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<journal-id journal-id-type="publisher-id">Front. Bioeng. Biotechnol.</journal-id>
<journal-title>Frontiers in Bioengineering and Biotechnology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Bioeng. Biotechnol.</abbrev-journal-title>
<issn pub-type="epub">2296-4185</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-meta>
<article-id pub-id-type="publisher-id">1629412</article-id>
<article-id pub-id-type="doi">10.3389/fbioe.2025.1629412</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Bioengineering and Biotechnology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Laminin-derived peptide drives the cardiomyogenic potential and cardiac cells functionality</article-title>
<alt-title alt-title-type="left-running-head">Casarella et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fbioe.2025.1629412">10.3389/fbioe.2025.1629412</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Casarella</surname>
<given-names>Simona</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<contrib contrib-type="author">
<name>
<surname>Ferla</surname>
<given-names>Federica</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<contrib contrib-type="author">
<name>
<surname>Di Francesco</surname>
<given-names>Dalila</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Pagani</surname>
<given-names>Veronica</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<contrib contrib-type="author">
<name>
<surname>Di Varsavia</surname>
<given-names>Carolina</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<contrib contrib-type="author">
<name>
<surname>Regano</surname>
<given-names>Irene</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Boccafoschi</surname>
<given-names>Francesca</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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<aff id="aff1">
<sup>1</sup>Department of Health Sciences, <institution>University of Piemonte Orientale &#x201c;A. Avogadro&#x201d;</institution>, <addr-line>Novara</addr-line>, <country>Italy</country>
</aff>
<aff id="aff2">
<sup>2</sup>Laboratory for Biomaterials and Bioengineering, Canada Research Chair Tier I for the Innovation in Surgery, Department of Min-Met-Materials Engineering and Regenerative Medicine, CHU de Quebec Research Center, <institution>Laval University</institution>, <addr-line>Quebec City</addr-line>, <addr-line>QC</addr-line>, <country>Canada</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/394411/overview">Thanh Minh Nguyen</ext-link>, University of Alabama at Birmingham, United States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/314412/overview">Jochen Salber</ext-link>, Ruhr-University Bochum, Germany</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1860047/overview">Bijay Guragain</ext-link>, University of Alabama at Birmingham, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2623525/overview">Bo Li</ext-link>, Cincinnati Children&#x2019;s Hospital Medical Center, United States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Francesca Boccafoschi, <email>francesca.boccafoschi@med.uniupo.it</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>08</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>13</volume>
<elocation-id>1629412</elocation-id>
<history>
<date date-type="received">
<day>15</day>
<month>05</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>11</day>
<month>07</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Casarella, Ferla, Di Francesco, Pagani, Di Varsavia, Regano and Boccafoschi.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Casarella, Ferla, Di Francesco, Pagani, Di Varsavia, Regano and Boccafoschi</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Laminin represents a major component of the basement membrane in cardiac tissue. Through integrins binding, laminin can sustain cell adhesion, proliferation, differentiation and mechanotransduction. The role of a small bioactive peptide (KKGSYNNIVVHV) derived from laminin in cardiac differentiation and functionality has been demonstrated. Briefly, results showed how the presence of laminin-derived peptide enhanced the differentiation of mesenchymal stem cells into cardiomyocytes-like phenotype, by modulating not only the cytoskeletal apparatus but also enhancing the cardiac and adhesion markers. Moreover, neonatal mouse cardiomyocytes in presence of the peptide showed well organized cytoskeletal rearrangements and regulated contractility. Therefore, in this study the role of laminin-derived peptide in guiding cardiomyogenesis has been characterized, opening innovative approaches in functional cardiac tissue engineering and regenerative medicine.</p>
</abstract>
<kwd-group>
<kwd>laminin</kwd>
<kwd>cardiomyogenesis</kwd>
<kwd>integrins</kwd>
<kwd>cardiac tissue engineering</kwd>
<kwd>bioactive peptides</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Tissue Engineering and Regenerative Medicine</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Cardiovascular diseases, including heart failure after a myocardial infarction (MI), are a leading cause of death worldwide, with MI affecting roughly three million people worldwide (<xref ref-type="bibr" rid="B21">Jen&#x10d;a et al., 2021</xref>). In MI pathogenesis modifiable factors, such as lifestyle, and non-modifiable factors, such as age and genetics, are involved (<xref ref-type="bibr" rid="B21">Jen&#x10d;a et al., 2021</xref>). Atherosclerosis is a major cause of MI, often leading to vascular blockage and resulting in fatal outcomes in 7 out of 10 cases. Moreover, the rupture of atherosclerotic plaques triggers inflammation and damages the myocardium, which hardly regenerates, leading to irreversible cardiac fibrosis (<xref ref-type="bibr" rid="B49">Zaman and Kovoor, 2014</xref>). Current clinical treatments for MI fall short in fully restoring heart function. Therefore, the optimal therapeutic goal for post-infarction treatment would be to reduce fibrosis and to promote the regeneration of myocardial tissue by stimulating the repopulation of the damaged tissue with functional contractile cardiomyocytes. In fact, fibroblasts and myofibroblasts play a key role in the formation of scar tissue in the injured area. Targeting these cells for therapeutic intervention represents an attractive strategy to minimize fibrosis and enhance functional tissue regeneration in the heart. By driving their activity, it may be possible to promote tissue regeneration and improve cardiac function following MI (<xref ref-type="bibr" rid="B21">Jen&#x10d;a et al., 2021</xref>; <xref ref-type="bibr" rid="B28">Mei and Cheng, 2020</xref>; <xref ref-type="bibr" rid="B24">Li et al., 2021</xref>; <xref ref-type="bibr" rid="B44">Talman and Ruskoaho, 2016</xref>).</p>
<p>Interestingly, over the past decade, the fields of biomaterials and nanotechnology have introduced innovative strategies for tissue regeneration using natural bioactive and biomimetic matrices, which can properly mimic the extracellular matrix (ECM) (<xref ref-type="bibr" rid="B28">Mei and Cheng, 2020</xref>; <xref ref-type="bibr" rid="B24">Li et al., 2021</xref>).</p>
