and 17). Cells

are highlighted by species origins (human or

monkey), different stages (d.p.f.9, 11, 13, 15, and

17), and different cell types (EPI, HYP, and TE).

(D) Bar plot showing the distribution of cells from

different origins in the four lineages (EPI, EXMC,

HYP, and TE). EPI, epiblast; HYP, hypoblast; TE,

trophectoderm; EXMC, extra-embryonic mesen-

chyme cell.

See also Figure S2 and Table S2.

ll Article

monkeys identified in a previous study (Figure S2E) (Zhou et al.,

2019). The presence of these cell types in chimeric embryos sug-

gests that the development of host embryos was by and large

unaffected by the injected hEPSCs (Ma et al., 2019; Niu et al.,

2019), which is consistent with the morphological analysis

(Figures 1B and 1D). Interestingly, phylogenetic tree analysis

(based on gene expression levels) revealed that while most mon-

key cells within chimeric embryos (chimeric monkey cells for

short) segregated into distinct cell-type-specific clusters (EPI,

HYP, and TE), chimeric human HYP- and TE-like cells clustered

with EPI-like cells (Figure 3C). Thus, it seems that the chimeric

monkey cells exhibited a more faithful lineage segregation than

the introduced hEPSCs. In agreement with IF results, very few

human TE-like cells were identified in the scRNA-seq data (Fig-

ures 3A and 3D) and were therefore excluded from subsequent

analyses. Together, these results demonstrate that hEPSCs

can differentiate into several peri- and early post-implantation

cell types after being introduced into monkey early blastocysts

followed by ex vivo embryo culture.

Transcriptome dynamics of hEPSCs during human- monkey chimera development We next investigated the transcriptional kinetics of chimeric hu-

man and monkey cells. We first constructed a force-directed K-

nearest neighbor graph (SPRING) (Weinreb et al., 2018) based on

transcriptomic properties of all cells (see STAR Methods). All

cells bifurcated into three branches: EPI, HYP, and TE (Fig-

ure 4A). The correlations of gene expression patterns between

chimeric and control (human and monkey) embryos were deter-

2024 Cell 184, 2020–2032, April 15, 2021

mined (Figure 4B). Similar correlation co-

efficients were obtained when chimeric

human cells were compared to control

human (0.460) or monkey (0.459) cells

(Figure 4B, right panels). Intriguingly,

when compared to control embryos,

chimeric monkey cells exhibited higher

correlation coefficients than chimeric human cells (Figure 4B,

left panels). We next generated lineage-specific correlation

matrices. We found that chimeric human EPI-like cells were

similar to EPI cells in human embryos, whereas chimeric human

HYP- and EXMC-like cells shared the highest correlation coeffi-

cients with chimeric monkey HYP cells and EXMCs, respectively

(Figure 4C). Of note, we also found that chimeric monkey EPI

cells and EXMCs more resembled chimeric than control human

cells. Interestingly, chimeric human EPI-like cells were found to

gradually gravitate toward the chimeric monkey EPI cells, with

R2 values increasing from 0.363 (pre-implantation EPI [Pre_EPI])

to 0.464 (post-implantation late EPI [PostL_EPI]) and then to

0.693 (gastrulating [Gast] cells) (Figure 4C). Taken together,

these results demonstrate that the monkey embryonic microen-

vironment exerts influence on the transcriptional states of human

cells and vice versa.

As monkey cells exhibited transcriptomic changes in the pres-

ence of human cells, we next sought to delineate the develop-

mental dynamics of monkey cells within chimeric embryos. We

first identified differentially expressed genes (DEGs) between

chimeric and control monkey embryos. Comparisons of EPI

cells, HYP cells, and EXMCs revealed that 424, 7, and 241 genes

were downregulated, whereas 5, 2, and 13 genes were upregu-

lated, respectively, in cells from chimeric compared to control

embryos, although the expression levels of lineage marker genes

remained comparable (Figures 4D and S3A). Gene Ontology

(GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG)

enrichment analyses identified a number of signaling pathways

that were up- and downregulated in chimeric monkey EPI cells,

A

C

D

F G

E

B

(legend on next page)

ll

Cell 184, 2020–2032, April 15, 2021 2025

Article

ll Article

HYP cells, and EXMCs. For example, the Hippo and transforming

growth factor b (TGF-b) signaling pathways were downregulated

in chimeric monkey EPI cells and EXMCs (Figure 4E),

respectively.

Having shown that the transcriptomic profiles of monkey EPI

cells were altered in chimeric embryos, we next investigated

whether the monkey EPI embryonic niche was also affected by

human cells. To this end, CellPhoneDB (v2.0.1) (Vento-Tormo

et al., 2018) was applied to identify potential cellular interactions

between EPI and other lineages (HYP and EXMC) in both

chimeric and control embryos (see STAR Methods). We sought

to identify interactions that were specific to chimeric or control

embryos. We found more ligand-receptor interactions in

chimeric embryos when compared to control embryos (e.g.,

117 [chimeric] versus 10 [control] specific ligand-receptor inter-

actions were detected in monkey EPI cells) (Figures 4F and S3B;

Table S3). KEGG analysis was performed to reveal specific

signaling pathways that were enriched within chimeric and

control embryos. We found several signaling pathways (e.g.,

phosphatidylinositol 3-kinase [PI3K]-Akt and mitogen-activated

protein kinase [MAPK] signaling pathways) that were strength-

ened in chimeric embryos and new signaling pathways (e.g.,

WNT signaling pathway) that were specifically enriched in

chimeric embryos (Figure 4G). Using the same method, we

also determined human and monkey cell-cell interactions within

chimeric embryos and identified distinct ligand-receptor interac-

tions in EPI cells, such as FGF5-FGFR4, NOTCH4-JAG2,

WNT2B-FZD4, WISP3-SORL1, and PLXNB2-PTN (Figures S3C

and S3D; Table S3). Taken together, our results suggest that

cell-cell interactions are reinforced within the chimeric embryos

and potentially lead to activation of additional signaling

pathways.

Chimeric human EPI-like cells display a distinct developmental trajectory EPI development is characterized by pluripotency transitions that

may exhibit different dynamics between species. As proper EPI

specification and differentiation are critical for chimera formation

and development, we examined the lineage allocation of human

EPI-like cells within the chimeric embryos and compared it with

the datasets of in-vitro-cultured human and monkey embryos

Figure 4. Developmental trajectory of human-monkey chimeric embry

(A) The differentiation trajectory of chimeric cells and control non-chimeric cells

colored by cell lineages.

(B) Overall similarity under the four comparisons (chimera-monkey versus control

versus control non-chimeric human [‘‘Chimera-Human vs. Control-Human’’], c

Control-Monkey’’], and chimera-human versus control non-chimeric monkey [‘‘C

(C) Heatmap of the correlation coefficients among different cell origins under cor

(D) Histogram showing the numbers of DEGs for different lineages (EPI, HYP, and

embryos. The red and blue colors represent up- and down-regulated genes, res

(E) GO and KEGG enrichment analyses of the DEGs in (D). Red and blue represen

respectively.

(F) The Venn diagrams showing the overlap of the ligand-receptor interactions bet

non-chimeric (Control-Monkey) monkey cells.

(G) Comparison of KEGG pathways enriched by the specific interactions betwee

cells in (F). EPI, epiblast; EXMC, extra-embryonic mesenchyme cell; HYP, hypobla

gastrulating cell; DEG, differentially expressed gene.

See also Figure S3 and Table S3.

2026 Cell 184, 2020–2032, April 15, 2021

(Nakamura et al., 2016; Niu et al., 2019; Zhou et al., 2019). Human

EPI-like cells were identified at pre-implantation, post-implanta-

tion, and gastrulating stages, and at each stage, they expressed

distinct markers (Figures 5A and S4A–S4C). A Sankey diagram

also showed the same developmental dynamics of human EPI-

like cells (Figure S4D). We next determined the relationship be-

tween hEPSCs (Yang et al., 2017b), chimeric human EPI-like

cells, EPI cells from control human and monkey embryos (Niu

et al., 2019; Zhou et al., 2019), and human and monkey PSCs

(primed and naive) (Chan et al., 2013; Chen et al., 2015; Gafni

et al., 2013; Theunissen et al., 2014). We observed that hEPSCs

were more similar to early post-implantation EPI (PostE_EPI)

and PostL_EPI cells from human and monkey embryos, respec-

tively, as well as human and monkey naive PSCs. Chimeric hu-

man PostL_EPI-like cells showed higher correlation coefficients

to primed PSCs than naive PSCs (Figure S4E). To further investi-

gate the transcriptional kinetics of hEPSCs (Yang et al., 2017b),

chimeric humanEPI-like cells, andhost monkeyEPI cells, we per-

formed RNA velocity (La Manno et al., 2018) and Slingshot ana-

lyses (Street et al., 2018) (Figure 5B). We observed two distinct

patterns of RNA velocity vectors; chimeric human PostL_EPI-

like cells bore long vectors, and gastrulating-like cells bore short

vectors. In contrast, host monkey PostL_EPI cells lacked long

vectors, and gastrulating cells bore long vectors (Figure 5B, left

two panels). These results imply that development is delayed

for chimeric human EPI-like cells. Slingshot analysis revealed

that after injection into monkey blastocysts, hEPSCs followed

the EPSC to PostL_EPI to gastrulation developmental trajectory

(Figure 5B, right panel). To further delineate the developmental

trajectory of chimeric human EPI-like cells, we mapped all EPI-

related human and monkey reads to a consensus genome and

aligned EPI development trajectories between species using a

previously reported method (Kanton et al., 2019). In agreement

with the RNA velocity analysis, we found that chimeric human

EPI-like cells differentiated more slowly than EPI cells from host

monkey, control monkey, and human embryos (Figure 5C). These

results suggest that the specification and/or differentiation of

hEPSCs toward the EPI lineages was less efficient than embry-

onic cells.

As mentioned above, global transcriptional profiles of chimeric

human EPI-like cells more resembled monkey EPI cells within the

os

. The differentiation trajectory was reconstructed using SPRING. Cells were

non-chimeric human [‘‘Chimera-Monkey vs. Control-Human’’], chimera-human

himera-monkey versus control non-chimeric monkey [‘‘Chimera-Monkey vs.

himera-Human vs. Control-Monkey’’]). Cells are colored by cell origins.

responding lineages (EPI, EXMC, HYP, Pre_EPI, PostL_EPI, and Gast).

EXMC) in the host monkey cells compared to cells from control non-chimeric

pectively.

t enrichment p values (�log10 transformed) for up- and downregulated DEGs,

ween EPI-EPI, EPI-HYP, and EPI-EXMC in host (Chimera-Monkey) and control

n host (Chimera-Monkey) and control non-chimeric (Control-Monkey) monkey

st; Pre_EPI, pre-implantation EPI; PostL_EPI, post-implantation late EPI; Gast,

A

C

D

F

E

B

Figure 5. Developmental trajectory of chimeric human EPI-like cells within monkey embryos

(A) t-SNE plot of EPI cells at different sublineages. Cells are colored by cell origins and designated as ICM, Pre_EPI, PostE_EPI, PostL_EPI, and Gast. Cells of

‘‘Control-Human 1’’ derive from dataset ‘‘Human-1’’ (Zhou et al., 2019). Cells of ‘‘Control-Monkey 1’’ derive from dataset ‘‘Monkey-1’’ (Niu et al., 2019). Cells of

‘‘Control-Monkey 2’’ derive from dataset ‘‘Monkey-2’’ (Nakamura et al., 2016). Lower right: single cells are colored according to embryonic stages.

