What Kind of Signaling Maintains Pluripotency and Viability in Human-Induced Pluripotent Stem Cells Cultured on Laminin-511 with Serum-Free Medium?

Abstract Xeno-free medium contains no animal-derived components, but is composed of minimal growth factors and is serum free; the medium may be supplemented with insulin, transferrin, and selenium (ITS medium). Serum-free and xeno-free culture of human-induced pluripotent stem cells (hiPSCs) uses a variety of components based on ITS medium and Dulbecco's modified Eagle's medium/Ham's nutrient mixture F12 (DMEM/F12) that contain high levels of iron salt and glucose. Culture of hiPSCs also requires scaffolding materials, such as extracellular matrix, collagen, fibronectin, laminin, proteoglycan, and vitronectin. The scaffolding component laminin-511, which is composed of α5, β1, and γ1 chains, binds to α3β1, α6β1, and α6β4 integrins on the cell membrane to induce activation of the PI3K/AKT- and Ras/MAPK-dependent signaling pathways. In hiPSCs, the interaction of laminin-511/α6β1 integrin with the cell–cell adhesion molecule E-cadherin confers protection against apoptosis through the Ras homolog gene family member A (RhoA)/Rho kinase (ROCK) signaling pathway (the major pathways for cell death) and the proto-oncogene tyrosine-protein kinase Fyn (Fyn)-RhoA-ROCK signaling pathway. The expression levels of α6β1 integrin and E-cadherin on cell membranes are controlled through the activation of insulin receptor/insulin, FGF receptor/FGF2, or activin-like kinase 5 (ALK5)-dependent TGF-β signaling. A combination of growth factors, medium constituents, cell membrane-located E-cadherin, and α6β1 integrin-induced signaling is required for pluripotent cell proliferation and for optimal cell survival on a laminin-511 scaffold. In this review, we discuss and explore the influence of growth factors on the cadherin and integrin signaling pathways in serum-free and xeno-free cultures of hiPSCs during the preparation of products for regenerative medicinal therapies. In addition, we suggest the optimum serum-free medium components for use with laminin-511, a new scaffold for hiPSC culture.


Introduction
Initially, human pluripotent stem cell (hPSC) lines were grown in a coculture system using a layer of mitotically inactivated mouse embryonic fibroblast (MEF) feeder cells. [1][2][3] However, to be clinically compliant, humaninduced pluripotent stem cells (hiPSCs) need to be cultured in a medium that is serum free, chemically defined, and free of animal products (xeno free). Serum-free medium is generally composed of minimal growth factors, bovine serum albumin (BSA) and Fraction V protein; the insulin, transferrin, and selenium (ITS) medium is supplemented with ITS. Considerable efforts are being made to develop culture systems that do not require animal feeder cells and use xeno-free medium. [4][5][6][7][8][9][10][11] hPSCs cultured in MEF-conditioned medium (MEF-CM), which is based on ITS medium, can be maintained on Matrigel, 9 a complex mixture of matrix proteins derived from Engelbreth-Holm-Swarm mouse tumors [12][13][14] ; this mixture includes laminin-111, collagen IV, fibronectin, and vitronectin and supports robust hPSC growth. 8,[14][15][16] Moreover, a combination of collagen IV, fibronectin, laminin, and vitronectin can be used to replace Matrigel for deriving and expanding hPSCs under defined culture conditions. 8 A laminin-511 scaffold can bind a3b1, a6b1, and a6b4 integrins and is able to maintain hPSCs in the undifferentiated state in serum-and xeno-free medium under feeder cell-free culture conditions. [17][18][19][20][21] In this review, we consider the effects of medium components and intracellular signal transduction in cultures using serum-and xeno-free medium and a feeder cell-free culture system. Substrates obtained from recombinant human laminin-511 offer significant improvements for establishing defined conditions for adhesion cultures of hPSCs under clinically compliant settings. We suggest that choosing the components of the culture medium and the scaffolding materials can ensure maintenance of pluripotency and cell survival through PI3K/AKT and Fyn-RhoA-ROCK signaling pathways in hiPSC culture.
Signaling Pathways in Serum-Free Culture Systems hiPSCs easily lose pluripotency due to a component in serum. Therefore, hiPSCs have to be cultured using serum-free culture medium. Initially, researchers examined serum albumin, a primary component of serum, and found that Dulbecco's modified Eagle's medium/ Ham's nutrient mixture F12 (DMEM/F12) culture medium supplemented with serum albumin, FGF2, and the ITS medium components. ITS functioned similarly as serum-based culture media for hiPSCs. However, the serum-free medium used for the culture of hiPSCs initially contained a component derived from an animal. In addition, mouse feeder cells were also used.
EFGF2/FGFR signaling FGFR1 (fibroblast growth factor receptor 1) is the predominant FGFR in hiPSCs. Binding of FGF2 activates FGFR and major signal transduction pathways, such as all three branches of the PI3K and AKT pathways, the mitogen-activated protein kinase (MAPK) pathway, and the extracellular signal-regulated kinase (ERK)/ MAPK pathway. FGF2 activates the MAP kinases ERK1/ERK2, and also PI3K/AKT and c-Jun, and stimulates signaling cascades by activation of activin A. 22,23 Induction of a2b1, a3b1, a6b1, and a6b4 integrin transcription requires the FGF2-FGFR signal pathway and is reinforced by the ALK4-activin A signaling pathway. FGF2 signaling may act through the PI3K pathway to regulate the synthesis of pericellular laminin-332, -511, -521, and collagen IV isotypes and provide a framework for the basement membrane of hPSCs. 24 Blocking the FGF2 pathway in hPSCs can lead to differentiation. 6,8,25 Extracellular matrix (ECM) modulated signals may converge with FGF2 signaling and be involved in the maintenance of pluripotency (Fig. 1).
Bovine serum albumin BSA has many roles in cell culture; it acts as a lipid carrier, provides physical protection, 26,27 and prevents toxic effects by b-mercaptoethanol (a reducing agent normally required for culturing cells). In addition, BSA acts as a nutrient for MEFs. Many proteins secreted by MEFs have been identified recently in mass spectrometric analyses. [28][29][30] MEF secreted heparan sulfate proteoglycans (HSPG), fibronectin, transforming growth factor b (TGF-b), and insulin-like growth factors 1 (IGF1) and 2 (IGF2). In addition, it has been shown that critical products produced by MEF feeder layers include activin A 31 (Fig. 1).

