Model for long QT syndrome type 2 using human iPS cells demonstrates arrhythmogenic characteristics in cell culture

Author:

Lahti Anna L.12,Kujala Ville J.12,Chapman Hugh3,Koivisto Ari-Pekka3,Pekkanen-Mattila Mari12,Kerkelä Erja1,Hyttinen Jari24,Kontula Kimmo5,Swan Heikki5,Conklin Bruce R.6,Yamanaka Shinya67,Silvennoinen Olli128,Aalto-Setälä Katriina129

Affiliation:

1. Institute of Biomedical Technology, and

2. BioMediTech, University of Tampere, Biokatu 6-12, 33520 Tampere, Finland

3. Department of In Vitro Pharmacology, Orion Pharma, Orion Corporation, Turku, Finland

4. Department of Biomedical Engineering, Tampere University of Technology, Tampere, Finland

5. Department of Medicine, University of Helsinki, Tukholmankatu 8 B, 5th and 6th floors, P.O. Box 20, 00014 Helsinki, Finland

6. Gladstone Institute of Cardiovascular Disease and Department of Medicine, University of California, 1650 Owens Street, San Francisco, CA 94158, USA

7. Center for iPS Cell Research and Application (CiRA), Kyoto University, 53 Kawahara-cho, Shogoin Yoshida, Sakyo-ku, Kyoto 606-8507, Japan

8. Tampere University Hospital, Tampere, Finland

9. Heart Center, Tampere University Hospital, Tampere, Finland

Abstract

SUMMARY Long QT syndrome (LQTS) is caused by functional alterations in cardiac ion channels and is associated with prolonged cardiac repolarization time and increased risk of ventricular arrhythmias. Inherited type 2 LQTS (LQT2) and drug-induced LQTS both result from altered function of the hERG channel. We investigated whether the electrophysiological characteristics of LQT2 can be recapitulated in vitro using induced pluripotent stem cell (iPSC) technology. Spontaneously beating cardiomyocytes were differentiated from two iPSC lines derived from an individual with LQT2 carrying the R176W mutation in the KCNH2 (HERG) gene. The individual had been asymptomatic except for occasional palpitations, but his sister and father had died suddenly at an early age. Electrophysiological properties of LQT2-specific cardiomyocytes were studied using microelectrode array and patch-clamp, and were compared with those of cardiomyocytes derived from control cells. The action potential duration of LQT2-specific cardiomyocytes was significantly longer than that of control cardiomyocytes, and the rapid delayed potassium channel (IKr) density of the LQT2 cardiomyocytes was significantly reduced. Additionally, LQT2-derived cardiac cells were more sensitive than controls to potentially arrhythmogenic drugs, including sotalol, and demonstrated arrhythmogenic electrical activity. Consistent with clinical observations, the LQT2 cardiomyocytes demonstrated a more pronounced inverse correlation between the beating rate and repolarization time compared with control cells. Prolonged action potential is present in LQT2-specific cardiomyocytes derived from a mutation carrier and arrhythmias can be triggered by a commonly used drug. Thus, the iPSC-derived, disease-specific cardiomyocytes could serve as an important platform to study pathophysiological mechanisms and drug sensitivity in LQT2.

Publisher

The Company of Biologists

Subject

General Biochemistry, Genetics and Molecular Biology,Immunology and Microbiology (miscellaneous),Medicine (miscellaneous),Neuroscience (miscellaneous)

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