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Cells
  • Article
  • Open Access

28 March 2025

Genetic and Molecular Characterization of H9c2 Rat Myoblast Cell Line

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1
Institute of Human Genetics, Jena University Hospital, Friedrich Schiller University, D-07747 Jena, Germany
2
Institute of Molecular Pathobiochemistry, Experimental Gene Therapy and Clinical Chemistry (IFMPEGKC), RWTH University Hospital Aachen, D-52074 Aachen, Germany
3
Electron Microscopy Facility, Institute of Pathology, RWTH University Hospital Aachen, D-52074 Aachen, Germany
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Institute for Molecular Cardiovascular Research (IMCAR), RWTH University Hospital Aachen, D-52074 Aachen, Germany

Abstract

This study presents a comprehensive genetic characterization of the H9c2 cell line, a widely used model for cardiac myoblast research. We established a short tandem repeat (STR) profile for H9c2 that is useful to confirm the identity and stability of the cell line. Additionally, we prepared H9c2 metaphase chromosomes and performed karyotyping and molecular cytogenetics to further investigate chromosomal characteristics. The genetic analysis showed that H9c2 cells exhibit chromosomal instability, which may impact experimental reproducibility and data interpretation. Next-generation sequencing (NGS) was performed to analyze the transcriptome, revealing gene expression patterns relevant to cardiac biology. Western blot analysis further validated the expression levels of selected cardiac genes identified through NGS. Additionally, Phalloidin staining was used to visualize cytoskeletal organization, highlighting the morphological features of these cardiac myoblasts. Our findings collectively support that H9c2 cells are a reliable model for studying cardiac myoblast biology, despite some genetic alterations identified resembling sarcoma cells. The list of genes identified through NGS analysis, coupled with our comprehensive genetic analysis, will serve as a valuable resource for future studies utilizing this cell line in cardiovascular medicine.

1. Introduction

H9c2 is a cell line derived from the embryonic rat heart, established in 1976 by B. W. Kimes and B.L. Brand [1]. It is widely used in cardiovascular research due to its ability to differentiate into skeletal and cardiac myocytes, with the latter induced by supplementation of all-trans-retinoic acid [2]. This cell line retains many characteristics of cardiac muscle cells, including the expression of cardiac-specific proteins such as troponin T and myosin heavy chains [3,4], making it an excellent model for studying heart development, function, and disease mechanisms, particularly in the context of hypertrophy and ischemia-reperfusion injury. Additionally, H9c2 cells are often employed in drug testing and toxicology studies due to their responsiveness to various pharmacological agents and their capacity for cellular signaling studies related to heart health and disease [5,6,7,8].
In addition to troponin T and myosin heavy chains, H9c2 cells express transcription factors such as GATA4 and Nkx2.5, which are crucial for cardiac development and function [9,10]. H9c2 cells have been studied for their response to stressors like hypoxia or oxidative stress [11,12], revealing insights into the molecular pathways involved in cardiomyocyte survival and apoptosis. Furthermore, researchers have utilized techniques such as CRISPR/Cas9 gene editing to manipulate specific genes within H9c2 cells to study their roles in cardiovascular diseases [13,14].
Overall, H9c2 has become a valuable tool to gain insights into cardiac biology and pathology. However, it is essential to consider its limitations as a model system when translating findings to in vivo situations. While H9c2 cells share many characteristics with primary cardiomyocytes, they may not fully replicate the complex genetic and functional properties of adult heart tissue and are considerably different from both primary neonatal cardiomyocytes and adult myocardium [15]. Therefore, findings from studies using this cell line should be interpreted with caution when considering their relevance to in vivo conditions.
Moreover, while H9c2 cells are widely used in cardiovascular research, it is important to note that their specific genetic characteristics and a standardized short tandem repeat (STR) profile have not been thoroughly established. This lack of comprehensive genetic characterization raises concerns regarding the potential for genetic drift or variability within the cell line, which could impact experimental reproducibility and reliability. Researchers using H9c2 cells should be aware of this limitation and consider verifying the identity of their cell lines through additional methods, such as DNA fingerprinting or other genomic analyses, to ensure consistency and accuracy in their studies.
In this study, we conducted a comprehensive genetic analysis of H9c2 cells. We established a karyotype and utilized multicolor fluorescence in situ hybridization (mFISH) to clarify the chromosomal makeup. Additionally, we established an STR profile with 31 species-specific markers to verify the identity and stability of the cell line. We also examined the transcriptome through mRNA sequencing (mRNA-Seq) using next-generation sequencing (NGS) and valuated the characteristic morphological traits of this rat heart cell line through electron microscopy, Western blotting, and Phalloidin staining.

2. Materials and Methods

2.1. Literature Search

The PubMed database was searched for papers that used H9c2 cells. The search was performed using the specific term “H9c2” to retrieve articles. No filters were applied, allowing for the identification of all studies related to the use of H9c2 cells in various experimental contexts.

