Abstract
Human pluripotent stem cells (PSCs), including embryonic stem cells (ESCs) and induced PSCs (iPSCs), have the potential to differentiate into various cells types and may be used as cell sources for regenerative medicine in the context of various diseases, including severe heart failure. However, one of the biggest hurdles in the use of human PSCs for clinical applications is tumor formation due to contamination with residual tumor-forming cells, primarily undifferentiated PSCs. In addition, hundreds of millions of cardiomyocytes are required for heart repair. Two approaches have been developed for achievement of safer cardiac regenerative therapy using human PSCs: (1) selective elimination of residual tumor-forming cells before cell transplantation and (2) purification of PSC-derived cardiomyocytes. Many methodologies, including genetic and nongenetic modification, have been developed using these strategies. In this chapter, we focus on the current status of selective elimination of residual PSCs and purification of cardiomyocytes for safe stem cell therapy.
References
Aalto-Setala K, Fuerstenau-Sharp M, Zimmermann ME, Stark K, Jentsch N, Klingenstein M et al (2015) Generation of highly purified human cardiomyocytes from peripheral blood mononuclear cell-derived induced pluripotent stem cells. PLoS One 10(5):e0126596
Anderson D, Self T, Mellor IR, Goh G, Hill SJ, Denning C (2007) Transgenic enrichment of Cardiomyocytes from human embryonic stem cells. Mol Ther 15(11):2027–2036
Ban K (2013) Purification of cardiomyocytes from differentiating pluripotent stem cells using molecular beacons that target cardiomyocyte-specific mRNA. Circulation 128:1897–1909. doi:10.1161/CIRCULATIONAHA.113.004228
Ben-David U (2013) Selective elimination of human pluripotent stem cells by an oleate synthesis inhibitor discovered in a high-throughput screen. Cell Stem Cell 12:162–179
Ben-David U, Nudel N, Benvenisty N (2013) Immunologic and chemical targeting of the tight-junction protein Claudin-6 eliminates tumorigenic human pluripotent stem cells. Nat Commun 4:1992
Bieberich E, Silva J, Wang G, Krishnamurthy K, Condie BG (2004) Selective apoptosis of pluripotent mouse and human stem cells by novel ceramide analogues prevents teratoma formation and enriches for neural precursors in ES cell-derived neural transplants. J Cell Biol 167:723–734. doi:10.1083/jcb.200405144
Burridge PW, Keller G, Gold JD, Wu JC (2012) Production of de novo cardiomyocytes: human pluripotent stem cell differentiation and direct reprogramming. Cell Stem Cell 10(1):16–28
Burridge PW, Matsa E, Shukla P, Lin ZC, Churko JM, Ebert AD et al (2014) Chemically defined generation of human cardiomyocytes. Nat Methods 11(8):855–860
Burridge PW, Li YF, Matsa E, Wu H, Ong SG, Sharma A et al (2016) Human induced pluripotent stem cell-derived cardiomyocytes recapitulate the predilection of breast cancer patients to doxorubicin-induced cardiotoxicity. Nat Med 22(5):547–556
Carey BW, Finley LW, Cross JR, Allis CD, Thompson CB (2014) Intracellular alpha-ketoglutarate maintains the pluripotency of embryonic stem cells. Nature 518(7539):413–416
Chong JJ, Yang X, Don CW, Minami E, Liu YW, Weyers JJ et al (2014) Human embryonic-stem-cell-derived cardiomyocytes regenerate non-human primate hearts. Nature 510(7504):273–277
Choo AB (2008) Selection against undifferentiated human embryonic stem cells by a cytotoxic antibody recognizing podocalyxin-like protein-1. Stem Cells 26:1454–1463. doi:10.1634/stemcells.2007-0576