(B) RNA velocity analysis of chimeric human (chimera-human) and host monkey (chimera-monkey) cells, respectively (left two panels). The amplitude and di-

rection of the vector reflects a transcriptional trajectory. Slingshot analysis of chimeric human EPI-like cells and hEPSCs (third panel). The curves and arrows

indicate the potential development trajectory. Cells are colored by cell lineages.

(C) Pseudotime alignment between control and chimeric cells. Left and right panels show the pseudotime alignment of chimeric cells with control human and host

monkey cells, respectively.

(legend continued on next page)

ll

Cell 184, 2020–2032, April 15, 2021 2027

Article

ll Article

chimeric embryos than EPI cells from human embryos. To further

delineate the potential processes regulating the development of

chimeric human EPI-like cells, we generated Venn diagrams us-

ing DEGs identified between human EPI-like and monkey EPI

cells within the chimeric embryos, between EPI cells from control

human and monkey embryos, between human EPI-like cells

from chimeric embryos and EPI cells from human embryos,

and between EPI cells from chimeric and control monkey em-

bryos. These analyses revealed 315 genes uniquely shared be-

tween chimeric human EPI-like cells and EPI cells from control

monkey embryos (Figure 5D; Table S4). KEGG analysis using

these genes identified PI3K-Akt, MAPK, and Peroxisome prolif-

erator-activated receptor (PPAR) signaling pathways, which

may be involved in shifting the transcriptomes of human EPI-

like cells toward the monkey EPI cells (Figures 5E and 5F). We

also found a number of hub genes that potentially played impor-

tant roles in regulating the development of chimeric human EPI-

like cells, namely CHD2, POLR2A, and RB1 (Figures S5A and

S5B). In addition, we found that a majority of chimeric human

EPI-like cells expressed S/G2/M cell-cycle-related genes, and

the expression levels of apoptosis-related genes showed no sig-

nificant difference among human and monkey cells within

chimeric and control embryos (Figures S5C and S5E). Although

chimeric human EPI-like cells showed slower than normal differ-

entiation, GO analysis using DEGs in Pre_EPI, PostL_EPI, and

gastrulating (Gast) cells revealed developmental progression

(Figure S5D). Together, these analyses reveal signaling path-

ways and factors that likely drive distinct lineage specification

and differentiation dynamics of chimeric human EPI-like cells

within monkey embryos.

DISCUSSION

There are significant ethical considerations involved in gener-

ating and studying human-animal chimeric embryos, particularly

when non-human primates are involved. Different guidelines

exist at the state, national, and international levels, and it is

important for scientists, bioethicists, policy makers, and funding

agencies to stay engaged in keeping these guidelines up to date

with the relevant science as well as for the welfare of society. For

the studies presented here, extensive reviews of research plans

and protocols were conducted in advance. Ethical consultations

and reviews were performed both at the institutional level and via

outreach to non-affiliated bioethicists with experience in state

and national bioethics policies regarding these matters. This

thorough and detailed process helped guide our experiments,

which were focused entirely on ex vivo chimeric embryos.

Furthermore, we limited our studies to early-stage chimeric em-

bryo development.

(D) The Venn diagram shows the overlap of DEGs obtained from different comp

making chimeric human EPI-like cells similar to host monkey EPI cells) and two gen

EPI cells similar to control human EPI cells) are subsets from the DEGs between

control-monkey cells, respectively.

(E) Enriched KEGG pathways for the 315 DEGs.

(F) The dynamic changes of the 315 DEGs enriched pathways along the pseudo

E_EPI, post-implantation early EPI; PostL_EPI, post-implantation late EPI; Gast,

See also Figures S4 and S5 and Table S4.

2028 Cell 184, 2020–2032, April 15, 2021

Using hPSCs to generate human-animal chimeric embryos

provides an experimental paradigm for studying early human

development and holds great potential for diverse applications

in regenerative medicine as well as for producing human tissues

and organs for replacement therapies. To achieve interspecies

blastocyst complementation, donor PSCs must be able to

contribute to chimera formation once introduced into the host

embryo. Rat and mouse PSCs robustly contribute to chimera for-

mation when introduced into mouse and rat blastocysts, respec-

tively. To date, however, robust chimerism between species that

are more evolutionarily distant has not been achieved. Several

groups, including ours, have rigorously demonstrated that

hPSCs inefficiently contributed to chimera formation in early

mouse (E8.5–E17.5) and pig (E17–E28) embryos. Levels of

chimerism were far lower than those achieved between rat and

mouse (Bayerl et al., 2020; Das et al., 2020; Hu et al., 2020; Sal-

azar-Roa et al., 2020; Theunissen et al., 2014, 2016; Wang et al.,

2018; Wu et al., 2017; Yang et al., 2017b). This conclusion was

reached by systematically testing the chimeric competency of

human embryonic stem cells (hESCs)/induced PSCs (iPSCs)

generated under different culture conditions in different labora-

tories. Different sex and genetic backgrounds were also tested.

These results likely reflect the >90-million-year evolutionary dis-

tance between primates and rodents and between primates and

ungulates. By contrast, the mouse and rat are separated by �21 million years of evolution. Thus, more pronounced xenogeneic

barriers might exist between evolutionarily distant species dur-

ing early development. These barriers likely reflect differences

in embryonic development (Rossant, 2018; Rossant and Tam,

2018; Wu et al., 2016) that manifest at the molecular and cellular

levels as differential cell adhesion, ligand-receptor incompatibil-

ity, cell competition (Zheng et al., 2021), and differences in cell-

cycle rates and developmental timing, among others. To gain

insights into early human development and identify key molecu-

lar processes underlying xenogeneic barriers, it is thus impera-

tive to study human-animal chimeras using a host species that

is more closely related to humans.

Dynamic PSC states reflect the spectrum of pluripotency

observed in vivo (Morgani et al., 2017; Riveiro and Brickman,

2020; Wu and Izpisua Belmonte, 2015). Studies in rodents

have identified a number of pluripotency states (e.g., naive and

primed) that exhibit different molecular and functional proper-

ties, including variable abilities to contribute to chimera forma-

tion (Wu and Izpisua Belmonte, 2015). A single mouse EPSC

cultured in the LCDM condition (leukemia inhibitory factor [LIF],

the GSK3 inhibitor CHIR99021, (S)-(+)-dimethindene maleate

[DiM)], and minocycline hydrochloride [MiH]) can give rise to an

entire adult mouse via tetraploid complementation, which is

not seen with other PSCs (Yang et al., 2017b). Thus, mouse

EPSCs seem to exhibit the highest chimeric capability among

arisons. The 315 genes (left panel shows genes that are putatively involved in

es (right panel shows genes that are putatively involved in making host monkey

chimera-human and control-human cells and between chimera-monkey and

time. ICM, inner cell mass; EPI, epiblast; Pre_EPI, pre-implantation EPI; Post-

gastrulating cell; DEG, differentially expressed gene.

ll Article

all reported PSCs. LCDM-cultured hEPSCs also exhibit relatively

higher chimera competency in E10.5 mouse conceptuses (�1%) when compared with other hPSCs (Yang et al., 2017b). To maxi-

mize the possibility of a positive outcome and to minimize the

number of monkey embryos used, we chose to only focus on a

well-characterized hEPSC line.

In the current study, we combined prolonged ex vivo monkey

embryo culture with hEPSC injection to study human chimerism

in a closely related non-human primate species (Macaca fascicu-

laris). We found that hEPSCs were incorporated into the devel-

opmental program of the monkey embryo until d.p.f.19. Savatier

and colleagues recently found that human naive PSCs stalled in

the G1 phase of the cell cycle and therefore could not contribute

to chimera formation when introduced into rabbit or macaque

pre-implantation embryos (Aksoy et al., 2020), which is not

observed in the present study. One possible explanation for

this discrepancy is that PSCs cultured in the LCDM condition

may acquire features that make them more proliferative and/or

better able to survive in host monkey embryos, as they did in

mouse chimeras (Yang et al., 2017a, 2017b). Recent studies

have also shown that human and monkey PSCs residing in an in-

termediate pluripotent state exhibit improved chimera contribu-

tion over naive or naive-like PSCs in pig embryos (Fu et al., 2020;

Wu et al., 2017). These observations suggest that donor PSC

culture conditions need to be catered to different host species

to enable robust interspecies chimerism.

In the current study, we found that hEPSCs contributed to

several main lineages (EPI, HYP, and EXMC) in peri- and early

post-implantation monkey embryos. Despite transcriptomic dif-

ferences, EPI-like cells derived from hEPSCs largely followed the

specification and differentiation dynamics observed in control

monkey and human embryos ex vivo. This suggests that EPI

developmental programs are evolutionarily conserved between

humans and monkeys. Recently, the ability of mouse EPSCs

and hEPSCs to differentiate into trophoblasts has been called

into question (Guo et al., 2020; Posfai et al., 2020; Yang et al.,

2017a, 2017b). Consistent with recent observations, we found

that hEPSCs rarely contributed to TE derivatives in human-mon-

key chimeric embryos. This may be due to clonal effect (only one

hEPSC line was used in this study), species differences, and/or a

lack of TE potency in hEPSCs.

Our scRNA-seq analyses revealed transcriptomic differences

between cells in human-monkey chimeric embryos (both human

and monkey) when compared with control human and monkey

embryos (data retrieved from a publicly accessible database)

(Nakamura et al., 2016; Niu et al., 2019; Xiang et al., 2020;

Zhou et al., 2019). This is likely because introduced human cells

impacted embryonic developmental niches within the host mon-

key embryos. To gain insights into the mechanisms underlying

these changes, we studied cell-cell interactions and examined

ligand-receptor pairing. We found that cell-cell interactions be-

tween human and monkey cells within chimeric embryos

showed some distinct features when compared to controls.

We also identified a number of signaling pathways that were

potentially involved (e.g., MAPK and PI3K-AKT). It will be inter-

esting to determine whether modulating these pathway activities

in donor hPSCs and/or cultured embryos may improve interspe-

cies chimerism in future studies.

Most recently, interspecies PSC co-cultures (e.g., human and

rhesus macaque) have been developed to study interspecies

cell competition (Zheng et al., 2021). In addition, through ad-

vances in both 2D and 3D culture systems, hPSCs have been

guided to patterned structures that model post-implantation

developmental processes, including amniotic sac formation,

gastrulation, and neurulation (Martyn et al., 2018; Shao et al.,

2017; Simunovic et al., 2019; Warmflash et al., 2014; Xue et al.,

2018; Zheng et al., 2019). While these in vitro models are valuable

in studying human pluripotent EPI cells and their derivatives, they

lack extra-embryonic tissues, including trophoblast and HYP. In

comparison, the human-monkey ex vivo model reported in this

study is less accessible than in vitro PSC models but bears the

advantage of studying human development in a conceptus

context that captures the spatiotemporal dynamic cell interac-

tions from different tissues. As research progresses, all of these

different models will be invaluable and complementary to one

another to help gain insights into early human development.