<p>Actually, the ECM&#x2019;s biochemical compositions and physical properties are crucial for tissue regeneration, with integrins and focal adhesions (FAs) playing pivotal roles (<xref ref-type="bibr" rid="B39">Santoro et al., 2019</xref>). FAs are complexes that link the cells to the ECM structural proteins, also facilitating cell movement. FAs show different molecular compositions, which may vary with respect to the surrounding environment. A common feature is that FAs are linked by actin stress fibers and include transmembrane integrin receptors, specifically heterodimers of integrins &#x3b1; and &#x3b2;, which directly bind the intracellular environment to the ECM (<xref ref-type="bibr" rid="B39">Santoro et al., 2019</xref>; <xref ref-type="bibr" rid="B15">Geiger and Bershadsky, 2001</xref>). Integrins are involved in multiple functions, including organogenesis, gene expression regulation, proliferation, differentiation, migration, and cell death. Through the activation of several pathways such as Focal Adhesion Kinase (FAK), Rho-associated coiled-coil-containing protein kinases (ROCKs), and mitogen-activated protein kinases (MAPKs), integrins act on cardiac myocytes, inducing and maintaining their differentiation through hypertrophic and anabolic responses (<xref ref-type="bibr" rid="B15">Geiger and Bershadsky, 2001</xref>; <xref ref-type="bibr" rid="B35">Ross, 2004</xref>; <xref ref-type="bibr" rid="B36">Ross and Borg, 2001</xref>; <xref ref-type="bibr" rid="B22">Kovacic-Milivojevi&#x107; et al., 2001</xref>).</p>
<p>In adult cardiac cells, the major expressed integrins are &#x3b1;1&#x3b2;1, &#x3b1;5&#x3b2;1, and &#x3b1;7&#x3b2;1, which respectively bind collagen, fibronectin, and laminin. Studies have shown that integrin &#x3b1;7&#x3b2;1, specifically binding to laminin, has a protective effect on cardiomyocytes and is reduced after MI, highlighting the importance in enhancing cardiac function. Moreover, it has been proved that modulating ECM through laminin content could provide structural and functional support to the cardiomyocytes stiffness (<xref ref-type="bibr" rid="B15">Geiger and Bershadsky, 2001</xref>; <xref ref-type="bibr" rid="B36">Ross and Borg, 2001</xref>; <xref ref-type="bibr" rid="B31">Okada et al., 2013</xref>). Therefore, optimization of the recognition of key integrins in guiding cell differentiation and cell survival could be exploited in cardiac tissue engineering in order to restore a functional cardiac tissue after an MI. In this context, novel peptides identified in ECM proteins are being explored for their potential in biomaterials, therapeutics and tissue engineering, enhancing cell adhesions, cell-matrix interactions and signaling pathways. For instance, synthetic extracellular matrices functionalized with bioactive peptides, such as the Arg-Gly-Asp (RGD) sequence, derived from laminin, have been extensively employed to enhance cell adhesion, proliferation, and differentiation in various tissue engineering applications. The inclusion of RGD peptides into biomaterials has been shown to improve reendothelialization of cardiovascular devices and promote bone tissue regeneration (<xref ref-type="bibr" rid="B6">Boateng et al., 2005</xref>; <xref ref-type="bibr" rid="B47">Wang et al., 2019</xref>). Thus, the use of ECM-related peptides to enhance the surface properties of tissue engineering and biomedical devices presents a solid, versatile, and convenient approach.</p>
<p>In this work, the role of laminin-derived active peptide, identified by Urushibata et al. (KKGSYNNIVVHV) (<xref ref-type="bibr" rid="B45">Urushibata et al., 2010</xref>), applied to cardiac regeneration and functional restoration has been characterized. Interestingly, Urushibata et al. have identified, among different active sequences related to the laminin globular domains (LG) of the &#x3b1;2 chain, the KKGSYNNIVVHV small sequence present in LG1, which should bind selectively to the integrin &#x3b1;7&#x3b2;1. Thus, we demonstrated the cardiomyogenic properties of the laminin-derived peptide in driving the cardiac differentiation of hMSC-Y201 (<xref ref-type="bibr" rid="B19">James et al., 2015</xref>; <xref ref-type="bibr" rid="B14">Galarza Torre et al., 2018</xref>) and the capability in regulating cytoskeletal and contractility properties in primary cardiomyocytes.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>2 Materials and methods</title>
<sec id="s2-1">
<title>2.1 Peptide coating</title>
<p>In order to evaluate the effect of the laminin-derived active peptide on cell adhesion and cell differentiation, the KKGSYNNIVVHV (1.36&#xa0;kDa) (<xref ref-type="bibr" rid="B45">Urushibata et al., 2010</xref>) (from here following indicated as G2) (Sigma Aldrich, Milano, Italy) peptide has been used. The peptide was diluted at a stock concentration of 1&#xa0;mg/mL with phosphate-buffered saline (PBS) and absorbed overnight in cell culture plates at 4&#xb0;C. Then washed with phosphate-buffered saline. Experiments were performed with the peptide coating concentrations: 100&#xa0;&#x3bc;g/mL and 50&#xa0;&#x3bc;g/mL (<xref ref-type="bibr" rid="B45">Urushibata et al., 2010</xref>; <xref ref-type="bibr" rid="B43">Sung et al., 2023</xref>; <xref ref-type="bibr" rid="B25">Li et al., 2014</xref>; <xref ref-type="bibr" rid="B46">Vroemen et al., 2025</xref>).</p>
</sec>
<sec id="s2-2">
<title>2.2 Cell culture</title>
<p>All <italic>ex vivo</italic> studies were approved by the Animal Experimentation Ethics Committee, University of Eastern Piedmont, Italy (DB064.N.TMC.). BALB/c mice were purchased by Charles River (Italy).</p>
<sec id="s2-2-1">
<title>2.2.1 Cardiomyocytes-like differentiation of immortalized human mesenchymal stem cell hMSC-Y201</title>
<p>Human bone marrow mesenchymal stem cells (Y201 BM-MSCs) (<xref ref-type="bibr" rid="B19">James et al., 2015</xref>) (LGC standard, Milan, Italy) were maintained at 37&#xb0;C in humidified atmosphere (5% CO2) and cultured in Dulbecco&#x2019;s Modified Eagle Medium (DMEM) Low Glucose (Euroclone, Milan, Italy) supplemented with 15% (v/v) fetal bovine serum (FBS), penicillin (100U/mL), streptomycin (0.1&#xa0;mg/mL), amphotericin (0.25&#xa0;&#x3bc;g/mL) and L-Glutamine (2&#xa0;mM) (all products from Euroclone, Milano, Italy). Y201 cells were seeded at a density of 1 &#xd7; 10<sup>3</sup> cells/cm<sup>2</sup> in 6-well coated plates with the G2 peptide. The differentiation of MSCs into a cardiomyocytes-like cells was induced using a differentiation medium 1 consisting in DMEM Low Glucose (Euroclone, Milan, Italy) containing 10% FBS, followed by the addition of 5&#xa0;&#xb5;M 5-Azacytidine (Sigma Aldrich, Milano, Italy) and 1&#xa0;&#xb5;M retinoic acid (RA) (Sigma Aldrich, Milano, Italy), for the first 24&#xa0;h. After 1&#xa0;day, the medium was changed by adding differentiation medium 2: DMEM Low Glucose (Euroclone, Milan, Italy) enriched with 10% FBS, 10&#xa0;ng/mL Transforming Growth Factor beta (TGF-&#x3b2;1), 10&#xa0;ng/mL Insulin Growth Factor-1 (IGF-1) and 1&#xa0;&#xb5;M retinoic acid (RA) (Sigma Aldrich, Milano, Italy) (<xref ref-type="bibr" rid="B42">Sokolowska et al., 2020</xref>; <xref ref-type="bibr" rid="B2">Antonitsis et al., 2007</xref>; <xref ref-type="bibr" rid="B17">Gwak et al., 2009</xref>; <xref ref-type="bibr" rid="B27">Lv et al., 2018</xref>; <xref ref-type="bibr" rid="B12">Deng et al., 2016</xref>). Anti-integrin <italic>&#x3b2;</italic>1 (Bio-Techne, Italy) was used as neutralizing antibody and added to the medium at a final concentration of 500&#xa0;ng/mL. The medium was renewed every 48&#xa0;h for 7 days in order to properly maintain the differentiative/neutralizing effect.</p>
</sec>
<sec id="s2-2-2">
<title>2.2.2 Primary cardiomyocytes isolation and culture</title>
