Abstract
Heart-forming organoids (HFOs) derived from human pluripotent stem cells (hPSCs) are a complex, highly structured in vitro model of early heart, foregut and vasculature development. The model represents a potent tool for various applications, including teratogenicity studies, gene function analysis and drug discovery. Here, we provide a detailed protocol describing how to form HFOs within 14 d. In an initial 4 d preculture period, hPSC aggregates are individually formed in a 96-well format and then Matrigel-embedded. Subsequently, the chemical WNT pathway modulators CHIR99021 and IWP2 are applied, inducing directed differentiation. This highly robust protocol can be used on many different hPSC lines and be combined with manipulation technologies such as gene targeting and drug testing. HFO formation can be assessed by numerous complementary methods, ranging from various imaging approaches to gene expression studies. Here, we highlight the flow cytometry-based analysis of individual HFOs, enabling the quantitative monitoring of lineage formation.
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Data availability
The flow cytometry data are available in the FlowRepository under accession code FR-FCM-Z4C4. All remaining data generated or analyzed during this study are included in this published article and its supplementary files.
References
Fatehullah, A., Tan, S. H. & Barker, N. Organoids as an in vitro model of human development and disease. Nat. Cell Biol. 18, 246–254 (2016).
Sato, T. et al. Single Lgr5 stem cells build crypt-villus structures in vitro without a mesenchymal niche. Nature 459, 262–265 (2009).
Takasato, M. et al. Kidney organoids from human iPS cells contain multiple lineages and model human nephrogenesis. Nature 526, 564–568 (2015).
Lancaster, M. A. et al. Cerebral organoids model human brain development and microcephaly. Nature 501, 373–379 (2013).
Clevers, H. Modeling development and disease with organoids. Cell 165, 1586–1597 (2016).
Drakhlis, L. et al. Human heart-forming organoids recapitulate early heart and foregut development. Nat. Biotechnol. 9, 737–746 (2021).
Brand, T. Heart development: molecular insights into cardiac specification and early morphogenesis. Dev. Biol. 258, 1–19 (2003).
Kempf, H., Kropp, C., Olmer, R., Martin, U. & Zweigerdt, R. Cardiac differentiation of human pluripotent stem cells in scalable suspension culture. Nat. Protoc. 10, 1345–1361 (2015).
Kempf, H. et al. Controlling expansion and cardiomyogenic differentiation of human pluripotent stem cells in scalable suspension culture. Stem Cell Rep. 3, 1132–1146 (2014).
Naujok, O., Diekmann, U. & Lenzen, S. The generation of definitive endoderm from human embryonic stem cells is initially independent from activin A but requires canonical Wnt-signaling. Stem Cell Rev. Rep. 10, 480–493 (2014).
Siller, R., Greenhough, S., Naumovska, E. & Sullivan, G. J. Small-molecule-driven hepatocyte differentiation of human pluripotent stem cells. Stem Cell Rep. 4, 939–952 (2015).
Lian, X. et al. Efficient differentiation of human pluripotent stem cells to endothelial progenitors via small-molecule activation of WNT signaling. Stem Cell Rep. 3, 804–816 (2014).
Gaspari, E. et al. Paracrine mechanisms in early differentiation of human pluripotent stem cells: insights from a mathematical model. Stem Cell Res. 32, 1–7 (2018).
Kempf, H. et al. Bulk cell density and Wnt/TGFbeta signalling regulate mesendodermal patterning of human pluripotent stem cells. Nat. Commun. 7, 13602 (2016).
Giacomelli, E. et al. Human-iPSC-derived cardiac stromal cells enhance maturation in 3D cardiac microtissues and reveal non-cardiomyocyte contributions to heart disease. Cell Stem Cell 26, 862–879 e811 (2020).
Mills, R. J. et al. Drug screening in human PSC-cardiac organoids identifies pro-proliferative compounds acting via the mevalonate pathway. Cell Stem Cell 24, 895–907 e896 (2019).
Mills, R. J. et al. Functional screening in human cardiac organoids reveals a metabolic mechanism for cardiomyocyte cell cycle arrest. Proc. Natl Acad. Sci. USA 114, E8372–E8381 (2017).
Richards, D. J. et al. Inspiration from heart development: biomimetic development of functional human cardiac organoids. Biomaterials 142, 112–123 (2017).
Richards, D. J. et al. Human cardiac organoids for the modelling of myocardial infarction and drug cardiotoxicity. Nat. Biomed. Eng. 4, 446–462 (2020).
Thavandiran, N. et al. Design and formulation of functional pluripotent stem cell-derived cardiac microtissues. Proc. Natl Acad. Sci. USA 110, E4698–E4707 (2013).
Voges, H. K. et al. Development of a human cardiac organoid injury model reveals innate regenerative potential. Development 144, 1118–1127 (2017).