In summary, our findings provide insights into the cellular and

molecular events that occur when human and monkey cells are

mixed early during embryonic development. These results

shed light on evolutionarily convergent and divergent processes

during primate embryogenesis. Ultimately, this line of funda-

mental research will help improve human chimerism in species

more evolutionarily distant that for various reasons, including so-

cial, economic, and ethical, might be more appropriate for

regenerative medicine translational therapies.

Limitations of study Despite the fact that a relatively large number of cynomolgus

monkey embryos (132) were used in this study, due to the

inherent randomness of chimera experiments and to account

for the full range of factors that potentially affect interspecies

chimerism, an expanded analysis with a larger number of mon-

key embryos will be needed. The constraint in the number of em-

bryos we could utilize led to several limitations of the current

study: (1) we only tested chimera competency of a hEPSC line

in monkey embryos and did not study other pluripotency states

from human or other species (it should be noted that monkey

EPSCs have not been reported to date), (2) we did not test the

effect of changing the numbers of hEPSCs injected in monkey

embryos, and (3) we were not able to test different injection

stages.

STAR+METHODS

Detailed methods are provided in the online version of this paper

and include the following:

d KEY RESOURCES TABLE

d RESOURCE AVAILABILITY

B Lead contact

B Materials availability

B Data and code availability

d EXPERIMENTAL MODEL AND SUBJECT DETAILS

B Animals

B Culture of human extended pluripotent stem

(hEPS) cells

Cell 184, 2020–2032, April 15, 2021 2029

ll Article

B Animal, stem cell, and ethical approvals

d METHOD DETAILS

B Oocyte collection and in vitro fertilization

B Microinjection of human EPS cells into monkey blasto-

cysts and in vitro embryo culture

B Human-monkey chimeric embryos culture in vitro

B Single cell collection and single cell RNA-seq

(scRNA-seq)

B Immunofluorescence (IF) analysis

d QUANTIFICATION AND STATISTICAL ANALYSIS

B Statistical analysis

B Cell origin identification, scRNA-seq data pre-process-

ing and quality control

B Cell clustering, lineage identification

B Identification of differentially expressed genes

B Pseudotime alignment and pseudotime-dependent

differentially expressed genes analysis

B GO and KEGG pathway analysis

B Single-cell transcription factor regulation networks

construction and clustering

B RNA velocity analysis

B Identification of cross-talks between human and mon-

key cells within chimeric embryos

SUPPLEMENTAL INFORMATION

Supplemental information can be found online at https://doi.org/10.1016/j.cell.

2021.03.020.

ACKNOWLEDGMENTS

Special thanks to the Stanford University Research Ethics Program for helpful

discussions and feedback during the protocol review process. We would like

to thank David O’Keefe for his critical reading of this manuscript and invaluable

comments. This work was supported by grants from the National Key Research

and Development Program (2018YFA0801400 and 2016YFA0101401), the Na-

tional Natural Science Foundation of China (81760271 and 31660346), Major

Basic Research Project of Science and Technology of Yunnan (2017ZF028

and 202001BC070001), Key Projects of Basic Research Program in Yunnan

Province (2017FA010), High-level Talent Cultivation Support Plan of Yunnan

Province and Yunnan Fundamental Research Projects (2019FB050), UCAM,

and The Moxie Foundation.

AUTHOR CONTRIBUTIONS

T.T., J.W., Y.N., W.J., and J.C.I.B. designed the study and supervised all ex-

periments. C.S. and Y.K. performed samples collection work, including super-

ovulation, micromanipulation, and animal care. T.T., Y.Z., N.S., E.Z., H.S.,

W.S., H.W., Z.C., R.H.-B., L.M.M., E.N.D., W.T.B., M.S., Z.A., T.L., and

C.R.E. carried out experiments or contributed critical reagents and protocols.

T.T., J.W., S.D., P.Y., and R.Z. analyzed the data and performed statistical an-

alyses. T.T., J.W., S.D., W.J., and J.C.I.B. wrote the manuscript.

DECLARATION OF INTERESTS

The authors declare no competing interests.

INCLUSION AND DIVERSITY

We worked to ensure sex balance in the selection of non-human subjects. One

or more of the authors of this paper self-identifies as an underrepresented

ethnic minority in science. One or more of the authors of this paper self-iden-

tifies as living with a disability. One or more of the authors of this paper

2030 Cell 184, 2020–2032, April 15, 2021

received support from a program designed to increase minority representation

in science. The author list of this paper includes contributors from the location

where the research was conducted who participated in the data collection,

design, analysis, and/or interpretation of the work.

Received: September 29, 2020

Revised: January 25, 2021

Accepted: March 9, 2021

Published: April 15, 2021

REFERENCES

Aibar, S., González-Blas, C.B., Moerman, T., Huynh-Thu, V.A., Imrichova, H.,

Hulselmans, G., Rambow, F., Marine, J.C., Geurts, P., Aerts, J., et al. (2017).

SCENIC: single-cell regulatory network inference and clustering. Nat. Methods

14, 1083–1086.

Aksoy, I., Rognard, C., Moulin, A., Marcy, G., Masfaraud, E., Wianny, F., Cor-

tay, V., Bellemin-Ménard, A., Doerflinger, N., Dirheimer, M., et al. (2020). Pri-

mate naı̈ve pluripotent stem cells stall in the G1 phase of the cell cycle and

differentiate prematurely during embryo colonization. bioRxiv,

2020.2003.2027.011890.

Bayerl, J., Ayyash, M., Shani, T., Manor, Y., Gafni, O., Kalma, Y., Aguilera-Cas-

trejon, A., Zerbib, M., Amir, H., Sheban, D., et al. (2020). Tripartite Inhibition of

SRC-WNT-PKC Signalling Consolidates Human Naı̈ve Pluripotency. bioRxiv,

2020.2005.2023.112433.

Butler, A., Hoffman, P., Smibert, P., Papalexi, E., and Satija, R. (2018). Inte-

grating single-cell transcriptomic data across different conditions, technolo-

gies, and species. Nat. Biotechnol. 36, 411–420.

Chan, Y.S., Göke, J., Ng, J.H., Lu, X., Gonzales, K.A., Tan, C.P., Tng, W.Q.,

Hong, Z.Z., Lim, Y.S., and Ng, H.H. (2013). Induction of a human pluripotent

state with distinct regulatory circuitry that resembles preimplantation epiblast.

Cell Stem Cell 13, 663–675.

Chen, Y., Niu, Y., Li, Y., Ai, Z., Kang, Y., Shi, H., Xiang, Z., Yang, Z., Tan, T., Si,

W., et al. (2015). Generation of Cynomolgus Monkey Chimeric Fetuses using

Embryonic Stem Cells. Cell Stem Cell 17, 116–124.

Das, S., Koyano-Nakagawa, N., Gafni, O., Maeng, G., Singh, B.N., Rasmus-

sen, T., Pan, X., Choi, K.D., Mickelson, D., Gong, W., et al. (2020). Generation

of human endothelium in pig embryos deficient in ETV2. Nat. Biotechnol. 38,

297–302.

De Los Angeles, A. (2019). The Pluripotency Continuum and Interspecies Chi-

meras. Curr. Protoc. Stem Cell Biol. 50, e87.

De Los Angeles, A., Ferrari, F., Xi, R., Fujiwara, Y., Benvenisty, N., Deng, H.,

Hochedlinger, K., Jaenisch, R., Lee, S., Leitch, H.G., et al. (2015). Hallmarks

of pluripotency. Nature 525, 469–478.

Deglincerti, A., Croft, G.F., Pietila, L.N., Zernicka-Goetz, M., Siggia, E.D., and

Brivanlou, A.H. (2016). Self-organization of the in vitro attached human em-

bryo. Nature 533, 251–254.

Fu, R., Yu, D., Ren, J., Li, C., Wang, J., Feng, G., Wang, X., Wan, H., Li, T.,

Wang, L., et al. (2020). Domesticated cynomolgus monkey embryonic stem

cells allow the generation of neonatal interspecies chimeric pigs. Protein Cell

11, 97–107.

Gafni, O., Weinberger, L., Mansour, A.A., Manor, Y.S., Chomsky, E., Ben-Yo-

sef, D., Kalma, Y., Viukov, S., Maza, I., Zviran, A., et al. (2013). Derivation of

novel human ground state naive pluripotent stem cells. Nature 504, 282–286.

Gao, X., Nowak-Imialek, M., Chen, X., Chen, D., Herrmann, D., Ruan, D., Chen,

A.C.H., Eckersley-Maslin, M.A., Ahmad, S., Lee, Y.L., et al. (2019). Establish-

ment of porcine and human expanded potential stem cells. Nat. Cell Biol. 21,

687–699.

Guo, G., Stirparo, G.G., Strawbridge, S., Yang, J., Clarke, J., Li, M.A., Myers,

S., Özel, B.N., Nichols, J., and Smith, A. (2020). Trophectoderm Potency is Re-

tained Exclusively in Human Naı̈ve Cells. bioRxiv, 2020.2002.2004.933812.

Hackett, J.A., and Surani, M.A. (2014). Regulatory principles of pluripotency:

from the ground state up. Cell Stem Cell 15, 416–430.

ll Article

Harvey, A., Caretti, G., Moresi, V., Renzini, A., and Adamo, S. (2019). Interplay

between Metabolites and the Epigenome in Regulating Embryonic and Adult

Stem Cell Potency and Maintenance. Stem Cell Reports 13, 573–589.

Hu, Z., Li, H., Jiang, H., Ren, Y., Yu, X., Qiu, J., Stablewski, A.B., Zhang, B.,

Buck, M.J., and Feng, J. (2020). Transient inhibition of mTOR in human plurip-

otent stem cells enables robust formation of mouse-human chimeric embryos.

Sci. Adv. 6, eaaz0298.

Huang, K., Zhu, Y., Ma, Y., Zhao, B., Fan, N., Li, Y., Song, H., Chu, S., Ouyang,

Z., Zhang, Q., et al. (2018). BMI1 enables interspecies chimerism with human

pluripotent stem cells. Nat. Commun. 9, 4649.

Kanehisa, M. (2019). Toward understanding the origin and evolution of cellular

organisms. Protein Sci. 28, 1947–1951.

Kanehisa, M., and Goto, S. (2000). KEGG: kyoto encyclopedia of genes and

genomes. Nucleic Acids Res. 28, 27–30.

Kanehisa, M., Sato, Y., Furumichi, M., Morishima, K., and Tanabe, M. (2019).

New approach for understanding genome variations in KEGG. Nucleic Acids

Res. 47 (D1), D590–D595.

