Key result
Retinoic acid plus CHIR99021 induces hiPSCs to differentiate into faster-beating sinus node-like cells.
Why the study?
The source of SAN remains debated, though RA and Wnt signaling are known to be involved in heart development.
Combining retinoic acid with Wnt signaling activation within a specific period successfully induces human-induced pluripotent stem cells to differentiate into functional sinus node-like cells.
May facilitate hiPSC-derived biological pacemakers in vitro; leaves open in vivo validation and clinical translation.
Background The source of SAN is debated among researchers. Many studies have shown that RA and Wnt signaling are involved in heart development. In this study, we investigated the role of retinoic acid (RA) and Wnt signaling in the induction of sinus node-like cells. Methods The experimental samples were divided into four groups: control group (CHIR = 0), CHIR = 3, RA + CHIR = 0 andRA + CHIR = 3. After 20 days of differentiation, Western blot, RT-qPCR, immunofluorescence and flow cytometry were performed to identify sinus node-like cells. Finally, whole-cell patch clamp technique was used to record pacing funny current and action potential (AP) in four groups. Results The best intervention method used in our experiment was RA = 0.25 µmol/L D5-D9 + CHIR = 3 µmol/L D5-D7. Results showed that CHIR can increase the expression of ISL-1 and TBX3, while RA mainly elevated Shox2. Immunofluorescence assay and flow cytometry further illustrated that combining RA with CHIR can induce sinus node-like cells (CTNT+Shox2+Nkx2.5−). Moreover, CHIR might reduce the frequency of cell beats, but in conjunction with RA could partly compensate for this side effect. Whole cell patch clamps were able to record funny current and the typical sinus node AP in the experimental group, which did not appear in the control group. Conclusions Combining RA with Wnt signaling within a specific period can induce sinus node-like cells.
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Yin et al. (2022) studied Sinus node-like cell differentiation. Retinoic acid (RA) and Wnt signaling activator (CHIR99021) vs. Control (CHIR=0), CHIR=3, RA+CHIR=0 was evaluated on Proportion of pacemaker cells (CTNT+Shox2+Nkx2.5-). Combining retinoic acid (0.25 µmol/L) with Wnt signaling activator CHIR99021 (3 µmol/L) induced human-induced pluripotent stem cells to differentiate into sinus node-like cells and increased beat frequency.
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