Ma, Z. et al. Self-organizing human cardiac microchambers mediated by geometric confinement. Nat. Commun. 6, 7413 (2015).
Hoang, P., Wang, J., Conklin, B. R., Healy, K. E. & Ma, Z. Generation of spatial-patterned early-developing cardiac organoids using human pluripotent stem cells. Nat. Protoc. 13, 723–737 (2018).
Andersen, P. et al. Precardiac organoids form two heart fields via Bmp/Wnt signaling. Nat. Commun. 9, 3140 (2018).
Rossi, G. et al. Capturing cardiogenesis in gastruloids. Cell Stem Cell 28, 230–240 e236 (2021).
Manstein, F. et al. High density bioprocessing of human pluripotent stem cells by metabolic control and in silico modeling. Stem Cells Transl. Med. 10, 1063–1080 (2021).
Den Hartogh, S. C. et al. Dual reporter MESP1 mCherry/w-NKX2-5 eGFP/w hESCs enable studying early human cardiac differentiation. Stem Cells 33, 56–67 (2015).
Elliott, D. A. et al. NKX2-5(eGFP/w) hESCs for isolation of human cardiac progenitors and cardiomyocytes. Nat. Methods 8, 1037–1040 (2011).
Davis, R. P. et al. Targeting a GFP reporter gene to the MIXL1 locus of human embryonic stem cells identifies human primitive streak-like cells and enables isolation of primitive hematopoietic precursors. Blood 111, 1876–1884 (2008).
Haase, A., Gohring, G. & Martin, U. Generation of non-transgenic iPS cells from human cord blood CD34+ cells under animal component-free conditions. Stem Cell Res 21, 71–73 (2017).
Guibentif, C. et al. Single-cell analysis identifies distinct stages of human endothelial-to-hematopoietic transition. Cell Rep. 19, 10–19 (2017).
Chen, G. et al. Chemically defined conditions for human iPSC derivation and culture. Nat. Methods 8, 424–429 (2011).
Zweigerdt, R., Olmer, R., Singh, H., Haverich, A. & Martin, U. Scalable expansion of human pluripotent stem cells in suspension culture. Nat. Protoc. 6, 689–700 (2011).
Acknowledgements
We thank S. C. Den Hartogh and R. Passier (Department of Anatomy and Embryology, Leiden University Medical Centre; current affiliation: Faculty of Science and Technology, University of Twente) for providing the HES3 NKX2.5-eGFP cell line, C. Guibentif and N.-B. Woods (Lund Stem Cell Center, Lund University) for the iPSC-CB1RB9_WAS-GFP cell line, A. Haase and U. Martin (LEBAO, MHH) for the hHSC_Iso4_ADCF_SeV-iPS2 cell line, and E. G. Stanley and A. G. Elefanty (Monash Immunology and Stem Cell Laboratories, Monash University) for the HES3 MIXL1-GFP cell line. R.Z. received funding from: German Research Foundation (DFG; grants Cluster of Excellence REBIRTH EXC 62/2, ZW64/4-1, ZW64/4-2, KFO311/ZW64/7-1), German Ministry for Education and Science (BMBF, grants 13N14086, 01EK1601A, 01EK1602A, 13XP5092B, 031L0249), ‘Förderung aus Mitteln des Niedersächsischen Vorab’ (grant ZN3340), ‘Cortiss Stiftung’, and the European Union H2020 project TECHNOBEAT (grant 66724).
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L.D., S.B.D. and R.Z. designed the experiments. L.D. and S.B.D. performed the experiments and analyzed the data. R.Z. supervised the project. L.D., S.B.D. and R.Z. wrote the manuscript.
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Peer review information Nature Protocols thanks Chulan Kwon, Zhen Ma and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.
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Key reference using this protocol
Drakhlis, L. et al. Nat. Biotechnol. 39, 737–746 (2021): https://doi.org/10.1038/s41587-021-00815-9
Supplementary information
Supplementary Video 1
Movement of a T25 flask inside an incubator to ensure equal distribution of cells after seeding.
Supplementary Video 2
Embedding of an hPSC aggregate in a Matrigel droplet (d-2).
Supplementary Video 3
Removing the culture medium with 1000 µL and 200 µL tips.
Supplementary Video 4
Removing the culture medium with stacked tips (10 µL tip put on a 200 µL tip using a 20 – 200 µL pipet).
Supplementary Video 5
Transfer of a d10 HFO from the 96-U-well plate to a 12-well suspension plate using a 100 – 1000 µL pipet.
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Drakhlis, L., Devadas, S.B. & Zweigerdt, R. Generation of heart-forming organoids from human pluripotent stem cells. Nat Protoc 16, 5652–5672 (2021). https://doi.org/10.1038/s41596-021-00629-8
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DOI: https://doi.org/10.1038/s41596-021-00629-8
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