Cardiomyocytes induced from hiPSCs by well-defined compounds have therapeutic potential in heart failure by secreting

Hongmei Li1,2, Fenfang Wu3, Guangrui Huang1

  • 1School of Life Science, Beijing University of Chinese Medicine, Beijing, China.

Insights

Optimally induced human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) show enhanced therapeutic effects for heart failure by promoting repair and reducing cardiac dysfunction. These cells secrete PDGF-BB, activating the PI3K/Akt pathway for improved myocardial repair.

Area of Science:

  • Cardiovascular Biology
  • Regenerative Medicine
  • Stem Cell Therapy

Background:

  • Human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) show promise for heart failure treatment.
  • The immaturity of hiPSC-CMs and their secreted factors limit clinical benefits.
  • Key paracrine factors involved in hiPSC-CMs-mediated cardiac repair are largely unknown.

Purpose of the Study:

  • To establish an optimized system for generating functional hiPSC-CMs for cell therapy.
  • To investigate the therapeutic effects and underlying mechanisms of these optimized hiPSC-CMs in a heart failure model.
  • To identify key secreted factors and signaling pathways involved in cardiac repair.

Main Methods:

  • Development of a saponin-positive compound-induced system for hiPSC-CM generation.
  • Transplantation of optimized hiPSC-CMs into heart failure mouse models.
  • Assessment of cardiac function, remodeling, angiogenesis, and cell survival.
  • Analysis of secreted factors, particularly PDGF-BB, and downstream signaling pathways (PI3K/Akt).

Main Results:

  • Optimized hiPSC-CMs transplantation attenuated cardiac remodeling and dysfunction in heart failure mice.
  • Beneficial effects included reduced cardiomyocyte death and increased angiogenesis.
  • Optimized hiPSC-CMs secreted abundant PDGF-BB, which mimicked reparative effects and activated the PI3K/Akt pathway.
  • PDGF-BB neutralization inhibited the therapeutic effects, confirming its crucial role.

Conclusions:

  • Optimized hiPSC-CMs promote myocardial repair via paracrine action, primarily through PDGF-BB secretion.
  • The PDGF-BB/PI3K/Akt pathway mediates the beneficial effects of optimized hiPSC-CMs on cardiac remodeling and function.
  • Optimized hiPSC-CMs represent a promising cell therapy for clinical applications in heart failure treatment.

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