Insulin/IGF-R signaling
The IGF-1R signaling axis is critical to cell proliferation and glucose metabolism and also induces E-cadherin transcription in hiPSCs. Upon binding insulin, IGF-1R is activated through autophosphorylation. PI3K activation then leads to an increase in phosphatidylinositol 3,4,5trisphosphate (PIP3), which results in the activation of the critical protein AKT. 25 This signaling axis is commonly referred to as the PI3K/AKT, nuclear factor jB (NF-jB), and jun N-terminal kinases ( JNK) pathway and as c-Jun phosphorylation of IGF-1R signaling; it is ultimately responsible for the maintenance of hPSCs and hiPSCs. 32,33 In parallel, IGF-1R signaling also promotes cell proliferation through the Ras/MAPK pathway (Fig. 1).

Transferrin
Transferrin, a glycoprotein, is required in the culture medium to act primarily as an iron transporter and secondarily to bind endogenous iron. Transferrin enables the cells to take up oxygen and also stimulates growthrelated enzyme activities. Two types of transferrin are generally added to culture media: iron-saturated transferrin (holo-transferrin) and iron-deficient transferrin (apo-transferrin) (Fig. 1).

Selenium
Selenium, in the form of selenoproteins in particular glutathione peroxidase (Glu.Px), is an essential component of the human cellular antioxidant defense system. It also has anti-inflammatory effects by its ability to scavenge free radicals. 34 As is evident from Figure 1, selenium is a component of some glutathione peroxidases; these enzymes prevent oxidative damage in cells by inducing the reduction of lipid hydroperoxides.

Glucose
In hPSCs, the c-jun N-terminal kinase ( JNK) inhibitor SP600125 blocks fibronectin expression induced by high glucose and inhibits cell cycle regulatory protein expression induced by high glucose-mediated TGF-b expression. 35 High glucose levels (4.5 g/L) also increase intracellular calcium (Ca 2+ ) concentration, PKC phosphorylation, and TGF-b expression in hPSCs. Thus, c-Jun is necessary for expression of fibronectin and TGF-b (Fig. 1).

