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.

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