Key result
Topobexin partially phenocopies TOP2B knockout transcriptional changes in hiPSC-derived cardiomyocytes as a pharmacologic alternative.
Why the study?
The role of DNA topoisomerase II beta (TOP2B) in cardiomyocyte differentiation is poorly understood.
Does TOP2B deletion or selective pharmacological inhibition with topobexin alter gene expression in human iPSC-derived cardiomyocytes?
Does TOP2B deletion or selective pharmacological inhibition with topobexin alter gene expression in human iPSC-derived cardiomyocytes?
Absolute Event Rate: 10.5% vs 9%
p-value: p=<0.05
TOP2B is not required for cardiomyocyte differentiation, but its inhibition by the small molecule topobexin partially phenocopies TOP2B genetic deletion, providing a human in vitro model to study mechanisms of anthracycline-induced cardiotoxicity and cardioprotection.
Topobexin provides an in vitro tool for TOP2B cardiotoxicity research; leaves open clinical translation or cardioprotection strategies.
The role of DNA topoisomerase II beta (TOP2B) in cardiomyocyte differentiation is poorly understood. To address this, human induced pluripotent stem cells (hiPSC) were differentiated into cardiomyocytes (CM) that were wild type (WT) or contained a genomic deletion of Topoisomerase 2B (BKO). Both WT and BKO hiPSC could be induced to differentiate into sheets of beating cardiomyocytes. BKO hiPSC take slightly longer to differentiate into sheets of beating CM than WT iPSC. RNA was prepared from both undifferentiated and differentiated WT and BKO hiPSC. RNA-seq was used to examine gene expression changes when the WT and BKO hiPSC were differentiated into CM. Gene expression changes following differentiation of BKO cells were largely similar to those in WT cells. In addition, the differentiated WT CM were treated with dexrazoxane (ICRF-187), a TOP2 catalytic inhibitor that targets both TOP2A and TOP2B, or topobexin, a new TOP2B selective catalytic inhibitor. Topobexin inhibition partially phenocopied a TOP2B deletion and thereby providing an alternative to TOP2B gene knockout in many cell lines. In future, hiPSC derived CM with and without TOP2B and inhibition by topobexin ex vivo CM could be used to study anthracycline-induced cardiotoxicity and to screen for cardioprotectants.
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Keresteš et al. (2026) studied Cardiomyocyte differentiation and anthracycline-induced cardiotoxicity models. TOP2B knockout (BKO) and Topobexin vs. Untreated wild-type (WT) cardiomyocytes was evaluated on Time to differentiation into beating sheets of cardiomyocytes (p=<0.05). Topobexin treatment partially phenocopied the transcriptional changes of a TOP2B gene knockout in hiPSC-derived cardiomyocytes, serving as a viable alternative to genetic deletion.
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