Generation of cardiac valve endocardial like cells from human pluripotent stem cells

The cardiac valvular endothelial cells (VECs) are an ideal cell source that could be used for the fabrication of the next generation tissue-engineered cardiac valves (TEVs). However, few studies have been focused on the derivation of this important cell type. Here we describe a chemically defined xeno-free method for generating VEC-like cells from human pluripotent stem cells (hPSCs) through an intermediate endocardium stage. HPSCs were initially specified to KDR+/ISL1+ multipotent cardiac progenitor cells (CPCs), followed by differentiation into endocardial progenitors under the combined treatment with VEGFA, BMP4 and bFGF. In the presence of VEGFA, BMP4 and TGFb, valve endocardial progenitor cells (VEPs) were efficiently derived from endocardial progenitors without a sorting step. Mechanistically, administration of TGFb and BMP4 may specify the VEP fate by facilitating the expression of key transcription factors ETV2 and NFATc1 at the immediate early stage and by activating Notch signaling at the later stage. Notch activation is likely an important part of VEP induction. HPSC-derived VEPs exhibited morphological, molecular and functional similarities to that of the primary VECs isolated from normal human aortic valves. When hPSC-derived VEPs were seeded onto the surface of the de-cellularized porcine aortic valve (DCV) matrix scaffolds, they exhibited higher proliferation and survival potential than the primary VECs. Our results suggest that hPSC-derived VEPs could serve as as a potential platform for the study of valve development, and as starting materials for the construction of the next generation TEVs. HighlightsO_LIValve endocardial progenitor cells (VEPs) could be efficiently derived from hPSCs without a sorting step C_LIO_LIThe combined treatment with TGFb and BMP4 induce VEP fate by enhancing the expression of ETV2 and NFATc1 C_LIO_LIHPSC-derived VEPs resemble the isolated primary VECs molecularly, morphologically and functionally C_LIO_LIHPSC-derived VEPs exhibit proliferative and functional potential similar to the primary VECs when seeded onto the DCVs C_LI