RT Journal Article SR Electronic T1 Multi-chamber cardioids unravel human heart development and cardiac defects JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.07.14.499699 DO 10.1101/2022.07.14.499699 A1 Clara Schmidt A1 Alison Deyett A1 Tobias Ilmer A1 Aranxa Torres Caballero A1 Simon Haendeler A1 Lokesh Pimpale A1 Michael A. Netzer A1 Lavinia Ceci Ginistrelli A1 Martina Cirigliano A1 Estela Juncosa Mancheno A1 Daniel Reumann A1 Katherina Tavernini A1 Steffen Hering A1 Pablo Hofbauer A1 Sasha Mendjan YR 2022 UL http://biorxiv.org/content/early/2022/07/16/2022.07.14.499699.abstract AB The number one cause of human fetal death are defects in heart development. Because the human embryonic heart is inaccessible, and the impacts of mutations, drugs, and environmental factors on the specialized functions of different heart compartments are not captured by in vitro models, determining the underlying causes is difficult. Here, we established a human cardioid platform that recapitulates the development of all major embryonic heart compartments, including right and left ventricles, atria, outflow tract, and atrioventricular canal. By leveraging both 2D and 3D differentiation, we efficiently generated progenitor subsets with distinct first, anterior, and posterior second heart field identities. This advance enabled the reproducible generation of cardioids with compartment-specific in vivo-like gene expression profiles, morphologies, and functions. We used this platform to unravel the ontogeny of signal and contraction propagation between interacting heart chambers and dissect how genetic and environmental factors cause region-specific defects in the developing human heart.HIGHLIGHTS- Mesoderm induction and patterning signals specify aSHF, pSHF, and FHF progenitors- Cardiac progenitors sort, co-develop and functionally connect in multi-chamber cardioids- Multi-chamber cardioids coordinate contraction propagation and share a lumen- Multi-chamber platform dissects genetic (ISL1, TBX5, FOXF1) and teratogenic defectsCompeting Interest StatementThe Institute for Molecular Biotechnology (IMBA) filed a patent application on multi-chamber cardioids with C.S., A.D. T.I., and S.M. named as inventors. P.H. and S.M. are co-founders of HeartBeat.bio AG, an IMBA spin-off company, that aims to develop a cardioid drug discovery platform.