Switch from fetal to adult SCN5A isoform in human induced pluripotent stem cell-derived cardiomyocytes unmasks the cellular phenotype of a conduction disease-causing mutation

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Christiaan C. Veerman - , University of Amsterdam (Author)
  • Isabella Mengarelli - , University of Amsterdam (Author)
  • Elisabeth M. Lodder - , University of Amsterdam (Author)
  • Georgios Kosmidis - , Leiden University (Author)
  • Milena Bellin - , Leiden University (Author)
  • Miao Zhang - , Max Planck Institute for Molecular Biomedicine, Max Planck Institute of Molecular Physiology (Author)
  • Sven Dittmann - , University of Münster (Author)
  • Kaomei Guan - , Institute of Pharmacology and Toxicology, TUD Dresden University of Technology (Author)
  • Arthur A.M. Wilde - , University of Amsterdam (Author)
  • Eric Schulze-Bahr - , University of Münster (Author)
  • Boris Greber - , Max Planck Institute for Molecular Biomedicine, Max Planck Institute of Molecular Physiology (Author)
  • Connie R. Bezzina - , University of Amsterdam (Author)
  • Arie O. Verkerk - , University of Amsterdam (Author)

Abstract

Background--Human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) can recapitulate features of ion channel mutations causing inherited rhythm disease. However, the lack of maturity of these cells is considered a significant limitation of the model. Prolonged culture of hiPSC-CMs promotes maturation of these cells. We studied the electrophysiological effects of the I230T mutation in the sodium channel gene SCN5A in hiPSC-CMs generated from a homozygous (I230Thomo) and a heterozygous (I230Thet) individual from a family with recessive cardiac conduction disease. Since the I230T mutation occurs in the developmentally regulated "adult" isoform of SCN5A, we investigated the relationship between the expression fraction of the adult SCN5A isoform and the electrophysiological phenotype at different time points in culture. Methods and Results--After a culture period of 20 days, sodium current (/Na) was mildly reduced in I230Thomo hiPSC-CMs compared with control hiPSC-CMs, while I230Thet hiPSC-CMs displayed no reduction in /Na. This coincided with a relatively high expression fraction of the "fetal" SCN5A isoform compared with the adult isoform as measured by quantitative polymerase chain reaction. Following prolonged culture to 66 days, the fraction of adult SCN5A isoform increased; this was paralleled by a marked decrease in /Na in I230Thomo hiPSC-CMs, in line with the severe clinical phenotype in homozygous patients. At this time in culture, I230Thet hiPSC-CMs displayed an intermediate loss of /Na, compatible with a gene dosage effect. Conclusions--Prolonged culture of hiPSC-CMs leads to an increased expression fraction of the adult sodium channel isoform. This new aspect of electrophysiological immaturity should be taken into account in studies that focus on the effects of SCN5A mutations in hiPSC-CMs.

Details

Original languageEnglish
Article numbere005135
JournalJournal of the American Heart Association
Volume6
Issue number7
Publication statusPublished - 1 Jul 2017
Peer-reviewedYes

External IDs

Scopus 85028634442
PubMed 28739862

Keywords

Sustainable Development Goals

Keywords

  • Arrhythmia (heart rhythm disorders), Sodium channels, Stem cell