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Patient-Specific and Gene-Corrected Induced Pluripotent Stem Cell-Derived Cardiomyocytes Elucidate Single-Cell Phenotype of Short QT Syndrome

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机构: [1]Zhejiang Univ, Sch Med, Key Lab Combined Multiorgan Transplantat, Minist Publ Hlth,Affiliated Hosp 1, Hangzhou, Zhejiang, Peoples R China [2]Zhejiang Univ, Sch Med, Dept Cardiol, Sir Run Run Shaw Hosp, Hangzhou, Zhejiang, Peoples R China [3]Zhejiang Univ, Sch Med, Dept Dermatol & Venerol, Sir Run Run Shaw Hosp, Hangzhou, Zhejiang, Peoples R China [4]Zhejiang Univ, Inst Translat Med, Hangzhou, Zhejiang, Peoples R China [5]Hangzhou Matern & Child Hlth Care Hosp, Dept Prenatal Diag, Screening Ctr, Hangzhou Womens Hosp, Hangzhou, Zhejiang, Peoples R China [6]Beijing Tsinghua Changgeng Hosp, Dept Cardiol, Beijing, Peoples R China [7]Wenihou Med Univ, Cardiovasc Med Dept, Affiliated Hosp 1, Wenzhou, Peoples R China [8]Chinese Acad Sci, Key Lab Anim Models & Human Dis Mech, Beijing, Peoples R China [9]Kunming Inst Zool, Key Lab Bioact Peptides Yunnan Prov, Kunming, Yunnan, Peoples R China
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关键词: action potentials cell differentiation gene editing phenotype Sendai virus

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Rationale: Short QT syndrome (SQT) is a rare but arrhythmogenic disorder featured by shortened ventricular repolarization and a propensity toward life-threatening ventricular arrhythmias and sudden cardiac death. Objective: This study aimed to investigate the single-cell mechanism of SQT using patient-specific and genecorrected induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs). Methods and Results: One SQT patient carrying missense mutation T618I in potassium voltage-gated channel subfamily H member 2 (KCNH2) was recruited as well as 2 healthy control subjects in this study. Control and SQT patient-specific iPSCs were generated from skin fibroblasts using nonintegrated Sendai virus. The KCNH2 T618I mutation was corrected by genome editing in SQT iPSC lines to generate isogenic controls. All iPSCs were differentiated into iPSC-CMs using monolayer-based differentiation protocol. SQT iPSC-CMs exhibited abnormal action potential phenotype featured by shortened action potential duration and increased beat-beat interval variability, when compared with control and gene-corrected iPSC-CMs. Furthermore, SQT iPSC-CMs showed KCNH2 gain-of-function with increased rapid delayed rectifying potassium current (I Kr) density and enhanced membrane expression. Gene expression profiling of iPSC-CMs exhibited a differential cardiac ionchannel gene expression profile of SQT. Moreover, QTc of SQT patient and action potential durations of SQT iPSC-CMs were both normalized by quinidine, indicating that quinidine is beneficial to KCNH2 T618I of SQT. Importantly, shortened action potential duration phenotype observed in SQT iPSC-CMs was effectively rescued by a short-peptide scorpion toxin BmKKx2 with a mechanism of targeting KCNH2. Conclusions: We demonstrate that patient-specific and gene-corrected iPSC-CMs are able to recapitulate singlecell phenotype of SQT, which is caused by the gain-of-function mutation KCNH2 T618I. These findings will help elucidate the mechanisms underlying SQT and discover therapeutic drugs for treating the disease by using peptide toxins as lead compounds. (Circ Res. 2019; 124: 66-78. DOI: 10.1161/ CIRCRESAHA. 118.313518.)

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出版当年[2019]版:
大类 | 1 区 医学
小类 | 1 区 心脏和心血管系统 1 区 血液学 1 区 外周血管病
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 心脏和心血管系统 1 区 血液学 1 区 外周血管病
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出版当年[2018]版:
Q1 PERIPHERAL VASCULAR DISEASE Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Q1 HEMATOLOGY
最新[2023]版:
Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Q1 HEMATOLOGY Q1 PERIPHERAL VASCULAR DISEASE

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [1]Zhejiang Univ, Sch Med, Key Lab Combined Multiorgan Transplantat, Minist Publ Hlth,Affiliated Hosp 1, Hangzhou, Zhejiang, Peoples R China [4]Zhejiang Univ, Inst Translat Med, Hangzhou, Zhejiang, Peoples R China
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通讯机构: [1]Zhejiang Univ, Sch Med, Key Lab Combined Multiorgan Transplantat, Minist Publ Hlth,Affiliated Hosp 1, Hangzhou, Zhejiang, Peoples R China [2]Zhejiang Univ, Sch Med, Dept Cardiol, Sir Run Run Shaw Hosp, Hangzhou, Zhejiang, Peoples R China [4]Zhejiang Univ, Inst Translat Med, Hangzhou, Zhejiang, Peoples R China [*1]268 Kaixuan Rd,N Block Cent Bldg,Room 404, Hangzhou 310029, Zhejiang, Peoples R China [*2]3 Qingchun E Rd, Hangzhou 310016, Zhejiang, Peoples R China
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