<p>The isolation of mice neonatal ventricular cardiomyocytes (CM) has been optimized on the basis of two different protocols (<xref ref-type="bibr" rid="B33">Ravi et al., 2021</xref>; <xref ref-type="bibr" rid="B32">Pereira et al., 2021</xref>). Briefly, CM were isolated from the heart of 1&#x2013;3 days-old mice. After separating the atria, the ventricula were minced and subjected to eight cycles of enzymatic digestion using collagenase type II (Sigma, Italy). The enzymatic cycles consisted of constant shaking at 180&#xa0;rpm for 10&#xa0;min at 37&#xb0;C. The digested tissues were resuspended in 1X ADS buffer (11.64&#xa0;mM NaCl, 0.54 mM KCl, 1.83&#xa0;mM HEPES sodium salt, 0.08&#xa0;mM NaH2PO4, 0.56&#xa0;mM Glucose, 0.04&#xa0;mM MgSO4 x 7 H2O) and transferred to the percoll gradient solution. After centrifugation at 1,500&#xa0;rpm for 45 min, the ring on the percoll gradient was collected and incubated in tissue culture plates coated with G2 peptide with CM plating medium (Dulbecco&#x2019;s Modified Eagle Medium (DMEM) high glucose, supplemented with 5% (v/v) fetal bovine serum (FBS), 10% (v/v) horse serum (HS), penicillin (100U/mL), streptomycin (0.1&#xa0;mg/mL), amphotericin (0.25&#xa0;&#x3bc;g/mL) and L-Glutamine (2&#xa0;mM). Once the CM attached to the plate (after 48&#xa0;h), the plating medium was changed with the growth medium (DMEM high glucose, supplemented with 2% (v/v) fetal bovine serum (FBS), penicillin (100U/mL), streptomycin (0.1&#xa0;mg/mL), amphotericin (0.25&#xa0;&#x3bc;g/mL) and L-Glutamine (2&#xa0;mM) (All products were purchased from Sigma, Italy).</p>
</sec>
</sec>
<sec id="s2-3">
<title>2.3 Fluorescence analysis</title>
<p>Cells were seeded onto pre-coated (50&#xa0;&#x3bc;g/mL and 100&#xa0;&#x3bc;g/mL of G2) glass coverslips as described before. At each time point, cells were fixed with 4% formalin in PBS (pH 7.4), rinsed, permeabilized with 0.1% TritonX100 in PBS (Sigma Aldrich, Milano, Italy), saturated with 5% Goat Serum (Euroclone, Milano, Italy) and blocked with 5% bovine serum albumin (BSA) (Sigma Aldrich, Milan, Italy). Samples were then incubated overnight at 4&#xb0;C with primary antibodies anti-vinculin, anti-integrin <italic>&#x3b1;</italic>7 and anti-<italic>&#x3b1;</italic>-Actinin (all products from Sigma Aldrich, Milan, Italy) diluted at 1:100 in 2% Goat Serum (Euroclone, Milano, Italy), 1% BSA (Sigma Aldrich, Milan, Italy) and 0.1% TritonX (Sigma Aldrich, Milano, Italy) in PBS. Vinculin was revealed by secondary Texas Red-labeled anti-mouse IgG antibodies (1:500; Vector TI 2000, Vector Laboratories, CA, United States). Phalloidin (Sigma Aldrich, Milan, Italy) staining was performed to reveal the presence of stress fibers and with 300&#xa0;nM 4&#x2032;,6-Diamidine-2-phenylindol dihydrochloride or 2-(4-Amidinophenyl)-6-indolcarbamidin -dihydrochloride (DAPI) (Sigma Aldrich, Milan, Italy) for the nuclei dye. A final rinsing was done before the samples were placed using a mounting medium (60% glycerol in PBS). In order to evaluate the stress fibers and focal adhesions&#x2019; formation and to analyze vinculin expression, representative images were taken with the fluorescence Leica DM2500 microscope (Wetzlar, Germany) and acquired <italic>via</italic> Leica software.</p>
<sec id="s2-3-1">
<title>2.3.1 Integrin <italic>&#x3b1;</italic>7 fluorescence quantification</title>
<p>In order to quantify the fluorescence, microscopy images were analyzed using ImageJ software 1.52r (ImageJ, United States). Single cells were manually selected as regions of interest (ROIs). Background fluorescence was measured from black regions. Area, mean gray value, and integrated density were selected from each image and data were analyzed to calculate the corrected total cell fluorescence (CTCF) using the formula:</p>
<p>CTCF &#x3d; Integrated Density &#x2013; (Area of selected cell X Mean fluorescence of background readings).</p>
<p>CTCF values were used to compare fluorescence intensity in CM and G2 groups and the data obtained were reported as a whisker plot.</p>
</sec>
</sec>
<sec id="s2-4">
<title>2.4 Morphometrical analysis</title>
<p>Characterization of focal adhesions (FA) was evaluated by measuring the length (<xref ref-type="bibr" rid="B9">Buskermolen et al., 2018</xref>) and the total number of FAs per cell. In particular, the length of individual FA was measured from images at &#xd7;100 magnification with immersion oil by drawing the longitudinal axis of vinculin positive signal in at least 100 cells collected in 15 different microscope fields (DM2500 Leica microscope; 100x). The total number of cell&#x2019;s focal adhesions was analyzed in at least 100 cells from 10 representative fields collected at &#xd7;20 magnification (DM2500 Leica microscope; 20x). All data were analyzed using ImageJ software 1.52r (ImageJ, United States). The normal distribution of the values (length and total number of FA) was reported as a Gaussian function.</p>
</sec>
<sec id="s2-5">
<title>2.5 Total RNA isolation and qrt-PCR</title>
<p>In order to evaluate the expression of cardiomyogenic-related genes, qRT-PCR was performed on GATA-4 and Troponin I. The relative expressions for the target genes were represented as fold change (2<sup>&#x2212;&#x394;&#x394;Ct</sup> method) with respect to the housekeeping gene GAPDH and normalized with respect to the control. The experiments were repeated in triplicate. Primary cardiomyocytes were maintained in culture with G2 (50&#xa0;&#x3bc;g/mL) peptide coating for 10 days after the isolation, Y201 cells were cultured for 7 days.</p>
<sec id="s2-5-1">
<title>2.5.1 Total RNA extraction</title>
<p>Collection of total RNA extraction was performed at the end of each time point using TRIzol (Thermo Fisher Scientific, Milano, Italy). RNA purification was performed according to the manufacturer&#x2019;s protocol (Thermo Fisher Scientific, Milano, Italy). The concentration and the purity of the extracted RNA were determined through the absorbance reading at 260 and 280&#xa0;nm, using Nanodrop (Thermo Fisher Scientific, Milano, Italy). Afterward, DNAse treatment (DNAse I, Fermentas, St. Leon-Rot, Germany) was performed in order to digest single- and double-stranded DNA to oligodeoxyribonucleosides containing a 5&#x2032;-phosphate.</p>
</sec>
<sec id="s2-5-2">
<title>2.5.2 RNA retro-transcription</title>
<p>cDNA was synthetized from 1&#xa0;&#xb5;g of extracted RNA according to SensiFAST&#x2122; cDNA Synthesis Kit (Meridian Bioscience, United States) using the oligo (dT) primers.</p>
</sec>
<sec id="s2-5-3">
<title>2.5.3 Real-time quantitative PCR</title>
<p>qRT-PCR was performed in 10&#xa0;&#x3bc;L reaction volume containing 1&#xa0;&#x3bc;L of reverse transcriptase products, 5&#xa0;&#x3bc;L SensiFAST&#x2122; SYBR No-ROX kit (Meridian Bioscience, United States) and 10&#xa0;&#xb5;M each forward and reverse primers, as indicated in <xref ref-type="sec" rid="s12">Supplementary Tables 1, 2</xref> (see Supplementary Materials). Strips were placed in CFX Connect Thermal Cycler (BioRad, Hercules, CA, United States) with a reaction cycle of 95&#xa0;&#xb0;C for 3 min, followed by 39 cycles of 53&#xb0;C for 30&#xa0;s and anneal&#x2013;extend step for 30&#xa0;s at 65&#xb0;C. Results were exported in CFX Maestro Software (BioRad, Hercules, CA, United States) and analyzed in Excel (Microsoft, Redmond, WA, United States). All experiments were performed in triplicate.</p>
</sec>
</sec>
<sec id="s2-6">
<title>2.6 Protein expression</title>
<p>Western blot was performed on Y201 and CM cells seeded onto coated plates with G2 (50&#xa0;&#x3bc;g/mL).</p>
<sec id="s2-6-1">
<title>2.6.1 Total lysis</title>
