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成功将肥厚型心肌病突变 R723G 敲入 MYH7 基因可模拟猪的 HCM 病理学。

Successful knock-in of Hypertrophic Cardiomyopathy-mutation R723G into the MYH7 gene mimics HCM pathology in pigs.

机构信息

Institute for Molecular and Cell Physiology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.

Institute of Farm Animal Genetics, Friedrich-Loeffler-Institut, Hoeltystrasse 10, Mariensee, 31535, Neustadt, Germany.

出版信息

Sci Rep. 2018 Mar 19;8(1):4786. doi: 10.1038/s41598-018-22936-z.

Abstract

Familial Hypertrophic Cardiomyopathy (HCM) is the most common inherited cardiac disease. About 30% of the patients are heterozygous for mutations in the MYH7 gene encoding the ß-myosin heavy chain (MyHC). Hallmarks of HCM are cardiomyocyte disarray and hypertrophy of the left ventricle, the symptoms range from slight arrhythmias to sudden cardiac death or heart failure. To gain insight into the underlying mechanisms of the diseases' etiology we aimed to generate genome edited pigs with an HCM-mutation. We used TALEN-mediated genome editing and successfully introduced the HCM-point mutation R723G into the MYH7 gene of porcine fibroblasts and subsequently cloned pigs that were heterozygous for the HCM-mutation R723G. No off-target effects were determined in the R723G-pigs. Surprisingly, the animals died within 24 h post partem, probably due to heart failure as indicated by a shift in the a/ß-MyHC ratio in the left ventricle. Most interestingly, the neonatal pigs displayed features of HCM, including mild myocyte disarray, malformed nuclei, and MYH7-overexpression. The finding of HCM-specific pathology in neonatal R723G-piglets suggests a very early onset of the disease and highlights the importance of novel large animal models for studying causative mechanisms and long-term progression of human cardiac diseases.

摘要

家族性肥厚型心肌病(HCM)是最常见的遗传性心脏病。大约 30%的患者携带有编码β-肌球蛋白重链(MyHC)的 MYH7 基因突变的杂合子。HCM 的特征是心肌细胞排列紊乱和左心室肥厚,症状从轻微心律失常到心脏性猝死或心力衰竭不等。为了深入了解疾病病因的潜在机制,我们旨在生成具有 HCM 突变的基因组编辑猪。我们使用 TALEN 介导的基因组编辑技术,成功地将 HCM 点突变 R723G 引入猪成纤维细胞的 MYH7 基因中,并随后克隆了携带 HCM 突变 R723G 的杂合子猪。在 R723G 猪中未发现脱靶效应。令人惊讶的是,这些动物在产后 24 小时内死亡,可能是由于心力衰竭,这从左心室中 a/ß-MyHC 比例的变化中可以看出。最有趣的是,新生猪表现出 HCM 的特征,包括轻微的心肌细胞排列紊乱、畸形核和 MYH7 过表达。在新生 R723G 猪仔中发现 HCM 特异性病理学表明该疾病的发病非常早,这突出了新型大动物模型在研究人类心脏疾病的致病机制和长期进展方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16db/5859159/1870fadcdc61/41598_2018_22936_Fig1_HTML.jpg

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