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诱导多能干细胞衍生的心肌细胞揭示左心室致密化不全心肌病中异常的转化生长因子-β信号传导。

iPSC-derived cardiomyocytes reveal abnormal TGF-β signalling in left ventricular non-compaction cardiomyopathy.

作者信息

Kodo Kazuki, Ong Sang-Ging, Jahanbani Fereshteh, Termglinchan Vittavat, Hirono Keiichi, InanlooRahatloo Kolsoum, Ebert Antje D, Shukla Praveen, Abilez Oscar J, Churko Jared M, Karakikes Ioannis, Jung Gwanghyun, Ichida Fukiko, Wu Sean M, Snyder Michael P, Bernstein Daniel, Wu Joseph C

机构信息

Stanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, California 94305, USA.

Department of Medicine, Division of Cardiology, Stanford University School of Medicine, Stanford, California 94305, USA.

出版信息

Nat Cell Biol. 2016 Oct;18(10):1031-42. doi: 10.1038/ncb3411. Epub 2016 Sep 19.

Abstract

Left ventricular non-compaction (LVNC) is the third most prevalent cardiomyopathy in children and its pathogenesis has been associated with the developmental defect of the embryonic myocardium. We show that patient-specific induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs) generated from LVNC patients carrying a mutation in the cardiac transcription factor TBX20 recapitulate a key aspect of the pathological phenotype at the single-cell level and this was associated with perturbed transforming growth factor beta (TGF-β) signalling. LVNC iPSC-CMs have decreased proliferative capacity due to abnormal activation of TGF-β signalling. TBX20 regulates the expression of TGF-β signalling modifiers including one known to be a genetic cause of LVNC, PRDM16, and genome editing of PRDM16 caused proliferation defects in iPSC-CMs. Inhibition of TGF-β signalling and genome correction of the TBX20 mutation were sufficient to reverse the disease phenotype. Our study demonstrates that iPSC-CMs are a useful tool for the exploration of pathological mechanisms underlying poorly understood cardiomyopathies including LVNC.

摘要

左心室心肌致密化不全(LVNC)是儿童中第三常见的心肌病,其发病机制与胚胎心肌的发育缺陷有关。我们发现,携带心脏转录因子TBX20突变的LVNC患者来源的患者特异性诱导多能干细胞衍生心肌细胞(iPSC-CMs)在单细胞水平上重现了病理表型的一个关键方面,这与转化生长因子β(TGF-β)信号传导紊乱有关。LVNC iPSC-CMs由于TGF-β信号的异常激活而增殖能力下降。TBX20调节TGF-β信号修饰因子的表达,其中包括一种已知为LVNC遗传病因的因子PRDM16,对PRDM16进行基因组编辑会导致iPSC-CMs出现增殖缺陷。抑制TGF-β信号传导和对TBX20突变进行基因组校正足以逆转疾病表型。我们的研究表明,iPSC-CMs是探索包括LVNC在内的了解较少的心肌病病理机制的有用工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beb1/5042877/63374d3160ec/nihms810571f1.jpg

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