Adipocyte-Mediated Electrophysiological Remodeling of PKP-2 Mutant Human Pluripotent Stem Cell-Derived Cardiomyocytes

Justin Morrissette-McAlmon1, Christianne J Chua1, Alexander Arking1

  • 1Department of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.

Biomedicines
|November 27, 2024
PubMed

Insights

Fatty tissue secretions alter heart cell electrical activity in arrhythmogenic cardiomyopathy (ACM). These paracrine factors impact normal and ACM cells differently, potentially worsening the condition.

Area of Science:

  • Cardiovascular Research
  • Genetic Cardiology
  • Stem Cell Biology

Background:

  • Arrhythmogenic cardiomyopathy (ACM) is a genetic heart condition causing sudden cardiac death, linked to desmosome mutations.
  • ACM leads to right ventricular dysfunction, cardiomyocyte loss, and fibrofatty replacement, affecting heart stability.
  • The impact of paracrine factors from infiltrating fatty tissues on ACM cardiomyocyte electrophysiology remains unclear.

Purpose of the Study:

  • To investigate how paracrine factors from adipose tissue affect the electrophysiology of cardiomyocytes in arrhythmogenic cardiomyopathy.
  • To compare the responses of normal and ACM patient-derived induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) to these factors.

Main Methods:

  • hiPSC-CMs from normal and PKP2 mutant ACM lines were cultured with adipocyte-conditioned medium (AdCM) or specific cytokines.
  • Optical mapping and phenotypic analyses assessed electrophysiological parameters like action potential duration (APD) and conduction velocity (CV).
  • NF-kB signaling pathways were also examined in response to AdCM and IL-6.

Main Results:

  • AdCM significantly altered APD and CV in both normal and ACM hiPSC-CMs, with differing magnitudes and time courses.
  • Specific cytokines (IL-6, IL-8, MCP-1, CFD) induced distinct, sometimes opposite, electrophysiological effects in normal versus mutant hiPSC-CMs.
  • NF-kB signaling pathways showed differential responses between normal and ACM hiPSC-CMs exposed to AdCM and IL-6.

Conclusions:

  • hiPSC-CMs from normal and ACM individuals exhibit unique molecular and functional responses to paracrine factors.
  • These differential responses in electrophysiology and gene expression may contribute to the arrhythmogenic nature of ACM.
  • Paracrine signaling from adipose tissue represents a potential therapeutic target for ACM.
Abstract

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