Dec 22, 2023

Public workspaceHuman iPSCs culture and cardiomyocyte subtype differentiation in fully chemically defined conditions 

This protocol is a draft, published without a DOI.
  • 1Institute of Bioorganic Chemistry Polish Academy of Sciences
Open access
Protocol CitationJoanna Delimata-Raczek, Natalia Koralewska, Marek Figlerowicz, Ireneusz Stolarek 2023. Human iPSCs culture and cardiomyocyte subtype differentiation in fully chemically defined conditions . protocols.io https://protocols.io/view/human-ipscs-culture-and-cardiomyocyte-subtype-diff-c5ymy7u6
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: December 06, 2023
Last Modified: December 22, 2023
Protocol Integer ID: 91885
Keywords: cardiomyocyte, differentiation, in vitro, cell culture, iPSC
Abstract
Cardiomyocyte in vitro differentiation represents a pivotal avenue in stem cell research, offering unprecedented insights into cardiac development and disease understanding. Over the years, protocols for inducing cardiomyogenesis have evolved substantially, particularly with the advent of induced pluripotent stem (iPS) cell technology. The transition from intricate and uncontrolled systems to more refined and robust protocols has been paramount, driven by a cumulative understanding of the molecular and cellular cues governing the process.
This protocol addresses the intricacies of cultivating iPS cells and orchestrating their differentiation into distinct cardiomyocyte subtypes. The protocol encompasses not only the fundamental aspects of human induced pluripotent stem cell (hiPSC) culture but also delves into the nuanced stages of cardiomyocyte differentiation, sub-type specification, and the critical maturation phase. The refined methodologies outlined in this protocol contribute to advancing capabilities in disease modeling, drug discovery, developmental biology, and regenerative medicine.
Protocol materials
ReagentROCK inhibitor (Ri) Y-27632STEMCELL Technologies Inc.Catalog #72308
In 3 steps
Reagentdimethylsulfoxide (DMSO)Merck MilliporeSigma (Sigma-Aldrich)
In 2 steps
ReagentPenicillin-Streptomycin (5,000 U/mL)Thermo FisherCatalog #15070063
In 2 steps
ReagentIWP-2 1 mg STEMCELL Technologies Inc.Catalog #72122
Step 11.2
ReagentRetinoic acidMerck MilliporeSigma (Sigma-Aldrich)Catalog #R2625-50MG
Step 11.2
ReagentStemPro™ Accutase™ Cell Dissociation ReagentThermo Fisher ScientificCatalog #A1110501
Step 17.3
ReagentDMEM/F-12Thermo FisherCatalog #11320033
Step 1.2
ReagentPenicillin/StreptomycinThermo Fisher ScientificCatalog #Invitrogen 15140-122
Step 2.1
ReagentPluripotent Stem Cell 4-Marker Immunocytochemistry KitThermo FisherCatalog #A24881
Step 4.1
ReagentLookout® One-Step Mycoplasma PCR Detection KitMerck MilliporeSigma (Sigma-Aldrich)Catalog #MP0050-100TST
Step 5.1
ReagentRPMI 1640 Medium, GlutaMAX™ Supplement, HEPESThermo FisherCatalog #72400021
In 3 steps
ReagentStemMACS™ CHIR99021Miltenyi BiotecCatalog #130-103-926
Step 11.2
ReagentHuman Cardiomyocyte Immunocytochemistry KitThermo FisherCatalog #A25973
Step 16.2
ReagentFetal Bovine Serum, qualified, One Shot™ format, United StatesThermo FisherCatalog #A3160501
Step 18.1
ReagentB-27™ Supplement (50X), serum freeGibco - Thermo FisherCatalog #17504044
Step 11.1
ReagentTrypan Blue Solution 0.4% Sterile-filtered Merck MilliporeSigma (Sigma-Aldrich)Catalog #T8154
Step 6.6
ReagentGeltrex LDEV Free hESC Quality 5 mlThermo Fisher ScientificCatalog #A1413302
Step 1.1
ReagentEssential 8™ Flex Medium KitThermo FisherCatalog #A2858501
In 2 steps
ReagentB-27™ Supplement, minus insulinGibco - Thermo FisherCatalog #A1895601
Step 11.1
ReagentPSC Cardiomyocyte Differentiation KitThermo FisherCatalog #A2921201
Step 9
Safety warnings
Attention
Appropriate safety procedures are recommended to be used when handling all cell lines, working with iPSCs and induced cardiomyocytes handle them under at least BSL-1 containment.
Before start
Keep in mind that while working with cells everything should be kept sterile, every medium or any reagent should be prepared under the sterile hood, autoclaved, or filtered through 0,2um filter.
iPSC culture and maintenance
iPSC culture and maintenance
Coating culture plates with ECM proteins for enhanced attachment of iPSCs.
ThawReagentGeltrex LDEV Free hESC Quality 5 mlThermo Fisher ScientificCatalog #A1413302 on ice Temperature4 °C DurationOvernight . It is prohibited to thaw Geltrex at room temperature or in a water bath. Remember to keep it on ice during the whole aliquoting procedure and use only ice-cold pipette tips and tubes.

