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Maturation-Based Model of Arrhythmogenic Right Ventricular Dysplasia Using Patient-Specific Induced Pluripotent Stem Cells

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单位: [1]China Japan Friendship Hosp, Dept Cardiovasc Surg, Beijing, Peoples R China [2]Sanford Burnham Med Res Inst, Del E Webb Ctr Neurosci Aging & Stem Cell Res, La Jolla, CA 92037 USA [3]Univ Calif San Diego, Dept Med Cardiol, San Diego, CA 92103 USA
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关键词: Fatty acid oxidation Induced pluripotent stem cell-derived cardiomyocytes Metabolic maturation Peroxisome proliferator-activated receptor-gamma Reactive oxygen species

摘要:
Cellular reprogramming of somatic cells to patient-specific induced pluripotent stem cells (iPSCs) enables in-vitro modeling of human cardiac disorders for pathogenic and therapeutic investigations. However, using iPSC-derived cardiomyocytes (iPSC-CMs) to model an adult-onset heart disease remains challenging because of the uncertainty regarding the ability of relatively immature iPSC-CMs to fully recapitulate adult disease phenotypes. Arrhythmogenic right ventricular dysplasia (ARVD) is an inherited cardiomyopathy characterized by pathological fibrofatty infiltration and cardiomyocyte (CM) loss predominantly in the right ventricle (RV), leading to heart failure and lethal arrhythmias. Over 50% of affected individuals have desmosome gene mutations, most commonly in PKP2 encoding plakophilin-2. Using Yamanaka's pluripotent factors, we generated iPSC lines from ARVD patients with PKP2 mutations. We first developed a method to induce metabolic maturation of iPSC-CMs and showed that induction of adult-like metabolic energetics from an embryonic/glycolytic state is essential to model an adult-onset cardiac disease using patient-specific iPSCs. Furthermore, we showed that coactivation of normal peroxisome proliferator-activated receptor (PPAR)-alpha and abnormal PPAR. pathways in ARVD iPSC-CMs resulted in exaggerated CM lipogenesis, CM apoptosis, Na+ channel downregulation and defective intracellular calcium handling, recapitulating the pathological signatures of ARVD. Using this model, we revealed novel pathogenic insights that metabolic derangement in an adult-like metabolic milieu underlies ARVD pathologies, enabling us to propose novel disease-modifying therapeutic strategies.

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出版当年[2014]版:
大类 | 2 区 医学
小类 | 3 区 心脏和心血管系统
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 心脏和心血管系统
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出版当年[2013]版:
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
最新[2023]版:
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

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第一作者单位: [1]China Japan Friendship Hosp, Dept Cardiovasc Surg, Beijing, Peoples R China [2]Sanford Burnham Med Res Inst, Del E Webb Ctr Neurosci Aging & Stem Cell Res, La Jolla, CA 92037 USA [*1]Sanford Burnham Med Res Inst, 10901 North Torrey Pines Rd, La Jolla, CA 92037 USA
通讯作者:
通讯机构: [1]China Japan Friendship Hosp, Dept Cardiovasc Surg, Beijing, Peoples R China [2]Sanford Burnham Med Res Inst, Del E Webb Ctr Neurosci Aging & Stem Cell Res, La Jolla, CA 92037 USA [*1]Sanford Burnham Med Res Inst, 10901 North Torrey Pines Rd, La Jolla, CA 92037 USA
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