Kanton, S., Boyle, M.J., He, Z., Santel, M., Weigert, A., Sanchı́s-Calleja, F.,

Guijarro, P., Sidow, L., Fleck, J.S., Han, D., et al. (2019). Organoid single-cell

genomic atlas uncovers human-specific features of brain development. Nature

574, 418–422.

Kim, D., Paggi, J.M., Park, C., Bennett, C., and Salzberg, S.L. (2019). Graph-

based genome alignment and genotyping with HISAT2 and HISAT-genotype.

Nat. Biotechnol. 37, 907–915.

Kumar, S., Stecher, G., Li, M., Knyaz, C., and Tamura, K. (2018). MEGA X: Mo-

lecular Evolutionary Genetics Analysis across Computing Platforms. Mol. Biol.

Evol. 35, 1547–1549.

La Manno, G., Soldatov, R., Zeisel, A., Braun, E., Hochgerner, H., Petukhov, V.,

Lidschreiber, K., Kastriti, M.E., Lönnerberg, P., Furlan, A., et al. (2018). RNA ve-

locity of single cells. Nature 560, 494–498.

Ma, H., Zhai, J., Wan, H., Jiang, X., Wang, X., Wang, L., Xiang, Y., He, X., Zhao,

Z.A., Zhao, B., et al. (2019). In vitro culture of cynomolgus monkey embryos

beyond early gastrulation. Science 366, eaax7890.

Martyn, I., Kanno, T.Y., Ruzo, A., Siggia, E.D., and Brivanlou, A.H. (2018). Self-

organization of a human organizer by combined Wnt and Nodal signalling. Na-

ture 558, 132–135.

Mishra, R., Grzybek, M., Niki, T., Hirashima, M., and Simons, K. (2010). Galec-

tin-9 trafficking regulates apical-basal polarity in Madin-Darby canine kidney

epithelial cells. Proc. Natl. Acad. Sci. USA 107, 17633–17638.

Morgani, S., Nichols, J., and Hadjantonakis, A.K. (2017). The many faces of

Pluripotency: in vitro adaptations of a continuum of in vivo states. BMC Dev.

Biol. 17, 7.

Nakamura, T., Okamoto, I., Sasaki, K., Yabuta, Y., Iwatani, C., Tsuchiya, H.,

Seita, Y., Nakamura, S., Yamamoto, T., and Saitou, M. (2016). A develop-

mental coordinate of pluripotency among mice, monkeys and humans. Nature

537, 57–62.

Niu, Y., Sun, N., Li, C., Lei, Y., Huang, Z., Wu, J., Si, C., Dai, X., Liu, C., Wei, J.,

et al. (2019). Dissecting primate early post-implantation development using

long-term in vitro embryo culture. Science 366, eaaw5754.

Pertea, M., Pertea, G.M., Antonescu, C.M., Chang, T.C., Mendell, J.T., and

Salzberg, S.L. (2015). StringTie enables improved reconstruction of a tran-

scriptome from RNA-seq reads. Nat. Biotechnol. 33, 290–295.

Picelli, S., Faridani, O.R., Björklund, A.K., Winberg, G., Sagasser, S., and

Sandberg, R. (2014). Full-length RNA-seq from single cells using Smart-

seq2. Nat. Protoc. 9, 171–181.

Posfai, E., Schell, J.P., Janiszewski, A., Rovic, I., Murray, A., Bradshaw, B.,

Pardon, T., El Bakkali, M., Talon, I., De Geest, N., et al. (2020). Defining totipo-

tency using criteria of increasing stringency. bioRxiv, 2020.2003.2002.972893.

Riveiro, A.R., and Brickman, J.M. (2020). From pluripotency to totipotency: an

experimentalist’s guide to cellular potency. Development 147, dev189845.

Rossant, J. (2018). Genetic Control of Early Cell Lineages in the Mammalian

Embryo. Annu. Rev. Genet. 52, 185–201.

Rossant, J., and Tam, P.P.L. (2017). New Insights into Early Human Develop-

ment: Lessons for Stem Cell Derivation and Differentiation. Cell Stem Cell

20, 18–28.

Rossant, J., and Tam, P.P.L. (2018). Exploring early human embryo develop-

ment. Science 360, 1075–1076.

Salazar-Roa, M., Trakala, M., Álvarez-Fernández, M., Valdés-Mora, F., Zhong,

C., Muñoz, J., Yu, Y., Peters, T.J., Graña-Castro, O., Serrano, R., et al. (2020).

Transient exposure to miR-203 enhances the differentiation capacity of estab-

lished pluripotent stem cells. EMBO J. 39, e104324.

Shahbazi, M.N., Jedrusik, A., Vuoristo, S., Recher, G., Hupalowska, A., Bolton,

V., Fogarty, N.N.M., Campbell, A., Devito, L., Ilic, D., et al. (2016). Self-organi-

zation of the human embryo in the absence of maternal tissues. Nat. Cell Biol.

18, 700–708.

Shao, Y., Taniguchi, K., Townshend, R.F., Miki, T., Gumucio, D.L., and Fu, J.

(2017). A pluripotent stem cell-based model for post-implantation human am-

niotic sac development. Nat. Commun. 8, 208.

Simunovic, M., Metzger, J.J., Etoc, F., Yoney, A., Ruzo, A., Martyn, I., Croft, G.,

You, D.S., Brivanlou, A.H., and Siggia, E.D. (2019). A 3D model of a human

epiblast reveals BMP4-driven symmetry breaking. Nat. Cell Biol. 21, 900–910.

Smith, A. (2017). Formative pluripotency: the executive phase in a develop-

mental continuum. Development 144, 365–373.

Street, K., Risso, D., Fletcher, R.B., Das, D., Ngai, J., Yosef, N., Purdom, E.,

and Dudoit, S. (2018). Slingshot: cell lineage and pseudotime inference for sin-

gle-cell transcriptomics. BMC Genomics 19, 477.

Stuart, T., Butler, A., Hoffman, P., Hafemeister, C., Papalexi, E., Mauck, W.M.,

3rd, Hao, Y., Stoeckius, M., Smibert, P., and Satija, R. (2019). Comprehensive

Integration of Single-Cell Data. Cell 177, 1888–1902.e1821.

Suchy, F., and Nakauchi, H. (2018). Interspecies chimeras. Curr. Opin. Genet.

Dev. 52, 36–41.

Theunissen, T.W., Powell, B.E., Wang, H., Mitalipova, M., Faddah, D.A.,

Reddy, J., Fan, Z.P., Maetzel, D., Ganz, K., Shi, L., et al. (2014). Systematic

identification of culture conditions for induction and maintenance of naive hu-

man pluripotency. Cell Stem Cell 15, 471–487.

Theunissen, T.W., Friedli, M., He, Y., Planet, E., O’Neil, R.C., Markoulaki, S.,

Pontis, J., Wang, H., Iouranova, A., Imbeault, M., et al. (2016). Molecular

Criteria for Defining the Naive Human Pluripotent State. Cell Stem Cell 19,

502–515.

Trapnell, C., Cacchiarelli, D., Grimsby, J., Pokharel, P., Li, S., Morse, M., Len-

non, N.J., Livak, K.J., Mikkelsen, T.S., and Rinn, J.L. (2014). The dynamics and

regulators of cell fate decisions are revealed by pseudotemporal ordering of

single cells. Nat. Biotechnol. 32, 381–386.

Vento-Tormo, R., Efremova, M., Botting, R.A., Turco, M.Y., Vento-Tormo, M.,

Meyer, K.B., Park, J.E., Stephenson, E., Pola�nski, K., Goncalves, A., et al.

(2018). Single-cell reconstruction of the early maternal-fetal interface in hu-

mans. Nature 563, 347–353.

Vincent, S.D., Dunn, N.R., Hayashi, S., Norris, D.P., and Robertson, E.J.

(2003). Cell fate decisions within the mouse organizer are governed by graded

Nodal signals. Genes Dev. 17, 1646–1662.

Wang, X., Li, T., Cui, T., Yu, D., Liu, C., Jiang, L., Feng, G., Wang, L., Fu, R.,

Zhang, X., et al. (2018). Human embryonic stem cells contribute to embryonic

and extraembryonic lineages in mouse embryos upon inhibition of apoptosis.

Cell Res. 28, 126–129.

Warmflash, A., Sorre, B., Etoc, F., Siggia, E.D., and Brivanlou, A.H. (2014). A

method to recapitulate early embryonic spatial patterning in human embryonic

stem cells. Nat. Methods 11, 847–854.

Weinberger, L., Ayyash, M., Novershtern, N., and Hanna, J.H. (2016). Dynamic

stem cell states: naive to primed pluripotency in rodents and humans. Nat.

Rev. Mol. Cell Biol. 17, 155–169.

Weinreb, C., Wolock, S., and Klein, A.M. (2018). SPRING: a kinetic interface for

visualizing high dimensional single-cell expression data. Bioinformatics 34,

1246–1248.

Wu, J., and Izpisua Belmonte, J.C. (2015). Dynamic Pluripotent Stem Cell

States and Their Applications. Cell Stem Cell 17, 509–525.

Cell 184, 2020–2032, April 15, 2021 2031

ll Article

Wu, J., and Izpisua Belmonte, J.C. (2016). Stem Cells: A Renaissance in Hu-

man Biology Research. Cell 165, 1572–1585.

Wu, J., Greely, H.T., Jaenisch, R., Nakauchi, H., Rossant, J., and Belmonte,

J.C. (2016). Stem cells and interspecies chimaeras. Nature 540, 51–59.

Wu, J., Platero-Luengo, A., Sakurai, M., Sugawara, A., Gil, M.A., Yamauchi, T.,

Suzuki, K., Bogliotti, Y.S., Cuello, C., Morales Valencia, M., et al. (2017). Inter-

species Chimerism with Mammalian Pluripotent Stem Cells. Cell 168, 473–

486.e15.

Xiang, L., Yin, Y., Zheng, Y., Ma, Y., Li, Y., Zhao, Z., Guo, J., Ai, Z., Niu, Y.,

Duan, K., et al. (2020). A developmental landscape of 3D-cultured human

pre-gastrulation embryos. Nature 577, 537–542.

Xue, X., Sun, Y., Resto-Irizarry, A.M., Yuan, Y., Aw Yong, K.M., Zheng, Y.,

Weng, S., Shao, Y., Chai, Y., Studer, L., and Fu, J. (2018). Mechanics-guided

embryonic patterning of neuroectoderm tissue from human pluripotent stem

cells. Nat. Mater. 17, 633–641.

Yang, J., Ryan, D.J., Wang, W., Tsang, J.C., Lan, G., Masaki, H., Gao, X., An-

tunes, L., Yu, Y., Zhu, Z., et al. (2017a). Establishment of mouse expanded po-

tential stem cells. Nature 550, 393–397.

2032 Cell 184, 2020–2032, April 15, 2021

Yang, Y., Liu, B., Xu, J., Wang, J., Wu, J., Shi, C., Xu, Y., Dong, J., Wang, C.,

Lai, W., et al. (2017b). Derivation of Pluripotent Stem Cells with In Vivo Embry-

onic and Extraembryonic Potency. Cell 169, 243–257.e25.