Signaling Pathways in Feeder
Cell-Free Culture Systems When hiPSCs are cultured on an MEF feeder layer, the MEFs provide proteins, such as activin A, TGF-b, IGF1 and 2 (IGF2), and glycans, including HSPG, fibronectin, Signaling pathways in serum-free on feeder culture systems. BSA acts as a nutrient for MEFs. MEFs secrete heparan sulfate proteoglycans (HSPG), fibronectin, TGF-b, IGF1, and IGF2. HSA acts as a nutrient for hiPSCs. Albumin in the culture medium promotes expression of collagen I, collagen IV, and HSPG that detoxify bmercaptoethanol. Collagen I binds to a2b1 integrin and transduces Ras function to activate PI3K binding to AKT; activation of the latter pathway promotes self-renewal in hiPSCs. Collagen IV binds to a2b1 integrin and transduces a RhoGAP function to activate PI3K binding to AKT; activation of the latter pathway promotes cell growth in hiPSCs. With regard to downstream functions in the IGF1R and ALK5 pathways of hiPSCs, activation induces E-cadherin transcription that recruits the PI3K/AKT and ERK/MAPK. This suggests that both PI3K/AKT and MAPK/ERK signaling are required for insulin-and TGF-b-induced E-cadherin upregulation on the cell membrane. Glucose promotes fibronectin and TGF-b manifestation through c-Jun signaling. TGF-b is activated by aVb6 integrin. The pathways that IGF1R and ALK5 activate through unidentified growth factors, which are present in the culture medium for hiPSCs, are sufficient to maintain pluripotency in hiPSCs. Transferrin regulates cellular iron uptake and, thus, is an essential culture medium ingredient. Selenium is a component of some glutathione peroxidases; these enzymes prevent oxidative damage in cells by inducing the reduction of lipid hydroperoxides. With regard to downstream functions in the FGFR and ALK4 pathways of hiPSCs, the induction of a2b1, a3b1, a6b1, and a6b4 integrin transcription requires the FGF2-FGFR signal pathway and is reinforced by ALK4-activin A signal pathway. Collagen I and HSPG concentrate on FGF2 in the vicinity of FGFR to activate laminin-332, -511, -521, and collagen IV transcription through the PI3K/AKT signaling pathway. Fibronectin is secreted by hiPSCs and binds with a8b1 integrin to promote cell survival of hiPSCs through PI3K/AKT signaling. In addition, fibronectin can also bind to aVb1 integrin and a5b1 integrin to promote secretion of laminin-332, -511, -521, and collagen IV from hiPSCs. The pathways activated by fibronectin-integrin signaling are responsible for the secretion of ECM, which maintains pluripotency of hiPSCs. ALK4, activin-like kinase receptor-4; BSA, bovine serum albumin; ECM, extracellular matrix; ERK, extracellular signal-regulated kinase; hiPSCs, human-induced pluripotent stem cells; FGFR, fibroblast growth factor receptor; HSA, human serum albumin; IGF, insulin-like growth factor; IGF1R, insulinlike growth factor-1 receptor; MAPK, mitogen-activated protein kinase; MEF, mouse embryonic fibroblast; PI3K, phosphatidylinositol 3-kinase; TGF-b, transforming growth factor b.
collagen I, collagen IV, and laminin. These proteins and glycans are necessary for hiPSC attachment, proliferation, and self-renewal 36 (Fig. 1). Matrigel, which includes laminin-111, collagen IV, fibronectin, and vitronectin, can be used to replace the MEF feeder layer and support robust hPSC growth. [12][13][14] Activin A/ALK4 signaling Activin A has a role in a wide range of cellular processes from cell proliferation and differentiation to apoptosis. Initially, activin A binds to type II activin A receptors (ActRIIA or ActRIIB) and then recruits type IB activin A receptor (ALK4). ALK4 interacts with and phosphorylates the SMAD family members 2 and 3 (SMAD2 and SMAD3). Vallier et al. [37][38][39] demonstrated that the cooperation of the activin A pathway and FGF2 is necessary for the maintenance of pluripotency in hPSCs. 40 When active, PI3K/AKT establishes conditions where activin A/SMAD2/3 stimulate self-renewal in hiPSCs by activating target genes, including Nanog. 41,42 This stimulatory effect involves the interaction of activin A and SMAD2/3, and may also require upregulation of FGF2 pathways 39,43 (Fig. 2).
TGF-b/ALK5 signaling TGF-b type 1 receptor, also known as ALK5, phosphorylates SMAD2/3 and forms a complex with SMAD4 that translocates to the nucleus. The complex induces transcription of TGF-b-dependent genes that regulate signaling pathways involved in pluripotency and self-renewal, such as the MAPK and PI3K/ AKT pathways. Signaling through these pathways supports proliferation and continued pluripotency in hiPSCs 44 (Fig. 2).
Signaling Pathways in Xeno-Free Culture Systems Animal serum contains xenogeneic antigens, and cells cultured in serum have the potential to induce immune reactions in recipients and also raise the risk of transmission of animal viruses, prions, and zoonotic infections. Thus, animal serum is not desirable for clinical cell production or for transplantation therapies. Laminin-511 scaffold can bind a3b1, a6b1, and a6b4 integrins and can be used to maintain hPSCs in the undifferentiated state under serum and xeno-free conditions in a feeder cell-free culture system. [17][18][19][20][21] Recombinant human albumin Human albumin has many biological and physical roles in hiPSC culture and is necessary for StemFit medium (Ajinomoto Co., Inc.) to enable the efficient formation of colonies by hiPSCs on recombinant laminin-511. 45 However, albumin in the culture medium promotes the secretion of ECM molecules such as collagen I, collagen IV, and HSPG. Consequently, protein lytic enzymes such as the trypsin Collagen IV binds to a2b1 integrin and transduces a RhoGAP function to activate PI3K binding to AKT; activation of the latter pathway promotes cell growth in hiPSCs. Vitronectin supports the maintenance of hPSCs through aVb5 integrin. aVb1 integrin is able to recognize vitronectin and fibrinogen. Fibronectin can also bind to aVb1 integrin and a5b1 integrin to promote secretion of laminin-332, -511, -521, and collagen IV from hiPSCs. hPSC, human pluripotent stem cells; MEF-CM, MEF-conditioned medium. are necessary to break the strong cell-to-plate adhesion (Fig. 3).

