Tuesday, November 6, 2007 - 4:10 PM
321c

Electrophysiological Characterization of Embryonic Stem Cell Derived Cardiomyocytes for Use in Cardiac Tissue Engineering

Elizabeth A. Lipke, Nicolas Christoforou, Worawan Limpitikul, John Gearhart, and Leslie Tung. Department of Biomedical Engineering, Johns Hopkins University, Traylor Rm #703, 720 Rutland Ave., Baltimore, MD 21205

Embryonic stem cell-derived cardiomyocytes (ESC-CMs) have the potential to supply large numbers of cells for cardiac regeneration. In this study, we characterize for the first time the electrophysiologial properties of tissues formed from ESC-CMs as the percentage of ESC-CMs increases from 10% to 100%. Methods: A pure population of ESC-CMs was obtained by stably transfecting mouse ESCs with a DNA construct expressing the neomycin resistance gene under the control of an α-myosin heavy chain promoter (Klug et al., 1996). Following neomycin selection, ESC-CMS were dissociated on day 10 of differentiation and seeded as large-area (3.8 cm2) confluent monolayers either at a 0%, 10% or 30% mix with neonatal rat ventricular myocytes(NRVMs) or as a pure population (100%). On day 16-18 the monolayers were stained with voltage-sensitive dye di-4 ANEPPS and optically mapped at 253 sites in Tyrode's solution (36°C). Results: All tissue sheets exhibited synchronous, spontaneous contractions in culture for at least 1 week and in some cases, up to 5 months. Both co-culture and pure ESC-CM monolayers could be electrically paced with maximum capture rates of up to 6 Hz. For co-culture monolayers, action potential duration (APD) was relatively independent of the percentage of ESC-CMs incorporated (0%: 130±30 ms, n=3; 10%: 158±60 ms, n=4; 30%: 156±17 ms, n=4, at 2 Hz pacing, p>0.2 between groups). However, conduction velocity (CV) decreased with increasing percentage of ESC-CMs incorporated (0%: 19±7 cm/s, n=3; 10%: 11±3 cm/s, n=4; 30%: 8±1 cm/s, n=4, at 2 Hz). Pure ESC-CM monolayers immunostained positively for connexin 43 and for cardiac markers including α-sarcomeric actinin, α-MHC, and cardiac troponin I. CV in pure ESC-CM monolayers was 3.8±1.4 cm/s(n=5) at 2 Hz pacing and did not change significantly with increasing pacing rate (4.0±1.4cm/s at 6 Hz,n=3). APD was 109±11 ms (n=5) at 2 Hz pacing and decreased with increasing pacing rate (90±5 ms at 6 Hz, n=3). Conclusion: Our study shows for the first time that ESC-CMs can electrically integrate with NRVMs over a large area and by themselves, can form an electrophysiologically functional tissue substrate. These results support the idea that ESC-CMs may be a viable cell source for cardiac regeneration.