Key result
HAND1 and HAND2 knockout in human embryonic stem cells demonstrated specific and redundant roles in cardiac lineage commitment, with HAND1/2 deficiency delaying differentiation onset and biasing cells toward second heart field progenitors.
Why the study?
The function and mechanism of transcription factors HAND1 and HAND2 in regulating human early cardiac lineage commitment and differentiation remained unclear.
HAND1 and HAND2 have specific and redundant roles in human cardiac lineage commitment, providing mechanistic insights into the pathogenesis of congenital heart diseases related to HAND deficiency.
HAND1/2 findings in human cardiac lineage commitment remain hypothesis-generating; prospective validation needed before regenerative applications.
BACKGROUND: Transcription factors HAND1 and HAND2 (HAND1/2) play significant roles in cardiac organogenesis. Abnormal expression and deficiency of HAND1/2 result in severe cardiac defects. However, the function and mechanism of HAND1/2 in regulating human early cardiac lineage commitment and differentiation are still unclear. METHODS: cells with flow cytometry. The expression of specific markers for heart fields and cardiomyocyte subtypes was examined by quantitative PCR, western blot and immunofluorescence staining. Microelectrode array and whole-cell patch clamp were performed to determine the electrophysiological characteristics of differentiated cardiomyocytes. The transcriptomic changes of HAND knockout cells were revealed by RNA sequencing. The HAND1/2 target genes were identified and validated experimentally by integrating with HAND1/2 chromatin immunoprecipitation sequencing data. RESULTS: Either HAND1 or HAND2 knockout did not affect the cardiomyocyte differentiation kinetics, whereas depletion of HAND1/2 resulted in delayed differentiation onset. HAND1 knockout biased cardiac mesoderm toward second heart field progenitors at the expense of first heart field progenitors, leading to increased expression of atrial and outflow tract cardiomyocyte markers, which was further confirmed by the appearance of atrial-like action potentials. By contrast, HAND2 knockout cardiomyocytes had reduced expression of atrial cardiomyocyte markers and displayed ventricular-like action potentials. HAND1/2-deficient hESCs were more inclined to second heart field lineage and its derived cardiomyocytes with atrial-like action potentials than HAND1 single knockout during differentiation. Further mechanistic investigations suggested TBX5 as one of the downstream targets of HAND1/2, whose overexpression partially restored the abnormal cardiomyocyte differentiation in HAND1/2-deficient hESCs. CONCLUSIONS: HAND1/2 have specific and redundant roles in cardiac lineage commitment and differentiation. These findings not only reveal the essential function of HAND1/2 in cardiac organogenesis, but also provide important information on the pathogenesis of HAND1/2 deficiency-related congenital heart diseases, which could potentially lead to new therapeutic strategies.
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Guo et al. (2024) studied Cardiac organogenesis. HAND1 and HAND2 knockout vs. Wild type human embryonic stem cells was evaluated on Cardiac lineage commitment and differentiation (expression of specific markers and electrophysiological characteristics). HAND1 and HAND2 knockout in human embryonic stem cells demonstrated specific and redundant roles in cardiac lineage commitment, with HAND1/2 deficiency delaying differentiation onset and biasing cells toward second heart field progenitors.
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