Azoramide ameliorated tachypacing-induced injury of atrial myocytes differentiated from human induced pluripotent stem cell by regulating endoplasmic reticulum stress

Hypoglycemic agents have been shown to reduce the incidence of atrial fibrillation (AF) in patients with diabetes mellitus. Azoramide is a novel anti-diabetic agent which protects cells against endoplasmic reticulum (ER) stress; however, the cardioprotective effect of azoramide against AF is not cle...

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Main Authors: Weilun Miao, Jiaojiao Shi, Jiayi Huang, Yongpin Lin, Chang Cui, Yue Zhu, Bingyu Zheng, Mingfang Li, Qi Jiang, Minglong Chen
Format: Article
Language:English
Published: Elsevier 2022-04-01
Series:Stem Cell Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1873506122000356
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author Weilun Miao
Jiaojiao Shi
Jiayi Huang
Yongpin Lin
Chang Cui
Yue Zhu
Bingyu Zheng
Mingfang Li
Qi Jiang
Minglong Chen
author_facet Weilun Miao
Jiaojiao Shi
Jiayi Huang
Yongpin Lin
Chang Cui
Yue Zhu
Bingyu Zheng
Mingfang Li
Qi Jiang
Minglong Chen
author_sort Weilun Miao
collection DOAJ
description Hypoglycemic agents have been shown to reduce the incidence of atrial fibrillation (AF) in patients with diabetes mellitus. Azoramide is a novel anti-diabetic agent which protects cells against endoplasmic reticulum (ER) stress; however, the cardioprotective effect of azoramide against AF is not clear. In this study, we aimed to investigate the protective effect of azoramide in human iPS-derived atrial myocytes (a-iCMs) against injury induced by high-frequency electrical stimulation. Human-induced pluripotent stem cells were differentiated into a-iCMs by treatment of retinoic acid. The tachypacing group was subjected to 7 Hz tachypacing for 48 h. Azoramide was preconditioned 2-hours before tachypacing. a-iCMs expressed atria-specific genes and the characteristics of the action potential were analogous to those of human atrial myocytes. Tachypacing induced disorder of intracellular calcium homeostasis, apoptosis, depressed ATP level, and severer myofilament dissolution. MetaboAnalysis revealed that tachypacing induced remarkable changes in metabolites involved in energy, amino acid, and glucose metabolism, whereas there was no significant effect on lipid metabolism. Azoramide pretreatment partly alleviated tachypacing-induced calcium dyshomeostasis, ATP consumption, and accelerated apoptosis, which was likely achieved by regulating the PERK/CHOP/CaMKII pathway. Azoramide protected atrial myocytes against injury induced by high-frequency electrical stimulation by regulating ER stress, which may inhibit cell apoptosis and calcium dyshomeostasis via the PERK/CHOP/CaMKII pathway.
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spelling doaj.art-538390ae331e4169b0e047e3eb7916df2022-12-21T23:40:50ZengElsevierStem Cell Research1873-50612022-04-0160102686Azoramide ameliorated tachypacing-induced injury of atrial myocytes differentiated from human induced pluripotent stem cell by regulating endoplasmic reticulum stressWeilun Miao0Jiaojiao Shi1Jiayi Huang2Yongpin Lin3Chang Cui4Yue Zhu5Bingyu Zheng6Mingfang Li7Qi Jiang8Minglong Chen9Department of Cardiology, Huashan Hospital Affiliated to Fudan University, Shanghai 200000, ChinaDepartment of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210000, ChinaDepartment of Cardiology, NanJing Pukou Central Hospital, Nanjing 210000, ChinaDepartment of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210000, ChinaDepartment of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210000, ChinaDepartment of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210000, ChinaDepartment of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210000, ChinaDepartment of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210000, ChinaDepartment of Cardiology, The Third Affiliated Hospital of Soochow University, Changzhou 213000, ChinaDepartment of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210000, China; Correspondence to: Minglong Chen M.D. & Ph.D. & FHRS Professor of Medicine, Department of Cardiology, Jiangsu Province Hospital, Nanjing Medical University, Nanjing 210000, China.Hypoglycemic agents have been shown to reduce the incidence of atrial fibrillation (AF) in patients with diabetes mellitus. Azoramide is a novel anti-diabetic agent which protects cells against endoplasmic reticulum (ER) stress; however, the cardioprotective effect of azoramide against AF is not clear. In this study, we aimed to investigate the protective effect of azoramide in human iPS-derived atrial myocytes (a-iCMs) against injury induced by high-frequency electrical stimulation. Human-induced pluripotent stem cells were differentiated into a-iCMs by treatment of retinoic acid. The tachypacing group was subjected to 7 Hz tachypacing for 48 h. Azoramide was preconditioned 2-hours before tachypacing. a-iCMs expressed atria-specific genes and the characteristics of the action potential were analogous to those of human atrial myocytes. Tachypacing induced disorder of intracellular calcium homeostasis, apoptosis, depressed ATP level, and severer myofilament dissolution. MetaboAnalysis revealed that tachypacing induced remarkable changes in metabolites involved in energy, amino acid, and glucose metabolism, whereas there was no significant effect on lipid metabolism. Azoramide pretreatment partly alleviated tachypacing-induced calcium dyshomeostasis, ATP consumption, and accelerated apoptosis, which was likely achieved by regulating the PERK/CHOP/CaMKII pathway. Azoramide protected atrial myocytes against injury induced by high-frequency electrical stimulation by regulating ER stress, which may inhibit cell apoptosis and calcium dyshomeostasis via the PERK/CHOP/CaMKII pathway.http://www.sciencedirect.com/science/article/pii/S1873506122000356Atrial fibrillation1Human induced pluripotent stem cell2Electrical tachypacing3Azoramide5ER stress
spellingShingle Weilun Miao
Jiaojiao Shi
Jiayi Huang
Yongpin Lin
Chang Cui
Yue Zhu
Bingyu Zheng
Mingfang Li
Qi Jiang
Minglong Chen
Azoramide ameliorated tachypacing-induced injury of atrial myocytes differentiated from human induced pluripotent stem cell by regulating endoplasmic reticulum stress
Stem Cell Research
Atrial fibrillation1
Human induced pluripotent stem cell2
Electrical tachypacing3
Azoramide5
ER stress
title Azoramide ameliorated tachypacing-induced injury of atrial myocytes differentiated from human induced pluripotent stem cell by regulating endoplasmic reticulum stress
title_full Azoramide ameliorated tachypacing-induced injury of atrial myocytes differentiated from human induced pluripotent stem cell by regulating endoplasmic reticulum stress
title_fullStr Azoramide ameliorated tachypacing-induced injury of atrial myocytes differentiated from human induced pluripotent stem cell by regulating endoplasmic reticulum stress
title_full_unstemmed Azoramide ameliorated tachypacing-induced injury of atrial myocytes differentiated from human induced pluripotent stem cell by regulating endoplasmic reticulum stress
title_short Azoramide ameliorated tachypacing-induced injury of atrial myocytes differentiated from human induced pluripotent stem cell by regulating endoplasmic reticulum stress
title_sort azoramide ameliorated tachypacing induced injury of atrial myocytes differentiated from human induced pluripotent stem cell by regulating endoplasmic reticulum stress
topic Atrial fibrillation1
Human induced pluripotent stem cell2
Electrical tachypacing3
Azoramide5
ER stress
url http://www.sciencedirect.com/science/article/pii/S1873506122000356
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