bioRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 18, 2024
Abstract
Background
Cardiac
action
potentials
are
believed
to
propagate
solely
by
electrotonic
transmission
via
gap
junctions.
In
the
alternative
theory
of
ephaptic
transmission,
changes
in
extracellular
electrical
fields
and
ion
concentrations
may
enable
a
cardiomyocyte
activate
its
neighbors.
The
involvement
mechanisms
remain
highly
disputed
has
been
discounted
due
reported
inability
an
isolated
another.
Methods
Isolated
rat
cardiomyocytes
were
subjected
whole
cell
patch
clamp.
Transmission
was
tested
current
clamp
pushed
together
native
pairs.
Sodium
channel
activation
inactivation
voltage
Results
end-to-end
one
stimulated
fire
potential.
10
attempts,
2
pairs
showed
successful
potentials,
showing
that
is
possible.
pairs,
subthreshold
depolarization
transferred
between
electrically
coupled
however,
only
after
delay,
which
not
be
explained
from
theory.
Once
elicited
pair,
neighbor
activated
with
delays
under
msec.
delay
did
correlate
junctional
coupling,
again
suggesting
presence
mechanism.
held
at
-90
mV
while
depolarizing
pulses
applied
neighbor.
Consistently,
sodium
channels
depolarized
led
hyperpolarized
cell,
fits
well
but
Ephaptic
requires
shielded
local
domain.
To
separate
this,
we
measured
steady
state
As
expected,
all
inactivated
-40
mV.
However,
when
maintaining
potential
–
40
for
extended
period,
0
re-emerged
de-inactivation.
de-inactivation
support
domain
exists
where
potassium
currents
can
hyperpolarize
Conclusions
We
show
first
time
possible,
it
most
likely
operation,
also
finally
our
study
suggests
data
obtained
single
cells
fail
reproduce
key
features
electrophysiology
interact
neighboring
cardiomyocytes.
Circulation Genomic and Precision Medicine,
Год журнала:
2024,
Номер
17(1)
Опубликована: Янв. 30, 2024
Pathogenic
variants
in
PKP2
(plakophilin-2)
cause
arrhythmogenic
right
ventricular
cardiomyopathy,
a
disease
characterized
by
life-threatening
arrhythmias
and
progressive
cardiomyopathy
leading
to
heart
failure.
No
effective
medical
therapy
is
available
prevent
or
arrest
the
disease.
We
tested
hypothesis
that
adeno-associated
virus
vector-mediated
delivery
of
human
Journal of Cell Science,
Год журнала:
2025,
Номер
138(2)
Опубликована: Янв. 15, 2025
Desmosomes
are
adhesive
cell
contacts
abundant
in
tissues
exposed
to
mechanical
strain,
such
as
the
stratified
and
simple
epithelia
of
epidermis
mucous
membranes,
well
myocardium.
Besides
their
role
cohesion,
desmosomes
also
modulate
pathways
important
for
tissue
differentiation,
wound
healing
immune
responses.
Dysfunctional
desmosomes,
resulting
from
pathogenic
variants
genes
encoding
desmosomal
components,
autoantibodies
targeting
adhesion
molecules
or
inflammation,
cause
life-threatening
diseases
arrhythmogenic
cardiomyopathy
pemphigus
contribute
pathogenesis
inflammatory
bowel
diseases.
The
Alpine
Desmosome
Disease
Meeting
2024
(ADDM
2024),
held
Grainau,
Germany
October
2024,
connected
international
researchers
basic
sciences
with
clinical
experts
dermatology,
cardiology,
gastroenterology
surgery.
participants
discussed
recent
advances,
identified
hot
topics
desmosome
biology
disease
provided
new
concepts
treatment
approaches.
Journal of Clinical Investigation,
Год журнала:
2024,
Номер
134(13)
Опубликована: Май 16, 2024
Background:
Myocarditis
is
clinically
characterized
by
chest
pain,
arrhythmias,
and
heart
failure,
treatment
for
myocarditis
often
supportive.
Mutations
in
DSP,
a
gene
encoding
the
desmosomal
protein
desmoplakin,
have
been
increasingly
implicated
with
biomarkers
pathological
features
indistinguishable
from
other
forms
of
myocarditis.
DSP-associated
can
progress
to
dilated
cardiomyopathy
heightened
arrhythmia
risk.
Methods:
To
model
cardiomyocyte
aspects
assess
role
innate
immunity,
we
generated
engineered
tissues
(EHTs)
human
induced
pluripotent
stem
cell-derived
cardiomyocytes
(hiPSC-CMs)
patients
gene-edited
healthy
control
hiPSC
lines.
