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In vitro model of ischemic heart failure using human induced pluripotent stem cell–derived cardiomyocytes
Justin Davis, Ahmad Chouman, Jeffery Creech, Andre Monteiro da Rocha, Daniela Ponce-Balbuena, Eric N. Jimenez Vazquez, Ruthann Nichols, Andrey Lozhkin, Nageswara R. Madamanchi, Katherine F. Campbell, Todd J. Herron
Justin Davis, Ahmad Chouman, Jeffery Creech, Andre Monteiro da Rocha, Daniela Ponce-Balbuena, Eric N. Jimenez Vazquez, Ruthann Nichols, Andrey Lozhkin, Nageswara R. Madamanchi, Katherine F. Campbell, Todd J. Herron
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Resource and Technical Advance Cardiology Cell biology

In vitro model of ischemic heart failure using human induced pluripotent stem cell–derived cardiomyocytes

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Abstract

Human induced pluripotent stem cell–derived cardiomyocytes (hiPSC-CMs) have been used extensively to model inherited heart diseases, but hiPSC-CM models of ischemic heart disease are lacking. Here, our objective was to generate an hiPSC-CM model of ischemic heart disease. To this end, hiPSCs were differentiated into functional hiPSC-CMs and then purified using either a simulated ischemia media or by using magnetic antibody-based purification targeting the nonmyocyte population for depletion from the cell population. Flow cytometry analysis confirmed that each purification approach generated hiPSC-CM cultures that had more than 94% cTnT+ cells. After purification, hiPSC-CMs were replated as confluent syncytial monolayers for electrophysiological phenotype analysis and protein expression by Western blotting. The phenotype of metabolic stress–selected hiPSC-CM monolayers recapitulated many of the functional and structural hallmarks of ischemic CMs, including elevated diastolic calcium, diminished calcium transient amplitude, prolonged action potential duration, depolarized resting membrane potential, hypersensitivity to chemotherapy-induced cardiotoxicity, depolarized mitochondrial membrane potential, depressed SERCA2a expression, reduced maximal oxygen consumption rate, and abnormal response to β1-adrenergic receptor stimulation. These findings indicate that metabolic selection of hiPSC-CMs generated cell populations with phenotype similar to what is well known to occur in the setting of ischemic heart failure and thus provide a opportunity for study of human ischemic heart disease.

Authors

Justin Davis, Ahmad Chouman, Jeffery Creech, Andre Monteiro da Rocha, Daniela Ponce-Balbuena, Eric N. Jimenez Vazquez, Ruthann Nichols, Andrey Lozhkin, Nageswara R. Madamanchi, Katherine F. Campbell, Todd J. Herron

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Figure 1

hiPSC-CM differentiation protocol and purification approaches.

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hiPSC-CM differentiation protocol and purification approaches.
(A) Timel...
(A) Timeline of small molecule–based cardiac-directed differentiation and purification approaches. (B) Phase-contrast images showing the impact of metabolic selection on monolayer confluence (19-1-11 hiPSC line, day 24). (C) hiPSC-CM spontaneous calcium transient recordings in 19-9-11 hiPSC-CMs without any selection (black, n = 6 monolayers) and with metabolic selection (red, n = 5 monolayers). Spontaneous calcium transient alternans were induced by metabolic selection media (red traces and bars). *Denotes significant difference of amplitude between even and odd numbered beats. Quantification in C shows the relative amplitude of each beat after beat 1, normalized to beat 1 amplitude. Without selection, the amplitude did not vary beat to beat (beat 2 = 0.97 ± 0.02, beat 3 = 0.98 ± 0.01; n = 6). However, in lactate selection media (CDML3), the beat amplitude varied on a beat-to-beat basis (beat 2 = 0.84 ± 0.11, beat 3 = 0.99 ± 0.01; n = 6; paired t test, P < 0.05), indicating calcium transient alternans. hiPSC-CMs, human induced pluripotent stem cell–derived cardiomyocytes.

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