RT Journal Article SR Electronic T1 A single cell transcriptional roadmap for human pacemaker cell differentiation JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.12.28.474383 DO 10.1101/2021.12.28.474383 A1 Alexandra Wiesinger A1 Jiuru Li A1 Lianne Fokkert A1 Priscilla Bakker A1 Arie O. Verkerk A1 Vincent M. Christoffels A1 Gerard J.J. Boink A1 Harsha D. Devalla YR 2021 UL http://biorxiv.org/content/early/2021/12/29/2021.12.28.474383.abstract AB Each heartbeat is triggered by the sinoatrial node, the natural pacemaker of the heart. Animal models have revealed that pacemaker cells share a common progenitor with the (pro)epicardium, and that the pacemaker cardiomyocytes further diversify into “transitional”, “tail” and “head” subtypes. However, the underlying molecular mechanisms are poorly understood. Here, we studied the differentiation of human induced pluripotent stem cells into pacemaker cardiomyocytes. Single cell RNA sequencing identified the presence of myocardial populations resembling subtypes present in the formed sinoatrial node, and in addition revealed a side population of (pro)epicardial cells. Time-course trajectory analysis uncovered a role for WNT signaling in determining myocardial versus proepicardial cell fate. We experimentally demonstrate that presence of WNT signaling prior to the branching point of a common progenitor enhances proepicardial cell differentiation at the expense of myocardial pacemaker cells. Furthermore, we uncover a role for TGFβ and WNT signaling in differentiation towards transitional and head pacemaker subtypes, respectively. Our findings provide new biological insights into human pacemaker differentiation, open avenues for complex disease modeling and inform regenerative approaches.