<p>After 7 days of culture for Y201 and after 10 days for CM, cells were lysed in boiling SDS (Tris-HCl 1&#xa0;M pH 7,4, SDS 10%, PBS pH 7.4, ultrapure water), and cellular lysates were collected and stored at &#x2212;20&#xb0;C. Protein concentration was determined using Pierce BCA Protein Assay Kit (Thermo Fisher, Milan, Italy) according to the producer&#x2019;s protocol. Samples were prepared for electrophoresis by dissolving in Laemmli Sample Buffer (62.5&#xa0;mM Tris-HCl pH 6.8, 10% glycerol, 5% beta-mercaptoethanol, 0.005% bromophenol blue, 2% SDS) (Sigma Aldrich, Milano, Italy). Electrophoresis was performed using Sodium Dodecyl Sulphate-PolyAcrylamide Gel (SDS-PAGE) using 7.5% N, N&#x2032;-methylenebisacrylamide (acrylamide) and then electrophoretically transferred to a nitrocellulose membrane (Amersham Biosciences, Little Chalfont, UK). Blotted proteins were blocked with 5% non-fat dried milk on PBS for 1&#xa0;h at room temperature, then incubated overnight at 4&#xb0;C with mouse anti-vinculin, rabbit anti-integrin <italic>&#x3b1;</italic>7, rabbit anti-integrin <italic>&#x3b2;</italic>1, rabbit anti-Connexin-43, rabbit anti-Troponin I, mouse anti-GAPDH, and mouse anti-Tubulin primary antibodies (all products from Abcam, Cambridge, UK) at a ratio of 1:1,000. After washing, membranes were incubated with HRP-conjugated secondary antibody (1:2000; Perkin-Elmer, Milan, Italy) for 1&#xa0;h at room temperature, and bands were visualized using a chemosensitive visualizer (ChemiDocTM Touch Imaging System, Bio-Rad, Milano, Italy). Densitometric analysis was performed using ImageLab (BioRad, Hercules, CA, United States) software. Experiments were performed in triplicate.</p>
</sec>
<sec id="s2-6-2">
<title>2.6.2 Subcellular fraction</title>
<p>After 7 days, Y201cells were lysed in subcellular fractionation buffer (10&#xa0;mM Tris-HCl, pH 8, 1.5 mM MgCl<sub>2</sub>, 5&#xa0;mM KCl, 50&#xa0;&#x3bc;g/mL leupeptin, 5&#xa0;&#x3bc;g/mL pepstatin A, 2&#xa0;mM phenylmethylsulfonylfluoride), for 20&#xa0;min on ice. Samples were mechanically disrupted with a manual Potter homogenizer (VWR, Milano, Italy) and centrifuged at 250,00 &#xd7; <italic>g</italic> for 45&#xa0;min. After the centrifuge, the soluble cytoplasmic (supernatant) and insoluble membrane (pellet) fractions were then recovered. The membrane fraction was then resuspended in boiling SDS (Tris-HCl 1&#xa0;M pH 7,4, SDS 10%, PBS pH 7.4, ultrapure water). Cell lysates were prepared for electrophoresis by dissolving in Laemmli Sample Buffer (62.5&#xa0;mM Tris-HCl pH 6.8, 10% glycerol, 5% beta-mercaptoethanol, 0.005% bromophenol blue, 2% SDS) (Sigma Aldrich, Milano, Italy) and analyzed directly by Western blot after SDS-PAGE separation as previously described. Experiments were performed in triplicate.</p>
</sec>
</sec>
<sec id="s2-7">
<title>2.7 Video recording and contraction analysis</title>
<p>Cardiomyocyte contractility was recorded using a brightfield Optical Microscopy. Samples were visualized at &#xd7;40 magnification for cluster analysis. High-speed videos were captured at 60 frame rates of 60&#xa0;s using a camera attached to the microscope ocular with a universal adapter. Videos were analyzed using the MYOCYTER macro in ImageJ software 1.52r (ImageJ, United States) following protocol described by Grune et al. (<xref ref-type="bibr" rid="B16">Grune et al., 2019</xref>). Briefly, the software identifies contracting regions based on pixel intensity changes between successive frames. Beating frequency was determined by counting contraction peaks over the recording duration, while contraction amplitude was evaluated by change between the relaxed and contracted states. Moreover, the peak time user indicates the time when the peak contraction occurs (how long it takes to reach the peak of the contraction, expressed in seconds). The systolic and diastolic interval (Systole user and Diastole user, expressed in seconds) show instead, respectively, the duration of the systole (time the cells are contracting) and the duration of the diastole (time the cells are relaxing).</p>
</sec>
<sec id="s2-8">
<title>2.8 Statistical analysis</title>
<p>All data were expressed as mean values &#xb1;standard deviation. Student&#x2019;s t-test test performed on the software &#x201c;Quantitative Skills SISA&#x201d; was used for evaluating the significance of the results obtained. p-value was calculated and the differences between variables with a value of <italic>p</italic> &#x2264; 0.05 were considered statistically significant (&#x2a;<italic>p</italic> &#x2264; 0.05) with respect to the control. Each experiment was repeated in triplicate.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<sec id="s3-1">
<title>3.1 The role of laminin-derived peptide in cardiac differentiation of hMSC-Y201</title>
<p>In order to evaluate the effect of G2 peptide on cell adhesion and morphology, two concentrations were used: 50&#xa0;&#x3bc;g/mL and 100&#xa0;&#x3bc;g/mL.</p>
<p>After 7 days of culturing, phalloidin staining revealed morphological changes in the presence of peptide coating (<xref ref-type="fig" rid="F1">Figure 1A</xref>). In fact, in the presence of G2, an enhanced and organized structure of stress fibers was observed not only in differentiated cells but also under control conditions treated with the peptide, suggesting a role for G2 in controlling cytoskeletal arrangements toward a cardiac muscle phenotype. The effect was more relevant using 50&#xa0;&#x3bc;g/mL. Moreover, vinculin staining revealed how, at the same concentration (50&#xa0;&#x3bc;g/mL), FA showed an enhanced and more organized expression in both differentiated and control conditions when in presence of G2 peptide (<xref ref-type="fig" rid="F1">Figure 1B</xref>). Indeed, morphometrical analysis related to FA length and number per cell (<xref ref-type="fig" rid="F1">Figures 1C,D</xref>) showed that in presence of both concentrations of G2, the curves shift to the right, indicating an enhancement in terms of length and number of FA/cell in the differentiated cells compared to the respective control.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Morphometrical evaluation. <bold>(A)</bold> Cell morphology obtained after Phalloidin (green) staining and <bold>(B)</bold> anti-Vinculin (red) staining, nuclei were stained with DAPI (blue). Images represent control and differentiated cells, seeded onto G2 coated surfaces. Images are representative of all results obtained in three independent experiments. Scale bar: 50&#xa0;&#x3bc;m (phalloidin staining), 20&#xa0;&#x3bc;m (vinculin staining). <bold>(C,D)</bold> morphometric analyses of focal adhesion length (&#x3bc;m) and focal adhesion number of MSCs treated with different concentrations of G2, in control and differentiative medium. Data are represented as Gaussian curves with n &#x2265; 100. Measures were obtained from fluorescence microscopy images. Results are significant with respect to control, p &#x2264; 0.05.</p>
</caption>
<graphic xlink:href="fbioe-13-1629412-g001.tif">
<alt-text content-type="machine-generated">Panel A shows cell cultures stained with Phalloidin and DAPI, highlighting the cytoskeleton across control (CTR) and differentiated (DIFF) groups at two concentrations, 50 and 100 micrograms per milliliter. Panel B displays cells stained with Vinculin and DAPI, illustrating cell adhesion. Panels C and D present graphs of normal distribution data for length and focal adhesions per cell at the same concentrations, comparing CTR and DIFF groups.</alt-text>
</graphic>
</fig>
