Division of Cardiothoracic Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, NE 68198-7616, USA.
Dr. C.C. and Mabel, L. Criss Heart Center, Children's Nebraska, 8200 Dodge St, Omaha, NE 68114, USA.
Cells. 2024 Aug 26;13(17):1430. doi: 10.3390/cells13171430.
The discovery of human pluripotent stem cells (hiPSCs) and advances in DNA editing techniques have opened opportunities for personalized cell-based therapies for a wide spectrum of diseases. It has gained importance as a valuable tool to investigate genetic and functional variations in congenital heart defects (CHDs), enabling the customization of treatment strategies. The ability to understand the disease process specific to the individual patient of interest provides this technology with a significant advantage over generic animal models. However, its utility as a disease-in-a-dish model requires identifying effective and efficient differentiation protocols that accurately reproduce disease traits. Currently, iPSC-related research relies heavily on the quality of cells and the properties of the differentiation technique In this review, we discuss the utility of iPSCs in bench CHD research, the molecular pathways involved in the differentiation of cardiomyocytes, and their applications in CHD disease modeling, therapeutics, and drug application.
人类多能干细胞(hiPSCs)的发现和 DNA 编辑技术的进步为广泛疾病的个性化细胞治疗开辟了机会。它已成为研究先天性心脏病(CHD)中遗传和功能变异的有价值工具,能够定制治疗策略。与通用动物模型相比,该技术能够了解特定于感兴趣的个体患者的疾病过程,这使其具有显著优势。然而,作为疾病在培养皿中的模型,其效用需要确定能够准确再现疾病特征的有效且高效的分化方案。目前,与 iPSC 相关的研究严重依赖于细胞质量和分化技术的特性。在这篇综述中,我们讨论了 iPSC 在心脏疾病研究中的应用,涉及心肌细胞分化的分子途径,以及它们在 CHD 疾病建模、治疗和药物应用中的应用。