Mouse embryonic stem cells were cultured in a humidified incubator at 37 °C and 5% CO2. Cells were grown on Attachment Factor (Thermo Fisher) in 2i medium (KnockOutTM Dulbecco’s modified Eagle’s medium (DMEM) (Gibco) supplemented with 15% KnockOutTM Serum Replacement (Gibco), 0.1 mM MEAA (Gibco, non-essential aminoacid), 1 nM Na-Pyruvate (Gibco), 0.1 mM 2-mercaptoethanol (Gibco), 4 mM l-Glutamin (GlutaMAX, Gibco), 5 μg ml−1 Insulin (Sigma), 50 U ml−1 Pen-Strep, 200 U ml−1 LIF (ESGRO), 1 μM PD0325901 (StemGent), 3 μM CHIR99021 (StemGent).
Human fibroblast cell lines were established from skin biopsies of confirmed Koolen de-Vries syndrome patients and healthy controls. Cells were maintained in in a humidified incubator at 37 °C and 5% CO2 in DMEM (GlutaMAX supplement, Life Technologies), 100 U ml−1 penicillin, 100 μg ml−1 streptomycin and 10% foetal calf serum (FCS). All fibroblast lines tested negative for Hepatitis B, Hepatitis C, HIV and human Herpes virus 4 and 8. Fibroblasts were passaged at ~90% confluency.