Yu, G., Wang, L.G., Han, Y., and He, Q.Y. (2012). clusterProfiler: an R package

for comparing biological themes among gene clusters. OMICS 16, 284–287.

Zhang, J., Zhao, J., Dahan, P., Lu, V., Zhang, C., Li, H., and Teitell, M.A. (2018).

Metabolism in Pluripotent Stem Cells and Early Mammalian Development. Cell

Metab. 27, 332–338.

Zheng, Y., Xue, X., Shao, Y., Wang, S., Esfahani, S.N., Li, Z., Muncie, J.M., La-

kins, J.N., Weaver, V.M., Gumucio, D.L., and Fu, J. (2019). Controlled model-

ling of human epiblast and amnion development using stem cells. Nature 573,

421–425.

Zheng, C., Hu, Y., Sakurai, M., Pinzon-Arteaga, C.A., Li, J., Wei, Y., Okamura,

D., Ravaux, B., Barlow, H.R., Yu, L., et al. (2021). Cell competition constitutes a

barrier for interspecies chimerism. Nature. Published online January 28, 221.

https://doi.org/10.1038/s41586-021-03273-0.

Zhou, F., Wang, R., Yuan, P., Ren, Y., Mao, Y., Li, R., Lian, Y., Li, J., Wen, L.,

Yan, L., et al. (2019). Reconstituting the transcriptome and DNA methylome

landscapes of human implantation. Nature 572, 660–664.

ll Article

STAR+METHODS

KEY RESOURCES TABLE

REAGENT or RESOURCE SOURCE IDENTIFIER

Antibodies

Oct-3/4 (C-10) Santa Cruz Biotechnologies Cat#sc-5279; RRID: AB_628051

NANOG R&D systems Cat#AF1997; RRID: AB_355097

GATA-6 (D61E4) XP Rabbit mAb Cell Signaling Technology Cat#5851; RRID: AB_10705521

GATA4 Abcam Cat#Ab124265; RRID: AB_11000793

SOX17 R&D systems Cat#AF1924; RRID: AB_355060

PDGFRa Abcam Cat#Ab203491

Brachyury (H-210)/T Santa Cruz Biotechnologies Cat#sc-20109; RRID: AB_2255702

OTX2 Santa Cruz Biotechnologies Cat#sc-514195

AP-2g (6E4/4)/TFAP2C Santa Cruz Biotechnologies Cat#sc-12762

Anti-Collagen VI antibody/COL6A1 Abcam Cat#ab6588; RRID: AB_305585

Anti-Cytokeratin 7 Abcam Cat#ab68459; RRID: AB_1139824

OCT3-4 R&D systems Cat#AF1759; RRID: AB_354975

SOX2 Abcam Cat#ab137385; RRID: AB_2814892

Donkey anti goat IgG Alexa Fluor@647 Abcam Cat#ab150135; RRID: AB_2687955

Donkey anti goat IgG Alexa Fluor@488 Abcam Cat#ab150129; RRID: AB_2687506

Goat Anti-Rabbit IgG H&L (Alexa Fluor 647) Abcam Cat#ab150079

Goat anti-Rabbit IgG (H+L) Secondary

Antibody, DyLight 488

ThermoFisher Cat#35552; RRID: AB_844398

Goat anti-Mouse IgG (H+L) Cross-

Adsorbed Secondary Antibody, Alexa

Fluor 647

ThermoFisher Cat#A21235; RRID: AB_2535804

Goat anti-Mouse IgG / IgM (H+L) 488 ThermoFisher Cat#A10680; RRID: AB_2534062

Biological samples

Macaca fascicularis embryos State Key Laboratory of Primate

Biomedical Research

N/A

Chemicals, peptides, and recombinant proteins

Recombinant Human LIF Peprotech Cat#AF-300-05

CHIR 99021 Tocris Cat#4423; CAS: 252917-06-9

Y-27632 dihydrochloride Tocris Cat#1254; CAS: 129830-38-2

(S)-(+)-Dimethindene maleate Tocris Cat#1425; CAS: 136152-65-3

Minocycline, Hydrochloride Selleck Cat#S4226; CAS: 13614-98-7

IWR-1-endo Peprotech Cat#1128234; CAS: 1127442-82-3

KnockOut Serum Replacement ThermoFisher Cat#A3181502

Neurobasal Medium ThermoFisher Cat#21103-049

DMEM/F-12 ThermoFisher Cat#11320-033

N-2 Supplement ThermoFisher Cat#17502-048

B-27 Supplement, minus vitamin A ThermoFisher Cat#12587-010

GlutaMAX ThermoFisher Cat#35050-061

Non-Essential Amino Acids Solution ThermoFisher Cat#11140-050

2-Mercaptoethanol ThermoFisher Cat#21985-023

Penicilin-Streptomycin ThermoFisher Cat#15140-122

Mitomycin C from Streptomyces

caespitosus

Sigma-Aldrich Cat#M4287; CAS: 50-07-7

(Continued on next page)

Cell 184, 2020–2032.e1–e7, April 15, 2021 e1

Continued

REAGENT or RESOURCE SOURCE IDENTIFIER

Trypsin-EDTA (0.05%), phenol red ThermoFisher Cat#25300-062

DMEM-Dulbecco’s Modified Eagle

Medium, High Glucose

ThermoFisher Cat#11965092

TrypLE Express Enzyme (1X), no phenol red ThermoFisher Cat#12604021

heat-inactivated FBS Corning Cat#35-076-CV

L-glutamine, 100 3 ThermoFisher Cat#25030

Insulin-Transferrin-Selenium-Ethanolamine

(ITS -X) (100X)

ThermoFisher Cat#51500-056

b-estradiol Sigma-Aldrich Cat#E8875; CAS: 50-28-2

N-acetyl- L-cysteine Sigma-Aldrich Cat#A7250; CAS: 616-91-1

Progesterone Sigma-Aldrich Cat#P0130; CAS: 57-83-0

KnockOut Serum Replacement ThermoFisher Cat#10828010

4’,6-diamidino-2-phenylindole (DAPI) Sigma-Aldrich Cat# D9542CAS: 28718-90-3

Recombinant human follitropin alpha Merck Serono GONAL-F

Recombinant human chorionic

gonadotropin alpha

Merck Serono OVIDREL

CMRL-1066 ThermoFisher Cat#11530037

PBS Biological Industries Cat#02-020-1A

4% Paraformaldehyde (PFA) Biosharp Cat#BL539A

Sucrose meilunbio Cat# BGC005CAS:57-50-1

optimal cutting temperature compound

(Tissue-Tek OCT)

SAKURA Cat#4583

FBS Biological Industries Cat# 04-001-1A

BSA Sigma-Aldrich Cat#B2064CAS: 9048-46-8

PBS Meilunbio Cat#MA0008

Trypsin-EDTA (0.25%), phenol red Thermo Fisher Cat#25200-072

Triton X-100 Sigma-Aldrich Cat#T9284; CAS: 9002-93-1

FBS Biological Industries Cat# 04-002-1A

Critical commercial assays

Superscript II reverse transcriptase Invitrogen Cat#18064-014

KAPA HiFi HotStart ReadyMix KAPA Biosystems Cat#KK2601

Betaine Sigma-Aldrich Cat#61962; CAS: 107-43-7

Triton X-100 Sigma-Aldrich Cat#T9284; CAS: 9002-93-1

Magnesium chloride Sigma-Aldrich Cat#M8266; CAS: 7786-30-3

EB solution QIAGEN Cat#19086

dNTP mix TAKARA Cat#4030Q

Recombinant RNase inhibitor TAKARA Cat#2313A

RNase-OFF TAKARA Cat#9037

Agencourt Ampure XP beads Beckman Coulter Cat#A63881

HiSeq X Ten Reagent Kit v2.5 Illumina Cat#FC-501-2521

QuBit dsDNA HS Assay Kit (used with

QuBit 3.0)

Invitrogen Cat#Q32851

TruePrep DNA Library Prep Kit V2 for

Illumina

Vazyme Cat#TD501-503

High sensitivity DNA reagents (used with

Agilent Bioanalyzer 2100 system)

Agilent Technologies Cat#5067-4626

Deposited data

Single cell RNAseq data generated in

this study

This paper GEO: GSE155381

(Continued on next page)

ll

e2 Cell 184, 2020–2032.e1–e7, April 15, 2021

Article

Continued

REAGENT or RESOURCE SOURCE IDENTIFIER

Experimental models: cell lines

iPS1-EPS Yang et al., 2017 N/A

Experimental models: organisms/strains

Macaca fascicularis State Key Laboratory of Primate

Biomedical Research

N/A

Oligonucleotides

Oligo-dT30VN/ISPCR oligo/TSO TSINGKE oligo store

(Picelli et al., 2014)

N/A

Software and algorithms

HISAT2 version 2.2.1 Kim et al., 2019 https://daehwankimlab.github.io/hisat2/

StringTie version 2.1.2 Pertea et al., 2015 https://ccb.jhu.edu/software/stringtie/

index.shtml

SPRING_dev Weinreb et al., 2018 https://github.com/AllonMKlein/

SPRING_dev

R package Seurat version 3.1.1 Butler et al., 2018 https://cran.r-project.org/web/packages/

Seurat/index.html

R package monocle version 2.12.0 Trapnell et al., 2014 https://github.com/cole-trapnell-lab/

monocle-release

R package SCENIC version 1.1.1-10 Aibar et al., 2017 https://github.com/aertslab/SCENIC

R package velocyto.R version 0.6 La Manno et al., 2018 https://github.com/velocyto-team/

velocyto.R

R package clusterProfiler version 3.16.0 Yu et al., 2012 https://www.bioconductor.org/packages//

2.10/bioc/html/clusterProfiler.html

CellPhoneDB version 2.0.1 Vento-Tormo et al., 2018 https://github.com/Teichlab/cellphonedb

R package slingshot version 1.1-2 Street et al., 2018 http://www.bioconductor.org/packages/

release/bioc/html/slingshot.html

ll Article

RESOURCE AVAILABILITY

Lead contact Further information and requests for reagents may be directed to and will be fulfilled by Lead Contact Juan Carlos Izpisua Belmonte

([email protected]).

Materials availability This study did not generate any unique reagents.

Data and code availability All sequencing data were deposited at the NCBI Gene Expression Omnibus (GEO) under accession number GSE155381.

EXPERIMENTAL MODEL AND SUBJECT DETAILS

Animals 10 healthy female cynomolgus monkeys (Macaca fascicularis), ranging in age from 5 to 8 years with body weights of 4 to 6 kg, were

selected for use in this study. All animals were housed at the State Key Laboratory of Primate Biomedical Research (LPBR). All animal

and experiment procedures were approved by the ethical committee of the LPBR and performed by following the guidelines of the

Association for Assessment and Accreditation of Laboratory Animal Care International (AAALAC) for the ethical treatment of non-hu-

man primates.

