Royal College of Surgeons Ireland University of Medicine and Health Sciences, Dublin, Ireland.
Division of Cardiology, Department of Internal Medicine, University of California San Diego, La Jolla, CA, 92037, USA.
Curr Cardiol Rep. 2022 Jun;24(6):631-644. doi: 10.1007/s11886-022-01683-8. Epub 2022 Jun 3.
The advent of induced pluripotent stem cells (iPSC) has paved the way for new in vitro models of human cardiomyopathy. Herein, we will review existing models of disease as well as strengths and limitations of the system.
Preclinical studies have now demonstrated that iPSCs generated from patients with both acquired or heritable genetic diseases retain properties of the disease in vitro and can be used as a model to study novel therapeutics. iPSCs can be differentiated in vitro into the cardiomyocyte lineage into cells resembling adult ventricular myocytes that retain properties of cardiovascular disease from their respective donor. iPSC pluripotency allows for them to be frozen, stored, and continually used to generate iPSC-derived myocytes for future experiments without need for invasive procedures or repeat myocyte isolations to obtain animal or human cardiac tissues. While not without their limitations, iPSC models offer new ways for studying patient-specific cardiomyopathies. iPSCs offer a high-throughput avenue for drug development, modeling of disease pathophysiology in vitro, and enabling experimental repair strategies without need for invasive procedures to obtain cardiac tissues.
诱导多能干细胞(iPSC)的出现为人类心肌病的体外新型模型铺平了道路。本文将回顾现有的疾病模型以及该系统的优缺点。
目前的临床前研究已经证明,源自获得性或遗传性遗传疾病患者的 iPSC 在体外保留了疾病的特性,可作为研究新型治疗方法的模型。iPSC 可在体外分化为心肌细胞系,形成类似于成年心室肌细胞的细胞,保留其各自供体的心血管疾病特性。iPSC 的多能性使其能够冷冻、储存,并持续用于生成 iPSC 衍生的心肌细胞,以便将来进行实验,而无需进行侵入性程序或重复分离心肌细胞以获取动物或人类心脏组织。尽管存在局限性,但 iPSC 模型为研究患者特异性心肌病提供了新方法。iPSC 为药物开发、体外疾病病理生理学建模以及在无需进行侵入性程序获取心脏组织的情况下实现实验修复策略提供了高通量途径。