Note
Making small aliquot portions of Geltrex is recommended to limit the freeze-thaw cycles. *Storage of aliquots in Temperature-20 °C freezer for up to 1 year.

12h
Temperature
Resuspend single Geltrex aliquot in cold ReagentDMEM/F-12Thermo FisherCatalog #11320033 medium to obtain desired dilution. Store diluted coating medium in the fridge.
Note
1:60-1:100 dilution usually works fine but it should be first tested on a particular cell line.


Coat 6-well culture plate by adding Amount1 mL of coating medium to each well and cover the entire surface of each well. Incubate the plate in the incubator for at least Duration00:30:00 before proceeding further.


Note
Coated plates can be used immediately after removal of the coating medium or stored in the fridge for up to 2 weeks with added PBS and wrapped in parafilm to prevent from drying.

30m
iPSC thawing

Prepare culture medium using the following kit:ReagentEssential 8™ Flex Medium KitThermo FisherCatalog #A2858501 : add Amount48.5 mL of Essential 8 flex medium to the Amount50 mL centrifuge tube and Amount1 mL of 10x supplement. It is not necessary, but it is advised to also add Amount500 µL of ReagentPenicillin/StreptomycinThermo Fisher ScientificCatalog #Invitrogen 15140-122 to prevent cell culture from contamination.

Prepare the previously coated 6-well plate by adding Amount2 mL of warm culture medium to each well and Amount2 µL from Concentration10 millimolar (mM) stock solution ofReagentROCK inhibitor (Ri) Y-27632STEMCELL Technologies Inc.Catalog #72308 to minimize the cell death.
Note
Preparing 10mM stock solution of rock inhibitor Y-27632
1. Dissolve Amount5 mg of rock inhibitor in Amount1.56 mL DMSO.
2. Mix well until it dissolves completely.
3. Prepare small aliquot portions, for example Amount10 µL in PCR tubes and keep them in the Temperature-20 °C freezer .


Take out the desired cryovial containing frozen cells from the liquid nitrogen and quickly transfer it to Temperature37 °C water bath. Be careful not to submerge the cap of the cryovial. You can swirl the tube a little to help it thaw quicker but pay attention to save a little ice cube inside the cryovial before taking it out. Disinfect the cryovial with 70% ethanol and put it under the hood.

Transfer Amount1 mL of thawed cell suspension to the Amount15 mL centrifuge tube and add Amount9 mL of warm culture medium very gently drop by drop, swirling the tube to minimize osmotic shock to the cells.
Centrifuge the cell suspension Centrifigation1400 rpm, Room temperature, 00:05:00 . Carefully remove and discard the supernatant. Gently add Amount1 mL of medium to the remaining cell pellet. Gently resuspend cells in medium and seed into 2 wells of a previously prepared 6-well plate slowly drop by drop.

5m
Gently rock plate side to side, and back and forth to spread the cells evenly across the well. Transfer the plate to the incubator. The next day in the morning change the medium to fresh culture medium without rock inhibitor.

iPSC culture
Incubate the cells at 37 °C/ 5% CO2 incubator and observe their growth and confluence under the microscope daily. Perfect undifferentiated iPSC colonies should look compact and present distinct borders. Cells present large nuclei and smaller cytoplasm region. It is essential to check iPSCs for the presence of spontaneous differentiation. If any signs of differentiation occur, colonies should be discarded immediately.