2.2. Cell Culture

The rat cell line H9c2 was obtained from ATCC (CRL-1446) and cultured in Dulbecco's Modified Eagle’s Medium (DMEM, high glucose #D6171, Sigma-Aldrich, Merck, Taufkirchen, Germany) containing 1.5 g/L sodium bicarbonate, supplemented with 10% fetal bovine serum (#F7524, Sigma-Aldrich), 4 mM L-glutamine (#G7513, Sigma-Aldrich), and 1× penicillin/streptomycin (DE17-602E, Lonza, Cologne, Germany). The medium was changed every 2–3 days, and cells were split using Accutase® solution (A6964-100ML, Sigma-Aldrich) at a ratio of 1:3 when they reached confluence. All experiments were carried out at passages 2–4 after receiving the cells from ATCC. The cells were maintained at 37 °C in an environment with 95% air and 5% CO2.

2.3. Mycoplasma Testing

The identification of possible Mycoplasma species contaminations in cell culture supernatants was performed utilizing the Venor®GeM OneStep kit (#11-8050, Minerva Biolabs GmbH, Berlin, Germany) following the manufacturer’s instructions. Briefly, 2 µL of fresh medium (medium (-)), 2 µL of supernatant from H9c2 cell cultures, or 2 µL of the positive control provided with the kit were used for PCR. The PCR protocol included an initial cycle at 94 °C for 2 min, followed by 39 cycles at 94 °C for 30 s, 55 °C for 30 s, and 72 °C for 30 s, ending with a cooling phase at 4 °C. Subsequently, the PCR products were analyzed on a standard 2% agarose gel in 1× TAE buffer consisting out of 40 mM Tris, 20 mM acetic acid, and 1 mM EDTA (pH 8.6) for 50 min at 90 V, with ethidium bromide added for visualization. The resulting amplicons were then examined using a standard gel imaging system (Intas Science Imaging GmbH, Göttingen, Germany).

2.4. Short Tandem Repeat (STR) Profiling

The STR profiling and evaluation for interspecies contamination in H9c2 cells were performed using the cell line authentication service offered by IDEXX (Kornwestheim, Germany) through the CellCheckTM Rat system. This system employs a dinucleotide repeat assay to generate a genetic profile of the cells, consisting of 31 unique STR markers that are specific to different species.

2.5. Preparation of H9c2 Metaphase Chromosomes, Karyotyping, and Molecular Cytogenetics

Chromosomes from H9c2 cells were prepared following a standard protocol for metaphase preparation, with some modifications [16]. H9c2 cells were incubated at 37 °C in T25 flasks until they achieved a semi-confluent state. After treatment with KaryoMAX colcemid solution (#15212012, Gibco, ThermoFisher Scientific, Schwerte, Germany), the cells were detached from the flask surface using a gentle trypsin–EDTA solution (#T4174, Sigma-Aldrich) and collected in a centrifuge tube. Following a brief centrifugation step, the cells underwent hypotonic treatment with 0.56% KCl for 30 min at 37 °C before being fixed in a mixture of acetic acid and methanol (1:3). Chromosome spreads were then air-dried from the fixed cell suspension and used for mFISH as described before [17]. To detect interchromosomal rearrangements with the chromosomes of H9c2, the commercially available rat probe set 22xRat (MetaSystems, Altlussheim, Germany) was employed. It is important to note that due to the specific design of this probe set, chromosomes 13 and 14 cannot be distinguished after FISH analysis [18]. For analysis, 30 metaphases were examined using a Zeiss Axioplan microscope equipped with the ISIS software package, version 6.1.1, MetaSystems). To create standard chromosome banding patterns, metaphases were sorted according to FISH signals and counterstained with 4′,6-diamidino-2-phenylindole (DAPI), then transformed into an “inverted DAPI-banding” pattern with a single click in the software used.

2.6. Virtual Comparative Genomic Hybridization

By analyzing the data obtained from mFISH along with inverted DAPI-banding, we were able to identify approximate losses and gains of chromosomal regions in rat chromosomes. These regions were subsequently mapped to their estimated molecular positions based on Rat RGSC 5.0/rn5 using the UCSC genome browser. Employing the “View, In Other Genomes” feature allowed us to translate these regions into the human genome (build: GRCh37/hg19) and determine homologous regions with corresponding gains or losses.

