PMID- 36188117 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221004 IS - 1948-0210 (Print) IS - 1948-0210 (Electronic) IS - 1948-0210 (Linking) VI - 14 IP - 9 DP - 2022 Sep 26 TI - Overexpression of GATA binding protein 4 and myocyte enhancer factor 2C induces differentiation of mesenchymal stem cells into cardiac-like cells. PG - 700-713 LID - 10.4252/wjsc.v14.i9.700 [doi] AB - BACKGROUND: Heart diseases are the primary cause of death all over the world. Following myocardial infarction, billions of cells die, resulting in a huge loss of cardiac function. Stem cell-based therapies have appeared as a new area to support heart regeneration. The transcription factors GATA binding protein 4 (GATA-4) and myocyte enhancer factor 2C (MEF2C) are considered prominent factors in the development of the cardiovascular system. AIM: To explore the potential of GATA-4 and MEF2C for the cardiac differentiation of human umbilical cord mesenchymal stem cells (hUC-MSCs). METHODS: hUC-MSCs were characterized morphologically and immunologically by the presence of specific markers of MSCs via immunocytochemistry and flow cytometry, and by their potential to differentiate into osteocytes and adipocytes. hUC-MSCs were transfected with GATA-4, MEF2C, and their combination to direct the differentiation. Cardiac differentiation was confirmed by semiquantitative real-time polymerase chain reaction and immunocytochemistry. RESULTS: hUC-MSCs expressed specific cell surface markers CD105, CD90, CD44, and vimentin but lack the expression of CD45. The transcription factors GATA-4 and MEF2C, and their combination induced differentiation in hUC-MSCs with significant expression of cardiac genes i.e., GATA-4, MEF2C, NK2 homeobox 5 (NKX2.5), MHC, and connexin-43, and cardiac proteins GATA-4, NKX2.5, cardiac troponin T, and connexin-43. CONCLUSION: Transfection with GATA-4, MEF2C, and their combination effectively induces cardiac differentiation in hUC-MSCs. These genetically modified MSCs could be a promising treatment option for heart diseases in the future. CI - (c)The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. FAU - Razzaq, Syeda Saima AU - Razzaq SS AD - Dr. Zafar H. Zaidi Center for Proteomics, University of Karachi, Karachi 75270, Pakistan. FAU - Khan, Irfan AU - Khan I AD - Dr. Panjwani Center for Molecular Medicine and Drug Research, International Center for Chemical and Biological Sciences, University of Karachi, Karachi 75270, Pakistan. FAU - Naeem, Nadia AU - Naeem N AD - Dow Research Institute of Biotechnology & Biomedical Sciences (DRIBBS), Dow University of Health Sciences (DUHS), Ojha Campus, Karachi 75200, Pakistan. FAU - Salim, Asmat AU - Salim A AD - Dr. Panjwani Center for Molecular Medicine and Drug Research, International Center for Chemical and Biological Sciences, University of Karachi, Karachi 75270, Pakistan. FAU - Begum, Sumreen AU - Begum S AD - Stem Cells Research Laboratory (SCRL), Sindh Institute of Urology and Transplantation (SIUT), Karachi 74200, Pakistan. FAU - Haneef, Kanwal AU - Haneef K AD - Dr. Zafar H. Zaidi Center for Proteomics, University of Karachi, Karachi 75270, Pakistan. k.haneef@uok.edu.pk. LA - eng PT - Journal Article PL - United States TA - World J Stem Cells JT - World journal of stem cells JID - 101535826 PMC - PMC9516467 OTO - NOTNLM OT - Differentiation OT - GATA binding protein 4 OT - Heart disease OT - Human umbilical cord-mesenchymal stem cells OT - Myocyte enhancer factor 2C OT - Transcription factors COIS- Conflict-of-interest statement: The authors confirm that this article has no conflict of interest to report. EDAT- 2022/10/04 06:00 MHDA- 2022/10/04 06:01 PMCR- 2022/09/26 CRDT- 2022/10/03 05:03 PHST- 2022/03/28 00:00 [received] PHST- 2022/06/20 00:00 [revised] PHST- 2022/08/30 00:00 [accepted] PHST- 2022/10/03 05:03 [entrez] PHST- 2022/10/04 06:00 [pubmed] PHST- 2022/10/04 06:01 [medline] PHST- 2022/09/26 00:00 [pmc-release] AID - 10.4252/wjsc.v14.i9.700 [doi] PST - ppublish SO - World J Stem Cells. 2022 Sep 26;14(9):700-713. doi: 10.4252/wjsc.v14.i9.700.