Homozygous
heterozygous
DSP
disrupted
EHTs
were
contain
90%
hiPSC-CMs
10%
cardiac
fibroblasts.
We
measured
immune
activation
function
at
baseline
response
Toll-like
receptor
(TLR)
stimulation
EHTs.
Results:
At
baseline,
DSP-/-
displayed
transcriptomic
signature
which
was
mirrored
EHT
cytokine
release.
Importantly,
hypersensitive
TLR
demonstrating
greater
contractile
impairment
compared
isogenic
controls.
Compared
homozygous
EHTs,
patient-derived
had
less
functionally
but
also
sensitivity
stimulation.
When
subjected
strain,
developed
functional
deficit
indicating
reduced
reserve
control.
Colchicine
or
NFΚB
inhibitors
improved
force
production
strain-induced
deficits
Genomic
correction
p.R1951X
using
adenine
base
editing
inflammatory
biomarker
release
Conclusions:
Genetic
reduction
renders
susceptible
strain-dependent
deficits.
replicate
electrical
phenotypes
seen
implicating
as
key
part
myogenic
susceptibility
inflammation.
This
target
clinical
intervention.
The Journal of Physiology,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 29, 2024
Abstract
The
standard
conception
of
cardiac
conduction
is
based
on
the
cable
theory
nerve
conduction,
which
treats
tissue
as
a
continuous
syncytium
described
by
Hodgkin–Huxley
equations.
However,
composed
discretized
cells
with
microscopic
and
macroscopic
heterogeneities
discontinuities,
such
subcellular
localizations
sodium
channels
connexins.
In
addition
to
this,
there
are
in
distribution
sympathetic
parasympathetic
nerves,
powerfully
regulate
impulse
propagation.
models,
ultrastructural
details,
i.e.
ignored
‘coarse
graining’
or
‘smoothing’.
these
components
may
play
crucial
roles
arrhythmogenesis,
particularly
disease
states.
We
discuss
current
progress
modelling
effects
electrical
issues
challenges
faced
community,
how
scale
up
properties
at
(microscopic)
whole‐heart
(macroscopic)
future
experimental
studies,
link
ultrastructure
different
scales
arrhythmogenesis
heart.
image
bioRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2025,
Номер
unknown
Опубликована: Май 15, 2025
Human
induced
pluripotent
stem
cell-derived
cardiomyocytes
(hiPSC-CMs)
are
increasingly
used
for
disease
modeling,
drug
discovery,
and
precision
medicine,
yet
their
utility
is
often
limited
by
immature
phenotype.
One
promising
maturation
strategy
involves
using
micropatterned
substrates
that
mimic
native
cardiomyocytes'
organizational
growth
stiffness.
However,
the
molecular
maturity
of
this
model
has
not
been
assessed,
there
currently
no
method
to
extract
proteins
from
hiPSC-CMs
top-down
proteomic
analysis.
Herein,
we
present
a
high-sensitivity,
surfactant-free
protein
extraction
protocol
analysis
hiPSC-CMs.
Through
method,
assessed
compared
traditional
unstructured
monoculture
co-culture
monolayers
at
proteoform
level.
We
found
display
signatures
cardiomyocyte
maturations
including
increased
expression
ventricular
myosin
light
chain
isoforms,
reduced
fetal
troponin
T
isoform,
decreased
phosphorylation
alpha-tropomyosin.
This
surfactant-free,
high-sensitivity
approach
enables
robust
proteomics
limited,
heterogeneous
cell
populations,
identifies
micropattern
hiPSC-CM
as
more
adult-like
CM
model,
broadening
structured
culture
systems
cardiac
modeling
translational
research.
The Journal of Physiology,
Год журнала:
2025,
Номер
unknown
Опубликована: Май 31, 2025
Abstract
Electrical
communication
in
the
heart
is
crucial
for
maintaining
normal
cardiac
function.
Traditionally,
gap
junctional
coupling
between
cardiomyocytes
has
been
accepted
as
primary
mechanism
governing
electrical
propagation
heart.
However,
numerous
studies
have
demonstrated
that
junctions
are
also
present
different
cell
types
heterocellular
structures
and
disruption
of
such
can
be
associated
with
dysfunction.
In
addition
to
coupling,
ephaptic
proposed
another
cardiomyocytes.
Reducing
shown
negative
impacts
on
conduction.
While
existence
under
investigation,
a
recent
study
suggests
at
contacts
fibroblasts
may
provide
proarrhythmic
substrate
disease.
this
review,
we
examine
current
literature
heart,
including
homocellular
contexts.