Expected result
Morphological differences between correct and incorrect iPSC colonies
white arrows present differentiated regions






Medium should be changed every day. When using ReagentEssential 8™ Flex Medium KitThermo FisherCatalog #A2858501 it is possible to skip weekend medium change by adding 2x more medium on Friday afternoon, but it is only recommended when cells are at low confluency.
Pluripotency characterization

To guarantee the reliability of the research iPSC lines should be verified for pluripotency markers either by qPCR or immunocytochemistry. The most common pluripotency markers are OCT4, SOX2, SSEA4, TRA-1-60, and alkaline phosphatase.


Expected result
iPSC colonies present positive staining for pluripotency markers OCT4 and SSEA4 usingReagentPluripotent Stem Cell 4-Marker Immunocytochemistry KitThermo FisherCatalog #A24881







Mycoplasma testing
It is very important to maintain contamination-free cultures. A commonly known good laboratory practice is to regularly check cell cultures for mycoplasma. Mycoplasma contamination is very hard to notice without special tests. This contamination usually does not cause cell death, but it negatively affects the cell metabolism and growth making the research not reliable. The best way to assess mycoplasma contamination in culture is to use available qPCR or immunocytochemistry ready-to-use kits, for example:ReagentLookout® One-Step Mycoplasma PCR Detection KitMerck MilliporeSigma (Sigma-Aldrich)Catalog #MP0050-100TST

iPSC passage
The optimal time for harvest or passage for iPSCs is typically when cells reach approximately 70-80% confluency.
To start with prepare mild cell detachment solution, for example PBS with Concentration0.5 millimolar (mM) EDTA. Warm it to TemperatureRoom temperature before adding it to the cells.

Prepare a new Geltrex-coated plate as in steps Go togo to step #1.3 and #2.2

Wash cells with warm PBS first, then add Amount1 mL of cell detachment solution to each well in a 6-well plate format. Transfer the plate to the incubator Temperature37 °C . After Duration00:03:00 take out the plate and observe the cells under the microscope. iPSCs colonies should look loose and be ready to detach, if not please transfer the plate back to the incubator for one minute or two more, but do not exceed the incubation time and do not let the iPSC colonies detach completely and float in the solution.

3m
Remove the cell detachment solution and rinse the cells with Amount1 mL of warm culture medium. Pipette the cells a couple of times, but be careful not to over-pipette the cells. The cells should stay in clumps and easily detach from the well. Transfer the appropriate amount to new wells.

Pipetting
You can split the cells using ratio for example 1:6 to 1:30 or take a small amount for counting first to have an exact number of cells in a new well.
Note
Cell counting
1. Take Amount10 µL of cell suspension from the well and transfer it to a small PCR tube.
2. Pipette cell suspension a couple of times to make asingle-cell suspension.
3. Add Amount10 µL of ReagentTrypan Blue Solution 0.4% Sterile-filtered Merck MilliporeSigma (Sigma-Aldrich)Catalog #T8154
and mix well by pipetting
4. Take Amount10 µL for counting using a cell counter or Neubauer chamber.


Agitate the plate gently from side to side and forwards and backwards to ensure that the cell aggregates are evenly distributed across the surface of the well containing culture medium with theaddition of rock inhibitor.
The next day in the morning, exchange the medium to fresh culture medium without rock inhibitor. Continue to change the medium daily until iPSCs reach confluency again.
iPSC cryopresevation
Prepare cryopreservation medium: culture medium without antibiotics with 5%-10% Reagentdimethylsulfoxide (DMSO)Merck MilliporeSigma (Sigma-Aldrich) . The cryopreservation medium should be stored in the fridge and keep cold during the procedure.

Firstly perform cell detachment as described in steps Go togo to step #6.5 and #6.6 but instead of adding the cell suspension to the new well transfer it to Amount15 mL centrifuge tube.

Centrifuge the tube Centrifigation1400 rpm, Room temperature, 00:05:00

5m
Remove the supernatant with care not to move the cell debris. Add an appropriate amount of cold cryopreservation medium to the tube, and resuspend the cells. Transfer cryotubes to a freezing container and put them in Temperature-80 °C freezer DurationOvernight . The next day, you can transfer cryotubes to the liquid nitrogen for longer storage.

