Department of Cardiovascular Surgery, Nippon Medical School, Tokyo, Japan; Department of Physiology, Nippon Medical School, Tokyo, Japan.
Department of Physiology, Nippon Medical School, Tokyo, Japan; Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.
J Thorac Cardiovasc Surg. 2020 Jun;159(6):2260-2271.e7. doi: 10.1016/j.jtcvs.2019.06.060. Epub 2019 Jul 10.
Cardiomyocytes derived from human induced pluripotent stem cells are a promising source of cells for regenerative medicine. However, contractions in such derived cardiomyocytes are often irregular and asynchronous, especially at early stages of differentiation. This study aimed to determine the differentiation stage of initiation of synchronized and regular contractions, using spatiotemporal imaging and physiological and genetic analyses.
Knock-in human induced pluripotent stem cell lines were established with clustered regularly interspaced short palindromic repeats/clustered regularly interspaced short palindromic repeats-associated protein 9 to analyze cardiac and pacemaker cell maturation. Time-frequency analysis and Ca imaging were performed, and the expression of related proteins and specific cardiac/pacemaker mRNAs in contracting embryoid bodies was analyzed at various differentiation stages.
Time-frequency analysis and Ca imaging revealed irregular, asynchronous contractions at the early stage of differentiation with altered electrophysiological properties upon differentiation. Genes associated with electrophysiological properties were upregulated after 70 days of culturing in differentiation media, whereas pacemaker genes were initially upregulated during the early stage and downregulated at the later stage.
A differentiation period >70 days is required for adequate development of cardiac elements including ion channels and gap junctions and for sarcomere maturation.
源自人类诱导多能干细胞的心肌细胞是再生医学中有前途的细胞来源。然而,此类衍生的心肌细胞的收缩通常是不规则和不同步的,尤其是在分化的早期阶段。本研究旨在使用时空成像以及生理和遗传分析来确定同步和规则收缩开始的分化阶段。
使用簇状规则间隔短回文重复序列/簇状规则间隔短回文重复序列相关蛋白 9 建立人诱导多能干细胞系,以分析心脏和起搏细胞的成熟。进行时频分析和 Ca 成像,并在不同分化阶段分析收缩胚状体中的相关蛋白和特定心脏/起搏 mRNA 的表达。
时频分析和 Ca 成像显示在分化的早期阶段收缩不规则、不同步,并且分化后电生理特性发生改变。与电生理特性相关的基因在分化培养基中培养 70 天后上调,而起搏基因在早期阶段上调,在后期阶段下调。
需要超过 70 天的分化期才能充分发育包括离子通道和缝隙连接在内的心脏元件,并使肌节成熟。