Abstract

BackgroundThe production of large quantities of cardiomyocyte is essential for the needs of cellular therapies. This study describes the selection of a human-induced pluripotent cell (hiPSC) line suitable for production of cardiomyocytes in a fully integrated bioprocess of stem cell expansion and differentiation in microcarrier stirred tank reactor.MethodsFive hiPSC lines were evaluated first for their cardiac differentiation efficiency in monolayer cultures followed by their expansion and differentiation compatibility in microcarrier (MC) cultures under continuous stirring conditions.ResultsThree cell lines were highly cardiogenic but only one (FR202) of them was successfully expanded on continuous stirring MC cultures. FR202 was thus selected for cardiac differentiation in a 22-day integrated bioprocess under continuous stirring in a stirred tank bioreactor. In summary, we integrated a MC-based hiPSC expansion (phase 1), CHIR99021-induced cardiomyocyte differentiation step (phase 2), purification using the lactate-based treatment (phase 3) and cell recovery step (phase 4) into one process in one bioreactor, under restricted oxygen control (< 30% DO) and continuous stirring with periodic batch-type media exchanges. High density of undifferentiated hiPSC (2 ± 0.4 × 106 cells/mL) was achieved in the expansion phase. By controlling the stirring speed and DO levels in the bioreactor cultures, 7.36 ± 1.2 × 106 cells/mL cardiomyocytes with > 80% Troponin T were generated in the CHIR99021-induced differentiation phase. By adding lactate in glucose-free purification media, the purity of cardiomyocytes was enhanced (> 90% Troponin T), with minor cell loss as indicated by the increase in sub-G1 phase and the decrease of aggregate sizes. Lastly, we found that the recovery period is important for generating purer and functional cardiomyocytes (> 96% Troponin T). Three independent runs in a 300-ml working volume confirmed the robustness of this process.ConclusionA streamlined and controllable platform for large quantity manufacturing of pure functional atrial, ventricular and nodal cardiomyocytes on MCs in conventional-type stirred tank bioreactors was established, which can be further scaled up and translated to a good manufacturing practice-compliant production process, to fulfill the quantity requirements of the cellular therapeutic industry.

Highlights

  • One of the leading causes of death worldwide has been cardiac-related illnesses, such as myocardial infarction, known as heart attack [22]

  • Line in monolayer cultures Five (DF6, CB6, BM-1, IMR90 and FR202) Human-induced pluripotent stem cell (hiPSC) lines were evaluated for cardiac differentiation efficiency in six-well plates using protocol based on the induction with 2 Wnt modulators, CHIR99021 and Inhibitor of Wnt (IWR-1), as previously reported [32, 40, 41, 58]

  • Results show that the expression of cardiac differentiation markers (NKX2-5, Troponin T and Myosin light chain 2 alpha (MLC2a)) were low in DF6 (22–35%) and CB6 (1.7–2.1%) (Table 1A)

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Summary

Introduction

One of the leading causes of death worldwide has been cardiac-related illnesses, such as myocardial infarction, known as heart attack [22]. Because of the limited regenerative potential of the cardiac cells, heart transplantation for reconstituting the function of damaged heart is the only effective solution currently available [22]. This is, severely hindered mainly due to the shortage of donor organs [15, 22]. The production of large quantities of cardiomyocyte is essential for the needs of cellular therapies. This study describes the selection of a human-induced pluripotent cell (hiPSC) line suitable for production of cardiomyocytes in a fully integrated bioprocess of stem cell expansion and differentiation in microcarrier stirred tank reactor

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