2.7. Next-Generation Sequencing and Data Analysis

High-molecular-weight cellular RNA from five 100 mm2 plates of H9c2 cells, which were grown to 80% confluence, was isolated using a CsCl2 density gradient centrifugation protocol [19]. The concentration, purity, and quality of the purified RNA were assessed using standard UV spectroscopy and the Agilent 4200 TapeStation platform (Agilent Technologies Inc., Waldbronn, Germany). After depleting ribosomal RNA, mRNA was converted into a sequencing library using the NEBNext Multiplex Oligos for Illumina Index Primers Set 1 kit. Sequencing was performed on the Illumina platform (Illumina Inc., San Diego, CA, USA) with pre-filled cartridges (MiSeq Reagent kit V2, 300-cycles) from Illumina, and the results were converted into FASTQ data files. The cDNA library construction and sequencing took place at the IZKF Genomic Facility of the University Hospital Aachen. FASTQ files were generated using bcl2fastq (Illumina) before downstream analyses. Samples were processed using the nf-core/RNA-seq pipeline version 3.12 [20] in Nextflow 23.10.0 [21]. Lane-level reads were trimmed with Trim Galore 0.6.7 [22], aligned to the Rattus norvegicus (Rnor_6.0) reference transcriptome using STAR 2.7.9a [23], and quantified at gene and transcript levels with Salmon v1.10.1 [24], resulting in length-normalized Transcripts Per Million (TPM) values.

2.8. Electron Microscopic Cell Analysis

Electron microscopic analysis of H9c2 cells was performed following established protocols [25]. Cells were fixed in 1× phosphate-buffered saline (PBS) with 3% glutaraldehyde, washed with 0.1 M Soerensen’s phosphate buffer, and post-fixed in 1% osmium tetroxide. Dehydration was achieved using a series of ethanol solutions (30% to 100%), followed by incubation in propylene oxide and Epon resin mixtures, which were polymerized at 90 °C for two hours. Ultrathin sections (90–100 nm) were cut, stained with uranyl acetate and lead citrate, and examined with a Zeiss Leo 906 transmission electron microscope (Carl Zeiss AG, Oberkochen, Germany) at 60 kV. Images were captured at specified magnifications (2156×, 10,000×, 21,560×, and 27,800×), respectively.

2.9. Western Blot Analysis

Protein extracts, quantification, and Western blot analysis were performed following established protocols. Protein samples (50 µg/lane) were heated at 80 °C for 10 min and separated using 4–12% Bis-Tris gels (Invitrogen, Thermo Fisher Scientific, Schwerte, Germany) under reducing conditions with 2-(N-morpholino)ethanesulfonic acid (MES) running buffer. The proteins were transferred onto a 0.45 µm nitrocellulose membrane (#GE10600002, AmershamTM Protran® Western-Blotting Membranes, Merck), with transfer efficiency verified by Ponceau S staining. Blocking was carried out in Tris-buffered saline containing 0.1% Tween 20 and 5% non-fat milk powder. The membranes were incubated with primary antibodies and detection was achieved using horseradish peroxidase-conjugated secondary antibodies and chemiluminescence (Supersignal™ West Dura extended duration substrate, #34076, Thermo Fisher Scientific, Schwerte, Germany). As a positive control, we used protein extracts generated from the heart of a female rat that was homogenized in an MM400 mixer mill (Retsch GmbH, Haan, Germany) using an established protocol [26]. Details of the antibodies used in our study are provided in Table 1.
Table 1. Primary and secondary antibodies used for Western blot analysis, listed in alphabetical order 1.

2.10. Phalloidin Stain

Microfilament staining was conducted according to previously established methods [27]. In summary, 30,000 H9c2 cells were plated on glass coverslips placed in a 24-well plate. After a 48 h incubation period, the medium was removed, and the cells were rinsed with phosphate-buffered saline (PBS) before being fixed in 3.7% paraformaldehyde (pH 7.4) for 20 min in the dark. Subsequently, the cells were permeabilized using a precooled solution of 0.1% sodium citrate and 0.1% Triton X-100 for 3 min on ice. After additional washes in PBS, nonspecific binding sites were blocked with PBS containing 50% fetal bovine serum (FBS) and 0.5% bovine serum albumin (BSA) for one hour at room temperature. Under exclusion of light, the cells were then stained with an Alexa Fluor™ 488 Phalloidin conjugate for 20 min, followed by nuclear counterstaining with 200 ng/mL DAPI solution (#D1306, Thermo Fisher Scientific) for 15 min. Finally, samples were mounted using PermaFluor™ aqueous mounting medium (#TA-030-FM, Thermo Fisher Scientific) and observed under a Nikon Eclipse E80i fluorescence microscope equipped with the NIS-Elements Vis software package (version 3.22.01). For detailed protocol instructions, please refer to [27].

3. Results

3.1. Usage of H9c2 Cells in Biomedical Research

H9c2 cells play a crucial role in biomedical research, especially in the study of cardiovascular diseases and cardiac physiology. Their ability to differentiate into cardiomyocyte-like cells makes them a valuable model for investigating various aspects of heart function, drug responses, and disease mechanisms [2]. The widespread use of H9c2 cells is evident by their inclusion in 7334 studies listed on PubMed as of 12 February 2025. This extensive research highlights the importance of H9c2 cells in advancing our understanding of cardiac biology and developing therapeutic strategies for heart-related conditions.