Recombinant vitronectin scaffold
Recombinant vitronectin as a glycoprotein can function as a chemically defined matrix component in hiPSCs. Vitronectin is a functionally defined substrate that supports hPSCs self-renewal through aVb5 integrin in albuminfree medium such as Essential 8 medium (Thermo Fisher Scientific). It is possible to dislodge cells from the culture plate using only EDTA; thus, integrins on the cell surface are not damaged by trypsin treatment.

Recombinant laminin-511 scaffold
The scaffolding component laminin-511, which is composed of a5, b1, and c1 chains, binds to a3b1, a6b1, and a6b4 integrins on the cell membrane to induce activation of the PI3K/AKT-and Ras/MAPK-dependent signaling pathways. In hiPSCs, the interaction of laminin-511/a6b1 integrin with the cell-cell adhesion molecule E-cadherin confers protection against apoptosis through the Ras homolog gene family member A (RhoA)/Rho kinase (ROCK) signaling pathway (the major pathway for cell death) and the proto-oncogene tyrosine-protein kinase Fyn (Fyn)-RhoA-ROCK signaling pathway.

Signaling Pathways in Cultures Using Laminin-511
Cadherin Cell adhesion molecules (CAMs), such as cadherins and integrins, stimulate intercell adhesion. The ''classical'' CAMs include epithelial (E-), neural (N-), and placental (P-) cadherins and, as their names suggest, they tend to be expressed in a tissue-specific pattern. [46][47][48][49][50][51][52] In addition to their role in cell-cell adhesion, cadherins may also function in signaling pathways between the cell membrane and the nucleus. 53 E-cadherin signaling. E-cadherin, a Ca 2+ -dependent cell-cell adhesion molecule, 50,54 is stabilized at the cell surface by its link to the actin cytoskeleton through b-catenin and a-catenin and is essential for PSC intercellular adhesion and colony formation. 55,56 It has been shown that functional interaction between Rac1, a small Rho family GTPase, and E-cadherin is responsible for regulating hPSC self-renewal. 57,58 E-cadherin-mediated adhesion is commonly associated with b-catenin signaling and also stimulates PI3K/AKT signaling. 59,60 The ability of the PI3K/AKT pathway to promote cell survival indicates a broader role for Rho family GTPases through p120-catenin. 61,62 The PI3K inhibitor wortmannin prevents E-cadherin-dependent Rac1 activation, but does not interfere with the intracellular distribution of Rac1   FIG. 3. Signaling pathways in serum-free and feeder cell-free culture systems (on laminin-511). Cadherin is activated by a cell junction. When N-cadherin is activated, transcriptional enhancement of FGFR occurs. As a result, the FGF2 signal pathway is activated. This signaling pathway has an important role in the expression of FGFR attachment to the cell membrane. In cultures using a laminin-511 scaffold, the E-cadherin-a6b1 integrin signal pathway is required to control cell death in hiPSCs. PI3K signaling promotes expression of Rac1. Rac1 binds to cadherins, and cadherins prevent endocytosis. When a6b1 integrin is combined with laminin-511, Fyn-RhoA-ROCK signaling is induced. As a result, hiPSC death caused by ROCK is repressed. Laminin-511 can directly bind to a3b1 integrin and, thereby, activate the PI3K/AKT signaling pathway through Ras. In addition, linkage of a6b4 activates the MAP kinase pathways directly through Ras. or E-cadherin. 63 The activation of Rac1 through PI3K by E-cadherin-mediated cell-cell adhesion involves at least two steps as follows: (1) recruitment of Rac1 to E-cadherin mediates cell-cell contact sites and (2) Rac1 activation by a guanine nucleotide exchange factor. 64 E-cadherin levels at adherens junctions are regulated by endocytosis and recycling; activated Rac1 reduces E-cadherin endocytosis and, thus, increases the levels of cell surface E-cadherin and, consequently, promotes cell-cell adhesion. Ectopic overexpression of E-cadherin also increases the rate of survival in dissociated hPSCs. 65 However, when dissociated hPSCs are grown on Ecadherin-coated plates, they form membrane protrusions and have a lower rate of survival. Thus, E-cadherin interactions alone are not the only factor in cell survival. 66 Transcription factors for E-cadherin expression appear to act downstream in various signaling pathways, such as in the TGF-b, FGF2, NF-jB, and integrin cascades 67 (Fig. 3).