Culture of human extended pluripotent stem (hEPS) cells Human EPS cells were cultured on MEFs in serum-free N2B27-LCDM medium under 20%O2 and 5%CO2 at 37�C . The 500mL LCDM medium is composed of 240 mL DMEM/F12 (ThermoFisher Scientific, 11320-033), 240 mL Neurobasal (ThermoFisher

Cell 184, 2020–2032.e1–e7, April 15, 2021 e3

ll Article

Scientific, 21103-049), 2.5 mL N2 supplement (ThermoFisher Scientific, 17502-048), 5 mL B27 supplement (ThermoFisher

Scientific, 12587-010), 1% GlutaMAX (ThermoFisher Scientific, 35050-061), 1%non-essential amino acids (ThermoFisher Scienti-

fic, 11140-050), 0.1mM b-mercaptoethanol (ThermoFisher Scientific, 21985-023), penicillin-streptomycin (ThermoFisher

Scientific, 15140-122), 5% knockout serum replacement (KSR, ThermoFisher Scientific, A3181502, optional). 10 ng/ml recombinant

human LIF (L, 10ng/ml; Peprotech, AF-300-05), CHIR99021 (C, human: 1 mM, Tocris, 4423), (S)-(+)-Dimethindene maleate (D, 2 mM;

Tocris, 1425), Minocycline hydrochloride (M, 2 mM; Selleck, S4226), IWR-1-endo (1 mM; Peprotech, 1128234) and Y-27632 (2 mM;

Tocris, 1254). Human EPS cells were passaged by treatment with TrypLE (ThermoFisher Scientific,12604021) every 3-4 days at a split

ratio of 1:10.

Animal, stem cell, and ethical approvals At the LPBR, the animal research protocol is guided by a set of National and Provincial regulations and institutional policies. LPBR is

also subject to additional standards that go beyond domestic regulatory requirements by also maintaining accreditation through the

Association for Assessment and Accreditation of Laboratory Animal Care (AAALAC) International.

An original animal research protocol was drafted based on the collaborative research proposal with the Salk Institute team. After

review by the executive leadership of LPBR and Institute of Primate Translational Medicine and Kunming University of Science and

Technology (IPTM, KUST), the protocol was submitted to the LPBR committee and discussed at two committee meetings in Oct.

2017. After that, the animal research protocol was redrafted based on suggestions from the committee and submitted to the Insti-

tutional Animal Care and Use Committee (IACUC) of LPBR in Dec. 2017. IACUC members suggested additional edits, which were

subsequently incorporated. In Jan. 2018, the protocol (LPBR201803001) received approval and was sent to the Salk Institute.

The protocol was updated and approved again in 2019 and renewed in 2020. The research protocol was also submitted to the Med-

ical Ethics Committee of LPBR in Oct. 2019 and received approval in Nov. 2019.

On the Salk Institute side, the original proposal was submitted to the Embryonic Stem Cell Research Oversight (ESCRO) committee

in September 2017. The protocol was further discussed with the Salk Institute President and the executive leadership team, which

recommended seeking additional external bioethical input. Members of the ESCRO review committee discussed the protocol with

two renowned external bioethicists in early January 2018. Additional external outreach was made to the California Institute of Regen-

erative Medicine (CIRM) in February 2018 for feedback and insight on protocol review. There was no CIRM or NIH funding involved in

this research.

The protocol was redrafted to incorporate requested information from the ESCRO committee, senior Salk Institute leadership, and

suggestions from the external bioethicists and CIRM official. The protocol (18-0001sc) received approval Feb. 2018, and the renewal

of this protocol was approved again in 2019, and again in early 2020.

METHOD DETAILS

Oocyte collection and in vitro fertilization Ovarian stimulation, oocyte recovery and in vitro fertilization were performed as previously described (Mishra et al., 2010). In brief,

healthy female cynomolgus monkeys were subjected to follicular stimulation by intramuscular injection of 20 IU of recombinant hu-

man follitropin alpha (rhFSH, Gonal F, Merck Serono) for 8 days, then 1,000 IU recombinant human chorionic gonadotropin alpha

(rhCG, OVIDREL, Merck Serono) was injected on day 9. Cumulus-oocyte complexes were collected by laparoscopic follicular aspi-

ration 32-35 hours following rhCG administration. Follicular contents were placed in HEPES-buffered Tyrode’s albumin lactate py-

ruvate (TALP) medium containing 0.3% bovine serum albumin (BSA) at 37�C. Oocytes were stripped of cumulus cells by pipetting after a brief exposure (< 1 minute) to hyaluronidase (0.5 mg/mL) in TALP-HEPES to allow visual selection of nuclear maturity meta-

phase II (MII; first polar body present) oocytes. The mature oocytes were subjected to intracytoplasmic sperm injection (ICSI) imme-

diately and then cultured in CMRL-1066 medium (GIBCO, 11530037) containing 10% fetal bovine serum (FBS, GIBCO) at 37�C in 5% CO2. Fertilization was confirmed by the presence of the second polar body and two pronuclei. Zygotes were then cultured in the

chemically defined hamster embryo culture medium-9 (HECM-9) containing 10% fetal bovine serum at 37�C in 5% CO2 to allow em- bryo development. All chemicals were from Sigma Chemicals unless otherwise stated.

Microinjection of human EPS cells into monkey blastocysts and in vitro embryo culture Blastocysts at day 6 of post-fertilization (early stage blastocyst) were transferred into a 50 mL manipulation droplet of TH3 in the center

of a Petri dish covered with 3 mL of mineral oil. A previously established and well-characterized hEPS cell line generated by cellular

reprogramming iPS1-EPS, was used for cell microinjection (Yang et al., 2017b). Single cell suspensions of hEPS cells were placed

into a separate 10 uL droplet of culture medium next to the manipulation drop. 25 single tdTomato positive hEPS cells were aspirated

into a 15 mm inside diameter injection pipette with 30 degrees oblique mouth. The blastocyst was held with a holding pipette and the

injection pipette was moved to the manipulation droplet. Meanwhile, the zona pellucida was ablated using a single laser pulse, and

the injection pipette containing hEPS cells was immediately inserted into the hole in the blastocyst, close to the ICM. Injected blas-

tocysts were quickly transferred into the mixed media of HECM-9 and hEPS cell culture media (1:1) (Yang et al., 2017b), and cultured

for 24 hours to the well-expanded blastocyst stage.

e4 Cell 184, 2020–2032.e1–e7, April 15, 2021

ll Article

Human-monkey chimeric embryos culture in vitro The tdTomato positive human-monkey chimeric embryos were selected for follow-up experiments. Generally, the zona pellucida of

the human-monkey chimeric embryo was removed by exposure to hyaluronidase from bovine testes for about 30 s, and then the

embryos were seeded in 8-well m-plates (80826, Ibidi) with pre-equilibrated in vitro culture medium 1 (IVC1). After the embryos

attached to the well, half of the IVC1 medium was exchanged with in vitro culture medium 2 (IVC2). Thereafter, half of the medium

was replaced daily with fresh IVC2, and monkey embryos were harvested at the indicated day. Embryo culture was performed at

37�C in 5% CO2. The ingredients of IVC1 and IVC2 were published before (Niu et al., 2019).

IVC1: DMEM/F12 (11320-033, Thermo Fisher Scientific) supplemented with 20% (vol/vol) heat-inactivated FBS (35-076-CV,

Corning), 2mM L-glutamine (25030; Thermo Fisher Scientific), Penicillin (25units/ml)/streptomycin (25mg/ml) (15140-122; Thermo-

Fisher Scientific), 1X ITS-X (51500-056; ThermoFisher Scientific), 8nM b-estradiol, 200ng/ml progesterone and 25mM N-acetyl- L-

cysteine.

IVC2: 20% (vol/vol) heat-inactivated FBS of IVC1 was replaced with 30% (vol/vol) KnockOut Serum Replacement (KoSR,

10828010, Thermo Fisher Scientific).

Single cell collection and single cell RNA-seq (scRNA-seq) After washing with phosphate buffered saline (PBS) (MA0008, meilunbio), the embryo was cut into several pieces with a 1mL syringe.

The tdTomato positive and negative pieces were picked under fluorescence microscope (Leica), and digested into single cells with

0.1% trypsin (25200-072, GIBCO) at 37�C for 3 to 5 minutes. After neutralization with 2% FBS (04-002-1A, Biological Industries), cells were washed with cold PBS containing 0.1 to 1% BSA. Finally, individual tdTomato positive and negative cells were picked into a lysis

buffer on ice with a mouth pipette using a fluorescence microscope.

For scRNA-seq, the cDNA synthesis, amplification and library construction of single-cell were performed according to Smart-seq2

protocol (Picelli et al., 2014). Briefly, the single-cell was placed into the lysis buffer by a mouth pipette. The reverse transcription re-

action and pre-amplification were performed using SuperScript II (18064-071,Invitrogen), and KAPA HiFi HotStart Ready Mix

(KK2602, KAPA Biostems), respectively. Then 20 cycles of PCR were applied to obtain �20-140 ng of amplified cDNA. For library construction, the cDNA was fragmented by Tn5 transposase (TD502/TD501, Vazyme) mixed at 55�C for 10 minutes and followed by PCR amplification using TruePrep Amplify Enzyme (TD601, Vazyme). Then the libraries were purified and size selected with AM-

Pure XP magnetic beads (A63881, Beckman Coulter). All libraries were adapted for sequencing on an Illumina X-Ten platform

(sequenced by Annorad).

Immunofluorescence (IF) analysis The IF analysis was conducted similarly to what was previously published (Niu et al., 2019). Human-monkey chimeric embryos

cultured in vitro were harvested and fixed in 4% (w/v) paraformaldehyde (BL539A,Biosharp) in PBS for 30 minutes at room temper- ature and washed with PBS. The d.p.f.9 embryos were stained directly and the embryos from d.p.f.11 to 19 were dehydrated in su-

crose (BGC005, meilunbio) solutions each for 6 hours with increasing concentration from 15% (w/v) to 30% (w/v). After embedding in

optimal cutting temperature compound (4583, Tissue-Tek OCT, SAKURA), and frozen at �80�C, the embryos were prepared as cry- osections with 8 mm thickness on pre-treated glass slides (1A5105, CITOTEST), and air-dried for 1 hour. After being permeabilized in

PBST (PBS with 0.3% Triton X-100) (T9284, Sigma-Aldrich) for 30 minutes at room temperature, samples were blocked with 3% (w/v)

BSA and 10% (v/v) FBS (04-001-1A, Biological Industries) in PBS overnight at 4�C. Slides were then incubated with primary anti- bodies (Table S1) overnight at 4�C. After washing at least three times, fluorescence-conjugated secondary antibodies (Table S1), and 4’,6-diamidino-2-phenylindole (DAPI) were incubated with the slides in the dark at room temperature for 2 hours. Images

were taken using a Leica TCS SP8 confocal microscope.

QUANTIFICATION AND STATISTICAL ANALYSIS

Statistical analysis All values are depicted as mean ± SD. Statistical parameters including statistical analysis, statistical significance, and n value are

reported in the Figure legends and Supplementary Figure legends. Statistical analyses were performed using Prism Software (Graph-

Pad). For statistical comparison, one-way ANOVA was employed. A value of p < 0.05 was considered significant.