Dabir Deepa V, Hasson Samuel A, Setoguchi K, Johnson Meghan E, Wongkongkathep P, Douglas Colin J et al (2013) A small molecule inhibitor of redox-regulated protein translocation into mitochondria. Dev Cell 25(1):81–92
Dubois NC, Craft AM, Sharma P, Elliott DA, Stanley EG, Elefanty AG et al (2011) SIRPA is a specific cell-surface marker for isolating cardiomyocytes derived from human pluripotent stem cells. Nat Biotechnol 29(11):1011–1018
Dudek J, Cheng IF, Chowdhury A, Wozny K, Balleininger M, Reinhold R et al (2015) Cardiac-specific succinate dehydrogenase deficiency in Barth syndrome. EMBO Mol Med 8(2):139–154
Elliott DA, Braam SR, Koutsis K, Ng ES, Jenny R, Lagerqvist EL et al (2011) NKX2-5eGFP/w hESCs for isolation of human cardiac progenitors and cardiomyocytes. Nat Methods 8(12):1037–1040
Folmes Clifford DL, Nelson Timothy J, Martinez-Fernandez A, Arrell DK, Lindor Jelena Z, Dzeja Petras P et al (2011) Somatic oxidative bioenergetics transitions into pluripotency-dependent glycolysis to facilitate nuclear reprogramming. Cell Metab 14(2):264–271
Fong CY, Peh GS, Gauthaman K, Bongso A (2009) Separation of SSEA-4 and TRA-1-60 labelled undifferentiated human embryonic stem cells from a heterogeneous cell population using magnetic-activated cell sorting (MACS) and fluorescence-activated cell sorting (FACS). Stem Cell Rev 5:72–80. doi:10.1007/s12015-009-9054-4
Fonoudi H, Ansari H, Abbasalizadeh S, Larijani MR, Kiani S, Hashemizadeh S et al (2015) A universal and robust integrated platform for the scalable production of human cardiomyocytes from pluripotent stem cells. Stem Cells Transl Med 4(12):1482–1494
Funakoshi S, Miki K, Takaki T, Okubo C, Hatani T, Chonabayashi K et al (2016) Enhanced engraftment, proliferation, and therapeutic potential in heart using optimized human iPSC-derived cardiomyocytes. Sci Rep 6:19111
Gassanov N, Er F, Zagidullin N, Hoppe UC (2004) Endothelin induces differentiation of ANP-EGFP expressing embryonic stem cells towards a pacemaker phenotype. FASEB J 18(14):1710–1712
Gerbin KA, Yang X, Murry CE, Coulombe KL (2015) Enhanced electrical integration of engineered human myocardium via intramyocardial versus epicardial delivery in infarcted rat hearts. PLoS One 10(7):e0131446
Hattori F (2010) Nongenetic method for purifying stem cell-derived cardiomyocytes. Nat Methods 7:61–66. doi:10.1038/nmeth.1403
Hemmi N, Tohyama S, Nakajima K, Kanazawa H, Suzuki T, Hattori F et al (2014) A massive suspension culture system with metabolic purification for human pluripotent stem cell-derived cardiomyocytes. Stem Cells Transl Med 3(12):1473–1483
Hentze H, Soong PL, Wang ST, Phillips BW, Putti TC, Dunn NR (2009) Teratoma formation by human embryonic stem cells: evaluation of essential parameters for future safety studies. Stem Cell Res 2(3):198–210
Hidaka K, Shirai M, Lee JK, Wakayama T, Kodama I, Schneider MD et al (2009) The cellular prion protein identifies bipotential cardiomyogenic progenitors. Circ Res 106(1):111–119
Hinson JT, Chopra A, Nafissi N, Polacheck WJ, Benson CC, Swist S et al (2015) Titin mutations in iPS cells define sarcomere insufficiency as a cause of dilated cardiomyopathy. Science 349(6251):982–986
Huber I, Itzhaki I, Caspi O, Arbel G, Tzukerman M, Gepstein A et al (2007) Identification and selection of cardiomyocytes during human embryonic stem cell differentiation. FASEB J 21(10):2551–2563
Kattman SJ, Witty AD, Gagliardi M, Dubois NC, Niapour M, Hotta A et al (2011) Stage-specific optimization of activin/nodal and BMP signaling promotes cardiac differentiation of mouse and human pluripotent stem cell lines. Cell Stem Cell 8(2):228–240
