eprintid: 23646 rev_number: 16 eprint_status: archive userid: 1589 dir: disk0/00/02/36/46 datestamp: 2017-10-24 11:40:02 lastmod: 2024-03-09 08:36:25 status_changed: 2017-10-24 11:40:02 type: article metadata_visibility: show creators_name: Schweizer, Patrick A. creators_name: Darche, Fabrice F. creators_name: Ullrich, Nina D. creators_name: Geschwill, Pascal creators_name: Greber, Boris creators_name: Rivinius, Rasmus creators_name: Seyler, Claudia creators_name: Müller-Decker, Karin creators_name: Draguhn, Andreas creators_name: Utikal, Jochen creators_name: Koenen, Michael creators_name: Katus, Hugo A. creators_name: Thomas, Dierk title: Subtype-specific differentiation of cardiac pacemaker cell clusters from human induced pluripotent stem cells subjects: 610 divisions: 850300 divisions: 851330 divisions: 910100 divisions: 53200 abstract: Background: Human induced pluripotent stem cells (hiPSC) harbor the potential to differentiate into diverse cardiac cell types. Previous experimental efforts were primarily directed at the generation of hiPSC-derived cells with ventricular cardiomyocyte characteristics. Aiming at a straightforward approach for pacemaker cell modeling and replacement, we sought to selectively differentiate cells with nodal-type properties. Methods: hiPSC were differentiated into spontaneously beating clusters by co-culturing with visceral endoderm-like cells in a serum-free medium. Subsequent culturing in a specified fetal bovine serum (FBS)-enriched cell medium produced a pacemaker-type phenotype that was studied in detail using quantitative real-time polymerase chain reaction (qRT-PCR), immunocytochemistry, and patch-clamp electrophysiology. Further investigations comprised pharmacological stimulations and co-culturing with neonatal cardiomyocytes. Results: hiPSC co-cultured in a serum-free medium with the visceral endoderm-like cell line END-2 produced spontaneously beating clusters after 10–12 days of culture. The pacemaker-specific genes HCN4, TBX3, and TBX18 were abundantly expressed at this early developmental stage, while levels of sarcomeric gene products remained low. We observed that working-type cardiomyogenic differentiation can be suppressed by transfer of early clusters into a FBS-enriched cell medium immediately after beating onset. After 6 weeks under these conditions, sinoatrial node (SAN) hallmark genes remained at high levels, while working-type myocardial transcripts (NKX2.5, TBX5) were low. Clusters were characterized by regular activity and robust beating rates (70–90 beats/min) and were triggered by spontaneous Ca2+ transients recapitulating calcium clock properties of genuine pacemaker cells. They were responsive to adrenergic/cholinergic stimulation and able to pace neonatal rat ventricular myocytes in co-culture experiments. Action potential (AP) measurements of cells individualized from clusters exhibited nodal-type (63.4%) and atrial-type (36.6%) AP morphologies, while ventricular AP configurations were not observed. Conclusion: We provide a novel culture media-based, transgene-free approach for targeted generation of hiPSC-derived pacemaker-type cells that grow in clusters and offer the potential for disease modeling, drug testing, and individualized cell-based replacement therapy of the SAN. date: 2017 publisher: BioMed Central id_scheme: DOI ppn_swb: 1656729113 own_urn: urn:nbn:de:bsz:16-heidok-236463 language: eng bibsort: SCHWEIZERPSUBTYPESPE2017 full_text_status: public publication: Stem Cell Research & Therapy volume: 8 number: 229 place_of_pub: London pagerange: 1-15 issn: 1757-6512 citation: Schweizer, Patrick A. ; Darche, Fabrice F. ; Ullrich, Nina D. ; Geschwill, Pascal ; Greber, Boris ; Rivinius, Rasmus ; Seyler, Claudia ; Müller-Decker, Karin ; Draguhn, Andreas ; Utikal, Jochen ; Koenen, Michael ; Katus, Hugo A. ; Thomas, Dierk (2017) Subtype-specific differentiation of cardiac pacemaker cell clusters from human induced pluripotent stem cells. Stem Cell Research & Therapy, 8 (229). pp. 1-15. ISSN 1757-6512 document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/23646/1/13287_2017_Article_681.pdf