3.2. Phenotypic Appearance of H9c2 Cells

The phenotypic characteristics of H9c2 cells, as observed through light microscopy, show a distinct morphology typical of cardiac progenitor cells (Figure 1). These cells often have a fibroblast-like appearance with elongated and spindle-shaped structures, allowing them to form a dense and flat monolayer when cultured. Under optimal growth conditions, H9c2 cells exhibit prominent cytoplasmic extensions and can sometimes cluster together, indicating their ability to spontaneously differentiate into cardiomyocyte-like cells.
Figure 1. Light microscopic appearance of H9c2 cells. (A,B) In culture, H9c2 cells typically have a fibroblast-like morphology, with elongated and spindle-shaped cells that can form a confluent monolayer. They also show a high degree of adherence to the culture substrate, allowing them to grow in a dense configuration. The magnifications are as follows: 100× (A) and 200× (B). The scale bars represent 100 µm.

3.3. Electron Microscopic Analysis of H9c2 Cells

When observing H9c2 cells through electron microscopy, it becomes apparent that these cells have a well-developed cytoplasm abundant in mitochondria, vacuoles, lipid droplets, and lysosomes, indicating high metabolic activity (Figure 2). The presence of a significant amount of rough endoplasmic reticulum (rER) suggests a high level of protein synthesis, supporting the metabolic demands of these cells.
Figure 2. Electron microscopic appearance of H9c2 cells. (AF) H9c2 cells display an elongated spindle-shaped morphology with a centrally located nucleus (N). Mitochondria (M) are visible as elongated or spherical organelles with double membranes and cristae. The cytoplasm contains lipid droplets (LD), lysosomes (Ly), ribosomes (R), and vesicles (V). The endoplasmic reticulum (rER) of H9c2 cells forms a network of membranous tubules and flattened sacs, with rough endoplasmic reticulum identifiable by ribosomes on its surface. The images were captured at (A) 2156×, (B) 10,000×, (C,D) 21,560×, and (E,F) 27,800×, respectively.

3.4. Expression of Typical Fibroblast Markers in H9c2 Cells

3.4.1. Next-Generation Sequencing

To analyze the expression profile of H9c2 cells without bias, we conducted next-generation sequencing (NGS) mRNA sequencing. This method provided a comprehensive overview of the gene expression in this cell line. Our investigations revealed a diverse gene expression profile that indicates their cardiac lineage and functional potential. Notably, we found the expression of various members of the myosin family, which play critical roles in muscle contraction and cellular motility (Table 2).
Table 2. Myosin gene expression in H9c2 cells supporting their cardiac origin.
The presence of these myosin genes suggests that H9c2 cells retain key features associated with cardiac muscle function, highlighting their potential as an excellent model for studying contractile mechanisms and heart development. Furthermore, the differential expression of specific myosin isoforms may provide insights into the regulatory pathways governing cardiomyocyte differentiation and maturation.
In our NGS analysis of H9c2 cells, we identified several additional classical markers of cardiomyocytes, further confirming their cardiac lineage and functional properties. Among the marker genes detected were genes that are known to be either cardiomyocyte-specific or functionally relevant in cardiomyocytes. Examples include Actn1, Actc1, Adipoq, Adipor1, Adipor2, Alcam, Ankrd1, Atp2a2, Anxa5, Anxa6, Bdnf, Bmp4, Cav2, Cav3, Cdh2, Cpt1a, Csrp2, Ctnnb1, Des, Dmd, Eno3, Fabp3, Fgf2, Fhl2, Gata-4, Gata-6, Gja1, Hand2, Il11ra, Igf1, Lox, Mef2c, Mfn2, Mitf, Mov10l1, Notch1, Nkx2-5, Pde1a, Pde4d, Pygm, Rgd1565355 (CD36), Ryr2, Sgpl1, Tnnc1, Tnni3, Tnnt1, Tnnt2, Tpm1, Trpv1, Ttn, and Pnmt (Table 3). The expression of these genes indicates key processes involved in cardiac development and function. This comprehensive gene expression profile highlights the utility of H9c2 cells as a relevant model for investigating cardiomyocyte biology and offers insights into the molecular mechanisms underlying heart physiology and pathology.
Table 3. Selected gene expression in H9c2 cells supporting their cardiac origin.
However, we found no expression of the natriuretic peptides Nppa (atrial natriuretic factor, ANF), Nppb (brain natriuretic peptide, BNP), and Nppc (natriuretic peptide, type C, CNP) genes, which are abundantly expressed in the atrial and ventricular myocardium during embryonic and fetal stages and are relevant in cardiac remodeling (Table S1) [29,30].
Additionally, there were no transcripts found for Pou5f1 (OCT4), a factor of pluripotency that drives the dedifferentiation of adult cardiomyocytes into a fetal state [31]. The transcription factor Hand1 (eHAND), marking cardiac progenitor cells, was also not expressed in H9c2 (Table S1) [32]. In contrast, the closely related Hand2 (dHand), which alone is sufficient to promote differentiation onset, was expressed in H9c2 cells [33]. Furthermore, Fgf23 and Cxcr4, typically expressed by cardiac myocytes and important for cardiogenesis [34,35] were not found to be expressed in H9c2 cells.

