Skip to content
Review Open access

Revisiting Pluripotency Acquisition: A Unified Framework for Reprogramming Strategies

Aug 2026 · Development, Growth and Differentiation · Vol 68 · 0 citations · 71 references
Medicine

TL;DR

The criteria for direct lineage reprogramming, atypical pluripotent reprogramming and noncanonical pluripotent reprogramming are delineated, and novel approaches like bacterial ribosome‐mediated cell fate conversion are explored like bacterial ribosome‐mediated cell fate conversion.

Abstract

The traditional hierarchical view of totipotent cells generating diverse lineages of terminally differentiated cells was challenged by the discovery of induced pluripotent stem cells (iPSCs). This breakthrough demonstrated that the ectopic expression of four transcription factors, Oct4, Sox2, Klf4, and c‐Myc (OSKM), can reprogram somatic cells to a pluripotent state. Since then, studies have expanded into diverse reprogramming strategies employing different cell types, factor combinations, delivery methods, and microenvironmental cues, resulting in the generation of diverse pluripotent and multipotent states. iPSCs modeled as canonical pluripotent reprogramming are defined by a core transcriptional network, the capacity for tri‐lineage differentiation, and a permissive epigenetic landscape. However, growing evidence has revealed other reprogramming trajectories, including direct lineage reprogramming (or transdifferentiation), atypical pluripotent reprogramming, and noncanonical pluripotent reprogramming—exemplified as bacterial protein‐mediated multipotency. Here, we summarize emerging insights of canonical and alternative pluripotent reprogramming strategies to propose a more nuanced framework that views pluripotency as a spectrum of molecular and functional states. These unconventional states often exhibit incomplete erasure of somatic identity, altered regulatory networks, and restricted lineage potential, underscoring the plastic and context‐dependent nature of pluripotency. This review aims to reconceptualize fundamental perspectives on the acquisition of pluripotency in mammalian fibroblasts based on recent advances. We delineate the criteria for direct lineage reprogramming, atypical pluripotent reprogramming and noncanonical pluripotent reprogramming, explore novel approaches like bacterial ribosome‐mediated cell fate conversion. This study integrates these strategies into a unified resource to enhance conceptual clarity and establishes a platform for advancing regenerative medicine.

Read PDF

Similar papers

Open access Aug 2026

mRNA translational dynamics mediates totipotent-like reprogramming.

Embryonic stem cells (ESCs) are characterized by their dual capacity for self-renewal and differentiation into all cell types of the embryonic lineage. A subpopulation known as 2-cell-like cells (2CLCs), which recapitulate key molecular and metabolic features of totipotent 2-cell blastomeres, has been identified within cultured mouse ESC populations. While transcriptional regulation, epigenetic modifications, and chromatin reorganization are known to be critical for the reprogramming of pluripotent ESCs into a totipotent-like state, the role of translational control in this process remains poorly understood. Using an inducible 2CLC model, we performed transcriptome-wide profiling of mRNA translation and found that global translation efficiency dynamically decreases during the early phase of totipotent-like reprogramming, correlating with reduced TORC1 signaling and translation initiation. In the later phase, although overall mitochondrial mass declines, mitochondrial translation is selectively upregulated and exhibits high translational efficiency. Importantly, pharmacological inhibition of mitochondrial translation suppressed the expression of canonical 2-cell transcripts and impaired the transition from ESCs to 2CLCs. Together, these results demonstrate that coordinated regulation of both cytosolic and mitochondrial translation during totipotent-like reprogramming, offering a new perspective for understanding cell fate determination.