<p>Once evaluated the initial cellular morphology and FAs involvement in hMSC-Y201, the lower concentration of the peptide enhanced not only the FAs involvement in differentiated cells, but also increased the organization of stress fibers, compared to the non-treated and treated cells with higher concentration of G2. Thus, 50&#xa0;&#x3bc;g/mL concentration of G2 has been used for further analysis in cardiac differentiation. Considering these results, then two cardiac differentiation marker genes GATA-4 and NKX 2.5 have been evaluated (<xref ref-type="fig" rid="F2">Figures 2A,B</xref>), and after 7 days of differentiation, in presence of the G2, the expression was enhanced. Moreover, <xref ref-type="fig" rid="F2">Figures 2C,E</xref> show how both gene and protein expression of cardiac troponin I seemed to be enhanced after 7 days of differentiation and in presence of the peptide, in respect to the other conditions, suggesting an influence on cytoskeletal rearrangement. Nevertheless, to further analyze the cardiomyogenic potential, connexin 43 expression level was evaluated (<xref ref-type="fig" rid="F2">Figure 2D</xref>). Western blot analyses revealed a significant enhancement of the connexin 43 in cells treated with the G2 compared to the control and differentiated cells not cultured on the peptide, highlighting the pivotal influence of G2 on cardiac behavior.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Evaluation of cardiac differentiation markers. Gene expression profiling of <bold>(A)</bold> NKX 2.5, <bold>(B)</bold> GATA-4 and <bold>(C)</bold> Troponin I. All results were normalized with respect to the control (CTR). Western blot analyses with <bold>(D)</bold> anti-Connexin 43 and <bold>(E)</bold> anti-Troponin I. GAPDH expression was used to normalize the results. Proteins were revealed on total lysates and all results were normalized with respect to control. Densitometry obtained represents results from three different experiments, expressed as mean &#xb1; SD. &#x2a;Statistical significance with respect to control with p &#x2264; 0.05.</p>
</caption>
<graphic xlink:href="fbioe-13-1629412-g002.tif">
<alt-text content-type="machine-generated">Graphs and Western blot analyses showing expression levels of NKX 2.5, GATA-4, Troponin I, and Connexin 43. Panels A, B, and C display bar graphs with 2^-&#x394;&#x394;Ct values for different conditions: CTR, CTR G2, DIFF, and DIFF G2. Panels D and E present Western blot data for Connexin 43 and Troponin I with corresponding densitometry graphs. Significant differences are marked with asterisks.</alt-text>
</graphic>
</fig>
<p>In order to assess the interaction between the laminin-derived peptide G2 with the integrin <italic>&#x3b1;</italic>7<italic>&#x3b2;</italic>1, Western blot analyses for the two specific integrin subunits were performed. In presence of the peptide, differentiated cells showed a significantly enhanced expression of both integrin <italic>&#x3b1;</italic>7 and integrin <italic>&#x3b2;</italic>1 (<xref ref-type="fig" rid="F3">Figure 3</xref>). Moreover, the subcellular expression of these two subunits revealed an enhancement not only in the membrane but also in the cytoplasmic fraction of the integrin <italic>&#x3b1;</italic>7 in the peptide-treated cells (<xref ref-type="fig" rid="F4">Figure 4</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Western blot analyses with anti-Integrin <italic>&#x3b2;</italic>1 and anti-Integrin <italic>&#x3b1;</italic>7 antibodies. Tubulin expression was used to normalize the results. Proteins were revealed on total lysates and all results were normalized with respect to control. Densitometry obtained represents results from three different experiments, expressed as mean &#xb1; SD. &#x2a;Statistical significance with respect to control was indicated with p &#x2264; 0.05.</p>
</caption>
<graphic xlink:href="fbioe-13-1629412-g003.tif">
<alt-text content-type="machine-generated">Western blot and bar graph comparing integrin expression levels. Top image shows protein bands for integrin &#x3B2;1 (130 kDa), integrin &#x3B1;7 (129 kDa), and tubulin (55 kDa) across conditions: CTR, CTR G2, DIFF, DIFF G2. Bottom graph presents densitometry values for integrin &#x3B2;1 and &#x3B1;7, indicating elevated integrin levels in DIFF G2, marked by asterisks for significance.</alt-text>
</graphic>
</fig>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Western blot analyses using anti-Integrin <italic>&#x3b2;</italic>1 and anti-Integrin <italic>&#x3b1;</italic>7 antibodies. Tubulin expression was used to normalize the results. Proteins were revealed on fractionated lysates and all results were normalized with respect to control cytoplasmic portion. C&#x3d;Cytoplasm, M &#x3d; Membrane. Densitometry obtained represents results from three different experiments, expressed as mean &#xb1; SD. &#x2a;Statistical significance with respect to the relative cytoplasmic portion with p &#x2264; 0.05.</p>
</caption>
<graphic xlink:href="fbioe-13-1629412-g004.tif">
<alt-text content-type="machine-generated">Western blot and bar graphs showing expression levels of Integrin &#x3B2;1, Integrin &#x3B1;7, and Tubulin. The blot displays bands for each protein across different conditions: CTR cytoplasm, CTR membrane, CTR G2 cytoplasm, CTR G2 membrane, DIFF cytoplasm, DIFF membrane, DIFF G2 cytoplasm, and DIFF G2 membrane. Tubulin serves as a loading control. Graphs below indicate densitometry values for Integrin &#x3B2;1 and Integrin &#x3B1;7, highlighting significant differences with asterisks.</alt-text>
</graphic>
</fig>
<p>Intriguingly, <xref ref-type="fig" rid="F5">Figure 5</xref> shows that, when in presence of the neutralizing anti-integrin <italic>&#x3b2;</italic>1 at 7 days, differentiated cells, seeded onto G2, loose the well-organized cytoskeletal structure, thus, the integrin blocking significantly interferes with cardiac differentiation in terms of contractile apparatus (<xref ref-type="fig" rid="F5">Figure 5</xref>). Furthermore, qRT-PCR showed that NKX 2.5 (<xref ref-type="fig" rid="F6">Figures 6A,B</xref>) was downregulated in presence of the neutralizing anti-integrin <italic>&#x3b2;</italic>1, confirming the cardiomyogenic role of the integrin <italic>&#x3b1;</italic>7<italic>&#x3b2;</italic>1-G2 peptide interaction. Moreover, the expression of GATA-4 (<xref ref-type="fig" rid="F6">Figures 6C,D</xref>) in differentiated cells treated with G2 and neutralizing anti-integrin <italic>&#x3b2;</italic>1 resulted downregulated compared to cells subjected to the same treatment without the neutralization.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Morphological evaluation of Y201 cells after 7 days of culture with anti-integrin <italic>&#x3b2;</italic>1 as a neutralizing antibody. Cell morphology obtained after Phalloidin (green) staining, nuclei were stained with DAPI (blue). Images represent control and differentiated cells, previously seeded onto peptide coating surfaces. Images are representative of all results obtained in the three different experiments. Scale bar 50&#xa0;&#x3bc;m.</p>
</caption>
<graphic xlink:href="fbioe-13-1629412-g005.tif">
<alt-text content-type="machine-generated">Fluorescent microscopy images showing cells stained with Phalloidin (green) and DAPI (blue). Panels depict various conditions: CTR, CTR + ITG&#x3B2;1 Neutralizing, DIFF, DIFF + ITG&#x3B2;1 Neutralizing, CTR G2, CTR G2 + ITG&#x3B2;1 Neutralizing, DIFF G2, and DIFF G2 + ITG&#x3B2;1 Neutralizing. Each panel includes a scale bar of 50 micrometers.</alt-text>
</graphic>
