Zhong-Dong Shi,1,6 Kihyun Lee,1,2,6 Dapeng Yang,1,6 Sadaf Amin,2 Nipun Verma,1,3 Qing V. Li,1,4 Zengrong Zhu,1 Chew-Li Soh,1 Ritu Kumar,5 Todd Evans,5 Shuibing Chen,5,* and Danwei Huangfu1,7,*
1Developmental Biology Program, Sloan Kettering Institute, 1275 York Avenue, New York, NY 10065, USA
2Weill Graduate School of Medical Sciences at Cornell University, 1300 York Avenue, New York, NY 10065, USA
3Tri-Institutional MD-PhD Program, Weill Graduate School of Medical Sciences at Cornell University, The Rockefeller University, Sloan Kettering Institute, 1300 York Avenue, New York, NY 10065, USA
4Louis V. Gerstner Jr. Graduate School of Biomedical Sciences, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA
5Department of Surgery, Weill Cornell Medical College, New York, NY 10065, USA
6Co-first author
7Lead Contact
*Correspondence
Summary
Human disease phenotypes associated with haploinsufficient gene requirements are often not recapitulated well in animal models. Here, we have investigated the association between human GATA6 haploinsufficiency and a wide range of clinical phenotypes that include neonatal and adult-onset diabetes using CRISPR (clustered regularly interspaced short palindromic repeat)/Cas9-mediated genome editing coupled with human pluripotent stem cell (hPSC) directed differentiation. We found that loss of one GATA6 allele specifically affects the differentiation of human pancreatic progenitors from the early PDX1+ stage to the more mature PDX1+NKX6.1+ stage, leading to impaired formation of glucose-responsive β-like cells. In addition to this GATA6 haploinsufficiency, we also identified dosage-sensitive requirements for GATA6 and GATA4 in the formation of both definitive endoderm and pancreatic progenitor cells. Our work expands the application of hPSCs from studying the impact of individual gene loci to investigation of multigenic human traits, and it establishes an approach for identifying genetic modifiers of human disease.