cAMP-PKA signaling modulates the automaticity of human iPSC-derived cardiomyocytes

Savyon Mazgaoker1, Ido Weiser-Bitoun1, Inbar Brosh1

  • 1Laboratory of Bioelectric and Bioenergetic Systems, Faculty of Biomedical Engineering, Technion-Israel Institute of Technology, Haifa, Israel.

Insights

Human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) automaticity relies on coupled Ca2+ and membrane clocks. This study reveals Ca2+-cAMP-PKA signaling mediates crosstalk, crucial for normal cardiac function.

Area of Science:

  • Cardiology
  • Stem Cell Biology
  • Molecular Physiology

Background:

  • Human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) are valuable for drug screening and disease modeling.
  • Understanding the physiological mechanisms of hiPSC-CMs, particularly automaticity, is crucial for their reliable use.
  • Automaticity in hiPSC-CMs is governed by the interplay of the Ca2+ clock and the membrane (M) clock.

Purpose of the Study:

  • To investigate the coupling mechanisms between the Ca2+ and M clocks in hiPSC-CMs.
  • To test hypotheses regarding the role of local Ca2+ releases (LCRs) and cAMP/PKA signaling in regulating automaticity.
  • To determine if LCR period reflects crosstalk within the coupled-clock system and if perturbing one clock affects overall automaticity.

Main Methods:

  • Measurement of local and global Ca2+ transients in hiPSC-CMs.
  • Pharmacological interventions targeting β-adrenergic and cholinergic receptors, PKA signaling, pacemaker current If, and sarcoplasmic reticulum Ca2+ kinetics.
  • Comparison of LCR characteristics between hiPSC-CMs and rabbit sinoatrial node (SAN) cells.

Main Results:

  • LCR properties directly correlate with the spontaneous beat interval of hiPSC-CMs.
  • Modulating cAMP-dependent coupling (via receptor activation or PKA manipulation) altered LCR properties and hiPSC-CM automaticity.
  • Disrupting clock coupling (attenuating If or SR Ca2+ kinetics) reduced beating rate and prolonged LCR period.
  • hiPSC-CMs and rabbit SAN cells exhibit similar LCR characteristics at comparable beating rates.

Conclusions:

  • hiPSC-CM automaticity is regulated by a coupled-clock system.
  • Ca2+-cAMP-PKA signaling is the key mediator of functional crosstalk between the Ca2+ and M clocks.
  • This coupled-clock system is essential for maintaining normal hiPSC-CM automaticity and cardiac function.