RT Journal Article SR Electronic T1 Fetal therapy model of myelomeningocele with three-dimensional skin using amniotic fluid cell-derived induced pluripotent stem cells JF bioRxiv FD Cold Spring Harbor Laboratory SP 095281 DO 10.1101/095281 A1 Kazuhiro Kajiwara A1 Tomohiro Tanemoto A1 Seiji Wada A1 Jurii Karibe A1 Norimasa Ihara A1 Yu Ikemoto A1 Tomoyuki Kawasaki A1 Yoshie Ohishi A1 Osamu Samura A1 Kohji Okamura A1 Shuji Takada A1 Hidenori Akutsu A1 Haruhiko Sago A1 Aikou Okamoto A1 Akihiro Umezawa YR 2016 UL http://biorxiv.org/content/early/2016/12/19/095281.abstract AB Myelomeningocele (MMC) is a congenital disease without genetic abnormalities. Neurological symptoms are irreversibly impaired after birth. No effective treatment has been reported to date. Only surgical repairs have reported so far. In this study, we performed antenatal treatment of MMC with an artificial skin using induced pluripotent stem cells (iPSCs) generated from a patient with Down syndrome (AF-T21-iPSCs) and twin–twin transfusion syndrome (AF-TTTS-iPSCs) to a rat model. We manufactured three-dimensional skin with epidermis generated from keratinocytes derived from AF-T21-iPSCs and AF-TTTS-iPSCs and dermis of human fibroblasts and collagen type I. For generation of epidermis, we developed a novel protocol using Y-27632 and epidermal growth factor. The artificial skin was successfully covered over MMC defect sites during pregnancy, implying a possible antenatal surgical treatment with iPSC technology.