3.4.2. Analysis of Protein Expression and Cytoskeletal Organization in H9c2 Cells

Our NGS data of H9c2 cells has shown the expression of a variety of genes previously associated with cardiomyocyte functionality. In addition to those mentioned above, we identified the expression of vinculin (Vcl) [36], β-catenin (Ctnnb1) [37], vimentin (Vim) [38], β-actin (Actb) [39], four and a half LIM domain 2 (Fhl2) [40], fibronectin (Fn1) [41], collagen type I α 2 chain (Col1a2) [42], AKT serine/threonine kinase 1 (Akt1) [43], tubulin α1A (Tuba1) [44], α-smooth muscle actin (Acta2) [45], BCL2-associated X (Bax) [46], cytochrome c (Cycs) [47], collagen type III α1 (Col3a1) [42], heat shock protein 90 (Hsp90aa1) [48], beclin 1 (Becn1) [49], gap junction protein α1 (Gja1) [50], and ferritin heavy chain 1 (Fth1) [51] (Table S2).
Western blot analysis confirmed the expression of all these genes in H9c2 cells (Figure 3). Specifically, vinculin, vimentin, β-actin, fibronectin, collagen type I, AKT, Bax, collagen type III, and beclin 1 showed increased expression in H9c2 cells compared to their expression in total heart cell extracts from female rats. Additionally, we found protein expression of actinin, alpha 1 (Actn1), but no expression of actinin, alpha 2 (Actn2). These findings align with the NGS data (Table 3). Furthermore, troponin I, which was expressed at overall low quantities in NGS (0.52 TPM), and troponin T, which was expressed in similar mRNA quantities to Actn1, was undetectable at the protein level in H9c2 cells. However, these proteins were present in extracts of heart tissue, confirming the functionality of the antibodies used.
Figure 3. Protein expression in H9c2 cells. Cell protein extracts were prepared from H9c2 cells and rat heart tissue. The proteins (50 µg protein per lane) were then analyzed by Western blot to determine the expression of specific proteins. Ponceau S staining and probing with a glyceraldehyde 3-phosphate dehydrogenase (GAPDH)-specific antibody were used as controls to ensure equal protein loading. Size markers are indicated on the left margin of each Western blot.
One characteristic feature of cardiomyocytes is the presence of a non-contractile, densely packed cytoskeleton composed of cytoplasmic actin, microtubules, and intermediate filaments. This cytoskeleton plays crucial roles in the electrical and mechanical coupling of cardiomyocytes [39].
Specifically, actin is a vital component of sarcomeres in cardiomyocytes that can transition between a monomeric (G-actin) and a polymeric filamentous (F-actin) form. Staining H9c2 cells with Alexa Fluor 488TM-labeled Phalloidin conjugate resulted in the labeling of F-actin filaments, displaying the typical bundle morphology of these large and flat growing cells (Figure 4).
Figure 4. F-actin cytoskeleton staining in H9c2 cells. The cytoskeleton of cultured H9c2 cells was labeled with Alexa Fluor 488TM-labeled Phalloidin conjugate (green) and nuclei were counterstained with DAPI (blue). Images were captured using a Nikon Eclipse E80i fluorescence microscope at 200×, 400×, or 600× magnification. Scale bars at the different magnifications are indicated in the images.

3.5. Karyotype Based on Molecular Cytogenetic Analyses

The karyotype of the rat cell line H9c2 reveals a chromosomal composition characterized by significant aneuploidy and structural abnormalities (Figure 5).
Figure 5. Karyogram analysis and mFISH results of the H9c2 cell line. The left panel displays a representative image of inverted DAPI-banding. The right panel shows a representative mFISH result of the same metaphase, generated using the commercially available 22xRat probe. In this analysis, interchromosomal rearrangements in H9c2 chromosomes are visible as color changes within single chromosomes. The color code for each chromosome is provided at the bottom of this panel. Evaluation of this analysis, according to the International System for Human Cytogenomic Nomenclature (ISCN) nomenclature, revealed the following karyotype [52,53]: 74-81<3n>,X,del(X)(q2?q3?),+1,+del(1)(q?12),del(2)(q?13),−3,−3,−3,+6,+9,+der(12)t(3;12)(q11;q1?2)×3,+der(12)(X;12)(q?3;q1?2),+14,del(20)(q10),+del(20)(p10)[cp12].
The karyogram analysis revealed a chromosome count ranging from 74 to 81, indicating a triploid status (3n), commonly seen in transformed cell lines. Among the chromosomes, two X chromosomes are present, with one showing notable deletions between bands q2 and q3. Additionally, there is an extra copy of chromosome 1, and a small derivative of chromosome 1 with loss of the entire long arm distal from subband q12. In addition to three copies of chromosome 2, there is an additional derivative of chromosome 2 with the loss of the entire long arm starting at subband q13. Notably, there are no normal chromosomes; instead, three additional derivatives of chromosome 12 are present, consisting predominantly of the short arm of chromosome 12 and the long arm of chromosome 3. The karyotype also includes three copies of chromosome 20 material. However, one chromosome 20 underwent a fission event, leading to two derivative chromosomes 20: one consisting of the long arm and one of the short arm of a normal chromosome 20. One extra copy each of chromosomes 6, 9, and 14 is present. Finally, a derivative chromosome 12 involving both the X chromosome and chromosome 12 was identified.
Overall, this karyotype reflects the genetic changes that occur during the adaptation or transformation processes typical for H9c2 cells. These chromosomal abnormalities may have implications for their behavior in research contexts, particularly in studies related to cardiac function or disease models.

