McEwen Stem Cell Institute, University Health Network, Toronto, ON M5G 1L7, Canada.
Translational Research Program, Public Health Sciences and Human Biology Divisions, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA.
Biomolecules. 2024 Jan 2;14(1):61. doi: 10.3390/biom14010061.
The transplantation of human pluripotent stem cell-derived cardiomyocytes (hPSC-CMs) has shown promise in preclinical models of myocardial infarction, but graft myocardium exhibits incomplete host-graft electromechanical integration and a propensity for pro-arrhythmic behavior. Perhaps contributing to this situation, hPSC-CM grafts show low expression of connexin 43 (Cx43), the major gap junction (GJ) protein, in ventricular myocardia. We hypothesized that Cx43 expression and function could be rescued by engineering Cx43 in hPSC-CMs with a series of phosphatase-resistant mutations at three casein kinase 1 phosphorylation sites (Cx43-S3E) that have been previously reported to stabilize Cx43 GJs and reduce arrhythmias in transgenic mice. However, contrary to our predictions, transgenic Cx43-S3E hPSC-CMs exhibited reduced Cx43 expression relative to wild-type cells, both at baseline and following ischemic challenge. Cx43-S3E hPSC-CMs showed correspondingly slower conduction velocities, increased automaticity, and differential expression of other connexin isoforms and various genes involved in cardiac excitation-contraction coupling. Cx43-S3E hPSC-CMs also had phosphorylation marks associated with Cx43 GJ internalization, a finding that may account for their impaired GJ localization. Taken collectively, our data indicate that the Cx43-S3E mutation behaves differently in hPSC-CMs than in adult mouse ventricular myocytes and that multiple biological factors likely need to be addressed synchronously to ensure proper Cx43 expression, localization, and function.
人多能干细胞衍生的心肌细胞(hPSC-CMs)移植在心肌梗死的临床前模型中显示出了前景,但移植物心肌表现出不完全的宿主-移植物机电整合和倾向于致心律失常行为。也许正是由于这种情况,hPSC-CM 移植物在心室心肌中表现出连接蛋白 43(Cx43)的低表达,Cx43 是主要的间隙连接(GJ)蛋白。我们假设通过在 hPSC-CMs 中构建一系列磷酸酶抗性突变,可以挽救 Cx43 的表达和功能,这些突变位于三个酪蛋白激酶 1 磷酸化位点(Cx43-S3E),之前的研究表明这些突变可以稳定 Cx43 GJ 并减少转基因小鼠的心律失常。然而,与我们的预测相反,转基因 Cx43-S3E hPSC-CMs 表现出相对于野生型细胞的 Cx43 表达减少,无论是在基线还是在缺血性挑战后。Cx43-S3E hPSC-CMs 表现出相应较慢的传导速度、增加的自发性,以及其他连接蛋白同工型和各种涉及心脏兴奋-收缩偶联的基因的差异表达。Cx43-S3E hPSC-CMs 也具有与 Cx43 GJ 内化相关的磷酸化标记,这一发现可能解释了它们受损的 GJ 定位。总的来说,我们的数据表明,Cx43-S3E 突变在 hPSC-CMs 中的行为与成年小鼠心室肌细胞中的行为不同,并且可能需要同步解决多个生物学因素,以确保适当的 Cx43 表达、定位和功能。