Note
For example, it is recommended to use Amount1 mL of cell suspension for 1 cryotube and freeze around 1x10^6 live cells per vial.

Equipment
Mr. Frosty Freezing Container
NAME
freezing container
TYPE
ThermoFisher Scientific
BRAND
5100-0001
SKU
LINK





Differentiation of hiPSCs into cardiomyocytes
Differentiation of hiPSCs into cardiomyocytes
Standard iPSC culture before differentiation.
When cells become confluent passage them to prepared geltrex-coated 12-well plate.


View cells under microscope every day to estimate their confluence. When cells reach desired confluence between 60%-80% they are ready for differentiation.
Differentiation of hiPSCs into cardiomyocytes using commercially available kitReagentPSC Cardiomyocyte Differentiation KitThermo FisherCatalog #A2921201

On day 0 of the differentiation remove iPSC culture medium from well and replace it with Cardiomyocyte Differentiation Medium A from the kit.
On day 2 replace the medium with Cardiomyocyte Differentiation Medium B from the kit.
Note
On this step of protocol cells may start to look different, they become more opaque and many dead cells are floating in the medium.

On day 4 replace the medium with Cardiomyocyte Maintenance Medium. Change the medium every 2-3 days with Cardiomyocyte Maintenance Medium. Starting from day 8 cells should begin to contract.
Subtype differentiation of hiPSCs into cardiomyocytes
Subtype differentiation of hiPSCs into cardiomyocytes
25m
Standard iPSC culture before differentiation.
When cells become confluent passage them to prepared geltrex-coated 12-well plate.
Differentiation to cardiomyocyte subtypes

Note
When iPSCs reach 70-90% confluence they are ready to start differentiation

In the beginning, prepare two types of medium:
1. Cardiomyocytes induction medium
2. Cardiomyocytes culture medium

Note
1. Cardiomyocytes induction medium: ReagentRPMI 1640 Medium, GlutaMAX™ Supplement, HEPESThermo FisherCatalog #72400021 with 1x ReagentB-27™ Supplement, minus insulinGibco - Thermo FisherCatalog #A1895601 from 50x stock and 1% of ReagentPenicillin-Streptomycin (5,000 U/mL)Thermo FisherCatalog #15070063

2. Cardiomyocytes culture medium: ReagentRPMI 1640 Medium, GlutaMAX™ Supplement, HEPESThermo FisherCatalog #72400021 with 1x ReagentB-27™ Supplement (50X), serum freeGibco - Thermo FisherCatalog #17504044 from 50x stock and 1% of ReagentPenicillin-Streptomycin (5,000 U/mL)Thermo FisherCatalog #15070063


Prepare small molecules working solutions of CHIR99021, IWP2 and retinoic acid (RA)

Note
1. Dissolve ReagentStemMACS™ CHIR99021Miltenyi BiotecCatalog #130-103-926 Concentration4.66 mg/mL in DMSO Temperature37 °C Duration00:05:00 to obtain Concentration10 millimolar (mM) working solution, aliquot small portions, and store in the freezerTemperature-20 °C
2. Dissolve ReagentIWP-2 1 mg STEMCELL Technologies Inc.Catalog #72122 Concentration2.34 mg/mL in DMSO Temperature37 °C Duration00:20:00 to obtain Concentration5 millimolar (mM) working solution, aliquot small portions, and store in the freezerTemperature-20 °C
3. Dissolve ReagentRetinoic acidMerck MilliporeSigma (Sigma-Aldrich)Catalog #R2625-50MG Concentration29.94 mg/mL in DMSO to obtain Concentration100 millimolar (mM) master stock, aliquot Amount10 µL portions, and store in the freezer Temperature-80 °C . To obtain Concentration1 millimolar (mM) working solution thaw and dilute RA aliquot in Amount990 µL EtOH and store in the fridge for 2 weeks, protecting from light.


Atrial subtype differentiation
1w 1d
On day 0 change the iPSC culture medium to cardiomyocytes induction medium with an addition of Concentration5 micromolar (µM) CHIR99021 (Amount0.5 µL /ml from Concentration10 millimolar (mM) working stock solution ).

