Incubation with of Tet2-deficient bone marrow–derived macrophages alters cardiomyocyte calcium handling. A, Human pluripotent stem cells differentiated to atrial cardiomyocytes (hPSC-aCM) were coincubated with Tet2-deficient (Tet2KO) bone marrow–derived macrophages (BMDM) or cytokines, IL-1β and IL-6. Calcium studies were performed using the calcium sensitive dye Fluo-3 AM. B, After 1 minute pacing at 1 Hz, fast perfusion of 10 mM caffeine leads to calcium emptying into the cytosol from SR. C, Tet2KO BMDM-treated hPSC-aCM showed reduced total SR Ca2+ release. △F/F0 is the change in fluorescence intensity over baseline. D, 1 Hz paced calcium transient amplitude (measured with Fluo-3 AM) is reduced in the hPSC-aCM incubated with Tet2KO BMDM compared with WT BMDM, with E, an increase in calcium transient time to peak (TTP). F, hPSC-aCM cardiomyocytes stimulated in culture with cytokines IL-1β 10 ng/mL or IL-6 10 ng/mL showed decreased SR calcium release (measured with Fluo-4 NW). Statistical tests: 2-tailed Student t test for C through E; 1-way ANOVA with Tukey multiple comparisons for F. IL-1β indicates interleukin 1β; IL-6, interleukin 6; SR, sarcoplasmic reticulum; TET2, tet methylcystosine dioxygenase 2; and WT, wild-type.