Rationale: Single cell RNA sequencing (scRNA-seq) has emerged as a powerful tool to profile the transcriptome at single cell resolution, enabling comprehensive analysis of cellular trajectories and heterogeneity during development and disease. However, the use of scRNA-seq remains limited in cardiac pathology owing to technical difficulties associated with the isolation of single adult cardiomyocytes (CMs).
Objective:We investigated the capability of large-particle fluorescence-activated cell sorting (LP-FACS) for isolation of viable single adult CMs.
Methods and Results:We found that LP-FACS readily outperforms conventional FACS for isolation of struturally competent CMs, including large CMs. Additionally, LP-FACS enables isolation of fluorescent CMs from mosaic models. Importantly, the sorted CMs allow generation of high-quality scRNA-seq libraries. Unlike CMs isolated via previously utilized fluidic or manual methods, LP-FACisolated CMs generate libraries exhibiting normal levels of mitochondrial transcripts. Moreover, LP-FACS isolated CMs remain functionally competent and can be studied for contractile properties.
Conclusions:Our study enables high quality dissection of adult CM biology at single-cell resolution.To date, however, scRNA-seq of adult CMs has been limited owing to technical difficulties in the isolation of single CMs. Specialized techniques are required for dissociation of the heart without damaging cells, as CMs are highly sensitive to pH, buffer ionic concentrations, and mechanical disruption 7 . Moreover, adult CMs are large (approximately 125x25µm 8 ), rod-shaped cells whose structure precludes isolation by either fluorescence-activated cell sorting (FACS) or commercial single cell microfluidic platforms (such as the Fluidigm C1 or Chromium 10X) 2,3 . Previous studies that have attempted to isolate CMs using conventional FACS equipment have resulted in frequent clogging of the instrument 9 or generation and/of fragmented myocytes 10 . Moreover, scRNA-seq libraries generated from CMs following FACS 10 or isolation on the Fluidigm C1 4 have been dominated by mitochondrial reads, potentially suggesting that the cells were damaged prior to library generation. While one group has previously reported on isolation of rod-shaped CMs by FACS 11,12 , this approach only worked with fixed cells, and required significant instrument and sort parameter customization that may preclude its use in other labs. One approach that has been successful in generating high quality scRNA-seq libraries from single CMs has been single cell picking by micropipette 13 . However, this approach is technically challenging, low throughput, and time intensive, which may in turn lead to significant transcriptomic changes during isolation. In lieu of whole cell scRNA-seq, others have utilized single nuclear RNA-seq (snRNA-seq), which overcomes the challenges of isolating large CMs [14][15][16] . While this approach can broadly capture cellular heterogeneity, snRNA-seq inherently detects fewer molecules and may skew gene expressi...