Kawamura M, Miyagawa S, Miki K, Saito A, Fukushima S, Higuchi T et al (2012) Feasibility, safety, and therapeutic efficacy of human induced pluripotent stem cell-derived cardiomyocyte sheets in a porcine ischemic cardiomyopathy model. Circulation 126(11 Suppl 1):S29–S37
Kawamura A, Miyagawa S, Fukushima S, Kawamura T, Kashiyama N, Ito E et al (2016) Teratocarcinomas arising from allogeneic induced pluripotent stem cell-derived cardiac tissue constructs provoked host immune rejection in mice. Sci Rep 6:19464
Kodo K, Ong SG, Jahanbani F, Termglinchan V, Hirono K, InanlooRahatloo K et al (2016) iPSC-derived cardiomyocytes reveal abnormal TGF-beta signalling in left ventricular non-compaction cardiomyopathy. Nat Cell Biol 18(10):1031–1042
Kondoh H, Lleonart ME, Nakashima Y, Yokode M, Tanaka M, Bernard D et al (2007) A high glycolytic flux supports the proliferative potential of murine embryonic stem cells. Antioxid Redox Signal 9(3):293–299
Kuroda T, Yasuda S, Kusakawa S, Hirata N, Kanda Y, Suzuki K et al (2012) Highly sensitive in vitro methods for detection of residual undifferentiated cells in retinal pigment epithelial cells derived from human iPS cells. PLoS One 7(5):e37342
van Laake LW, Qian L, Cheng P, Huang Y, Hsiao EC, Conklin BR et al (2010) Reporter-based isolation of induced pluripotent stem cell- and embryonic stem cell-derived cardiac progenitors reveals limited Gene expression variance. Circ Res 107(3):340–347
Laflamme MA, Chen KY, Naumova AV, Muskheli V, Fugate JA, Dupras SK et al (2007) Cardiomyocytes derived from human embryonic stem cells in pro-survival factors enhance function of infarcted rat hearts. Nat Biotechnol 25(9):1015–1024
Lee MO (2013) Inhibition of pluripotent stem cell-derived teratoma formation by small molecules. Proc Natl Acad Sci U S A 110:E3281–E3290. doi:10.1073/pnas.1303669110
Lian X (2012) Robust cardiomyocyte differentiation from human pluripotent stem cells via temporal modulation of canonical Wnt signaling. Proc Natl Acad Sci 109:E1848–E1857. doi:10.1073/pnas.1200250109
Lund LH, Edwards LB, Kucheryavaya AY, Benden C, Dipchand AI, Goldfarb S et al (2015) The registry of the international society for heart and lung transplantation: thirty-second official adult heart transplantation report–2015; focus theme: early graft failure. J Heart Lung Transplant 34(10):1244–1254
Ma J, Guo L, Fiene SJ, Anson BD, Thomson JA, Kamp TJ et al (2011) High purity human-induced pluripotent stem cell-derived cardiomyocytes: electrophysiological properties of action potentials and ionic currents. Am J Physiol Heart Circ Physiol 301(5):H2006–H2017
Marsboom G, Zhang G-F, Pohl-Avila N, Zhang Y, Yuan Y, Kang H et al (2016) Glutamine metabolism regulates the Pluripotency transcription factor OCT4. Cell Rep 16(2):323–332
Matsa E, Burridge PW, Yu KH, Ahrens JH, Termglinchan V, Wu H et al (2016) Transcriptome profiling of patient-specific human iPSC-cardiomyocytes predicts individual drug safety and efficacy responses in vitro. Cell Stem Cell 19(3):311–325
Miki K, Endo K, Takahashi S, Funakoshi S, Takei I, Katayama S et al (2015) Efficient detection and purification of cell populations using synthetic microRNA switches. Cell Stem Cell 16(6):699–711
Minami I, Yamada K, Otsuji TG, Yamamoto T, Shen Y, Otsuka S et al (2012) A small molecule that promotes cardiac differentiation of human pluripotent stem cells under defined, cytokine- and xeno-free conditions. Cell Rep 2(5):1448–1460
