Proliferation of cardiomyocytes
derived from embryonic stem cells
Introduction
Cardiomyocytes
are the ideal cell type for cardiac grafting, but mature
cardiomyocytes do not proliferate, thus inhibiting their
potential as a cell source for myocardial repair. During
embryological development, however, cardiomyocytes undergo
mitosis, suggesting that early cardiomyocytes possess the
mechanism to proliferate. To date, few studies have
quantitatively examined the proliferation of cardiomyocytes
derived from embryonic stem cells. Thus, we have been studying
the proliferation of cardiomyocytes derived from human embryonic
stem (ES) cells during the time course of in vitro cardiomyogenic
differentiation.
Methods
Undifferentiated
H1 and H7 human ES cells are cultured with mouse embryonic
fibroblast conditioned-media and passaged weekly. ES clusters are
dissociated with collagenase IV and cultured in suspension for 4
days to initiate differentiation as embryoid bodies (EBs). EBs
are re-plated and cell outgrowths are cultured for several weeks
thereafter. At different stages of differentiation, the EB
outgrowths are dissociated with Blendzyme and the cells are
fractionated over a Percoll gradient, according to previously
described methods [1]. Enriched fractions of cardiomyocytes are
cultured in 2-well chamber slides, pulsed with BrdU and fixed for
immunohistochemical analysis.
Results
Beating cell
foci, indicative of cardiomyogenesis, are readily apparent after
10-12 days of differentiation and continue to beat for several
weeks. A readily identifiable proportion of proliferating (BrdU+)
human cardiomyocytes within the enriched cultures have been
observed at various stages of differentiation. Continued efforts
are being made to quantify the percentage of BrdU+ cardiomyocytes
and analyze key in vitro parameters
that can be optimized to promote the proliferation of the human
ES-derived cardiomyocytes.
PICTURES FOLLOWING:

Conclusions
In contrast
to mouse ES cells, cardiomyocytes derived from human ES cells
appear to proliferate extensively in vitro. This system
represents the first in vitro model capable
of elucidating the molecular mechanisms regulating the
proliferation of human cardiomyocytes. Future molecular-based
strategies to promote the proliferation of cardiomyocytes from
human ES cells may facilitate the expansion of these cells for
therapeutic purposes.
Literature Cited
[1] Chunhui
Xu, Shailaja Police, Namitha Rao, Melissa K. Carpenter.
Characterization and enrichment of cardiomyocytes derived from
human embryonic stem cells. Circulation Research 91: 501-508,
2002.
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