Cell origin identification, scRNA-seq data pre-processing and quality control First, human and monkey cells were identified by two different methodologies using clean data. One was to compare the number of

identical hits of sequencing reads from each cell by blastp with the randomly selected 10000 reads against the human or monkey

genome (Ensembl Homo_sapiens.GRCh38 and Macaca_fascicularis_5.0), respectively. Another was to compare the read counts

of sequencing reads mapped to the tdTomato sequence. After identification of cell origin, hisat2 (Kim et al., 2019) was used to

map sequencing reads to the human or monkey genome with the default parameters. The program StringTie (Pertea et al., 2015)

with default parameters was used to assemble alignments into potential transcripts and quantify the gene expression as transcripts

Cell 184, 2020–2032.e1–e7, April 15, 2021 e5

ll Article

per million mapped reads (TPM) value. The cells with mapped rate > = 30% and more than 2000 genes with TPM value > 0 were

processed for further analyses.

Cell clustering, lineage identification The Seurat package (v.3.1.1) (Butler et al., 2018) was used to perform single-cell clustering analysis and t-distributed stochastic

neighbor embedding (t-SNE) was applied to visualize the results. In order to identify and compare the cluster, the known lineages

from previous studies were used as a reference. The reference datasets include Human-1 (Zhou et al., 2019), Human-2 (Xiang

et al., 2020), monkey-1 (Niu et al., 2019) and monkey-2 (Nakamura et al., 2016). The reference dataset of Control-monkey is mon-

key-1 unless otherwise stated. The chimera data in our study were integrated into the above reference datasets following the below

steps. First, these datasets were created as Seurat object, respectively, with the order of Human-1, Human-2, monkey-1, chimera-

human and chimera-monkey. Then ‘‘FindIntegrationAnchors’’ function took these objects as input with parameters as ‘‘k.anchor = 5,

anchor.features = 2000’’ and returned an anchor object. Finally, ‘‘IntegrateData’’ function used the anchor object to integrate all data-

sets with the default parameter. The top-20 principal components (PCs) were used for clustering (with a resolution of 0.6) by Seurat.

Each cluster was defined by specific marker genes highlighted on the t-SNE graph using the ‘‘FeaturePlot’’ function and confirmed by

known lineages from previous studies.

Identification of differentially expressed genes Unique cluster-specific expressed genes were identified by running the Seurat ‘‘FindAllMarkers’’ and ‘‘FindClusters’’ functions (p <

0.01). The K-nearest neighbor algorithm SPRING (Weinreb et al., 2018) was used for trajectory analyses with the integrated data,

2000 highly variable genes (HVGs) and default parameters as input. To build the phylogenetic tree of all chimeric cells, the pairwise

euclidean distance calculated from integrated expression matrix was fed into MEGA (X 10.1) (Kumar et al., 2018) to build the NJ tree

under the phylogeny menu.

Pseudotime alignment and pseudotime-dependent differentially expressed genes analysis The Monocle2 (v2.12.0) (Trapnell et al., 2014) was used to construct the pseudotime course of all EPI cells. The 2000 HVGs and

expression data of human, monkey, and chimeric cells in the EPI lineage identified above separately was used as input for Monocle2.

Dimensionalities were reduced by the ‘‘reduceDimension’’ function with the parameter ‘‘max_components=2.’’ After projecting the

expression data into a lower-dimensional space, cells were ordered by performing the ‘‘orderCells’’ function. Finally, we used a dy-

namic time warping (DTW) algorithm to align different pseudotime courses among human, monkey, and chimeric cells as described

in the previous study (Kanton et al., 2019). After pseudotime alignment, we used an F-test-based ANOVA analysis to identify genes

with pseudotime-dependent expression patterns as described previously (Kanton et al., 2019). In brief, for each HVG, we established

a natural splined linear regression model (ns function in the R package splines) with six degrees of freedom (df), with expression levels

as the response variable and pseudotimes as the independent variable. Then an F-test was applied to compare the variation ex-

plained by the splined linear model with that of the residuals normalized by degrees of freedom. Bonferroni correction was performed

across tested genes, with a corrected P value threshold of 0.01 to identify genes with pseudotime-dependent expression. In addition,

the R package slingshot (v1.1-2) was used to infer the potential development trajectory of chimeric human EPI-like cells and hEPS

with default settings (Street et al., 2018).

GO and KEGG pathway analysis We used the functions enrichKEGG and enrichGO in clusterProfiler R package (Yu et al., 2012) to perform KEGG pathways (Kanehisa,

2019; Kanehisa and Goto, 2000; Kanehisa et al., 2019) and Gene Ontology (GO) biological processes enrichment analysis. A pathway

or process with a P value % 0.05 was considered to be significantly enriched. The enriched pathways and processes were visualized

with the ‘‘ggplot’’ function in the ggplot2 package in R.

Single-cell transcription factor regulation networks construction and clustering The SCENIC package (Aibar et al., 2017) was applied to infer and characterize the gene regulation networks (regulon) for our scRNA-

seq data of chimeric cells. Based on the manual from the website (https://github.com/aertslab/SCENIC), three main steps were

executed: 1. Co-expression networks between transcription factors and the potential target genes inference based on the embedded

GENIE3 package; 2. For each co-expression module, the cis-regulatory motif enrichment analysis was performed among all potential

target genes by RcisTarget. Each transcription factor and its direct target genes were defined as a regulon; and 3. The activity score

of each regulon in each cell was computed through AUCell packages. Here, we fed the transcriptome profile of all chimeric cells to

SCENIC to infer their AUC regulon activity. Then, chimeric cells were cluster based on their regulon activity with the ‘‘pheatmap’’ func-

tion in the pheatmap package (v1.0.10). For comparison, the above datasets Human-1 and monkey-1 were also performed using the

same analysis of regulon activity.

RNA velocity analysis RNA velocity was calculated using the Velocyto.R program (http://velocyto.org) on the basis of spliced and unspliced transcript reads

as previously reported (La Manno et al., 2018). At first, Velocyto used a BAM file to count spliced and unspliced reads, and generated

e6 Cell 184, 2020–2032.e1–e7, April 15, 2021

ll Article

the loom file. Those loom files were then loaded into R using the ‘read.loom.matrices’ function to generate count tables for splicing

and unsplicing reads. RNA velocity was estimated using a gene-relative model with k-nearest neighbor cell pooling (kCells = 10). For

other parameters, we used the standard R implementation of velocyto with default settings.

Identification of cross-talks between human and monkey cells within chimeric embryos The signaling cross-talks between human and monkey cells in different embryonic lineages were built based on the ligand-receptor

interactions using CellPhoneDB (v2.0.1) (Vento-Tormo et al., 2018). All the ligand-receptor interaction databases that integrated into

CellPhoneDB were used for our data analysis. Here we fed the transcriptome profile of all chimeric cells and their information

including cell type (human or monkey cell) and lineages information (EPI, HYP, and EXMC) to CellPhoneDB to infer potential interac-

tion between two types of cells. An adjusted P value of 0.05 from a Permutation test was used as a threshold to identify ligands/re-

ceptors specifically expressed between two types of cells. The other parameters were set as default. For comparison, the above

datasets Human-1 and monkey-1 were also used to perform the same analysis of ligand-receptor interactions.

Cell 184, 2020–2032.e1–e7, April 15, 2021 e7

Supplemental figures

Figure S1. Lineage specification of hEPSCs within host monkey embryos, related to Figures 1 and 2

(A) Representative IF images of OCT4 (green), NANOG (gray) or SOX2 (gray) in iPS1-hEPSCs. Scale bars, 50 mm.

(B) Representative epifluorescence images of the late blastocyst-stage monkey host embryos resulting from microinjection of 25 TD-positive iPS1-hEPSCs.

Scale bar, 50 mm.

(C) Representative IF images of NANOG (green) and GATA6 (gray) in d.p.f. 9 (n = 2) monkey embryos. Yellow dotted line, ICM. Arrow indicates a TD-positive

hEPSC close to NANOG positive cells. Scale bar, 50 mm.

(D) Representative IF images of OCT4 (green) and COL6A1 (gray) in d.p.f. 11 monkey embryos (n = 2). Yellow dotted line, EPI. Arrow indicates a TD-positive

hEPSC expressing COL6A1 and OCT4. Scale bar, 50 mm.

(E) Representative IF images OTX2 (gray) and OCT4 (green) in d.p.f.13 monkey embryos (n = 2) . Scale bar, 50 mm. EPI, epiblast; TD, tdTomato; DAPI,

4’,6-diamidino-2-phenylindole.

ll Article

� �

� �

� �

��

� �

� �

� �

� �

� �

�� �

� �

��

� �

� �

� �

� �

���

� �

� �

�� � �

� �

�� �

� � �

� �

� �

� �

� �

� �

� �

� �

� �

��

� �

� �

��

�� � �

��

��

� �

� � �

� �

� ��

� � �

� �

� �

� �

� �

� �

��

� �

�� �

� �

� �

� �

�� � �

� �

��

� �

� �

�� � �

��

� �

� �

� �

� �

� � �

� �� �

� �

� �

��

� � �

� �

� �

� �

4000

6000

8000

10000

12000

14000

16000

18000

Ch ima

ra-H um

an

Ch ima

ra-M onk

ey

nG en

es

��

� ��

� �� �

� �

��

� �

� �

� �

� �

� �

� �� �� �

� �

� �

��

� �

� ��

� �

� �

� �

� �

� �

� �

� �

�� �

�� � �

� �

� �

� �

�� �

��

��

� �

�� �

� �

� �� �

��

�� �

��

� �

��

� �

� �

��

� �

� �

� �

� �

� �

��

� �

� �

� � �

� �

��

� ��

��

� �

��

� �

� �� �

� � �

� � �

� �

� ��

���� �

�� �

���

� �

� � ��

� �

� �

� �

� �

� �

0e+00

1e+07

2e+07

3e+07

4e+07

5e+07

Ch ima

ra-H um

an

Ch ima

ra-M onk

ey

nC ou

nt s

� � �

� � � ��

� ���

��

� �

���

� ��

� �

� �

� �

� ��

� �

��

��

� �

��

� ��

��

� �

�� �

�� �� �

� � �

� �

�� �

�� �

� ��� ��

� �

� ��

� ����� �

� �

��

��� �� �

�� �

� ��

� � ��

��� �

��

� � �

��

� �

���

� �

� �

� �

� � ��

��

� �

���� ��

��

� �

� �

��

�� � �� ���

� �� ��� �� �

��� � �

�� � � �

�� ���� �� �

�� ���

� �

� ��

� � ���

� ��

� �

� �

�� � ��� � � ���� �

� �

��� �

� �

� � �

��

30

40

50

60

70

80

90

100

Ch ima

ra-H um

an

Ch ima

ra-M onk

ey

M ap

pi ng

ra te

��� �

����

� �

� �

� �

� �

� �

� � � �

�� �� ��� �

� �� ��

�� �

� ��

� �

�� ��

�� �

�� �

�� �

� � �

��

� �

� �� �

� � �

� �

� �

� � � �

� � � ��� ��

�� � �

� � � �

�� � �

�0e+00

2e+04

4e+04

6e+04

8e+04

1e+05

Ch ima

ra-H um

an nC

ou nt

s td

Tm

A B

C

������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������

��������� � ���������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������

−6000

−4000

−2000

0

2000

4000

6000

8000

472 Samples

D iff

er en

t N um

be r o

f i de

nt ic

al h

its (H

um an

− M

on ke

y)