3.6. Virtual Comparative Genomic Hybridization

We conducted virtual Comparative Genomic Hybridization (vCGH), a powerful tool for analyzing genomic alterations in cell lines. The motivation behind performing vCGH in H9c2 cells stems from the need to gain a deeper understanding of the genetic landscape and chromosomal abnormalities, such as gains, losses, and structural rearrangements, that contribute to the cellular characteristics of H9c2 cells. These alterations may impact their behavior and responsiveness in experimental settings.
The results of the vCGH analysis on H9c2 cells reveal significant genomic alterations, including both gains and losses across various chromosomes (Table 4).
Table 4. Losses and gains of chromosomal regions in H9c2 cells based on mFISH and inverted DAPI-banding analyses 1.
Starting with the gains, there is a notable duplication in the region from 1pter to 1q12, which corresponds to several human chromosomal regions, including 6q22.31 to q27 and others, indicating a complex gain involving multiple loci. Additionally, there is an increase in copy number from 1q12 to 1qter, suggesting further amplification in this chromosome segment that spans multiple human regions, such as 10q23.2 to q26.3 and others. The analysis also identified gains on chromosome 2, with a specific increase noted from 2pter to q13. Chromosome 6 exhibits a gain from its short arm (p) to the long arm (q), while chromosome 9 shows an overall gain from pter to qter. Furthermore, there is a significant amplification involving chromosome 12, where four additional copies were detected in the region extending from pter to q12.
Losses are equally prominent in this karyotype; specifically, there is a substantial deletion observed on chromosome 3 from pter to q11, resulting in three missing copies. Additionally, the X chromosome displays a loss between bands Xq2 and Xq3.
Nevertheless, the visualization of the vCGH analysis demonstrates that the gains in this cell line are more prominent than the losses (Figure 6).
Figure 6. Virtual Comparative Genomic Hybridization results for the H9c2 cell line, translated into the human genome. Copy number alterations are depicted using a color code, with shades of red representing losses and green indicating gains.
Most cardiac cancers in humans are secondary, with intimate and undifferentiated sarcomas being the most common primary ones. Interestingly, amplification of MDM2 (12q15), MDM4 (1q32.1), and CDK6 (7q21.2) is frequently observed, along with PDGFRA (4q12), CDK4 (12q14.1), and TERT (5p15.33) in humans [54]. In the H9c2 cell line, an increase in copy numbers is seen in regions containing CDK6 (four additional copies), PDGFRA (one additional copy), and TERT (two additional copies). The loss of 9q material is also associated with human sarcomas [55,56].
These results indicate significant chromosomal rearrangements within H9c2 cells, which could be a hint at the evolution of the original embryonic rat heart cells toward malignant, potentially immortal cells similar to human sarcoma. The methylation pattern of H9c2 cells may also be similar to that of intimal and undifferentiated cardiac sarcomas, as described by [54]. Additionally, mutation analyses in MDM2 (12q15), MDM4 (1q32.1), CDK4 (12q14.1), and TERT may be of interest to check for known mutations with oncogenic potential.

3.7. Short Tandem Repeat Analysis

Subsequently, we conducted STR profiling on H9c2 cells to assess their genetic stability and establish a marker panel for verifying the authenticity of this cell line. It is important to note that despite the widespread use of H9c2 cells in cardiovascular research, there is no published STR profile available for them, highlighting the significance of our analysis. We employed a comprehensive panel of 31 markers located across 20 autosomes of the rat genome for the STR profiling (Table 5).
Table 5. STR-based DNA profiling of H9c2 cells using 31 species-specific STR markers.
The STR profile we have established for H9c2 cells is unique and distinctly differs from those of other rat cell lines, such as CFSC-2G, HSC-T6, PAV-1, and Rat-1, which we reported previously [19,25,57,58]. This differentiation highlights the genetic uniqueness of H9c2 cells and reinforces their identity as a distinct cell line.

