Key result
Patient-derived LMNA-mutated iPSC-cardiomyocytes generate weaker systolic and active stress versus controls.
Why the study?
The mechanisms making cardiac tissues uniquely vulnerable to LMNA mutations and driving variable heart disease presentation remain largely unknown.
Genetic mutations to the Lamin A/C gene (LMNA) can cause heart disease, but the mechanisms making cardiac tissues uniquely vulnerable to the mutations remain largely unknown. Further, patients with LMNA mutations have highly variable presentation of heart disease progression and type. In vitro patient-specific experiments could provide a powerful platform for studying this phenomenon, but the use of induced pluripotent stem cell-derived cardiomyocytes (iPSC-CM) introduces heterogeneity in maturity and function thus complicating the interpretation of the results of any single experiment. We hypothesized that integrating single cell RNA sequencing (scRNA-seq) with analysis of the tissue architecture and contractile function would elucidate some of the probable mechanisms. To test this, we investigated five iPSC-CM lines, three controls and two patients with a (c.357-2A>G) mutation. The patient iPSC-CM tissues had significantly weaker stress generation potential than control iPSC-CM tissues demonstrating the viability of our in vitro approach. Through scRNA-seq, differentially expressed genes between control and patient lines were identified. Some of these genes, linked to quantitative structural and functional changes, were cardiac specific, explaining the targeted nature of the disease progression seen in patients. The results of this work demonstrate the utility of combining in vitro tools in exploring heart disease mechanics.
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Mehrabi et al. (2021) studied Heart disease due to LMNA mutation (n=5). LMNA splice-site mutation (c.357-2A>G) vs. Healthy control iPSC-CMs was evaluated on Systolic and active stress generation. Patient-derived iPSC-cardiomyocyte tissues with an LMNA mutation demonstrated significantly weaker systolic and active stress generation potential compared to control tissues.
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