Conversion of human fibroblasts into functional cardiomyocytes by small molecules

N Cao, Y Huang, J Zheng, CI Spencer, Y Zhang, JD Fu… - Science, 2016 - science.org
N Cao, Y Huang, J Zheng, CI Spencer, Y Zhang, JD Fu, B Nie, M Xie, M Zhang, H Wang…
Science, 2016science.org
Reprogramming somatic fibroblasts into alternative lineages would provide a promising
source of cells for regenerative therapy. However, transdifferentiating human cells into
specific homogeneous, functional cell types is challenging. Here we show that
cardiomyocyte-like cells can be generated by treating human fibroblasts with a combination
of nine compounds that we term 9C. The chemically induced cardiomyocyte-like cells
uniformly contracted and resembled human cardiomyocytes in their transcriptome …
Reprogramming somatic fibroblasts into alternative lineages would provide a promising source of cells for regenerative therapy. However, transdifferentiating human cells into specific homogeneous, functional cell types is challenging. Here we show that cardiomyocyte-like cells can be generated by treating human fibroblasts with a combination of nine compounds that we term 9C. The chemically induced cardiomyocyte-like cells uniformly contracted and resembled human cardiomyocytes in their transcriptome, epigenetic, and electrophysiological properties. 9C treatment of human fibroblasts resulted in a more open-chromatin conformation at key heart developmental genes, enabling their promoters and enhancers to bind effectors of major cardiogenic signals. When transplanted into infarcted mouse hearts, 9C-treated fibroblasts were efficiently converted to chemically induced cardiomyocyte-like cells. This pharmacological approach to lineage-specific reprogramming may have many important therapeutic implications after further optimization to generate mature cardiac cells.
AAAS