After 48h on day 2 change the medium to fresh cardiomyocytes induction medium with an addition of Concentration5 micromolar (µM) IWP2 (Amount1 µL /ml from Concentration5 millimolar (mM) working stock solution ).

On day 3, without changing the medium add Amount1 µL /ml RA Concentration1 micromolar (µM) final from Concentration1 millimolar (mM) working stock solution .

On day 4 change the medium to fresh cardiomyocytes induction medium with an addition ofConcentration1 micromolar (µM) RA.
On day 6 change the medium to fresh cardiomyocytes induction medium.
From day 8 change the medium to cardiomyocytes culture medium and continue media change every 2-3 days.


Ventricular subtype differentiation
1w 1d
On day 0 change the iPSC culture medium to cardiomyocytes induction medium with an addition of Concentration5 micromolar (µM) CHIR99021 (Amount0.5 µL /ml from Concentration10 millimolar (mM) working stock solution ).
After 48h on day 2 change the medium to fresh cardiomyocytes induction medium with an addition of Concentration5 micromolar (µM) IWP2 (Amount1 µL /ml from Concentration5 millimolar (mM) working stock solution ).
On day 4 change the medium to fresh cardiomyocytes induction medium.
On day 6 change the medium to fresh cardiomyocytes induction medium.
From day 8 change the medium to cardiomyocytes culture medium and continue media change every 2-3 days.


Nodal subtype differentiation
1w
On day 0 change the iPSC culture medium to cardiomyocytes induction medium with an addition of Concentration12 micromolar (µM) CHIR99021 (Amount1.2 µL /ml from Concentration10 millimolar (mM) working stock solution ).
After 24h on day 1 change the medium to fresh cardiomyocytes induction medium.
On day 3 change the medium to fresh cardiomyocytes induction medium with an addition of of Concentration5 micromolar (µM) final IWP2 (Amount1 µL /ml from Concentration5 millimolar (mM) working stock solution .)
On day 5 change the medium to fresh cardiomyocytes induction medium with an addition of Concentration3 micromolar (µM) CHIR99021 (Amount0.3 µL /ml from Concentration10 millimolar (mM) working stock solution ).
From day 7 change the medium to cardiomyocytes culture medium and continue media change every 2-3 days.
Cardiomyocytes culture, characterization, passaging and cryopreservation
Cardiomyocytes culture, characterization, passaging and cryopreservation
25m
Longer culture
Cardiomyocytes and their specific subtypes usually start contracting after 8-10 days from the beginning of the differentiation. After 12-15 days they become defined enough to be safely passaged or cryopreserved. Cells can be kept in a culture for at least 1 month or even longer if such experiments are desired.
Note
With time cardiomyocytes become more mature and gain more cardiomyocyte-like characteristics.

Characterization of cardiomyocytes

Successfully differentiated cells display completely different morphology, with characteristic net-like structure. The most important feature is their ability to contract. It is also recommended to perform PCR analysis or immunocytochemistry to confirm theexpression of key cardiac markers such as TNNT2 and NKX2.5.
Immunocytochemistry confirmation of key cardiac markers expression in differentiated cardiomyocyte-like cells using commercially available kit ReagentHuman Cardiomyocyte Immunocytochemistry KitThermo FisherCatalog #A25973
Expected result





Passaging cardiomyocytes
Prepare a new Geltrex-coated plate Go togo to step #1.3

For better cell survival post-passaging it is recommended to add Concentration10 micromolar (µM) ReagentROCK inhibitor (Ri) Y-27632STEMCELL Technologies Inc.Catalog #72308 to the culture medium approximately 1 hour before passage.
Aspirate the medium and wash cells with warm PBS. Add warm ReagentStemPro™ Accutase™ Cell Dissociation ReagentThermo Fisher ScientificCatalog #A1110501 to the well (Amount1 mL per well in 6-well plate ) and incubate Temperature37 °C Duration00:05:00 -Duration00:10:00

15m
After 5 minutes observe the cells under the microscope to see if they are ready to detach, if not continue to incubate up to 10 minutes maximum. When cells look ready to be detached pipette the solution a couple of times to detach the cells from the well, be careful not to overpipette the cells, because it may disrupt them.
Transfer them to Amount15 mL centrifuge tube, add an appropriate amount of culture medium (1:1), and centrifuge the tube Centrifigation1400 rpm, Room temperature, 00:05:00

5m
After centrifugation aspirate the supernatant and resuspend the cells in cardiomyocytes culture medium. You can take asmall portion for cell counting and place desired amount of cells on a new geltrex-coated plate with addition of Concentration10 micromolar (µM) rock inhibitor for better cell recovery.



