Modeling of <i>LMNA</i>-Related Dilated Cardiomyopathy Using Human Induced Pluripotent Stem Cells

Dilated cardiomyopathy (DCM) is one of the leading causes of heart failure and heart transplantation. A portion of familial DCM is due to mutations in the <i>LMNA</i> gene encoding the nuclear lamina proteins lamin A and C and without adequate treatment these patients have a poor prognos...

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Main Authors: Disheet Shah, Laura Virtanen, Chandra Prajapati, Mostafa Kiamehr, Josef Gullmets, Gun West, Joose Kreutzer, Mari Pekkanen-Mattila, Tiina Heliö, Pasi Kallio, Pekka Taimen, Katriina Aalto-Setälä
Format: Article
Language:English
Published: MDPI AG 2019-06-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/8/6/594
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author Disheet Shah
Laura Virtanen
Chandra Prajapati
Mostafa Kiamehr
Josef Gullmets
Gun West
Joose Kreutzer
Mari Pekkanen-Mattila
Tiina Heliö
Pasi Kallio
Pekka Taimen
Katriina Aalto-Setälä
author_facet Disheet Shah
Laura Virtanen
Chandra Prajapati
Mostafa Kiamehr
Josef Gullmets
Gun West
Joose Kreutzer
Mari Pekkanen-Mattila
Tiina Heliö
Pasi Kallio
Pekka Taimen
Katriina Aalto-Setälä
author_sort Disheet Shah
collection DOAJ
description Dilated cardiomyopathy (DCM) is one of the leading causes of heart failure and heart transplantation. A portion of familial DCM is due to mutations in the <i>LMNA</i> gene encoding the nuclear lamina proteins lamin A and C and without adequate treatment these patients have a poor prognosis. To get better insights into pathobiology behind this disease, we focused on modeling <i>LMNA</i>-related DCM using human induced pluripotent stem cell derived cardiomyocytes (hiPSC-CM). Primary skin fibroblasts from DCM patients carrying the most prevalent Finnish founder mutation (p.S143P) in <i>LMNA</i> were reprogrammed into hiPSCs and further differentiated into cardiomyocytes (CMs). The cellular structure, functionality as well as gene and protein expression were assessed in detail. While mutant hiPSC-CMs presented virtually normal sarcomere structure under normoxia, dramatic sarcomere damage and an increased sensitivity to cellular stress was observed after hypoxia. A detailed electrophysiological evaluation revealed bradyarrhythmia and increased occurrence of arrhythmias in mutant hiPSC-CMs on &#946;-adrenergic stimulation. Mutant hiPSC-CMs also showed increased sensitivity to hypoxia on microelectrode array and altered Ca<sup>2+</sup> dynamics. Taken together, p.S143P hiPSC-CM model mimics hallmarks of <i>LMNA</i>-related DCM and provides a useful tool to study the underlying cellular mechanisms of accelerated cardiac degeneration in this disease.
