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携带肌节致病变异的肥厚型心肌病猪模型中的围产期死亡

Perinatal death in pig models of hypertrophic cardiomyopathy carrying sarcomere pathogenic variants.

作者信息

Flisikowska Tatiana, Petersen Björn, Mearini Giulia, Huber Daniela, Kurome Mayuko, Stoff Melanie, Schlossarek Saskia, Lucas-Hahn Andrea, Wolf Eckhard, Montag Judith, Schnieke Angelika, Carrier Lucie

机构信息

Chair of Reproductive Biotechnology, Technical University of Munich (TUM), Munich, Germany.

Institute of Farm Animal Genetics, Friedrich-Loeffler-Institut, Neustadt, Germany.

出版信息

J Mol Cell Cardiol Plus. 2025 May 21;12:100457. doi: 10.1016/j.jmccpl.2025.100457. eCollection 2025 Jun.

Abstract

Hypertrophic cardiomyopathy (HCM) is an autosomal-dominant disease caused by genetic variants in sarcomeric proteins, particularly in myosin binding protein C3 () and myosin heavy chain 7 (). Less known is that neonatal forms of HCM rapidly evolve into systolic heart failure and death within the first year of life. Although myosin inhibitors are now used to treat obstructive forms of adult HCM, there is still a need for novel therapeutic options and predictive animal models to assess them. Our aim was to model in pigs severe forms of human HCM carrying bi-allelic truncating mutations or heterozygous missense variants. Pigs were generated by CRISPR/Cas9 genome or cytosine-base editing in porcine fibroblasts combined with somatic cell nuclear transfer. Several pregnancies were established but piglets were non-viable. The -edited piglet exhibited a compound heterozygous mutation leading to a markedly low level of mutant MYBPC3 protein and cardiac hypertrophy, reflecting the situation in infants. The -edited piglets carried the heterozygous p.Arg453Cys variant and exhibited ventricular hypertrophy. In conclusion, and cloned piglets developed cardiac hypertrophy and died around birth, indicating that pigs are particularly sensitive to sarcomeric gene mutations.

摘要

肥厚型心肌病(HCM)是一种常染色体显性疾病,由肌节蛋白的基因变异引起,特别是肌球蛋白结合蛋白C3()和肌球蛋白重链7()。鲜为人知的是,新生儿型HCM在出生后第一年内会迅速发展为收缩性心力衰竭并导致死亡。尽管目前肌球蛋白抑制剂被用于治疗成人梗阻性HCM,但仍需要新的治疗选择和预测性动物模型来评估它们。我们的目标是在猪身上模拟携带双等位基因截短突变或杂合错义变异的严重人类HCM形式。通过在猪成纤维细胞中进行CRISPR/Cas9基因组编辑或胞嘧啶碱基编辑,并结合体细胞核移植来培育猪。建立了几次妊娠,但仔猪无法存活。经编辑的仔猪表现出复合杂合突变,导致突变型MYBPC3蛋白水平显著降低和心脏肥大,反映了婴儿的情况。经编辑的仔猪携带杂合的p.Arg453Cys变异,并表现出心室肥大。总之,和克隆仔猪出现心脏肥大并在出生前后死亡,表明猪对肌节基因突变特别敏感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e515/12151660/3f2a72ecbd46/ga1.jpg

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