� �Human Monkey

� � �����������������������������������������������������������������������������������������������������������������������������������������������������������������������

�� �������

�� �

��

��� �����������

������ �� �����

������� � � �

� � ���

��

����������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������0

2

4

6

8

10

12

14

16

18

472 Samples

lo g2

(td To

m at

o re

ad s

co un

t)

� �Human Monkey

D

UTF1 MT1G

CYP2S1 VENTX DPPA5 L1TD1

ZSCAN10 NODAL

GAL TDGF1

KHDC3L GDF3 SPP1

NANOG DPPA4

KHDC1L NLRP7

PRDM14 FAM46B

ALPL CXCL12

SOX2 RNF125

SERINC5 FGF2

MEG3 THY1 PDPN

IFITM1 MT1X

VASH2 USP28 MRS2 PIM2

CHST2 DIAPH2

MAD2L2 UACA

TBC1D23 IFITM3 STOM

SERPINH1 TET1

CXADR LAPTM4B

TMSB4X TUBB2B POU5F1

0 25 50 75 100 Expression rate (%)

0 2 4 6

log10(expression+1)

Expression rate (%) 0 25 50 75

Chimera Human EPI (158 cells)

APOA4 FOXA2

GPX2 HNF1B

S100A16 MGST2

S100A10 COL18A1

CTSE RNASE1

SLCO2A1 RAB3B HNF4A

NID2 BMP4

RSPO3 GATA4 SOX17

PDGFRA APOA1 SPARC BAMBI

DPP4 IL6R

GPC3 ANPEP GATA6 FLRT3 ADD3 APOE

P4HA1 TLN2

AMOT VCAN

COL4A1 RAB15

ZC3HAV1 S100A13

ALDH2 CDH2

CKB GJA1 BMP2

CADM1 IDH1

MARCKS SERPINE2

CNN3 FN1

TMEM123

0 25 50 75 100 Expression rate (%)

0 1 2 3

log10(expression+1)

Expression rate (%) 0 25 50 75 100

Chimera Human HYP (3 cells)

ACKR2 XAGE3

C1orf115 PTN

PTGES AIM1L

FAM49A ADAP2

SLCO4A1 KRT7

HSD3B1 GRHL1

FYB HSD17B1

CLDN4 ABCG2

TINAGL1 SP6

PRKCH ADAM15

CYP19A1 PTPRE GATA3

DLX3 GCM1

GRAMD2 GJA5

MED12L GATA2 RHOU

PPARG MPP1

COL21A1 TFEB

RAB31 SLC7A2 MBNL3

TPD52L1 FAM110A

TEAD1 ADAMTS1 GRAMD3

SYNJ1 MBNL2

EPB41L3 TFAP2A

ZFHX3 GNG12

WLS PPME1 NR2F2

ATP6V1C2

0 25 50 75 100 Expression rate (%)

Expression rate (%) 0 25 50 75 100

0

1

2

log10(expression+1)

Chimera Human TE (11 cells)

−30

−20

−10

0

10

20

30

−20 0 20 tSNE_1

tS N

E _2

Chimera-Monkey Control-Monkey

tS N

E _2

−20

−10

0

10

20

30

−20 0 20 tSNE_1

Chimera-Monkey Control-Monkey

0

5

10

Chimera-Monkey Control-Monkey

lo g2

(T P

M +1

)

Chimera-Monkey Control-Monkey

−0.2

−0.1

0.0

0.1

0.2

Chimera-Monkey Control-Monkey

In te

gr at

ed T

P M

Chimera-Monkey Control-Monkey

Before integration

After integration

E LAPTM4B

FLRT3

IDH1

BAMBI

P4HA1

POU5F1

CKB

TMSB4X

IFITM3

CNN3

MAD2L2

MARCKS

AGO2

RP11−97C16.1

SEC24A

MAML1

PRKX

CDV3

RNF44

HOXA9

ANXA3

MIR17HG

PMF1−BGLAP

STK25

ZWINT

WDSUB1

NUF2

DDX47

DYNC2LI1

ACTL6A

RFC1

ZNF16

lineage

m arker

lineage EPI HYP TE

marker EPI HYP TE

−3

−2

−1

0

1

2

3

(legend on next page)

ll Article

Figure S2. Identification of cell species origin and quality control, related to Figure 3

(A and B) Both the different number of identical hits by blastp (A) and tdTomato reads (B) can distinguish the cell origin. Red and green points represent cell

samples from human or monkey, respectively.

(C) The quality control and statistic analysis of gene numbers (nGene) and reads numbers (nCount), mapping rates and tdTomato reads numbers (nCounts tdTm)

for all chimeric cells (left four panels). The gene expression levels and tSNE plot of control monkey (Control-Monkey) and host monkey (Chimera-Monkey) cells

before and after integration (remove batch effect) (right two panel).

(D) The bubble charts showing the expression of the reported marker genes in chimeric human EPI-like (Chimera Human EPI), HYP-like (Chimera Human HYP),

and TE-like (Chimera Human TE) cells, respectively.

(E) Heatmap showing the expression of lineage markers conserved between humans and monkeys in chimeric human EPI-like, HYP-like, and TE-like cells. EPI,

epiblast; HYP, hypoblast; TE, trophectoderm.

ll Article

Figure S3. Comparative analysis of monkey cells between the chimeric and host embryos, related to Figure 4

(A) Boxplot (left panels) and heatmap (right panel) showing expression of marker genes for EPI, HYP, and EXMC lineages between the chimeric (Chimera-Monkey)

and control (Control-Monkey) embryos.

(B) The top 20 ligand-receptor interactions between EPI-EPI, EPI-HYP and EPI-EXMC, respectively, non-chimeric monkey (Control-Monkey) cells are used as

control to compare with chimeric cells (Chimera-Monkey).

(C) Venn diagram showing the common and specific ligand-receptor interactions between EPItoEPI, EPItoHYP, and EPItoEXMC in distinct cells.

(D) The expression levels (log2 [TPM+1]) of the representative ligand-receptors interactions between chimeric human (Chimera-Human) and host monkey

(Chimera-Monkey) EPI cells are shown. EPI, epiblast; HYP, hypoblast; EXMC, extra-embryonic mesenchyme cell. Human, control human EPI cells (Zhou et al.,

2019); Monkey, control monkey EPI cells (Niu et al., 2019).

ll Article

Figure S4. Characteristics of subgroups in the EPI lineage, related to Figure 5

(A) Heatmap of the expression levels of identified marker genes for the subgroups of ICM, Pre_EPI, PostE_EPI, PostL_EPI, and Gast.

(B) Expression of subgroup-specific marker genes exhibited on t-SNE plots. A gradient of gray, yellow, and red indicates low to high expression.

(C) The dynamic change of marker genes for different subgroups along the pseudotime.

(D) The sankey diagram showing the number and flow from different cell types to different lineages.

(E) Heatmap of the correlation coefficients among hEPSCs (Yang et al., 2017b), chimeric human EPI-like (Chimeric human) cells, and control human (Control-

Human 1) and monkey (Control-Monkey 1) EPI cells (Niu et al., 2019; Zhou et al., 2019) and human (hESC/iPSC) and monkey (CyESC) PSCs at primed (C) or naive

(N) pluriotency state (Chan et al., 2013; Chen et al., 2015; Gafni et al., 2013; Theunissen et al., 2014). ICM, inner cell mass; EPI, epiblast; Pre_EPI, pre-implantation

EPI; PostE_EPI, post-implantation early EPI; PostL_EPI, post-implantation late EPI; Gast, gastrulating cell; N, ‘naive’; C, conventional (primed).

ll Article

(legend on next page)

ll Article

Figure S5. Regulatory network analysis of chimeric EPI cells, related to Figure 5

(A) The regulon-activity heatmap for the chimeric (Chimera) EPI cells with human and monkey non-chimeric (Control-Human and Control-Monkey) embryos as

controls. The samples in each column were ordered based on lineage and species origins. These regulons are specific for chimeric EPI cells. (B) Regulatory

networks of the top 3 regulons for non-chimeric control human (Control-Human), monkey (Control-Monkey) and chimeric (Chimera) EPI cells. The gene

expression status (up, down, and no change) are colored with red, blue, and gray, respectively. The transcription factors located in the center regulate the

surrounding target genes. (C) Heatmap showing the expression levels of cell-cycle related genes in chimeric human EPI-like cells. Cell-cycle related genes were

retrieved from Seurat package (v.3.1.1). (D) Heatmap showing the expression levels of the markers identified from EPI sub-groups and the related biological

processes. (E) Heatmap showing the expression of apoptosis related genes in control human (Control-Human), control monkey (Control-Monkey), host monkey

(Chimera-Monkey) and chimeric human (Chimera-Human) cells. Apoptosis related genes were obtained from GSEA website. Pre_EPI, pre-implantation EPI;

PostL_EPI, post-implantation late EPI; Gast, gastrulating cell

ll Article

  • Chimeric contribution of human extended pluripotent stem cells to monkey embryos ex vivo
    • Introduction
    • Results
      • Generation of human-monkey chimeric blastocysts in vitro
      • Chimeric contribution of hEPSCs to peri- and post-implantation monkey embryos
      • Transcriptional landscape of human-monkey chimeric embryos
      • Transcriptome dynamics of hEPSCs during human-monkey chimera development
      • Chimeric human EPI-like cells display a distinct developmental trajectory
    • Discussion
      • Limitations of study
    • Supplemental information
    • Acknowledgments
    • Author contributions
    • Declaration of interests
    • Acknowledgments
    • References
    • STAR★Methods
      • KEY RESOURCES TABLE
      • Resource availability
        • Lead contact
        • Materials availability
        • Data and code availability
      • Experimental model and subject details
        • Animals
        • Culture of human extended pluripotent stem (hEPS) cells
        • Animal, stem cell, and ethical approvals
      • Method details
        • Oocyte collection and in vitro fertilization
        • Microinjection of human EPS cells into monkey blastocysts and in vitro embryo culture
        • Human-monkey chimeric embryos culture in vitro
        • Single cell collection and single cell RNA-seq (scRNA-seq)
        • Immunofluorescence (IF) analysis
      • Quantification and statistical analysis
        • Statistical analysis
        • Cell origin identification, scRNA-seq data pre-processing and quality control
        • Cell clustering, lineage identification
        • Identification of differentially expressed genes
        • Pseudotime alignment and pseudotime-dependent differentially expressed genes analysis
        • GO and KEGG pathway analysis
        • Single-cell transcription factor regulation networks construction and clustering
        • RNA velocity analysis
        • Identification of cross-talks between human and monkey cells within chimeric embryos