N-cadherin signaling. N-cadherin induces FGFR upregulation 68 and has also been shown to stimulate FGF2 signaling. 69 N-cadherin adhesion can lead to PI3K-mediated activation of AKT, 70,71 and activated AKT signaling can stimulate b-catenin signaling. The E-cadherin function can be replaced by N-cadherin in the rescue of the undifferentiated pluripotent iPSC state 72 (Fig. 3).
P-cadherin signaling. P-cadherin controls cell-tolaminin adhesion by modulating the expression and activation of the laminin receptor a6b4 integrin heterodimer. 73 Importantly, it has been reported that a6b4 integrin (adhering to laminin-332-containing a3, b3, and c2 chains) promotes survival and invasion by activating the PI3K/AKT pathway. [74][75][76] a6 Integrin activation induces P-cadherin transcription. 77 P-cadherin results in the translocation of p120ctn from the plasma membrane to the cytoplasm, thereby activating Rac1. 78 Integrin Integrins are transmembrane proteins that have a wide range of functions, including adhesion and cell-cell interactions. 79 They are heterodimeric molecules consisting of a and b chains. The 24 different heterodimeric combinations of integrin subunits in vertebrates have different ligand binding preferences. Based on their ligand specificities, the integrin family can be divided into three subgroups with respect to hPSC culture: collagen receptors (a2b1 and a11b1), laminin receptors (a3b1, a6b1, a7b1, and a6b4), and RGD (Arg-Gly-Asp) receptors (a5b1, a8b1, aVb1, aVb5, aVb6, and aIIbb3). 36,[80][81][82] Collagen receptors (a2b1 and a11b1) Total collagen complex, including types I, II, III, and IV, can induce an increased proliferative capacity in iPSCs. 83 The effect of collagen I and IV on cell migration is mediated by a2b1 integrin. 84,85 Collagen is not included in cultures using a laminin-511 scaffold, although hiPSC lines do express both collagen I and IV. 86,87 Albumin in the culture medium promotes collagen secretion by hiPSCs. Collagen I has been reported to stabilize FGF2, similar to HSPG, for floating cultures of hiPSCs. 88 a2b1 integrin/collagen I/IV signaling. Collagen Ibound a2b1 integrin stimulates the self-renewal of PSCs by increasing the PI3K/AKT signal through the GTP Ras pathway. 89 Collagen IV pretreatment enhances in vivo growth of undifferentiated PSCs without affecting their pluripotency through a2b1 integrin-mediated actin remodeling and the regulatory molecules PI3K and Rhofamily GTPases 84 (Fig. 3).
Laminin receptors (a3b1, a6b1, a7b1, and a6b4) Laminins are large glycoprotein molecules consisting of a, b, and c chains. To date, five a, three b, and three c chains have been identified. Laminin expression is present in early embryos and in pluripotent mouse and human ESCs. Cultured pluripotent hPSCs express a laminin-511 heterotrimer (a5b1c1), consisting of a5, b1, and c1 laminin chains. 90 a3b1 integrin/laminin-332, -511, -521 signaling. The role of integrin a3b1 in cell migration is unclear. Laminin-332 drives PI3K activation and cell survival. 76 Gu et al. 91 demonstrated that laminin-511 and laminin-521 directly bind to a3b1 integrin and, thereby, activate the PI3K/AKT signaling pathway (Fig. 3). However, it is not yet clear whether laminin-511 and laminin-332 use the same or different binding sites in these receptors.
