Evidence map›Paper›PMID 31648393›Full record

ArticleStem cells (Dayton, Ohio)2020

Canonical Wnt signaling promotes pacemaker cell specification of cardiac mesodermal cells derived from mouse and human embryonic stem cells.

Wenbin Liang, Pengcheng Han, Elizabeth H Kim, Jordan Mak, Rui Zhang, Angelo G Torrente, Joshua I Goldhaber, Eduardo Marbán, Hee Cheol Cho

Open access · greenAbstract read
In one paragraph

Article in Stem cells (Dayton, Ohio), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Journal of the American Heart Association · 2026
    Article
  4. Article
  5. Pilot: Wnt signaling controlsmicroPublication biology · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Engineered platforms for mimicking cardiac development and drug screening.Cellular and molecular life sciences : CMLS · 2024
    Review
  17. Article
  18. Heart rhythmFrontiers in cardiovascular medicine · 2024
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Wenbin LiangUniversity of Ottawa Heart Institute and Department of Cellular and Molecular Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Pengcheng HanDepartment of Pediatrics, Emory University, Atlanta, Georgia.ORCID 0000-0002-4551-6209
Elizabeth H KimDepartment of Pediatrics, Emory University, Atlanta, Georgia.
Jordan MakDepartment of Pediatrics, Emory University, Atlanta, Georgia.
Rui ZhangCedars-Sinai Heart Institute, Los Angeles, California.
Angelo G TorrenteCedars-Sinai Heart Institute, Los Angeles, California.
Joshua I GoldhaberCedars-Sinai Heart Institute, Los Angeles, California.
Eduardo MarbánCedars-Sinai Heart Institute, Los Angeles, California.
Hee Cheol ChoDepartment of Pediatrics, Emory University, Atlanta, Georgia.
Emory University · USGeorgia Institute of Technology · USUniversity of Ottawa · CA

Funding

Patterning myocardial specification of human pluripotent stem cellsR01HL143065 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI CHO, HEE CHEOL · 2019 to 2022
$2.3M
Molecular determinants of the cardiac pacemaker automaticityR01HL111646 · NHLBI · EMORY UNIVERSITY · PI CHO, HEE CHEOL · 2012 to 2016
$2.0M
NHLBI NIH HHS R01 HL111646NHLBI NIH HHS R01 HL143065
6 · The paper itself

Abstract

Cardiac differentiation of embryonic stem cells (ESCs) can give rise to de novo chamber cardiomyocytes and nodal pacemaker cells. Compared with our understanding of direct differentiation toward atrial and ventricular myocytes, the mechanisms for nodal pacemaker cell commitment are not well understood. Taking a cue from the prominence of canonical Wnt signaling during cardiac pacemaker tissue development in chick embryos, we asked if modulations of Wnt signaling influence cardiac progenitors to bifurcate to either chamber cardiomyocytes or pacemaker cells. Omitting an exogenous Wnt inhibitor, which is routinely added to maximize cardiac myocyte yield during differentiation of mouse and human ESCs, led to increased yield of spontaneously beating cardiomyocytes with action potential properties similar to those of native sinoatrial node pacemaker cells. The pacemaker phenotype was accompanied by enhanced expression of genes and gene products that mark nodal pacemaker cells such as Hcn4, Tbx18, Tbx3, and Shox2. Addition of exogenous Wnt3a ligand, which activates canonical Wnt/β-catenin signaling, increased the yield of pacemaker-like myocytes while reducing cTNT-positive pan-cardiac differentiation. Conversely, addition of inhibitors of Wnt/β-catenin signaling led to increased chamber myocyte lineage development at the expense of pacemaker cell specification. The positive impact of canonical Wnt signaling on nodal pacemaker cell differentiation was evidenced in direct differentiation of two human ESC lines and human induced pluripotent stem cells. Our data identify the Wnt/β-catenin pathway as a critical determinant of cardiac myocyte subtype commitment during ESC differentiation: endogenous Wnt signaling favors the pacemaker lineage, whereas its suppression promotes the chamber cardiomyocyte lineage.

Indexed as

AnimalsCell DifferentiationHuman Embryonic Stem CellsHumansMesodermMiceMouse Embryonic Stem CellsWnt Signaling Pathwaycardiaccell biologycell culturecellular therapystem cells

Identifiers

PMID31648393
PMCPMC7932048
OpenAlexW2982004779

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.