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American Heart Association

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Final ID: BCVS17

Novel Therapeutic Option for LMNA-related Cardiomyopathy

Abstract Body (Do not enter title and authors here): Dilated cardiomyopathy (DCM) is the most common form of cardiomyopathy. Thus far, more than 50 genes have been associated with DCM, of which LMNA (lamin A/C) is ranked as the most highly associated, representing 5-10% of the cases. Currently, in many cases of LMNA-related DCM (LMNA-DCM) the direct link between the LMNA variants and DCM is not fully understood. Furthermore, there are no pharmaceutical therapeutics designed specifically for LMNA-DCM patients. We have generated an in vitro model of LMNA-DCM using patient-specific human induced pluripotent stem cells (hiPSCs). Nine laminopathy patients, eight harboring five different pathogenic LMNA variants, and one with an EMD (emerin) variant were selected. Five healthy individuals were recruited as controls. hiPSCs from all the individuals were differentiated into cardiomyocytes, purified, and assessed based on their gene expression and function. Laminopathy hiPSC-derived cardiomyocytes (hiPSC-CMs) showed a significantly higher level of nuclear deformation compared to controls which was exacerbated after mechanical stress. RNA-sequencing analysis revealed more than 300 genes differentially expressed between controls and patients-derived hiPSC-CMs which were potentially associated with the DCM phenotype. Pathway enrichment analysis also confirmed prior findings that mTOR pathway genes are involved. Analysis of intracellular calcium dynamics revealed prolongation of calcium transient durations and arrhythmia in laminopathy hiPSC-CMs. Contractility analysis also revealed significantly lower beat rate and higher pulse width in hiPSC-CMs from LMNA variant carriers compared to controls. mTOR inhibition by sirolimus led to the correction of calcium transient abnormalities. These results suggested that high-throughput assays can be used to find drugs which can alleviate the abnormal cellular phenotype in LMNA hiPSC-CMs. Based on that, in an unbiased high-throughput functional drug screen analysis performed with hiPSC-CMs we tested 1280 FDA-approved drugs and identified one drug as the only compound to successfully correct the defective function of all LMNA hiPSC-CMs. In conclusion, our findings show significant electrophysiological and transcriptome differences between LMNA and control hiPSC-CMs, which can be attenuated by drug treatment. The in vitro functional trial performed in this study can provide human cell-based data for further development of effective treatments for LMNA-DCM.
  • Fonoudi, Hananeh  ( Northwestern University , Chicago , Illinois , United States )
  • Sapkota, Yadav  ( st jude hospital , Memphis , Tennessee , United States )
  • Wilcox, Jane  ( Northwestern University , Chicago , Illinois , United States )
  • George, Alfred  ( Northwestern University , Chicago , Illinois , United States )
  • Burridge, Paul  ( Northwestern University , Chicago , Illinois , United States )
  • Negahi Shirazi, Ali  ( Northwestern University , Chicago , Illinois , United States )
  • Kuo, Hui-hsuan  ( Northwestern University , Chicago , Illinois , United States )
  • Vanoye, Carlos  ( Northwestern University , Chicago , Illinois , United States )
  • Gao, Xiaozhi  ( Northwestern University , Chicago , Illinois , United States )
  • Jouni, Mariam  ( Northwestern University , Chicago , Illinois , United States )
  • Lenny, Brian  ( st jude hospital , Memphis , Tennessee , United States )
  • Neupane, Achal  ( st jude hospital , Memphis , Tennessee , United States )
  • Kotamarthi, Janavi  ( Northwestern University , Chicago , Illinois , United States )
  • Author Disclosures:
    Hananeh Fonoudi: DO NOT have relevant financial relationships | Yadav Sapkota: DO NOT have relevant financial relationships | Jane Wilcox: DO have relevant financial relationships ; Advisor:Abiomed:Active (exists now) ; Consultant:Astra Zeneca:Past (completed) ; Speaker:Boehringer Ingelheim:Active (exists now) ; Consultant:Abbott:Active (exists now) | Alfred George: DO NOT have relevant financial relationships | Paul Burridge: No Answer | Ali Negahi Shirazi: No Answer | Hui-Hsuan Kuo: No Answer | Carlos Vanoye: DO NOT have relevant financial relationships | Xiaozhi Gao: DO NOT have relevant financial relationships | Mariam Jouni: No Answer | Brian Lenny: No Answer | Achal Neupane: DO NOT have relevant financial relationships | Janavi Kotamarthi: No Answer
Meeting Info:

Scientific Sessions 2024

2024

Chicago, Illinois

Session Info:

Best of AHA Specialty Conferences: BCVS 2024

Saturday, 11/16/2024 , 02:00PM - 03:00PM

Best of Specialty Conferences

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Discussant: SUMMIT CMR

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