</fig>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Gene expression profiling of NKX 2.5 and GATA-4 in <bold>(A&#x2013;C)</bold> normal condition and with <bold>(B&#x2013;D)</bold> anti-integrin <italic>&#x3b2;</italic>1 as a neutralizing antibody. All results were normalized with respect to the control (CTR). Results obtained from three different experiments, expressed as mean &#xb1; SD. &#x2a;Statistical significance with respect to control with p &#x2264; 0.05.</p>
</caption>
<graphic xlink:href="fbioe-13-1629412-g006.tif">
<alt-text content-type="machine-generated">Bar graphs displaying expression levels measured by 2^-&#x394;&#x394;Ct for NKX 2.5 and GATA-4, with and without ITG&#x3B2;1 neutralizing. Graph A shows increased NKX 2.5 in DIFF F G2. Graph B shows similar NKX 2.5 levels across conditions with ITG&#x3B2;1 neutralizing. Graph C shows increased GATA-4 in DIFF F G2. Graph D shows GATA-4 levels with slight increases in DIFF and DIFF F G2 under ITG&#x3B2;1 neutralizing. Asterisks indicate significant differences.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-2">
<title>3.2 The role of G2 in cardiac phenotype maintenance and cytoskeletal rearrangements of primary neonatal cardiomyocytes</title>
<p>Morphological analyses revealed how G2 peptide at 50&#xa0;&#x3bc;g/mL do not alter the stress fibers formation and organization, as well as the presence of FA with anti-vinculin staining, similar to the control condition. On the contrary, at 100&#xa0;&#x3bc;g/mL stress fibers and FA seem to be less organized with respect to the control (<xref ref-type="fig" rid="F7">Figure 7A</xref>).</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Morphometrical evaluation. <bold>(A)</bold> Cell morphology obtained after Phalloidin (green) staining anti-Vinculin (red) staining, nuclei were stained with DAPI (blue). Images represent control and treated cells with G2. Images are representative of all results obtained in the three different experiments. Scale bar: 50&#xa0;&#x3bc;m (phalloidin staining), 20&#xa0;&#x3bc;m (vinculin staining). <bold>(B,C)</bold> morphometric analyses of focal adhesion length (&#x3bc;m) and focal adhesion number of primary cardiomyocytes treated with different concentrations of G2. Data are represented as Gaussian curves with n &#x2265; 100. Measures were taken from fluorescence microscopy images. Results are significant with respect to control (CM), p &#x2264; 0.05.</p>
</caption>
<graphic xlink:href="fbioe-13-1629412-g007.tif">
<alt-text content-type="machine-generated">A composite image depicting three main sections: A) Microscopic images of cells stained with phalloidin (green) and vinculin (red), showing cytoskeletal structures with DAPI-stained nuclei in blue under different conditions; CM, G2 50 &#xB5;g/ml, and G2 100 &#xB5;g/ml concentrations. B) A scatter plot showing normal distribution of focal adhesion sites (FAs) per cell across different conditions. C) A line graph displaying the normal distribution of focal adhesion site lengths in micrometers for three conditions: CM, CM G5 50 &#xB5;g, and CM G5 100 &#xB5;g.</alt-text>
</graphic>
</fig>
<p>In fact, morphometrical analyses on FA length and number per cell (<xref ref-type="fig" rid="F7">Figures 7B,C</xref>) demonstrated how in both evaluations, the curves of G2 at 50&#xa0;&#x3bc;g/mL do not shift compared to the control, showing how the peptide, at lower concentration, could have a significant role in maintaining the cardiac phenotype. Thus, only 50&#xa0;&#x3bc;g/mL has been used for further experiments.</p>
<p>In order to assess the role of G2 on primary cardiomyocytes, cardiac differentiation marker GATA-4 was evaluated, and gene expression seemed not modified compared to the control. (<xref ref-type="fig" rid="F8">Figure 8A</xref>). Nonetheless, gene expression of cardiac troponin I and desmin resulted significantly enhanced in presence of G2, indicating an active role in cytoskeletal regulation of cardiomyocytes (<xref ref-type="fig" rid="F8">Figures 8B,C</xref>).</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>Evaluation of cardiac differentiation markers. Gene expression profiling of <bold>(A)</bold> GATA-4, <bold>(B)</bold> Troponin I and <bold>(C)</bold> Desmin. All results were normalized with respect to the control (CTR). Western blot analyses with <bold>(D)</bold> anti-Connexin 43 and anti-Troponin I antibodies and <bold>(E)</bold> anti-Integrin <italic>&#x3b2;</italic>1 and anti-Integrin <italic>&#x3b1;</italic>7 antibodies. The GAPDH and Tubulin expressions was used to normalize the results. Proteins were revealed on total lysates and all results were normalized with respect to control and differentiated not treated. Densitometry obtained represents results from three different experiments, expressed as mean &#xb1; SD. &#x2a;Statistical significance with respect to control with p &#x2264; 0.05.</p>
</caption>
<graphic xlink:href="fbioe-13-1629412-g008.tif">
<alt-text content-type="machine-generated">Graphs and Western blot analyses display protein expression levels in cardiac markers. Panels A to C show a significant increase in GATA-4, Troponin I, and Desmin levels in CM G2 samples compared to CM. Panel D illustrates increased Connexin 43 in CM G2, with Troponin I and GAPDH as loading controls. Panel E shows elevated Integrin &#x3B1;7 and &#x3B2;1 in CM G2 compared to CM, with Tubulin as a control. Asterisks indicate statistically significant differences.</alt-text>
</graphic>
</fig>
<p>Moreover, Western blot analyses showed a slight but higher expression of connexin 43 in treated cardiomyocytes, as well as an enhanced expression of the two subunits of integrin <italic>&#x3b1;</italic>7 and <italic>&#x3b2;</italic>1, highlighting the role of G2-integrin complex (<xref ref-type="fig" rid="F8">Figures 8D,E</xref>).</p>
<p>To further confirm the role of the peptide in guiding laminin-mediated cytoskeletal rearrangements, staining of <italic>&#x3b1;</italic>-actinin and integrin <italic>&#x3b1;</italic>7 has been performed (<xref ref-type="fig" rid="F9">Figure 9A</xref>). <xref ref-type="fig" rid="F9">Figure 9B</xref> shows how in presence of G2 the expression of integrin <italic>&#x3b1;</italic>7 is enhanced, highlighting the role of G2 in guiding the integrin <italic>&#x3b1;</italic>7<italic>&#x3b2;</italic>1 recruitment, as well as, supporting the contractile cytoskeletal phenotype.</p>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>
<bold>(A)</bold> Costameres formation revealed with anti-<italic>&#x3b1;</italic>-Actinin (green), anti-Integrin <italic>&#x3b1;</italic>7 (red) staining on cardiomyocytes (CM) and CM seeded onto G2 coating (G2). Nuclei were stained with DAPI (blue). Scale bar: 20&#xa0;&#x3bc;m. <bold>(B)</bold> anti-Integrin <italic>&#x3b1;</italic>7 fluorescence quantification. The corrected total cell fluorescence (CTCF) is represented as whisker plot with n &#x3d; 8. &#x2a;Statistical significance with respect to CM with p &#x2264; 0.05.</p>
</caption>
<graphic xlink:href="fbioe-13-1629412-g009.tif">
<alt-text content-type="machine-generated">Two microscopy images labeled CM and G2 show cells stained with DAPI (blue), &#x3B1;-actinin (green), and integrin &#x3B1;7 (red). Below, a box plot compares integrin &#x3B1;7 fluorescence levels in CM and G2, indicating significantly higher fluorescence in G2, marked by an asterisk.</alt-text>
</graphic>
</fig>
<p>Given the enhanced expression of connexin 43 and the costameric organization, contractility analyses were performed using MYOCTER macro in ImageJ software. <xref ref-type="sec" rid="s12">Supplementary Videos 1S, 2S</xref> show respectively the control and the G2 conditions. It is clear that the presence of G2 enhances the clustering formation with respect to the control. Furthermore, videos show how the presence of G2 may influence not only clustering of the cells, but also the contraction force.</p>
