Key result
Tetraploid iPSC-derived cardiomyocytes better recapitulate mature, post-mitotic cardiomyocyte features than conventional diploid cells.
Why the study?
Human iPSC-derived cardiomyocytes remain immature and resemble fetal cardiomyocytes because they fail to replicate the tetraploidization that human cardiomyocytes naturally undergo during maturation.
Tetraploid iPSC-derived cardiomyocytes exhibit more mature, post-mitotic characteristics compared to conventional diploid iPSC-derived cardiomyocytes, offering a novel strategy for cardiac regenerative medicine.
Human induced pluripotent stem cell (iPSC)-derived cardiomyocytes (iPS-CMs) have great potential in regenerative medicine. However, iPS-CMs are immature and resemble fetal cardiomyocytes, restricting their application. Fetal cardiomyocytes in the human heart are diploid and proliferating, but gradually lose their proliferative potential during maturation. Most human cardiomyocytes eventually become tetraploid, but iPS-CMs cannot replicate this tetraploidization and remain immature with the current differentiation techniques. To overcome this problem, we fused diploid iPSCs to establish tetraploid iPSCs and differentiated them into cardiomyocytes (4N-iPS-CMs) to replicate the tetraploidy. As we expected, we found that 4N-iPS-CMs had more similar gene expression profiles, improved mitochondrial functions, contractile impedance, and resistance to a potassium blocker in post-mitotic cardiomyocytes than conventional iPS-CMs. In addition, we successfully generated 4N-iPS-CMs from two individuals to mix two different genetic backgrounds. Thus, we demonstrated a unique strategy for generating human post-mitotic cardiomyocyte-like cells by generating tetraploid iPSCs. Cardiomyocytes derived from tetraploid iPSCs established by cell fusion recapitulate characteristics of post-mitotic cardiomyocytes more precisely than conventional diploid iPSC derived cardiomyocytes.
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Nakajima et al. (2026) studied this question. Tetraploid iPSC-derived cardiomyocytes (4N-iPS-CMs) vs. Conventional diploid iPSC-derived cardiomyocytes (2N-iPS-CMs) was evaluated on Phenotypic characteristics of post-mitotic cardiomyocytes (gene expression, mitochondrial function, contractile impedance). Cardiomyocytes derived from tetraploid iPSCs established by cell fusion recapitulate characteristics of post-mitotic cardiomyocytes more precisely than conventional diploid iPSC-derived cardiomyocytes.
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