Key result
Overexpression of ISL-1 in adipose tissue-derived stem cells co-cultured with neonatal rat ventricular cardiomyocytes significantly increased the beating rate to 92 bpm compared to 73.67 bpm in controls.
Why the study?
Hybrid gene- and cell-based biological pacemakers are promising for bradyarrhythmia, but whether overexpressing ISL-1 can direct ADSCs to differentiate into pacemaker-like cells was unknown.
Does overexpression of ISL-1 induce adipose tissue-derived stem cells to differentiate into pacemaker-like cells in vitro?
Does overexpression of ISL-1 induce adipose tissue-derived stem cells to differentiate into pacemaker-like cells in vitro?
Overexpression of ISL-1 in adipose tissue-derived stem cells enhances their pacemaker phenotype and automaticity in vitro, suggesting a potential strategy for developing biological pacemakers.
Does not support clinical use; leaves open ISL-1-modified stem cells as biological pacemakers pending in vivo validation.
Hybrid approaches combining gene‑ and cell‑based therapies to make biological pacemakers are a promising therapeutic avenue for bradyarrhythmia. The present study aimed to direct adipose tissue‑derived stem cells (ADSCs) to differentiate specifically into cardiac pacemaker cells by overexpressing a single transcription factor, insulin gene enhancer binding protein 1 (ISL‑1). In the present study, the ADSCs were transfected with ISL‑1 or mCherry fluorescent protein lentiviral vectors and co‑cultured with neonatal rat ventricular cardiomyocytes (NRVMs) in vitro for 5‑7 days. The feasibility of regulating the differentiation of ADSCs into pacemaker‑like cells by overexpressing ISL‑1 was evaluated by observation of cell morphology and beating rate, reverse transcription‑quantitative polymerase chain reaction analysis, western blotting, immunofluorescence and analysis of electrophysiological activity. In conclusion, these data indicated that the overexpression of ISL‑1 in ADSCs may enhance the pacemaker phenotype and automaticity in vitro, features which were significantly increased following co‑culture induction.
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Zhang et al. (2018) studied Bradyarrhythmia (in vitro model) (n=66). ISL-1 overexpression via lentiviral vector vs. mCherry fluorescent protein lentiviral vector (empty vector) was evaluated on Beating rate of cells at day 5 (bpm) (p=<0.05). Overexpression of ISL-1 in adipose tissue-derived stem cells co-cultured with neonatal rat ventricular cardiomyocytes significantly increased the beating rate to 92 bpm compared to 73.67 bpm in controls.
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