Agitate the plate gently from side to side and forwards and backwards to ensure that the cell aggregates are evenly distributed across the surface of the well. Put the plate in the incubator. The next day in the morning change the medium to fresh culture medium and continue media change every 2-3 days.
Cryopreservation of cardiomyocytes
Note
if cardiomyocytes and their subtypes are not required for any ongoing experiment, they can be cryopreserved from day 12-15 onwards and recovered for culture when needed.
It is recommended to freeze around 2x10^6 cells per cryovial.

After centrifugation from step Go togo to step #17.5 you can aspirate the supernatant and resuspend cells in cold cryopreservation medium.

Note
Cardiomyocytes cryopreservation medium:
Concentration50 % volume ReagentFetal Bovine Serum, qualified, One Shot™ format, United StatesThermo FisherCatalog #A3160501 , Concentration40 % volume ReagentRPMI 1640 Medium, GlutaMAX™ Supplement, HEPESThermo FisherCatalog #72400021 ,Concentration10 % volume Reagentdimethylsulfoxide (DMSO)Merck MilliporeSigma (Sigma-Aldrich)


Add an appropriate amount of cold cryopreservation medium to the tube, and resuspend the cells. Transfer cryotubes to a freezing container and put them in Temperature-80 °C freezer DurationOvernight . The next day, you can transfer cryotubes to the liquid nitrogen for longer storage.
Post-thaw recovery
Prepare the previously coated 6-well plate by adding Amount2 mL of warm culture medium to each well and Amount2 µL from Concentration10 millimolar (mM) stock solution ReagentROCK inhibitor (Ri) Y-27632STEMCELL Technologies Inc.Catalog #72308 to minimize the cell death.
Take out the desired cryovial from the liquid nitrogen and quickly transfer it to Temperature37 °C water bath. Be careful not to submerge the cap of the cryovial and keep a little ice cube in the cryovial before taking it out. Disinfect the cryovial with 70% ethanol.
Add Amount9 mL of warm cardiomyocyte culture medium to 15ml centrifuge tube. Centrifuge Centrifigation1400 rpm, Room temperature, 00:05:00

5m
After centrifugation aspirate the supernatant and resuspend the cells in culture medium. You can take small portion for cell counting.
Note
It is recommended to seed around 1-3x10^6 cells per well in 6-well plate.

Transfer the cells to a new plate, agitate the plate gently from side to side and forwards and backwards to ensure that the cell aggregates are evenly distributed across the surface of the well. Put the plate in the incubator. Next day change the medium without rock inhibitor and continue media change every 2-3 days.
Protocol references
1. Lyra-Leite DM, Gutiérrez-Gutiérrez Ó, Wang M, Zhou Y, Cyganek L, Burridge PW. A review of protocols for human iPSC culture, cardiac differentiation, subtype-specification, maturation, and direct reprogramming. STAR Protoc. 2022 Aug 18;3(3):101560. doi: 10.1016/j.xpro.2022.101560. PMID: 36035804; PMCID: PMC9405110.

2.Kleinsorge M., Cyganek L. Subtype-directed differentiation of human iPSCs into atrial and ventricular cardiomyocytes. STAR Protoc. 2020;1 doi: 10.1016/j.xpro.2020.100026.

3.Ren J., Han P., Ma X., Farah E.N., Bloomekatz J., Zeng X.X.I., Zhang R., Swim M.M., Witty A.D., Knight H.G., et al. Canonical Wnt5b signaling directs Outlying Nkx2.5+ mesoderm into pacemaker cardiomyocytes. Dev. Cell. 2019;50:729–743.e5. doi: 10.1016/j.devcel.2019.07.014.