<p>Results related to contraction analysis are shown in <xref ref-type="table" rid="T1">Table 1</xref> and <xref ref-type="fig" rid="F10">Figure 10</xref>. These analyses revealed that, in presence of G2, the overall contraction phase (peaktime user) takes shorter time compared to the control. Moreover, the presence of G2 induce significantly shorter systolic contractions (contraction phase) with respect to the control, as well as in diastolic relaxation (relaxing time), indicating a shift in the contraction-relaxation phases, which may enhance the cardiomyocyte contractile efficiency.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Contraction analysis data from MYOCYTER software. Data represent the results from three different experiments, expressed as mean &#xb1; SD.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Conditions</th>
<th align="left">Frequency [1/sec]</th>
<th align="left">Amplitude [a.u.]</th>
<th align="left">Systole user [sec]</th>
<th align="left">Diastole user [sec]</th>
<th align="left">Peak time user [sec]</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">CM</td>
<td align="left">0.73 &#xb1; 1.3</td>
<td align="left">4.33 &#xb1; 2.8</td>
<td align="left">7.82 &#xb1; 4.4</td>
<td align="left">5.29 &#xb1; 2.3</td>
<td align="left">13.11 &#xb1; 3.7</td>
</tr>
<tr>
<td align="left">CM G2</td>
<td align="left">1.51 &#xb1; 1.6</td>
<td align="left">8.19 &#xb1; 1.4</td>
<td align="left">0.42 &#xb1; 0.3&#x2a;</td>
<td align="left">0.57 &#xb1; 0.7&#x2a;</td>
<td align="left">1.00 &#xb1; 0.4 &#x2a;</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>&#x2a;Statistical significance with respect to control with p &#x2264; 0.05.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<fig id="F10" position="float">
<label>FIGURE 10</label>
<caption>
<p>Contracting frequency of cardiomyocytes measured over a 60-s recording period. Images obtained from MYOCYTER software as dataplot.</p>
</caption>
<graphic xlink:href="fbioe-13-1629412-g010.tif">
<alt-text content-type="machine-generated">Two line graphs showing amplitude over time in arbitrary units for two datasets labeled CM and G2. The CM graph exhibits increasing amplitude with time while the G2 graph shows consistent periodic peaks. Maxima are marked in red and minima in green for both graphs. Each graph spans zero to approximately fifty-five seconds.</alt-text>
</graphic>
</fig>
<p>Finally, the amplitude, which is the contraction strength in arbitrary units, and the frequency seemed to be guided by the presence of the peptide, confirming the role of G2 in cardiac contractile phenotype maintenance. <xref ref-type="fig" rid="F10">Figure 10</xref> show how the contraction dynamics, with red signals representing high-intensity contraction peaks (maximum amplitude), and green signals reflecting baseline rhythm. In the control cells, contractions appeared irregular and uncoordinated, as evidenced by peak variable in amplitudes and inconsistent intervals between peaks, reflecting an unsynchronous contractile behavior. Meanwhile, in presence of G2, the graph shows relatively regular beating frequency throughout the measured period, suggesting improved electrical and mechanical synchronization.</p>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>Cardiac ECM is necessary for cell migration, proliferation, and differentiation and is important for the structural integrity and elasticity of heart tissue, providing mechanical stiffness (<xref ref-type="bibr" rid="B5">Bildyug, 2019</xref>). Moreover, the ECM has a pivotal role in cardiomyogenesis, thus, some methods of cardiogenic differentiation include ECM proteins as a scaffold to enhance differentiation of cells towards CMs. Due to their specificity, high stability, and ability to be easily tailored and immobilized, ECM-related peptides are considered potent recombinant protein alternatives (<xref ref-type="bibr" rid="B1">Abdal Dayem et al., 2023</xref>). Moreover, peptides can emulate the functions of their full-length native counterparts.</p>
<p>Among all the components of ECM, laminins, especially laminin-221, represent a major component in the cardiac extracellular environment. Laminins are heterotrimeric basement membrane glycoproteins composed of &#x3b1;, &#x3b2;, and &#x3b3; chains. Many active sequences have been found in the laminin globular domain (LG domain) at the C-terminal region of the &#x3b1; chain and shown to play an essential role in the interactions with cell surface receptors in a peptide and cell type-specific manner. The expression of the laminin &#x3b1;2 chain is crucial for muscle formation and regeneration (<xref ref-type="bibr" rid="B47">Wang et al., 2019</xref>; <xref ref-type="bibr" rid="B4">Barraza-Flores et al., 2020</xref>).</p>
<p>In order to define the adequate concentration of the laminin-derived peptide, we at first evaluated in both cells the cytoskeletal rearrangements induced by integrin-peptide interaction. The sarcomeric cytoskeleton represents the main structural element of myocytes essential in the regulation of cell shape and mechanical integrity, providing the uniform transmission of tension along myofibrils (<xref ref-type="bibr" rid="B11">Casarella et al., 2024</xref>; <xref ref-type="bibr" rid="B50">Zamir and Geiger, 2001</xref>; <xref ref-type="bibr" rid="B8">Burridge and Fath, 1989</xref>; <xref ref-type="bibr" rid="B23">Legerstee and Houtsmuller, 2021</xref>). We demonstrated that the presence of the peptide led to the structural reorganization of actin stress fibers, which represent a specialized form of F-actin associated with myosin II filaments, crosslinked by alpha-actinin and other associated proteins (e.g., vimentin, zyxin, and FA complex) (<xref ref-type="bibr" rid="B11">Casarella et al., 2024</xref>; <xref ref-type="bibr" rid="B23">Legerstee and Houtsmuller, 2021</xref>).</p>
<p>Additionally, the cytoskeleton allows an integrated connection to the extracellular matrix through the FAs, which mediate cell adhesion by connecting the cytoskeleton to the extracellular matrix, allowing the muscle to sense and respond to biomechanical stress (<xref ref-type="bibr" rid="B50">Zamir and Geiger, 2001</xref>; <xref ref-type="bibr" rid="B41">Sequeira et al., 2014</xref>). In a previous work, we demonstrated the role of vinculin and FAs in cardiac differentiation (<xref ref-type="bibr" rid="B10">Carton et al., 2023</xref>), here we evaluated the FAs formation in hMSC-Y201 and primary cardiac cells, demonstrating how the G2 peptide enhanced the FAs in differentiated hMSC-Y201. Meanwhile, in primary cardiac cells, the FAs resulted comparable in respect to the control when in presence of G2 at a lower concentration, suggesting that, when in presence of primary/differentiated cells, G2 can maintain the physiological and morphological state of actin fibers and FAs. In fact, it has been proved that laminin-221, by binding specifically to integrin &#x3b1;7&#x3b2;1, plays a crucial role in the enhancement of differentiation, growth, and viability of hiPS&#x2010;CMs and hESC (<xref ref-type="bibr" rid="B38">Samura et al., 2020</xref>; <xref ref-type="bibr" rid="B48">Yap et al., 2019</xref>; <xref ref-type="bibr" rid="B30">Nishiuchi et al., 2006</xref>).</p>