4. Discussion

In this study, we conducted a comprehensive genetic characterization of the H9c2 cell line, commonly used in cardiovascular research. A significant contribution of our work is establishing a unique STR profile for H9c2 cells. This genetic fingerprint enables quick and reliable confirmation of the identity of this cell line, preventing issues related to misidentification or cross-contamination in biomedical research. It also helps assess the genetic stability of the cell line and addresses previous concerns about potential genetic drift, which can affect experimental reproducibility [59].
Additionally, our karyotyping and molecular cytogenetic analyses revealed complex chromosomal characteristics typical of transformed cell lines. We identified significant chromosomal alterations in H9c2 cells, including aneuploidy and structural abnormalities common in transformed cell lines. The karyotype showed chromosome counts ranging from 74 to 81, indicating a triploid status. Notable findings included deletions on chromosomes X and 2, and additional copies of chromosomes 1, 6, and 9. We also observed derivative chromosomes from translocations involving chromosomes 3 and 12. These chromosomal changes may impact the cellular behavior of H9c2 cells, affecting their proliferation, differentiation potential, and response to experimental conditions. Understanding these genetic changes is crucial for accurately interpreting research outcomes when using H9c2 cells in cardiovascular studies.
Chromosomal changes during routine cell culture can influence cellular behavior, including proliferation, differentiation, and response to stressors [60]. Genetic factors play a crucial role in cardiovascular research, where cellular responses and disease outcomes can vary significantly based on the genetic context and cell state [61,62].
NGS analysis and Western blot analysis provided valuable insights into the transcriptomic landscape of H9c2 cells. Our findings indicate that these cells retain key features associated with cardiac lineage, as shown by the expression of various myosin genes and other cardiomyocyte-specific markers. These findings align with previous proteomic investigations of H9c2 cells, suggesting that this cell line is a suitable model for very immature myogenic cells with skeletal muscle commitment [15]. The determined gene expression profile can now be used by researchers to analyze molecular pathways and identify potential key regulatory networks in H9c2 cells.
Nevertheless, despite their advantages as an in vitro model system, it is essential to acknowledge certain limitations associated with H9c2 cells. While they exhibit many characteristics similar to primary cardiomyocytes, they do not fully replicate the complexity of adult heart tissue or its microenvironment. For instance, our analysis showed a lack of expression for natriuretic peptides, markers typically abundant in mature cardiomyocytes, which may affect their utility in specific applications related to heart failure or hypertrophy studies [63]. Consequently, findings derived from H9c2 studies should be interpreted cautiously when extrapolating to in vivo conditions.
We should acknowledge that our NGS data were obtained from H9c2 cells cultured under basal conditions without the addition of substances such as retinoic acid, which are known to drive the differentiation of the expression profile toward mature cardiomyocytes [2]. It is evident that differentiation involves the activation of specific signaling pathways that regulate gene expression essential for cardiac development, including the upregulation of cardiac-specific transcription factors like GATA4 and NKx2.5 [9,10]. Additionally, the transformation influences cellular morphology, promoting structural changes characteristic of mature cardiomyocytes, such as the formation of sarcomeres and enhanced contractility. Furthermore, this differentiation process is associated with alterations in metabolic activity as cells transition from glycolytic to oxidative phosphorylation metabolism, crucial for the energy demands of functional heart tissue. Therefore, it is important to note that the NGS data presented in our study are specific only to the undifferentiated state of H9c2 cells. It is now crucial to analyze the mRNA expression profile of H9c2 cells in different cellular states. This analysis has the potential to identify novel pathways that drive the differentiation process.
The absence of Oct4 expression in H9c2 cells under the chosen culture conditions suggests that they have likely passed the pluripotent stage and are now committed to a differentiated state, which aligns with their origin as embryonic cardiac myoblasts. This is in contrast to induced pluripotent stem cells (iPSCs), where Oct4 can be reintroduced to convert differentiated cells back to a pluripotent state [64,65,66].
Moreover, analysis of representative cardiac-specific proteins showed that H9c2 cells exhibited a strong expression of Actn1, while Actn2 was only expressed at a low level at the mRNA level and virtually absent at the protein level. Similarly, we found no expression of troponin I (Tnni3) at the mRNA and protein levels under the chosen culture conditions. Interestingly, we observed mRNA expression of troponin T (Tnnt2) but failed to detect TNNT2 protein expression in H9c2 cells. Conducting a differential expression analysis comparing H9c2 cells to other cardiac or non-cardiac cell lines, or studying gene expression changes throughout differentiation processes, could provide valuable insights into the regulatory pathways controlling cardiomyocyte differentiation and maturation. These comparative studies may help pinpoint key genes and networks involved in cardiac development and diseases. Additionally, future research on DNA methylation patterns could offer further understanding of the epigenetic control of gene expression in H9c2 cells and how they differ from primary cardiac cells. Furthermore, further in-depth studies investigating the expression changes in H9c2 cells in response to various stimuli, such as pro-inflammatory cytokines (IL-1β, IL-6, TNF-α) and endotoxins like lipopolysaccharide (LPS), would be an intriguing avenue for future research. These studies could offer valuable insights into the molecular mechanisms of cardiac inflammation and stress responses, thereby enhancing the utility of H9c2 cells as a model for cardiac disease and therapeutic interventions.
In sum, while H9c2 cells are widely utilized across numerous studies within cardiovascular research, with over 7000 publications citing their use, e.g., [67,68,69], there remains a need for ongoing validation and characterization efforts among different laboratories to ensure consistency in results across various experimental settings. Therefore, we encourage researchers utilizing this cell line to consider both its strengths and limitations carefully while exploring innovative approaches to enhance its applicability within cardiovascular medicine. Future investigations focusing on gene editing techniques or co-culture systems with primary cardiomyocytes could further elucidate mechanisms underlying cardiac function and disease processes using H9c2-derived models.

