Normal rhythms originate in the sino-atrial (SA) node, a specialized cardiac tissue consisting of only a few thousands pacemaker cells. The SA node generates spontaneous rhythmic action potentials which subsequently propagate to induce coordinated muscle contractions of the atria and ventricles for effective blood pumping [
1;
2]. Since terminally-differentiated adult CMs normally lack the ability to regenerate[
3], malfunctions or significant loss of heart cells due to disease or aging can lead to lethal consequences. Human embryonic stem cells (hESCs), isolated from the inner cell mass of blastocysts, possess the ability to remain pluripotent and propagate indefinitely
in vitro. When cultured properly, hESCs uniquely maintain their normal karyotype and can differentiate into the derivatives of all three germ layers, including such highly specialized cells as CMs. Thus, hESCs have the potential to act as an unlimited
ex vivo source of CMs for transplantation therapies. However, a number of hurdles remain. Particularly, the ability to direct the differentiation of hESC into chamber-specific cell types is crucial for future clinical applications. For instance, while hESC-derived ventricular cardiomyocytes are useful for myocardial repair, nodal pacemaker derivatives can alleviate the need of electronic pacemakers for certain arrhythmias [
1;
2;
4–
7]. Although several hESC lines are capable of differentiating into CMs [
8;
9], various lines of evidence hint that they have distinctive preferences to become chamber-specific pacemaker-, ventricular- or atrial-like cells [
9;
10]. For instance, H1 but not HES2 cells (NIH codes: WA01 and ES02, respectively), can form three-dimensional (3-D) embryoid bodies (EBs) that contain CMs when plated and grown in permissive conditions [
8;
10]. By contrast, HES2 cells do not form EBs under the same conditions; for forming for spontaneously beating CM-containing outgrowths, they need to be co-cultured with an immortalized endoderm-like derivative of P19 cells (END2) [
9]. Interestingly, the same method of END2 co-culturing can also induce H1 to become CMs (unpublished observation, JC Moore and RA Li). Taken together, these observations raise the intriguing possibility that intrinsic differences between the hESC lines, rather than the differentiation methods
per se, underlie their different cardiogenic potentials. Understanding the basis of these differences will help develop mechanism-based methods to direct cardiac differentiation into chamber-specific CMs.
The ability to monitor changes in global protein expression and post-translational modifications is a powerful tool to understand stem cell differentiation. The conventional method for identifying quantitative differences in global protein levels involves the use of 2-D gels, which are subject to significant gel-to-gel variability and errors (reviewed in [
11]). Since it is often difficult to distinguish between system and biological variations, accurate quantification of differences in the expression levels with statistical confidence can be challenging [
12]. In particular, non-abundant proteins important for certain biological processes can be easily masked by others that are highly expressed. These hurdles can be overcome by the use of the multiplexing 2-D Differential In-Gel Electrophoresis (DIGE) technique [
12]. DIGE uses size- and charge-matched, spectrally resolvable fluorophores (CyDye) to simultaneously separate up to three samples on a single 2-D gel. Thus, every spot on a gel has its own internal standard. After electrophoresis and scanning on an imager, integrated software can be used to co-detect, locate and analyze protein spots, followed by assigning statistical confidence to each and every difference via a differential analysis algorithm and thereby avoid gel-to-gel variations. For instance, differences as little as 10% can be routinely detected with >95% statistical confidence [
13].
Proteomic studies have been done to compare the differentiation profiles of such stem cell types as human mesenchymal stem cells, murine ESCs, neuroblastoma cells, etc [
14–
17]. However, only two studies analyzing the protein expression profile of hESCs have been reported to date [
18;
19]. The first of these studies used mass spectroscopy to identify proteins resolved by conventional SDS-PAGE [
18]. Using a subtraction method, van Hoof et al identified several previously unknown factors involved in hESC self-renewal. In addition, they were able to verify the presence of these newly identified factors in 3 undifferentiated hESC lines: EES2, HUES-1 and NL-hESC-03 [
18]. The second study used conventional 2-D gels to compare the undifferentiated proteomes of the Royan H2, H3 and H5 hESC lines [
19]. In the present study, we hypothesized that the H1 and HES2 lines have distinct preferences to become chamber-specific heart cells, and that their different cardiogenic potentials are predetermined at the pluripotent stage due to discrete differences in their proteomes.