Miura K, Okada Y, Aoi T, Okada A, Takahashi K, Okita K et al (2009) Variation in the safety of induced pluripotent stem cell lines. Nat Biotechnol 27(8):743–745
Moussaieff A, Rouleau M, Kitsberg D, Cohen M, Levy G, Barasch D et al (2015) Glycolysis-mediated changes in acetyl-CoA and histone acetylation control the early differentiation of embryonic stem cells. Cell Metab 21(3):392–402
Neely JR, Morgan HE (1974) Relationship between carbohydrate and lipid metabolism and the energy balance of heart muscle. Annu Rev Physiol 36:413–459
Nguyen Doan C, Hookway Tracy A, Wu Q, Jha R, Preininger Marcela K, Chen X et al (2014) Microscale generation of cardiospheres promotes robust enrichment of cardiomyocytes derived from human pluripotent stem cells. Stem Cell Reports 3(2):260–268
Nori S, Okada Y, Nishimura S, Sasaki T, Itakura G, Kobayashi Y et al (2015) Long-term safety issues of iPSC-based cell therapy in a spinal cord injury model: oncogenic transformation with epithelial-mesenchymal transition. Stem Cell Reports. 4(3):360–373
Osafune K, Caron L, Borowiak M, Martinez RJ, Fitz-Gerald CS, Sato Y et al (2008) Marked differences in differentiation propensity among human embryonic stem cell lines. Nat Biotechnol 26(3):313–315
Panopoulos AD, Yanes O, Ruiz S, Kida YS, Diep D, Tautenhahn R et al (2011) The metabolome of induced pluripotent stem cells reveals metabolic changes occurring in somatic cell reprogramming. Cell Res 22(1):168–177
Passier R, van Laake LW, Mummery CL (2008) Stem-cell-based therapy and lessons from the heart. Nature 453(7193):322–329
Rust W, Balakrishnan T, Zweigerdt R (2009) Cardiomyocyte enrichment from human embryonic stem cell cultures by selection of ALCAM surface expression. Regen Med 4(2):225–237
Shiba Y, Fernandes S, Zhu WZ, Filice D, Muskheli V, Kim J et al (2012) Human ES-cell-derived cardiomyocytes electrically couple and suppress arrhythmias in injured hearts. Nature 489(7415):322–325
Shiba Y, Filice D, Fernandes S, Minami E, Dupras SK, Biber BV et al (2014) Electrical integration of human embryonic stem cell-derived cardiomyocytes in a guinea pig chronic infarct model. J Cardiovasc Pharmacol Ther 19(4):368–381
Shiraki N, Shiraki Y, Tsuyama T, Obata F, Miura M, Nagae G et al (2014) Methionine metabolism regulates maintenance and differentiation of human pluripotent stem cells. Cell Metab 19(5):p780–p794
Shyh-Chang N, Locasale JW, Lyssiotis CA, Zheng Y, Teo RY, Ratanasirintrawoot S et al (2013) Influence of threonine metabolism on S-adenosylmethionine and histone methylation. Science 339(6116):222–226
Takahashi K (2007) Induction of pluripotent stem cells from adult human fibroblasts by defined factors. Cell 131:861–872. doi:10.1016/j.cell.2007.11.019
Tan HL, Fong WJ, Lee EH, Yap M, Choo A (2009) mAb 84, a cytotoxic antibody that kills undifferentiated human embryonic stem cells via oncosis. Stem Cells 27:1792–1801. doi:10.1002/stem.109
Tang C (2011) An antibody against SSEA-5 glycan on human pluripotent stem cells enables removal of teratoma-forming cells. Nat Biotechnol 29:829–834. doi:10.1038/nbt.1947
Tano K, Yasuda S, Kuroda T, Saito H, Umezawa A, Sato Y (2014) A novel in vitro method for detecting undifferentiated human pluripotent stem cells as impurities in cell therapy products using a highly efficient culture system. PLoS One 9(10):e110496
Tateno H, Onuma Y, Ito Y, Minoshima F, Saito S, Shimizu M et al (2015) Elimination of tumorigenic human pluripotent stem cells by a recombinant lectin-toxin fusion protein. Stem Cell Rep 4(5):811–820