5. Conclusions

In conclusion, this study provides a thorough genetic characterization of the H9c2 cell line, which serves as an important model for cardiac myoblast research. By establishing a comprehensive short tandem repeat (STR) profile and karyotype, we have confirmed the identity and stability of H9c2 cells, addressing concerns regarding genetic drift that may affect experimental reproducibility. The use of NGS has elucidated a diverse gene expression profile that supports the cardiac lineage of H9c2 cells, revealing key markers associated with cardiomyocyte functionality and development. H9c2 cells exhibit significant morphological and biochemical characteristics typical of cardiac myoblasts, including the expression of essential proteins involved in muscle contraction and cytoskeletal organization. While acknowledging their limitations as an in vitro model compared to primary cardiomyocytes, our work highlights the relevance of H9c2 cells in cardiovascular research. The established genetic resources from this study will not only facilitate future investigations into cardiac function but also support the ongoing efforts to develop therapeutic strategies for heart-related conditions and to use H9c2 cells in research aiming to understand the complexities of cardiac biology and pathology.

Supplementary Materials

The following supporting information can be downloaded at https://www.mdpi.com/article/10.3390/cells14070502/s1, Figure S1: Testing for Mycoplasma spp. infection in H9c2 cells using the Venor®GeM OneStep PCR detection kit; Figure S2: Chromatograms of the short tandem repeat (STR) profile for the 31 variant markers in H9c2 cells; Table S1: Gene expression in H9c2 cells as assessed by next-generation sequencing; Table S2: Molecular correlates of mRNA expression in H9c2 cells.

Author Contributions

Conceptualization, T.L. and R.W.; methodology, S.K., K.S.H., E.M.B., D.T.K., S.K.S.-L. and R.W.; validation, T.L. and R.W.; formal analysis, T.L., S.K., K.S.H., E.M.B., D.T.K., S.K.S.-L. and R.W.; investigation, S.K., K.S.H., E.M.B., S.K.S.-L. and R.W.; resources, T.L., H.N. and R.W.; data curation, T.L., S.K., K.S.H., E.M.B., S.K.S.-L. and R.W.; writing—original draft preparation, R.W.; writing—review and editing, T.L., S.K., K.S.H., E.M.B., H.N., D.T.K., S.K.S.-L. and R.W.; visualization, T.L., K.S.H., E.M.B., S.K.S.-L. and R.W.; supervision, T.L. and R.W.; project administration, T.L. and R.W.; funding acquisition, R.W. All authors have read and agreed to the published version of the manuscript.

Funding

R.W. is supported by grants from the German Research Foundation (project WE2554/17-1) and the Deutsche Krebshilfe (grant 70115581). R.W. and H.N. are further supported by grants from the Interdisciplinary Centre for Clinical Research within the Faculty of Medicine at the RWTH Aachen University (grants PTD 1-5 and PTD1-12).

Institutional Review Board Statement

Not applicable.

Data Availability Statement

The original contributions presented in this study are included in the article/Supplementary Materials. Further inquiries can be directed to the corresponding authors.

Acknowledgments

The authors would like to thank Sabine Weiskirchen from the RWTH University Hospital Aachen for preparing the graphical abstract for this paper. Additionally, we are grateful to Julia Steitz (RWTH University Hospital Aachen) for supplying surplus female hearts from untreated wild-type rats, which were provided to us in accordance with the 3R principle from prior experiments. In addition, the authors would like to thank Claudia Krusche from the Institute of Molecular and Cellular Anatomy, and Peter Boor from the Institute of Pathology at RWTH University Hospital Aachen for providing antibodies for cardiac marker proteins.

Conflicts of Interest

R.W. is a Section Editor-in-Chief for Cells and an Associate Editor of Livers, both of which are journals published by MDPI. All other authors declare no conflicts of interest.

Abbreviations

The following abbreviations are used in this manuscript:
DAPI4′,6-diamidino-2-phenylindole
mFISHmulticolor fluorescence in situ hybridization
mRNA-SeqmRNA sequencing
NGSnext-generation sequencing
STRshort tandem repeat
TPMTranscripts Per Million
vCGHvirtual Comparative Genomic Hybridization

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