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Table 1 Summary of methods and relative maturation states of in vitro derived cardiomyocytes

From: Physical developmental cues for the maturation of human pluripotent stem cell-derived cardiomyocytes

Study

Method of differentiation

Maturation state achieved and finding

Boheler et al . 2014[139]

Monolayer culture

High purity hESC- and hiPSC-derived CMs

Cao et al . 2008[59]

Suspension EB

Expression level of genes encoding structural and force-generating proteins was comparable to fetal heart CMs

Caspi et al . 2009[74]

Suspension EB

Presence of functional gap junctions

Chan et al . 2013[102]

Suspension EB

Electrical field stimulation increased expression of cardiac-specific genes

Stimulation promoted a ventricular-like phenotype

Stimulation improved calcium handling

Chung et al . 2007[65]

Suspension EB

Mitochondrial oxidative metabolism is required for differentiation into a functional cardiac phenotype

Foldes et al . 2011[116]

Suspension EB

Showed active role for protein kinase signaling in hESC-CM growth and hypertrophy

Gherghiceanu et al . 2011[58]

Suspension EB

Ultrastructural features of early and immature phenotype:

Myofibrils with sarcomeric pattern

Large glycogen deposits,

Lipid droplets

Ca2+ release units detected on the sarcoplasmic reticulum

Underdeveloped intercalated disks

Spatial location of cells within EBs can affect their phenotype

Cx43 expression not detected

Kamakura et al . 2013[62]

Suspension EB

Including long-term culture (up to 180 days)

Myofibrils became tightly packed and formed parallel arrays

Appearance of mature Z-, A-, H-, and I-bands

M-bands detected in 360-day-old EBs

Kehat et al . 2004[75]

Suspension EB

hESC-CM tissue engraftment

Structural and electromechanical connections with NRVMs

Rate-responsive biological pacemaker

Kensah et al . 2013[99]

Cardiac bodies

Formation of bioartificial cardiac tissue and use of defined animal-free matrix

Kim et al . 2013[83]

Suspension EB

Induction of adult-like metabolism is critical for establishing disease onset in patient-specific iPSCs

Kim et al . 2010[130]

Suspension EB

Co-culture with non-cardiomyocytes rescued the arrest of electrophysiological maturation observed following hESC-CM isolation from EBs in early cultures

Purified CMs with a-MHC-PacR

Lundy et al . 2013[60]

Monolayer-based direct differentiation

Late stage (about 100 days) cells exhibit

organized, longer sarcomeres with aligned Z-disks and organized A- and I-bands

Dense and aligned myofibrils

Higher degree of multinucleation

MYH6 and MYH7 expression level comparable to adult human heart

Improved contraction, Ca2+ handling and AP characteristics

Matsa et al . 2014[133]

Suspension EB

Allele-specific RNA interference can rescue diseased phenotype in LQTS cardiomyocytes

Moore et al . 2008[71]

Suspension EB

Cx43 mediates the expression of genes involved in cardiogenesis

Ou et al . 2011[63]

Hanging-drop EB

Three-dimensional culture and cardiac fibroblast co-culture improved sarcomere organization and Cx43 expression

Pal et al . 2013[64]

Suspension EB and monolayer-based direct differentiation

Three-dimensional culture increased the expression level of TNNT2

Pekkanen-Mattila et al . 2010[72]

Suspension EB,

Sparse, irregularly distributed Cx43 expression

END-2 co-culture

 

Poon et al . 2013[19]

Directed differentiation (suspension EB)

Expression level of structural proteins are lower than in fetal ventricular CMs

Purified ventricular phenotype

Sartiani et al . 2007[61]

Suspension EB, dissected CMs

Electrophysiological characterization over a 3-month period

Maturation approaching an adult phenotype

Thavandiran et al . 2013[101]

Suspension EB

iPSC-derived engineered cardiac tissue

Combination of a matrix-based microenvironment, uniaxial mechanical stress and a mixture of cells improved engineered cardiac tissue performance

Turnbull et al . 2014[13]

Suspension EB

Expression of cardiac genes approached levels in adult LV myocardium in engineered cardiac tissues

Xue et al . 2005[76]

Suspension EB

Functional integration into myocardium

Cell-based pacemaker

Zhang et al . 2013[12]

Suspension EB

Well-developed sarcomeric structures found in three-dimensional cardiac patches

Upregulated E-C coupling and contractile genes

Zwi et al . 2009[73]

Suspension EB

Sparse, irregularly distributed Cx43 expression

  1. AP, action potential; CM, cardiomyocyte; Cx43, connexin 43; EB, embryoid body; E-C, excitation-contraction; hESC, human embryonic stem cell; hESC-CM, human embryonic stem cell-derived cardiomyocyte; hiPSC, human induced pluripotent stem cell; iPSC, induced pluripotent stem cell; LQTS, long QT syndrome; LV, left ventricular; NRVM, neonatal rat ventricular myocyte; TNNT2, cardiac troponin T.