Induced pluripotent stem cell derived cardiomyocytes as models for cardiac arrhythmias

Cardiac arrhythmias are a major cause of morbidity and mortality. In younger patients, the majority of sudden cardiac deaths have an underlying Mendelian genetic cause. Over the last 15 years, enormous progress has been made in identifying the distinct clinical phenotypes and in studying the basic c...

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Main Authors: Maaike eHoekstra, Christine L. Mummery, Arthur A.M. Wilde, Connie R. Bezzina, Arie O. Verkerk
Format: Article
Language:English
Published: Frontiers Media S.A. 2012-08-01
Series:Frontiers in Physiology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fphys.2012.00346/full
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author Maaike eHoekstra
Christine L. Mummery
Arthur A.M. Wilde
Connie R. Bezzina
Arie O. Verkerk
author_facet Maaike eHoekstra
Christine L. Mummery
Arthur A.M. Wilde
Connie R. Bezzina
Arie O. Verkerk
author_sort Maaike eHoekstra
collection DOAJ
description Cardiac arrhythmias are a major cause of morbidity and mortality. In younger patients, the majority of sudden cardiac deaths have an underlying Mendelian genetic cause. Over the last 15 years, enormous progress has been made in identifying the distinct clinical phenotypes and in studying the basic cellular and genetic mechanisms associated with the primary Mendelian (monogenic) arrhythmia syndromes. Investigation of the electrophysiological consequences of an ion channel mutation is ideally done in the native cardiomyocyte environment. However, the majority of such studies so far have relied on heterologous expression systems in which single ion channel genes are expressed in non-cardiac cells. In some cases, transgenic mouse models haven been generated, but these also have significant shortcomings, primarily related to species differences.The discovery that somatic cells can be reprogrammed to pluripotency as induced pluripotent stem cells (iPSC) has generated much interest since it presents an opportunity to generate patient- and disease-specific cell lines from which normal and diseased human cardiomyocytes can be obtained These genetically diverse human model systems can be studied in vitro and used to decipher mechanisms of disease and identify strategies and reagents for new therapies. Here we review the present state of the art with respect to cardiac disease models already generated using IPSC technology and which have been (partially) characterized.Human iPSC (hiPSC) models have been described for the cardiac arrhythmia syndromes, including LQT1, LQT2, LQT3-Brugada Syndrome, LQT8/Timothy syndrome and catecholaminergic polymorphic ventricular tachycardia. In most cases, the hiPSC-derived cardiomyoctes recapitulate the disease phenotype and have already provided opportunities for novel insight into cardiac pathophysiology. It is expected that the lines will be useful in the development of pharmacological agents for the management of these disorders.
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spelling doaj.art-0856561a499d4a259d9a8049e3b33e0c2022-12-22T02:05:10ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2012-08-01310.3389/fphys.2012.0034627708Induced pluripotent stem cell derived cardiomyocytes as models for cardiac arrhythmiasMaaike eHoekstra0Christine L. Mummery1Arthur A.M. Wilde2Connie R. Bezzina3Arie O. Verkerk4Academic Medical CenterLeiden University Medical CenterAcademic Medical CenterAcademic Medical CenterAcademic Medical CenterCardiac arrhythmias are a major cause of morbidity and mortality. In younger patients, the majority of sudden cardiac deaths have an underlying Mendelian genetic cause. Over the last 15 years, enormous progress has been made in identifying the distinct clinical phenotypes and in studying the basic cellular and genetic mechanisms associated with the primary Mendelian (monogenic) arrhythmia syndromes. Investigation of the electrophysiological consequences of an ion channel mutation is ideally done in the native cardiomyocyte environment. However, the majority of such studies so far have relied on heterologous expression systems in which single ion channel genes are expressed in non-cardiac cells. In some cases, transgenic mouse models haven been generated, but these also have significant shortcomings, primarily related to species differences.The discovery that somatic cells can be reprogrammed to pluripotency as induced pluripotent stem cells (iPSC) has generated much interest since it presents an opportunity to generate patient- and disease-specific cell lines from which normal and diseased human cardiomyocytes can be obtained These genetically diverse human model systems can be studied in vitro and used to decipher mechanisms of disease and identify strategies and reagents for new therapies. Here we review the present state of the art with respect to cardiac disease models already generated using IPSC technology and which have been (partially) characterized.Human iPSC (hiPSC) models have been described for the cardiac arrhythmia syndromes, including LQT1, LQT2, LQT3-Brugada Syndrome, LQT8/Timothy syndrome and catecholaminergic polymorphic ventricular tachycardia. In most cases, the hiPSC-derived cardiomyoctes recapitulate the disease phenotype and have already provided opportunities for novel insight into cardiac pathophysiology. It is expected that the lines will be useful in the development of pharmacological agents for the management of these disorders.http://journal.frontiersin.org/Journal/10.3389/fphys.2012.00346/fullElectrophysiologyHeartInduced Pluripotent Stem Cellshumancardiomyocytescardiac arrhythmia syndromes
spellingShingle Maaike eHoekstra
Christine L. Mummery
Arthur A.M. Wilde
Connie R. Bezzina
Arie O. Verkerk
Induced pluripotent stem cell derived cardiomyocytes as models for cardiac arrhythmias
Frontiers in Physiology
Electrophysiology
Heart
Induced Pluripotent Stem Cells
human
cardiomyocytes
cardiac arrhythmia syndromes
title Induced pluripotent stem cell derived cardiomyocytes as models for cardiac arrhythmias
title_full Induced pluripotent stem cell derived cardiomyocytes as models for cardiac arrhythmias
title_fullStr Induced pluripotent stem cell derived cardiomyocytes as models for cardiac arrhythmias
title_full_unstemmed Induced pluripotent stem cell derived cardiomyocytes as models for cardiac arrhythmias
title_short Induced pluripotent stem cell derived cardiomyocytes as models for cardiac arrhythmias
title_sort induced pluripotent stem cell derived cardiomyocytes as models for cardiac arrhythmias
topic Electrophysiology
Heart
Induced Pluripotent Stem Cells
human
cardiomyocytes
cardiac arrhythmia syndromes
url http://journal.frontiersin.org/Journal/10.3389/fphys.2012.00346/full
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