Department of Cell, Developmental and Regenerative Biology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA; Mindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA; Black Family Stem Cell Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Cell Stem Cell. 2022 Apr 7;29(4):559-576.e7. doi: 10.1016/j.stem.2022.02.011. Epub 2022 Mar 23.
Pluripotent stem-cell-derived cardiomyocytes (PSC-CMs) provide an unprecedented opportunity to study human heart development and disease, but they are functionally and structurally immature. Here, we induce efficient human PSC-CM (hPSC-CM) maturation through metabolic-pathway modulations. Specifically, we find that peroxisome-proliferator-associated receptor (PPAR) signaling regulates glycolysis and fatty acid oxidation (FAO) in an isoform-specific manner. While PPARalpha (PPARa) is the most active isoform in hPSC-CMs, PPARdelta (PPARd) activation efficiently upregulates the gene regulatory networks underlying FAO, increases mitochondrial and peroxisome content, enhances mitochondrial cristae formation, and augments FAO flux. PPARd activation further increases binucleation, enhances myofibril organization, and improves contractility. Transient lactate exposure, which is frequently used for hPSC-CM purification, induces an independent cardiac maturation program but, when combined with PPARd activation, still enhances oxidative metabolism. In summary, we investigate multiple metabolic modifications in hPSC-CMs and identify a role for PPARd signaling in inducing the metabolic switch from glycolysis to FAO in hPSC-CMs.
多能干细胞衍生的心肌细胞(PSC-CMs)为研究人类心脏发育和疾病提供了前所未有的机会,但它们在功能和结构上还不成熟。在这里,我们通过代谢途径的调节来诱导高效的人 PSC-CM(hPSC-CM)成熟。具体来说,我们发现过氧化物酶体增殖物激活受体(PPAR)信号以亚型特异性的方式调节糖酵解和脂肪酸氧化(FAO)。虽然 PPARalpha(PPARa)是 hPSC-CMs 中最活跃的亚型,但 PPARdelta(PPARd)的激活有效地上调了 FAO 的基因调控网络,增加了线粒体和过氧化物酶体的含量,增强了线粒体嵴的形成,并增加了 FAO 通量。PPARd 的激活进一步增加了双核,增强了肌原纤维的组织,提高了收缩性。短暂的乳酸暴露常用于 hPSC-CM 的纯化,但它会诱导一个独立的心脏成熟程序,而当与 PPARd 激活结合使用时,仍能增强氧化代谢。总之,我们研究了 hPSC-CMs 中的多种代谢修饰,并确定了 PPARd 信号在诱导 hPSC-CMs 从糖酵解向 FAO 代谢转变中的作用。