Key result
HCN4 inhibition or knockout impairs early cardiac differentiation and sustains pluripotency in embryonic stem cells.
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HCN4 misregulation via genetic knockout or pharmacological inhibition impairs the early differentiation of mouse embryonic stem cells, suggesting a functional role of pacemaker channels in early cardiac development.
Alterations of bioelectrical signals at early embryonic stages may cause heterotaxia. It has been shown that the lack of the pacemaker channel HCN4 at the very early stage of Xenopus laevis development induces heterotaxia and malformed hearts. This project aims to better characterize these non-canonical roles of HCN4 channels during the early phase of mouse embryonic stem cells (mESC) differentiation into Embryoid Bodies (mEBs). Two experimental approaches were adopted: 1) generation of mESC HCN4 knock out (KO) lines through CRISPR-Cas9 technique and 2) chronic pharmacological inhibition of the pacemaker channel (by ivabradine, Iva). mESC were differentiated through the hanging drop technique. Molecular and functional evaluations were performed throughout the first 8 days of mESC differentiation. Changes in the time-dependent expression of the three germ layer markers (Brachyury-T, GATA4 and Nodal), pluripotency markers (Oct-4 and Nanog) and cardiac markers (i.e. TnI) were evaluated. Cardiac differentiation was functionally evaluated by monitoring the spontaneous mEB beating occurrence, furtherly characterized through a Multi-Electrode Array system associated to a laser-based intracellular reading mode. To generate HCN4 KO mESC lines (1 st approach), we designed three 20-nt length sgRNAs and two of them were selected based on results of the genomic analysis. As expected, time dependent increase of HCN4 transcript levels were observed during the first 8 days of mESC differentiation (CTR group), but it was abolished in both HCN4 KO lines. In comparison to CTR, in both KO lines, HCN1, GATA-4 and TnI transcript levels were less expressed at each differentiation time point; in contrast, Oct4 and Nanog levels were more expressed in KO lines, suggesting a crucial role of HCN4 in the early phase of the mESC differentiation process. To note, HCN4-KO dependent effects on mESC differentiation were largely reproduced by pacemaker channel blockade by Iva (3-10 µM, 2 nd approach). In particular, in comparison to untreated cells, Iva-treated cells showed lower HCN4, HCN1, TnI, GATA-4 levels, and higher Oct-4 levels. To summarize, HCN4 misregulation largely affects the mESC differentiation process, suggesting a functional role of the pacemaker channel on the early cardiac development; this further supports the idea that bioelectricity is fundamental for a proper cellular development.
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Arici et al. (2025) studied Early cardiac development and differentiation. HCN4 knockout (CRISPR-Cas9) or pharmacological inhibition (ivabradine) vs. Untreated control cells was evaluated on Expression of germ layer, pluripotency, and cardiac markers, and spontaneous beating. HCN4 knockout or pharmacological inhibition with ivabradine in mouse embryonic stem cells reduced expression of cardiac markers and increased pluripotency markers during early differentiation.
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