Multiscale mapping of transcriptomic signatures for cardiotoxic drugs

Jens Hansen1,2, Yuguang Xiong3,4, Mustafa M Siddiq3,4

  • 1Mount Sinai Institute for Systems Biomedicine, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA. jens.hansen@mssm.edu.

Nature Communications
|September 11, 2024
PubMed

Insights

Gene expression profiles reveal mechanisms of drug-induced cardiotoxicity from tyrosine kinase inhibitors (TKIs). This research aids in developing safer drugs and stratifying patients for personalized medicine.

Area of Science:

  • Cardiovascular Toxicology
  • Genomics
  • Transcriptomics

Background:

  • Drug-induced cardiotoxicity is a significant concern in pharmaceutical development.
  • Tyrosine kinase inhibitors (TKIs) are widely used but can pose cardiovascular risks.
  • Understanding the molecular mechanisms of TKI cardiotoxicity is crucial for drug safety.

Purpose of the Study:

  • To identify gene expression signatures associated with cardiotoxicity induced by FDA-approved TKIs.
  • To investigate the cellular pathways affected by cardiotoxic TKIs in human cardiomyocytes.
  • To integrate transcriptomic data with genomic information for predicting cardiotoxicity.

Main Methods:

  • Utilized bulk transcriptomic profiling of human induced-pluripotent-stem-cell-derived cardiomyocytes.
  • Employed singular value decomposition to identify drug-selective expression patterns.
  • Integrated transcriptomic outlier analysis with whole-genome sequencing.

Main Results:

  • Identified affected cellular pathways including energy metabolism, contractile function, and extracellular matrix dynamics.
  • Demonstrated that TKI responses can occur in both cardiomyocytes and fibroblasts.
  • Successfully reidentified a known cardiotoxicity-linked genomic variant and predicted novel ones.

Conclusions:

  • mRNA expression profiles, when integrated with genomic and single-cell data, provide multiscale signatures for cardiotoxicity.
  • These signatures can inform drug development and patient stratification strategies.
  • This approach offers a comprehensive method for assessing drug-induced cardiotoxicity.