Cardiomyocyte differentiation promotes cell survival during nicotinamide phosphoribosyltransferase inhibition through increased maintenance of cellular energy stores

Erin M. Kropp, Katarzyna A. Broniowska, Matthew Waas, Alyssa Nycz, John A. Corbett, Rebekah L. Gundry

Research output: Contribution to journalArticle

1 Scopus citations


To address concerns regarding the tumorigenic potential of undifferentiated human pluripotent stem cells (hPSC) that may remain after in vitro differentiation and ultimately limit the broad use of hPSC-derivatives for therapeutics, we recently described a method to selectively eliminate tumorigenic hPSC from their progeny by inhibiting nicotinamide phosphoribosyltransferase (NAMPT). Limited exposure to NAMPT inhibitors selectively removes hPSC from hPSC-derived cardiomyocytes (hPSC-CM) and spares a wide range of differentiated cell types; yet, it remains unclear when and how cells acquire resistance to NAMPT inhibition during differentiation. In this study, we examined the effects of NAMPT inhibition among multiple time points of cardiomyocyte differentiation. Overall, these studies show that in vitro cardiomyogenic commitment and continued culturing provides resistance to NAMPT inhibition and cell survival is associated with the ability to maintain cellular ATP pools despite depletion of NAD levels. Unlike cells at earlier stages of differentiation, day 28 hPSC-CM can survive longer periods of NAMPT inhibition and maintain ATP generation by glycolysis and/or mitochondrial respiration. This is distinct from terminally differentiated fibroblasts, which maintain mitochondrial respiration during NAMPT inhibition. Overall, these results provide new mechanistic insight into how regulation of cellular NAD and energy pools change with hPSC-CM differentiation and further inform how NAMPT inhibition strategies could be implemented within the context of cardiomyocyte differentiation.

Original languageEnglish (US)
Pages (from-to)1191-1201
Number of pages11
JournalStem Cells Translational Medicine
Issue number4
StatePublished - Apr 2017



  • Cardiomyocyte
  • Differentiation
  • NAD
  • Nicotinamide phosphoribosyltransferase
  • Pluripotent stem cells

ASJC Scopus subject areas

  • Developmental Biology
  • Cell Biology

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