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Published on: June 14, 2016
Experimental Models of Hypertrophic Cardiomyopathy: A Systematic Review
Floor W van den Dolder1, Rafeeh Dinani1, Vincent A J Warnaar1
1Department of Physiology, Amsterdam University Medical Center (UMC), Location VUmc, Amsterdam, the Netherlands; Amsterdam Cardiovascular Sciences, Heart Failure and Arrhythmias, Amsterdam, the Netherlands.
Insights
Researchers reviewed hypertrophic cardiomyopathy (HCM) models, finding animal models and human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) show limited disease markers. Better reporting of study details is needed for optimal model selection.
Area of Science:
- Cardiovascular Research
- Genetics
- Regenerative Medicine
Background:
- Hypertrophic cardiomyopathy (HCM) is a genetic heart muscle disease.
- Developing accurate models is crucial for understanding HCM pathogenesis and testing therapies.
- Existing models vary in their ability to recapitulate key HCM hallmarks.
Purpose of the Study:
- To systematically review experimental models of gene variant-induced hypertrophic cardiomyopathy.
- To identify which major hallmarks of HCM are present in different model systems.
- To guide researchers in selecting appropriate models for their specific research questions.
Main Methods:
- Systematic literature review of 603 papers investigating HCM models.
- Categorization of models into animal models and human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs).
- Assessment of hallmark disease markers present in each model.
Main Results:
- A shift towards using hiPSC-CMs is observed since 2010.
- Only 36 mouse models exhibited 4 out of 6 HCM disease markers.
- Only 17 hiPSC-CM models displayed 3 out of 4 HCM cell characteristics.
- Incomplete reporting of sample size, sex, age, and disease characteristics was noted.
Conclusions:
- Current experimental models, including animal and hiPSC-CMs, incompletely recapitulate hypertrophic cardiomyopathy.
- There is a need for more comprehensive reporting of experimental details to improve model selection and reproducibility.
- Further development of in vitro and in vivo models is required to better represent HCM complexity.
Abstract:
To advance research in hypertrophic cardiomyopathy (HCM), and guide researchers in choosing the optimal model to answer their research questions, we performed a systematic review of all models investigating HCM induced by gene variants ranging from animal models to human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs). Our research question entailed: which experimental models of HCM have been created thus far, and which major hallmarks of HCM do they present? Out of the 603 included papers, the majority included animal models, though a clear transition to hiPSC-CM is visible since 2010. Our review showed that only 36 mouse models showed minimal 4 out of 6 HCM disease markers (cell/cardiac hypertrophy, disarray, fibrosis, diastolic dysfunction, and arrhythmias), while only 17 hiPSC-CM models showed 3 out of 4 HCM cell characteristics. Our review emphasizes the need to better report data on sample size, sex, age, and relevant disease-specific characteristics.
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