Why the study?
Biological pacemakers combining cell- and gene-based therapies are promising for sick sinus syndrome or severe atrioventricular block, but strategies to induce stem cell differentiation into pacemaker cells require investigation.
Does co-expression of ISL-1 and Tbx18 increase the differentiation of adipose tissue-derived stem cells into pacemaker-like cells?
Does co-expression of ISL-1 and Tbx18 increase the differentiation of adipose tissue-derived stem cells into pacemaker-like cells?
Co-expression of ISL-1 and Tbx18 significantly enhances the differentiation of adipose tissue-derived stem cells into cardiac pacemaker-like cells in vitro, offering a potential strategy for biological pacemakers.
Hypothesis-generating for stem cell-derived biological pacemakers; requires in vivo validation before clinical consideration.
Biological pacemakers that combine cell‑based and gene‑based therapies are a promising treatment for sick sinus syndrome or severe atrioventricular block. The current study aimed to induce differentiation of adipose tissue‑derived stem cells (ADSCs) into cardiac pacemaker cells through co‑expression of the transcription factors insulin gene enhancer binding protein 1 (ISL‑1) and T‑box18 (Tbx18). ADSCs were transfected with green fluorescent protein, ISL‑1, Tbx18 or ISL‑1+Tbx18 fluorescent protein lentiviral vectors, and subsequently co‑cultured with neonatal rat ventricular cardiomyocytes in vitro for 7 days. The potential for regulating the differentiation of ADSCs into pacemaker‑like cells was evaluated by cell morphology, beating rate, reverse transcription‑quantitative polymerase chain reaction, western blotting, immunofluorescence and electrophysiological activity. ADSCs were successfully transformed into spontaneously beating cells that exhibited a behavior similar to that of co‑cultured pacemaker cells. This effect was significantly increased in the combined ISL‑1 and Tbx18 group. These results provide a potential strategy for enriching the cardiac pacemaker cell population from ADSCs.
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Zhang et al. (2019) studied this question.
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