Further,
offer
perspective
gaps
knowledge
opportunities
further
advancing
our
understanding
mechanisms
action
potential
image
Frontiers in Physiology,
Год журнала:
2023,
Номер
14
Опубликована: Май 11, 2023
Arrhythmogenic
cardiomyopathy
(ACM)
is
an
inherited
characterized
by
the
replacement
of
myocardium
fibro-fatty
infiltration
and
cardiomyocyte
loss.
ACM
predisposes
to
a
high
risk
for
ventricular
arrhythmias.
has
initially
been
defined
as
desmosomal
disease
because
most
known
variants
causing
concern
genes
encoding
proteins.
Studying
this
pathology
complex,
in
particular
human
samples
are
rare
and,
when
available,
reflect
advanced
stages
disease.
Usual
cellular
animal
models
cannot
reproduce
all
hallmarks
pathology.
In
last
decade,
human-induced
pluripotent
stem
cells
(hiPSC)
have
proposed
innovative
model.
The
differentiation
hiPSCs
into
cardiomyocytes
(hiPSC-CM)
now
well-controlled
widely
used
many
laboratories.
This
hiPSC-CM
model
recapitulates
critical
features
enables
cardiomyocyte-centered
comprehensive
approach
screening
anti-arrhythmic
drugs
(AAD)
prescribed
sometimes
empirically
patient.
regard,
provides
unique
opportunities
explore
develop
new
therapeutic
approaches.
use
hiPSC-CMs
will
undoubtedly
help
development
precision
medicine
better
cure
patients
suffering
from
ACM.
review
aims
summarize
recent
advances
allowing
context.
bioRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2023,
Номер
unknown
Опубликована: Июль 12, 2023
ABSTRACT
Background
Pathogenic
variants
in
plakophilin-2
(PKP2)
cause
arrhythmogenic
right
ventricular
cardiomyopathy
(ARVC),
a
disease
characterized
by
life-threatening
arrhythmias
and
progressive
leading
to
heart
failure.
No
effective
medical
therapy
is
available
prevent
and/or
arrest
the
disease.
We
tested
hypothesis
that
AAV-mediated
delivery
of
human
PKP2
gene
an
adult
mammalian
deficient
can
progression
significantly
prolong
survival.
Methods
Experiments
were
carried
out
using
cardiac-specific,
tamoxifen
(TAM)-activated
knockout
murine
model
(PKP2-cKO).
The
potential
therapeutic,
AAVrh.74-PKP2a
(RP-A601),
recombinant
AAVrh.74
viral
vector
encoding
variant
A
(PKP2a).
was
delivered
mice
single
tail
vein
injection
either
before
or
after
TAM-activated
PKP2-cKO.
expression
confirmed
molecular
histopathologic
analyses.
Cardiac
function
monitored
survival
analyses,
echocardiography
electrocardiography.
Results
Consistent
with
prior
findings,
loss
caused
100%
mortality
within
50
days
TAM
injection.
In
contrast,
AAVrh.74-PKP2a-mediated
PKP2a
resulted
for
more
than
5
months
(at
study
termination).
Echocardiographic
analysis
revealed
prevented
ventricle
dilation,
arrested
left
functional
decline,
mitigated
arrhythmia
burden.
Molecular
histological
showed
AAVrh.74-PKP2a–
mediated
transgene
mRNA
protein
appropriate
localization
at
cardiomyocyte
intercalated
disc.
Importantly,
therapeutic
benefit
shown
receiving
onset.
Conclusion
These
preclinical
data
demonstrate
(RP-A601)
as
PKP2-related
ARVC
both
early
advanced
stages
Cardiovascular Research,
Год журнала:
2023,
Номер
119(17), С. 2712 - 2728
Опубликована: Авг. 23, 2023
Mutations
in
the
DSP
gene
encoding
desmoplakin,
a
constituent
of
desmosomes
at
intercalated
discs
(IDs),
cause
phenotype
that
spans
arrhythmogenic
cardiomyopathy
(ACM)
and
dilated
cardiomyopathy.
It
is
typically
characterized
by
biventricular
enlargement
dysfunction,
myocardial
fibrosis,
cell
death,
arrhythmias.
The
canonical
wingless-related
integration
(cWNT)/β-catenin
pathway
implicated
pathogenesis
ACM.
β-catenin
an
indispensable
co-transcriptional
regulator
cWNT
member
IDs.
We
genetically
inactivated
or
activated
to
determine
its
role
desmoplakin