Macrophages enhance contractile force in iPSC-derived human engineered cardiac tissue

Resident cardiac macrophages are critical mediators of cardiac function. Despite their known importance to cardiac electrophysiology and tissue maintenance, there are currently no stem-cell-derived models of human engineered cardiac tissues (hECTs) that include resident macrophages. In this study, we made an induced pluripotent stem cell (iPSC)-derived hECT model with a resident population of macrophages (iM0) to better recapitulate the native myocardium and characterized their impact on tissue function. Macrophage retention within the hECTs was confirmed via immunofluorescence after 28 days of cultivation. The inclusion of iM0s significantly impacted hECT function, increasing contractile force production. A potential mechanism underlying these changes was revealed by the interrogation of calcium signaling, which demonstrated the modulation of β-adrenergic signaling in +iM0 hECTs. Collectively, these findings demonstrate that macrophages significantly enhance cardiac function in iPSC-derived hECT models, emphasizing the need to further explore their contributions not only in healthy hECT models but also in the contexts of disease and injury. [Display omitted] •Engineered cardiac tissues can maintain an iPSC-macrophage (iM0) population for 28 days•iM0s in engineered cardiac tissues take on a tissue-resident-like phenotype•iM0s alter cardiac tissue function, increasing contractile force production•Observed functional changes may be due to iM0 stimulation of the β-adrenergic pathway in iCMs Lock and Graney et al. develop a human engineered cardiac tissue with an incorporated iPSC-derived macrophage population to better mimic the complex cell landscape of the native myocardium. Macrophage inclusion leads to increased contractile function of the tissue, which is attributed to macrophage stimulation of the cardiomyocyte β-adrenergic signaling pathway.