Lingci Huang, Jun Zhang, Xinwei Wu et al. · 0 citations
Open access Jul 2026

IRAK4 constrains cellular plasticity during chemically-induced cell fate reprogramming into multiple lineages

Chemical reprogramming holds transformative potential for regenerative medicine. However, the regulatory mechanisms governing cell fate transitions are not well understood. Here, we identify Interleukin-1 Receptor-Associated Kinase 4 (IRAK4) as a barrier to multi-lineage reprogramming. Pharmacological inhibition of IRAK4 enhances the reprogramming of mouse embryonic fibroblasts (MEFs) through a chemically activated multi-lineage priming (CaMP) state and extraembryonic endoderm (XEN)-like intermediates, increasing colony formation, and the expression of core XEN regulators (Sox17, Gata4, Sall4, and Foxa2). Genetic knockdown of Irak4 similarly accelerates reprogramming, whereas its overexpression blocks cell fate transitions. IRAK4 inhibition enhances chromatin accessibility and reshapes cell cycle dynamics, characterized by G0/G1 shortening and G2/M lengthening, potentially contributing to multi-lineage state establishment. Furthermore, IRAK4 suppression enhances the direct conversion of MEFs to neuron-like and hepatocyte-like cells, which exhibit enhanced functional maturity, including increased glycogen storage and improved detoxification capacity. Our findings establish IRAK4 as a regulator that constrains cellular plasticity potentially by coordinating chromatin accessibility and cell cycle dynamics. IRAK4 is a barrier to chemical reprogramming and lineage conversion. Pharmacological or genetic inhibition of IRAK4 enhances multi-lineage priming, accelerates reprogramming, and improves the functional maturity of directly converted neuron-like and hepatocyte-like cells. IRAK4 inhibition promotes the chemical reprogramming of mouse embryonic fibroblasts through a CaMP state and XEN-like intermediates, increasing colony formation and the expression of core XEN regulators (Sox17, Gata4, Sall4, Foxa2). IRAK4 suppression enhances chromatin accessibility and reshapes cell cycle dynamics, which may facilitate the establishment of multi-lineage states. Inhibition of IRAK4 boosts direct conversion to neuron-like and hepatocyte-like cells. IRAK4 inhibition promotes the chemical reprogramming of mouse embryonic fibroblasts through a CaMP state and XEN-like intermediates, increasing colony formation and the expression of core XEN regulators (Sox17, Gata4, Sall4, Foxa2). IRAK4 suppression enhances chromatin accessibility and reshapes cell cycle dynamics, which may facilitate the establishment of multi-lineage states. Inhibition of IRAK4 boosts direct conversion to neuron-like and hepatocyte-like cells. IRAK4 is a barrier to chemical reprogramming and lineage conversion. Pharmacological or genetic inhibition of IRAK4 enhances multi-lineage priming, accelerates reprogramming, and improves the functional maturity of directly converted neuron-like and hepatocyte-like cells.

Chuanshu Huang, Xiao-Yun Han, Tao Wang et al. · 0 citations
Jul 2026

Harnessing Endogenous Plasticity Rather than Reprogramming of Mature Cells Will Advance Regenerative Medicine, Cancer Treatment and Rejuvenation.

Recognising the central role of VSELs/progenitors and their niche in maintaining tissue homeostasis in vivo could resolve existing roadblocks and guide more effective endogenous regenerative therapies for diseased tissues and age-related dysfunctions.

D. Bhartiya, N. Sharma, Anish Tripathi et al. · 0 citations
#gene editing Review Open access Aug 2026

Induced pluripotent stem cell reprogramming: methodological evolution and challenges in clinical translation

This review summarizes the trajectory of iPSC reprogramming technologies and identifies the core “translational triltrilas”, namely, the inherent tradeoffs between security, homogeneity, and scalability, and proposes a comprehensive strategy to overcome these bottlenecks.

Mengmeng Chen, Ning Zuo, Qi Wang et al. · 0 citations
Review Open access Jul 2026

Modeling myeloid cell development in health and disease using induced pluripotent stem cells

Key applications of iPSC technology in hemato-oncology are summarized, its major advantages and current limitations are discussed, and emerging directions are highlighted, including scalable iPSC-derived blood cell therapies for inherited and acquired bone marrow failure syndromes and leukemia.

Ivan Tesakov, M. Nasri, M. Klimiankou et al. · 0 citations