Research

SANLPCs

SinoAtrial Node-Like Pacemaker Cells

VLCMs

Ventricular-Like CardioMyocytes

Project 1: Developing biological pacemakers

Led by: Michelle Lohbihler and Amos Lim

Failure of the heart's conduction system causes life-threatening irregular or slow heartbeat, requiring implantation of an electronic pacemaker device. Approximately 21,000 Canadians receive an electronic pacemaker every year, a number that is steadily increasing with an aging population. While effective, electronic pacemakers have a number of disadvantages, including the need for recurrent battery replacement, risk of lead infections, lack of communication with the autonomic nervous system and lack of adaptation to growth in pediatric patients. Stem cell-derived biological pacemakers could overcome these disadvantages and represent an attractive future therapy.

We study the developmental and functional properties of the sinoatrial node (SAN) and atrioventricular node (AVN), the heart’s primary and secondary pacemakers respectively. These studies guide our efforts to establish differentiation strategies for the generation of SAN-like pacemaker cells (SANLPCs) and AVN-like pacemaker cells (AVNLPCs) from human pluripotent stem cells. Using electrophysiological techniques and pre-clinical animal models, we are testing and refining the ability of our stem-cell derived SA and AV node cells to function as biological pacemakers.

Project 2: A novel model for human cardiogenesis and congenital heart defects

Led by: Matthew Chang

The heart is the first organ to develop in the human embryo, first beating around week 3 of gestation and resembling the adult four-chambered heart by the end of month 2. The successful development of the heart is critical to sustain life. The dysregulation of heart development leads to congenital heart defects (CHDs), which affect about 1% of births each year. In the majority of cases the exact cause is unknown. Specifically, the cellular and molecular dynamics of heart development that are impacted in CHD remain unexplored. Genome sequencing studies have identified multiple genetic variants that correlate with CHD but the functional validation is challenging and a major bottleneck. Animal models, like mice and zebrafish, can help answering these questions but it is becoming more and more apparent that not all developmental processes are conserved between these animals and humans. There is therefore an unmet need for new models to test genetic variants and to understand the mechanisms of CHD in a human context. To address this challenge, we are using the human pluripotent stem cell-based gastruloid model, that recapitulates human development including gastrulation and axis formation, and extending it towards early stages of heart development. We expect that these cardiogenic gastruloids will provide novel insights into human heart development. What is more, we aim to use them to model a variety of CHDs, aiding in the study of the disease mechanisms and identification of potential treatment targets.

Project 3: Engineering ischemia-resistant cardiomyocytes

Led by: Brandon Murareanu

Myocardial infarction due to ischemic heart disease results in permanent cardiac tissue damage and is a significant global health burden. Cell therapies that replace infarct scar tissue with new human pluripotent stem cell-derived cardiomyocytes are a promising novel treatment avenue. However, this approach is greatly limited by low cell engraftment efficiencies. When cells are transplanted into ischemic tissue, up to 90% of cells die from hypoxia and nutrient deprivation. Finding new ways to improve graft cell survival would greatly enhance cell-based therapies for the heart. As the factors governing ischemic graft cell death haven’t been well-defined, we are currently performing a genome-wide loss-of-function CRISPR screen in human pluripotent stem cell-derived cardiomyocytes subjected to ischemia in vitro and in vivo using a myocardial infarction animal model. The ischemia resistance genes identified in the screen will be the basis for bioengineering of ischemia-resistant cells.