Department of Molecular Pharmacology and Experimental Therapeutics, Windland Smith Rice Sudden Death Genomics Laboratory, Mayo Clinic, Rochester, MN, 55905, USA.
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, 55905, USA.
J Cardiovasc Transl Res. 2019 Oct;12(5):394-403. doi: 10.1007/s12265-019-09873-6. Epub 2019 Feb 22.
Hypertrophic cardiomyopathy (HCM), characterized by unexplained left ventricular hypertrophy, is one of the most common heritable cardiovascular diseases. The myosin regulatory light chain (MYL2) mutation R58Q has been associated with severe cardiac hypertrophy and sudden cardiac death (SCD). Herein, we provide the first patient-specific, induced pluripotent stem cell-derived cardiomyocyte (iPSC-CM) model of MYL2-R58Q. The MYL2-R58Q iPSC-CMs were nearly 30% larger than control iPSC-CMs at day 60. The percentage of myofibrillar disarray and cells with irregular beating in MYL2-R58Q iPSC-CMs was significantly higher than that in control cells. MYL2-R58Q iPSC-CMs had significantly decreased peak ΔF/F0 of calcium transients and delayed decay time than controls. Additionally, the L-type Ca channel (LTCC) (I) density at 0 mV was reduced significantly by 45.3%. Overall, the MYL2-R58Q iPSC-CMs recapitulated the HCM phenotype by exhibiting hypertrophy, myofibrillar disarray, increased irregular beating, decreased [Ca] transients, and unexpectedly a nearly 50% reduction in LTCC peak current.
肥厚型心肌病(HCM)的特征是左心室肥厚原因不明,是最常见的遗传性心血管疾病之一。肌球蛋白调节轻链(MYL2)突变 R58Q 与严重的心脏肥大和心脏性猝死(SCD)有关。本文提供了首例 MYL2-R58Q 患者特异性诱导多能干细胞衍生心肌细胞(iPSC-CM)模型。MYL2-R58Q iPSC-CM 在第 60 天比对照 iPSC-CM 大近 30%。肌原纤维排列紊乱和不规则跳动的细胞百分比在 MYL2-R58Q iPSC-CM 中显著高于对照细胞。MYL2-R58Q iPSC-CM 的钙瞬变峰值 ΔF/F0 明显降低,衰减时间延迟。此外,在 0 mV 时 L 型钙通道(LTCC)(I)密度降低了 45.3%。总的来说,MYL2-R58Q iPSC-CM 通过表现出肥大、肌原纤维排列紊乱、不规则跳动增加、钙瞬变减少,以及 LTCC 峰值电流减少近 50%,重现了 HCM 表型。