RGD receptors (a5b1, a8b1, aVb1, aVb5, and aVb6) The tripeptide sequence arginine-glycine-aspartic acid (RGD) has been suggested to be a recognition sequence for integrins. 100 This peptide sequence has been identified in many ECM proteins such as fibronectin, vitronectin, fibrinogen, von Willebrand factor, thrombospondin, laminin, entactin, tenascin, osteopontin, and bone sialoprotein. 101,102 a5b1 integrin/fibronectin signaling. Human fibronectin, which binds to integrin a5b1, 103 supports hPSC expansion in serum-free medium. 104 a5b1 integrin binds soluble fibronectin efficiently; first, the a5 integrin binds to the synergy site to cause a conformational change in the fibronectin; second, b1 integrin binds to the exposed RGD sequence. 105 Overexpression of a5b1 provides considerable protection against several proapoptotic stimuli. Furthermore, the protective effects of a5b1 are mediated through a PI3K/AKTdependent pathway 106 (Fig. 3).
a8b1 integrin/fibronectin signaling. a8b1 integrin, a cell adhesion receptor that links the cytoskeleton to ECM proteins, not only mediates mechanical and chemical signals from the matrix but also regulates cell adhesion through bidirectional membrane transduction. 107 Under serum deprivation conditions, a8b1 can interact with fibronectin to increase cell survival rates so that a8-mediated survival is mediated by the PI3K pathway 108 (Fig. 2).
aVb1 integrin/fibronectin signaling. aVb1 has been described as a receptor for fibronectin, 109 vitronectin, 110,111 or collagen. 112 aVb1 integrin is able to recognize vitronectin and fibrinogen and also cooperate with a5b1 to mediate attachment to and spreading on fibronectin; 91,113 Ras/MEK/MAPK signaling and kinases are also stimulated by integrin ligation (Fig. 2).
aVb5 integrin/vitronectin signaling. Recombinant vitronectin is a functionally defined substrate that supports hPSCs self-renewal through aVb5 integrin 36 (Fig. 4). aVb5 activates latent TGF-b. 114 Chen et al. FIG. 4. Signaling pathways in serum-free and feeder cell-free culture systems (using E8 medium on vitronectin). Recombinant vitronectin is a functionally defined substrate that supports hPSCs self-renewal through aVb5 integrin. aVb1 has been described as a receptor for vitronectin through Ras/MEK/MAPK signaling, and kinases are also stimulated by integrin ligation. This culture system does not need albumin; as collagen I and HSPG do not concentrate on FGF2, it is necessary to have a high concentration of FGF2 in the culture medium. enhanced the attachment and survival of hPSCs on vitronectin-coated surfaces by excising the N-terminal and/or C-terminal fragments of full-length vitronectin. 32 It has also been reported that vitronectin and one of its variants (VTN-NC) support the maintenance of hPSCs through aVb5 integrin. 32,36,115 aVb6 integrin/TGF-b signaling. aVb6 integrin has a key role in regulating TGF-b activation of ALK5, a TGF-b type I receptor. 114,116,117 The association with aVb6 integrin expression may be linked to TGF-b activation, which has an important role in intracellular signaling. TGF-b activates c-Jun and Erk through aVb6 integrin. TGF-b is an essential additive in culture medium using a laminin-511 scaffold (Fig. 3).

Conclusion
This review highlights the components that are suitable for serum-and xeno-free media and feeder cell-free culture systems that use laminin-511 as the scaffold. The binding of a6b1 with laminin-511 and the interaction with E-cadherin stimulate Fyn-RhoA-ROCK signaling to act as a deactivation ROCK signal. These results indicate that the signaling pathways induced by a laminin-511 scaffold depend on PI3K signaling through E-cadherin-mediated cell-cell adhesion and that the Fyn-RhoA-ROCK signaling cascade is associated with a6b1 integrin-laminin-511 adhesion.

Author Disclosure Statement
No competing financial interests exist.