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spelling doaj.art-c6fb85b811c545bca8652ab8309eb7712023-09-02T23:58:38ZengMDPI AGCells2073-44092019-06-018659410.3390/cells8060594cells8060594Modeling of <i>LMNA</i>-Related Dilated Cardiomyopathy Using Human Induced Pluripotent Stem CellsDisheet Shah0Laura Virtanen1Chandra Prajapati2Mostafa Kiamehr3Josef Gullmets4Gun West5Joose Kreutzer6Mari Pekkanen-Mattila7Tiina Heliö8Pasi Kallio9Pekka Taimen10Katriina Aalto-Setälä11BioMediTech, Faculty of Medicine and Health Technology; Tampere University, 33520 Tampere, FinlandInstitute of Biomedicine, University of Turku, 20520 Turku, FinlandBioMediTech, Faculty of Medicine and Health Technology; Tampere University, 33520 Tampere, FinlandBioMediTech, Faculty of Medicine and Health Technology; Tampere University, 33520 Tampere, FinlandInstitute of Biomedicine, University of Turku, 20520 Turku, FinlandInstitute of Biomedicine, University of Turku, 20520 Turku, FinlandMicro-and Nanosystems Research Group, BioMediTech, Faculty of Medicine and Health Technology, Tampere University, 33140 Tampere, FinlandBioMediTech, Faculty of Medicine and Health Technology; Tampere University, 33520 Tampere, FinlandHelsinki University Hospital, 00029 Helsinki, FinlandMicro-and Nanosystems Research Group, BioMediTech, Faculty of Medicine and Health Technology, Tampere University, 33140 Tampere, FinlandInstitute of Biomedicine, University of Turku, 20520 Turku, FinlandBioMediTech, Faculty of Medicine and Health Technology; Tampere University, 33520 Tampere, FinlandDilated cardiomyopathy (DCM) is one of the leading causes of heart failure and heart transplantation. A portion of familial DCM is due to mutations in the <i>LMNA</i> gene encoding the nuclear lamina proteins lamin A and C and without adequate treatment these patients have a poor prognosis. To get better insights into pathobiology behind this disease, we focused on modeling <i>LMNA</i>-related DCM using human induced pluripotent stem cell derived cardiomyocytes (hiPSC-CM). Primary skin fibroblasts from DCM patients carrying the most prevalent Finnish founder mutation (p.S143P) in <i>LMNA</i> were reprogrammed into hiPSCs and further differentiated into cardiomyocytes (CMs). The cellular structure, functionality as well as gene and protein expression were assessed in detail. While mutant hiPSC-CMs presented virtually normal sarcomere structure under normoxia, dramatic sarcomere damage and an increased sensitivity to cellular stress was observed after hypoxia. A detailed electrophysiological evaluation revealed bradyarrhythmia and increased occurrence of arrhythmias in mutant hiPSC-CMs on &#946;-adrenergic stimulation. Mutant hiPSC-CMs also showed increased sensitivity to hypoxia on microelectrode array and altered Ca<sup>2+</sup> dynamics. Taken together, p.S143P hiPSC-CM model mimics hallmarks of <i>LMNA</i>-related DCM and provides a useful tool to study the underlying cellular mechanisms of accelerated cardiac degeneration in this disease.https://www.mdpi.com/2073-4409/8/6/594dilated cardiomyopathy<i>LMNA</i>Lamin A/Cinduced pluripotent stem cellhypoxiamicroelectrode array and calcium imaging
spellingShingle Disheet Shah
Laura Virtanen
Chandra Prajapati
Mostafa Kiamehr
Josef Gullmets
Gun West
Joose Kreutzer
Mari Pekkanen-Mattila
Tiina Heliö
Pasi Kallio
Pekka Taimen
Katriina Aalto-Setälä
Modeling of <i>LMNA</i>-Related Dilated Cardiomyopathy Using Human Induced Pluripotent Stem Cells
Cells
dilated cardiomyopathy
<i>LMNA</i>
Lamin A/C
induced pluripotent stem cell
hypoxia
microelectrode array and calcium imaging
title Modeling of <i>LMNA</i>-Related Dilated Cardiomyopathy Using Human Induced Pluripotent Stem Cells
title_full Modeling of <i>LMNA</i>-Related Dilated Cardiomyopathy Using Human Induced Pluripotent Stem Cells
title_fullStr Modeling of <i>LMNA</i>-Related Dilated Cardiomyopathy Using Human Induced Pluripotent Stem Cells
title_full_unstemmed Modeling of <i>LMNA</i>-Related Dilated Cardiomyopathy Using Human Induced Pluripotent Stem Cells
title_short Modeling of <i>LMNA</i>-Related Dilated Cardiomyopathy Using Human Induced Pluripotent Stem Cells
title_sort modeling of i lmna i related dilated cardiomyopathy using human induced pluripotent stem cells
topic dilated cardiomyopathy
<i>LMNA</i>
Lamin A/C
induced pluripotent stem cell
hypoxia
microelectrode array and calcium imaging
url https://www.mdpi.com/2073-4409/8/6/594
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