Shulgina A E, Pavlova S V, Minina J M, Zakian S M, Dementyeva E V
Institute of Cytology and Genetics of the Siberian Branch of the Russian Academy of Sciences, Novosibirsk, Russia.
Vavilovskii Zhurnal Genet Selektsii. 2025 Jun;29(3):349-357. doi: 10.18699/vjgb-25-38.
The problem of interpretation of the genetic data from patients with inherited cardiovascular diseases still remains relevant. To date, the clinical significance of approximately 40 % of variants in genes associated with inherited cardiovascular diseases is uncertain, which requires new approaches to the assessment of their pathogenetic contribution. A combination of the induced pluripotent stem cell (iPSC) technology and editing the iPSC genome with CRISPR/Cas9 is thought to be the most promising tool for clarifying variant pathogenicity. A variant of unknown significance in MYH7, p.Met659Ile (c.1977G>A), was previously identified in several genetic screenings of hypertrophic cardiomyopathy patients. In this study, the single nucleotide substitution was corrected with CRISPR/Cas9 in iPSCs generated from a carrier of the variant. As a result, two iPSC lines (ICGi019-B-1 and ICGi019-B-2) were generated and characterized using a standard set of methods. The iPSC lines with the corrected p.Met659Ile (c.1977G>A) variant in MYH7 possessed a morphology characteristic of human pluripotent cells, expressed markers of the pluripotent state (the OCT4, SOX2, NANOG transcription factors and SSEA-4 surface antigen), were able to give rise to derivatives of three germ layers during spontaneous differentiation, and retained a normal karyotype (46,XY). No CRISPR/Cas9 off-target activity was found in the ICGi019-B-1 and ICGi019-B-2 iPSC lines. The maintenance of the pluripotent state and normal karyotype and the absence of CRISPR/Cas9 off-target activity in the iPSC lines with the corrected p.Met659Ile (c.1977G>A) variant in MYH7 allow using the iPSC lines as an isogenic control for further studies of the variant pathogenicity and its impact on the hypertrophic cardiomyopathy development.
遗传性心血管疾病患者基因数据的解读问题仍然具有现实意义。迄今为止,与遗传性心血管疾病相关基因中约40%的变异的临床意义尚不确定,这就需要新的方法来评估它们的致病作用。诱导多能干细胞(iPSC)技术与利用CRISPR/Cas9编辑iPSC基因组相结合,被认为是阐明变异致病性最具前景的工具。先前在肥厚型心肌病患者的多项基因筛查中发现了MYH7基因中一个意义未明的变异,即p.Met659Ile(c.1977G>A)。在本研究中,利用CRISPR/Cas9对该变异携带者产生的iPSC中的单核苷酸替换进行了校正。结果,产生了两个iPSC系(ICGi019-B-1和ICGi019-B-2),并使用一套标准方法对其进行了表征。MYH7基因中p.Met659Ile(c.1977G>A)变异得到校正的iPSC系具有人类多能细胞的形态特征,表达多能状态标记物(OCT4、SOX2、NANOG转录因子和SSEA-4表面抗原),在自发分化过程中能够产生三个胚层的衍生物,并保留正常核型(46,XY)。在ICGi019-B-1和ICGi019-B-2 iPSC系中未发现CRISPR/Cas9脱靶活性。MYH7基因中p.Met659Ile(c.1977G>A)变异得到校正的iPSC系中多能状态和正常核型的维持以及CRISPR/Cas9脱靶活性的缺失,使得这些iPSC系可作为同基因对照,用于进一步研究该变异的致病性及其对肥厚型心肌病发展的影响。