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Troubleshooting Guide for STEMdiff™ Cardiomyocyte Kits

Human pluripotent stem cell-derived cardiomyocytes (hPSC-CMs) offer an attractive model for studying cardiac diseases, drug toxicity, and regeneration. This Tech Tip provides potential solutions to common problems encountered when generating cardiomyocytes from human embryonic stem (ES) and induced pluripotent stem (iPSC) cells using STEMdiff™ Ventricular Cardiomyocyte Differentiation Kit (Catalog #05010) or STEMdiff Atrial Cardiomyocyte Differentiation Kit (Catalog #100-0215). For details of the workflow, refer to the Product Information Sheets found under the respective product pages.

hPSC-derived cardiomyocyte differentiation and maintenance

Figure 1. Cardiomyocyte Differentiation Protocol

Two days before the differentiation protocol (Day -2), hPSC colonies are harvested and seeded as single cells at 350,000 - 800,000 cells/well in a 12-well format in TeSR™ medium. After one day (Day -1), the medium is replaced with fresh TeSR™ medium. The following day (Day 0), the TeSR™ medium is replaced with Medium A (STEMdiff™ Cardiomyocyte Differentiation Basal Medium containing Supplement A) to begin inducing the cells toward a cardiomyocyte fate. On Day 2, a full medium change is performed with fresh Medium B (STEMdiff™ Cardiomyocyte Differentiation Basal Medium containing Supplement B). On Days 4 and 6, full medium changes are performed with fresh Medium C (STEMdiff™ Cardiomyocyte Differentiation Basal Medium containing Supplement C). On Day 8, medium is switched to STEMdiff™ Cardiomyocyte Maintenance Medium with full medium changes on Days 10, 12, and 14, to promote further differentiation into cardiomyocyte cells. Small beating areas of cardiomyocytes can be seen as early as Day 8, progressing to a full lawn of beating cardiomyocytes that can be harvested as early as Day 15.

Problem Observed
Potential Causes
Recommended Action
Day 0
Cultures are less than 95% confluent
Error in counting and seeding cells. Recommended density is 3.5 - 8 x 10^5 cells/well of a 12-well plate or 9.2 x 10^4 cells per cm2.
  • Do not continue incubation. It is CRITICAL that cells reach > 95% confluency within 48 hours before starting the differentiation protocol. Repeat and seed a range of densities to account for differences in hPSC lines and variations in their rates of proliferation during maintenance culture.
  • Do not assume optimal densities for one hPSC line will work across all cell lines.
  • Supplement the plating media with 10 μM Y-27632 (Catalog #72302) on Day -2 when hPSCs were plated down as single cells.
Starting hPSCs were of poor quality.
  • Assess pluripotency by checking the following parameters:
    • Observe morphology and markers of undifferentiated state (OCT3/4 and TRA-1-60) to ensure hPSCs are of high quality. If OCT3/4 and TRA-1-60 are low (< 90%), restart with high-quality hPSCs.
    • Assess the trilineage differentiation potential of starting hPSCs (e.g. using the STEMdiff™ Trilineage Differentiation Kit Catalog #05230).
    • Detect the presence of karyotypic abnormalities (e.g. using the hPSC Genetic Analysis Kit Catalog #07550).
  • Start with high-quality hPSCs (with < 10% differentiated areas) from an earlier passage number. Remove areas of differentiation before starting.
  • Passage cells when they are no more than 70 - 80% confluent to reduce spontaneous differentiation of cultures.
hPSCs were not dissociated sufficiently into single-cell suspension.
  • Use the Gentle Cell Dissociation Reagent (Catalog #100-0485) and incubate at 37°C and 5% CO2 for 8 - 10 minutes. The use of other reagents, such as Accutase or TrypLE, are not optimal and may require further optimization by the user.
Day 2-8
Cells detaching from cultureware
Inappropriate matrix was used.
  • Ensure cultureware was coated with Corning® Matrigel® hESC-Qualified Matrix (Corning Catalog #354277) at the correct dilution factor. Details can be found in the Technical Manual for ձ𳧸™1, mTeSR™ Plus, ձ𳧸™-, or ձ𳧸™-8™.
  • If Matrigel® is on backorder, Geltrex can be used. Other matrices (e.g. Vitronectin) have been tested and found not to perform well. If hPSCs were maintained on Vitronectin beforehand, transition them onto Matrigel® and maintain them for a couple of passages before initiating differentiation.
  • Ensure matrigel is added to STEMdiff™ Ventricular or Atrial Cardiomyocyte Differentiation Medium A at 1 in 100 dilution on Day 0 of the differentiation workflow.
Starting hPSCs were of poor quality.
  • As recommended in hPSC cell quality section.
Media changes were performed harshly.
Dead cells floating in supernatant
It is normal to have dead cells floating in the supernatant, as long as there are not too many detached cells, which produce holes in the monolayer.
Day 8
No visible beating or only small areas beating
This is normal.
Day 15+
No visible beating
Cells failed to reach > 95% confluency within 48 hours before starting the differentiation protocol.
  • Repeat by seeding a range of densities to ensure > 95% confluency is reached within 48 hours. Refer to the recommendations above.
Starting hPSCs were of poor quality.
  • Check hPSCs quality as recommended above; restart the experiment.
hPSCs were not dissociated uniformly into single-cell suspension.
  • Dissociate with correct reagents as recommended above.
Low beating
Visual misinterpretation.
  • Instead of assessing beating by the naked eye, use a microelectrode array (MEA) assay device to measure the beat rate. Refer to the suggested protocol here.
  • Perform immunocytochemistry or flow staining for common cardiomyocyte markers, such as cardiac troponin T (cTNT).
Beating observed, but then disappears
Timing issue.
  • Feed cultures as per PIS. At the end of 48 hours, before media change, nutrients may be depleted and pH may be acidic, causing CMs to slow their beating. Feed cells as normal, put them back in the incubator, and observe again after a couple of hours or on the next day.
  • Don’t panic if the beating disappears right after adding fresh media. After a couple of hours in the incubator, cells should beat again.
  • Assess for expression of common cardiac markers, such as cTNT.

With the help of the troubleshooting guide, you should be able to get beating cultures as shown below:

Microscope image and video showing hPSC-derived cardiomyocyte morphology and beating behaviour

Figure 2. Representative Morphology and Beating of hPSC-Derived Ventricular Cardiomyocytes

Ventricular cardiomyocytes were generated from hPSCs using STEMdiff™ Ventricular Cardiomyocyte Differentiation Kit (Catalog #05010). (A) 48 hours after plating as single cells, hPSCs are at > 95% confluency and are ready for Day 0 of differentiation according to the . (B) By Day 15 of differentiation, monolayer cultures show hPSC-derived ventricular cardiomyocytes that exhibit coordinated beating behavior.

Additional Resources

Scientific Poster
Efficient Production and Processing of Cardiomyocytes from Human Pluripotent Stem Cells Using STEMdiff™ Cardiomyocyte Products
Scientific Poster
Robust and Efficient Generation of Functional Human Pluripotent Stem Cell-Derived Atrial Cardiomyocytes