In vitro effect of hydroxychloroquine on pluripotent stem cells and their cardiomyocytes derivatives

Introduction: Hydroxychloroquine (HDQ) is an antimalarial drug that has also shown its effectiveness in autoimmune diseases. Despite having side effects such as retinopathy, neuromyopathy and controversial cardiac toxicity, HDQ has been presented and now intensively studied for the treatment and pre...

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Main Authors: Michelle Vanessa Kamga Kapchoup, Jürgen Hescheler, Filomain Nguemo
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2023.1128382/full
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author Michelle Vanessa Kamga Kapchoup
Jürgen Hescheler
Filomain Nguemo
author_facet Michelle Vanessa Kamga Kapchoup
Jürgen Hescheler
Filomain Nguemo
author_sort Michelle Vanessa Kamga Kapchoup
collection DOAJ
description Introduction: Hydroxychloroquine (HDQ) is an antimalarial drug that has also shown its effectiveness in autoimmune diseases. Despite having side effects such as retinopathy, neuromyopathy and controversial cardiac toxicity, HDQ has been presented and now intensively studied for the treatment and prevention of coronavirus disease 2019 (COVID-19). Recent works revealed both beneficial and toxic effects during HDQ treatment. The cardiotoxic profile of HDQ remains unclear and identifying risk factors is challenging.Methods: Here, we used well-established cell-cultured to study the cytotoxic effect of HDQ, mouse induced pluripotent stem cells (miPSC) and their cardiomyocytes (CMs) derivatives were exposed to different concentrations of HDQ. Cell colony morphology was assessed by microscopy whereas cell viability was measured by flow cytometry and impedance-based methods. The effect of HDQ on beating activity of mouse and human induced pluripotent stem cell-derived CMs (miPSC-CMs and hiPSC-CMs, respectively) and mouse embryonic stem cell-derived CMs (mESC-CMs) were captured by the xCELLigence RTCA and microelectrode array (MEA) systems.Results and discussion: Our results revealed that 20 µM of HDQ promotes proliferation of stem cells used suggesting that if appropriately monitored, HDQ may have a cardioprotective effect and may also represent a possible candidate for tissue repair. In addition, the field potential signals revealed that higher doses of this medication caused bradycardia that could be reversed with a higher concentration of ß-adrenergic agonist, Isoproterenol (Iso). On the contrary, HDQ caused an increase in the beating rate of hiPSC-CMs, which was further helped upon application of Isoproterenol (Iso) suggesting that HDQ and Iso may also work synergistically. These results indicate that HDQ is potentially toxic at high concentrations and can modulate the beating activity of cardiomyocytes. Moreover, HDQ could have a synergistic inotropic effect with isoproterenol on cardiac cells.
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spelling doaj.art-ee4f0618b32a419c96e630fc015a53fb2023-07-13T00:13:44ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122023-07-011410.3389/fphar.2023.11283821128382In vitro effect of hydroxychloroquine on pluripotent stem cells and their cardiomyocytes derivativesMichelle Vanessa Kamga KapchoupJürgen HeschelerFilomain NguemoIntroduction: Hydroxychloroquine (HDQ) is an antimalarial drug that has also shown its effectiveness in autoimmune diseases. Despite having side effects such as retinopathy, neuromyopathy and controversial cardiac toxicity, HDQ has been presented and now intensively studied for the treatment and prevention of coronavirus disease 2019 (COVID-19). Recent works revealed both beneficial and toxic effects during HDQ treatment. The cardiotoxic profile of HDQ remains unclear and identifying risk factors is challenging.Methods: Here, we used well-established cell-cultured to study the cytotoxic effect of HDQ, mouse induced pluripotent stem cells (miPSC) and their cardiomyocytes (CMs) derivatives were exposed to different concentrations of HDQ. Cell colony morphology was assessed by microscopy whereas cell viability was measured by flow cytometry and impedance-based methods. The effect of HDQ on beating activity of mouse and human induced pluripotent stem cell-derived CMs (miPSC-CMs and hiPSC-CMs, respectively) and mouse embryonic stem cell-derived CMs (mESC-CMs) were captured by the xCELLigence RTCA and microelectrode array (MEA) systems.Results and discussion: Our results revealed that 20 µM of HDQ promotes proliferation of stem cells used suggesting that if appropriately monitored, HDQ may have a cardioprotective effect and may also represent a possible candidate for tissue repair. In addition, the field potential signals revealed that higher doses of this medication caused bradycardia that could be reversed with a higher concentration of ß-adrenergic agonist, Isoproterenol (Iso). On the contrary, HDQ caused an increase in the beating rate of hiPSC-CMs, which was further helped upon application of Isoproterenol (Iso) suggesting that HDQ and Iso may also work synergistically. These results indicate that HDQ is potentially toxic at high concentrations and can modulate the beating activity of cardiomyocytes. Moreover, HDQ could have a synergistic inotropic effect with isoproterenol on cardiac cells.https://www.frontiersin.org/articles/10.3389/fphar.2023.1128382/fullhydroxychloroquinestem cellsproliferationdifferentiationcardiotoxicity
spellingShingle Michelle Vanessa Kamga Kapchoup
Jürgen Hescheler
Filomain Nguemo
In vitro effect of hydroxychloroquine on pluripotent stem cells and their cardiomyocytes derivatives
Frontiers in Pharmacology
hydroxychloroquine
stem cells
proliferation
differentiation
cardiotoxicity
title In vitro effect of hydroxychloroquine on pluripotent stem cells and their cardiomyocytes derivatives
title_full In vitro effect of hydroxychloroquine on pluripotent stem cells and their cardiomyocytes derivatives
title_fullStr In vitro effect of hydroxychloroquine on pluripotent stem cells and their cardiomyocytes derivatives
title_full_unstemmed In vitro effect of hydroxychloroquine on pluripotent stem cells and their cardiomyocytes derivatives
title_short In vitro effect of hydroxychloroquine on pluripotent stem cells and their cardiomyocytes derivatives
title_sort in vitro effect of hydroxychloroquine on pluripotent stem cells and their cardiomyocytes derivatives
topic hydroxychloroquine
stem cells
proliferation
differentiation
cardiotoxicity
url https://www.frontiersin.org/articles/10.3389/fphar.2023.1128382/full
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AT jurgenhescheler invitroeffectofhydroxychloroquineonpluripotentstemcellsandtheircardiomyocytesderivatives
AT filomainnguemo invitroeffectofhydroxychloroquineonpluripotentstemcellsandtheircardiomyocytesderivatives