<p>Cardiac gene expression revealed the ability of the peptide to support cardiac differentiation, enhancing, in MSC, the expression of GATA-4 and NKX 2.5 genes, a cardiac transcription factor that has been shown to play critical roles in development, regulation of differentiation and control of cell proliferation and movement (<xref ref-type="bibr" rid="B13">Durocher et al., 1997</xref>; <xref ref-type="bibr" rid="B37">Saadane et al., 1999</xref>; <xref ref-type="bibr" rid="B40">Sepulveda et al., 1998</xref>). Interestingly, gene expression of GATA-4 in primary cardiomyocytes resulted constant in G2 compared to the control, indicating the ability of the peptide in supporting cardiac phenotype maintenance.</p>
<p>Moreover, the protein expression revealed that connexin-43 was upregulated in both cells when in presence of G2, indicating the pivotal role in guiding cytoskeletal changes and regulating the contractile activity. Connexins play a crucial role in forming gap junctions (GJs) at cardiac intercalated discs, which allow cell-cell communications and coupling electrical activity. Literature reports that a downregulation of connexin-43 is associated with excessive fibrotic deposition, ventricular dysfunction and weakened GJs (<xref ref-type="bibr" rid="B20">Jansen et al., 2017</xref>; <xref ref-type="bibr" rid="B26">Liu et al., 2022</xref>; <xref ref-type="bibr" rid="B34">Rodr&#xed;guez-Sinovas et al., 2021</xref>). Intriguingly, primary cardiomyocytes, when in presence of G2 at 50&#xa0;&#x3bc;g/mL, showed enhanced contractility and promoted cell clustering, allowing for more synchronized beating with improved force transmission during contractions.</p>
<p>It is well known that laminins, by interacting with integrins, can modulate the mechanotransduction and regulate costameric organization (<xref ref-type="bibr" rid="B11">Casarella et al., 2024</xref>). In addition, mutations in the integrin &#x3b1;7 gene are associated with adult&#x2010;onset cardiac dysfunction in humans and mice, and connexin-43 redistribution might be associated with the mechanosensing and mechanotransduction function of the integrin &#x3b1;7 in cardiac muscle (<xref ref-type="bibr" rid="B31">Okada et al., 2013</xref>; <xref ref-type="bibr" rid="B7">Bugiardini et al., 2022</xref>; <xref ref-type="bibr" rid="B18">Israeli-Rosenberg et al., 2014</xref>). Integrin &#x3b1;7&#x3b2;1 is also expressed in satellite cells and differentiating myoblasts and serves as an important regulator of muscle regeneration and repair (<xref ref-type="bibr" rid="B7">Bugiardini et al., 2022</xref>).</p>
<p>We found that laminin-derived peptide enhanced the expression of the two subunits of integrin, and when hMSC-Y201 was cultured with the neutralizing antibody anti-integrin &#x3b2;1, they loss the cytoskeletal rearrangement in differentiated cells. Moreover, the cardiac differentiation gene NKX 2.5 was downregulated. These data are consistent with previous work in which integrins-related early regulation of cardiomyocyte behavior and organization has been demonstrated (<xref ref-type="bibr" rid="B29">Miao et al., 2024</xref>). The combined expression of &#x3b1; and &#x3b2; integrin subunits is needed for expression of integrin receptors on the cardiomyocytes membrane, and the loss of &#x3b2;1 prevents cardiomyocytes from engaging the ECM network, resulting in failure to establish tissue architecture (<xref ref-type="bibr" rid="B31">Okada et al., 2013</xref>; <xref ref-type="bibr" rid="B29">Miao et al., 2024</xref>). However, due to the intrinsic expression in MSC of GATA-4, which ensures their maintenance of the multipotent differentiation capacity and proliferative potential (<xref ref-type="bibr" rid="B3">Babu et al., 2025</xref>), the differentiated cells demonstrated to still have an enhanced gene expression, even in presence of the neutralizing antibody anti-integrin &#x3b2;1, possibly due to the differentiative factors that can influence the differentiation activating alternative pathways non-laminin-dependent.</p>
<p>The present study demonstrated how laminin-derived peptide enhances cardiac differentiation of MSCs and influence cell behavior of primary cardiomyocytes, driving and maintaining the contractile phenotype.</p>
<p>Thus, given their role in guiding cardiomyogenesis, in order to restore the cardiac phenotype and prevent tissue necrosis after MI, promoting the cell-matrix interactions and cell adhesion, the active-peptides derived from laminin-2 may be used to functionalize scaffolds and matrices, such as hydrogels, for regenerative purposes. However, this strategy could face limitations in the stability of the peptides, potentially affecting the release in terms of therapeutic efficacy and <italic>in vivo</italic> degradation of the matrix. Moreover, functionalization of the matrices with short peptides may require additional molecules in order to achieve the optimal mechanical properties, while affecting the biological efficacy. Ongoing research and technological advancements in this field hold significant promise for enhancing treatment outcomes for cardiac damage and other related disorders. By exploiting these innovative regenerative approaches, the objective of restoring functional cardiac muscle tissue after MI and improving the quality of life for affected individuals is becoming increasingly reachable.</p>
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</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec sec-type="ethics-statement" id="s6">
<title>Ethics statement</title>
<p>Ethical approval was not required for the studies on humans in accordance with the local legislation and institutional requirements because only commercially available established cell lines were used. The animal study was approved by Animal Experimentation Ethics Committee, University of Eastern Piedmont, Italy. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec sec-type="author-contributions" id="s7">
<title>Author contributions</title>
<p>SC: Conceptualization, Data curation, Formal Analysis, Investigation, Methodology, Project administration, Software, Validation, Visualization, Writing &#x2013; original draft. FF: Formal Analysis, Investigation, Methodology, Writing &#x2013; original draft. DD: Methodology, Validation, Writing &#x2013; original draft. VP: Methodology, Software, Writing &#x2013; original draft. CD: Methodology, Writing &#x2013; original draft. IR: Methodology, Writing &#x2013; original draft. FB: Conceptualization, Funding acquisition, Project administration, Resources, Supervision, Writing &#x2013; review and editing.</p>
</sec>
<sec sec-type="funding-information" id="s8">
<title>Funding</title>
<p>The author(s) declare that no financial support was received for the research and/or publication of this article.</p>
</sec>
<ack>
<p>Authors would like to thank Dr. Nausicaa Clemente for her technical help and support during this work.</p>
</ack>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="s10">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec sec-type="disclaimer" id="s11">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec sec-type="supplementary-material" id="s12">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fbioe.2025.1629412/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fbioe.2025.1629412/full&#x23;supplementary-material</ext-link>
</p>
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<supplementary-material xlink:href="DataSheet1.zip" id="SM2" mimetype="application/zip" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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