Functional abnormalities in iPSC‐derived cardiomyocytes generated from CPVT1 and CPVT2 patients carrying ryanodine or calsequestrin mutations

A Novak, L Barad, A Lorber… - Journal of cellular …, 2015 - Wiley Online Library
A Novak, L Barad, A Lorber, M Gherghiceanu, I Reiter, B Eisen, L Eldor, J Itskovitz‐Eldor…
Journal of cellular and molecular medicine, 2015Wiley Online Library
Catecholaminergic polymorphic ventricular tachycardia (CPVT) is an inherited arrhythmia
characterized by syncope and sudden death occurring during exercise or acute emotion.
CPVT is caused by abnormal intracellular Ca2+ handling resulting from mutations in the
RyR2 or CASQ 2 genes. Because CASQ 2 and RyR2 are involved in different aspects of the
excitation‐contraction coupling process, we hypothesized that these mutations are
associated with different functional and intracellular Ca²+ abnormalities. To test the …
Abstract
Catecholaminergic polymorphic ventricular tachycardia (CPVT) is an inherited arrhythmia characterized by syncope and sudden death occurring during exercise or acute emotion. CPVT is caused by abnormal intracellular Ca2+ handling resulting from mutations in the RyR2 or CASQ2 genes. Because CASQ2 and RyR2 are involved in different aspects of the excitation‐contraction coupling process, we hypothesized that these mutations are associated with different functional and intracellular Ca²+ abnormalities. To test the hypothesis we generated induced Pluripotent Stem Cell‐derived cardiomyocytes (iPSC‐CM) from CPVT1 and CPVT2 patients carrying the RyR2R420Q and CASQ2D307H mutations, respectively, and investigated in CPVT1 and CPVT2 iPSC‐CM (compared to control): (i) The ultrastructural features; (ii) the effects of isoproterenol, caffeine and ryanodine on the [Ca2+]i transient characteristics. Our major findings were: (i) Ultrastructurally, CASQ2 and RyR2 mutated cardiomyocytes were less developed than control cardiomyocytes. (ii) While in control iPSC‐CM isoproterenol caused positive inotropic and lusitropic effects, in the mutated cardiomyocytes isoproterenol was either ineffective, caused arrhythmias, or markedly increased diastolic [Ca2+]i. Importantly, positive inotropic and lusitropic effects were not induced in mutated cardiomyocytes. (iii) The effects of caffeine and ryanodine in mutated cardiomyocytes differed from control cardiomyocytes. Our results show that iPSC‐CM are useful for investigating the similarities/differences in the pathophysiological consequences of RyR2 versus CASQ2 mutations underlying CPVT1 and CPVT2 syndromes.
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