Thomson JA, Itskovitz-Eldor J, Shapiro SS, Waknitz MA, Swiergiel JJ, Marshall VS et al (1998) Embryonic stem cell lines derived from human blastocysts. Science 282(5391):1145–1147
Tohyama S (2013) Distinct metabolic flow enables large-scale purification of mouse and human pluripotent stem cell-derived cardiomyocytes. Cell Stem Cell 12:127–137. doi:10.1016/j.stem.2012.09.013
Tohyama S, Fujita J, Hishiki T, Matsuura T, Hattori F, Ohno R et al (2016) Glutamine oxidation is indispensable for survival of human pluripotent stem cells. Cell Metab 23(4):663–674
Uosaki H (2011) Efficient and scalable purification of cardiomyocytes from human embryonic and induced pluripotent stem cells by VCAM1 surface expression. PLoS One 6:e23657. doi:10.1371/journal.pone.0023657
Uosaki H, Cahan P, Lee Dong I, Wang S, Miyamoto M, Fernandez L et al (2015) Transcriptional landscape of cardiomyocyte maturation. Cell Rep 13(8):1705–1716
Wang J, Alexander P, Wu L, Hammer R, Cleaver O, McKnight SL (2009) Dependence of mouse embryonic stem cells on threonine catabolism. Science 325(5939):435–439
Willems E, Spiering S, Davidovics H, Lanier M, Xia Z, Dawson M et al (2011) Small-molecule inhibitors of the Wnt pathway potently promote cardiomyocytes from human embryonic stem cell-derived mesoderm. Circ Res 109(4):360–364
Xu C, Police S, Hassanipour M, Gold JD (2006) Cardiac bodies: a novel culture method for enrichment of cardiomyocytes derived from human embryonic stem cells. Stem Cells Dev 15(5):631–639
Yamashita J, Itoh H, Hirashima M, Ogawa M, Nishikawa S, Yurugi T et al (2000) Flk1-positive cells derived from embryonic stem cells serve as vascular progenitors. Nature 408(6808):92–96
Ye L, Chang Y-H, Xiong Q, Zhang P, Zhang L, Somasundaram P et al (2014) Cardiac repair in a porcine model of acute myocardial infarction with human induced pluripotent stem cell-derived cardiovascular cells. Cell Stem Cell 15(6):750–761
Zhang J, Klos M, Wilson GF, Herman AM, Lian X, Raval KK et al (2012) Extracellular matrix promotes highly efficient cardiac differentiation of human pluripotent stem cells: the matrix sandwich method. Circ Res 111(9):1125–1136
Zhang L, Pan Y, Qin G, Chen L, Chatterjee T, Weintraub N et al (2014) Inhibition of stearoyl-coA desaturase selectively eliminates tumorigenic Nanog-positive cells: improving the safety of iPS cell transplantation to myocardium. Cell Cycle 13(5):762–771
Acknowledgments
The present work was supported by the Highway Program for Realization of Regenerative Medicine from Japan Science and Technology Agency (to K.F.) and SENSHIN Medical Research Foundation (to S.T.).
Compliance with Ethical Standards
Conflict of Interest
The Shugo Tohyama declare that they have no conflict of interest. Keiichi Fukuda is a cofounder of Heartseed Inc.
Ethical approval
This article does not contain any studies with human participants performed by any of the authors.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Tohyama, S., Fukuda, K. (2017). Purification of Pluripotent Stem Cell-Derived Cardiomyocytes for Safe Cardiac Regeneration. In: Ieda, M., Zimmermann, WH. (eds) Cardiac Regeneration. Cardiac and Vascular Biology, vol 4. Springer, Cham. https://doi.org/10.1007/978-3-319-56106-6_8
Download citation
DOI: https://doi.org/10.1007/978-3-319-56106-6_8
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-56104-2
Online ISBN: 978-3-319-56106-6
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)