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American Heart Association

  35
  1


Final ID: We048

Exon-skipping therapy can restore functional dystrophin attenuating calcium overload for DMD cardiomyopathy with mutations in actin-binding domain 1

Abstract Body: Antisense oligonucleotide (AO)-mediated exon-skipping is a promising therapeutic strategy for Duchenne muscular dystrophy (DMD), which is caused by loss-of-function mutations in the DMD gene encoding Dp427m, leading to progressive cardiomyopathy. In-frame deletion of exons 3–9 (Δ3–9) manifesting asymptomatic or very mild clinical phenotype is an ideal goal for exon-skipping by targeting actin-binding domain 1 (ABD1); however, the efficacy of this therapy for DMD cardiomyopathy remains unclear. We compared three isogenic human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) expressing Δ3–9, frameshifting Δ3–7, and intact DMD. RNA-seq revealed high similarity between Δ3–9 and wild-type hiPSC-CMs. Furthermore, we observed electrophysiological alterations with accelerated CaMKII activation in Δ3–7 hiPSC-CMs compared to Δ3–9 and wild-type hiPSC-CMs, while Δ3–9 Dp427m was stably expressed, maintaining substantial binding to F-actin and retention of desmin. AOs targeting exon 8 efficiently induced exons 8–9 skipping to restore functional Dp427m and electrophysiological parameters in Δ3–7 hiPSC-CMs. Exon-skipping therapy converting the reading frame to Δ3–9 might be promising for DMD cardiomyopathy.
  • Shiba, Naoko  ( Shinshu University , Matsumoto , Japan )
  • Yang, Xiao  ( Shinshu University , Matsumoto , Japan )
  • Agata, Masahiro  ( Shinshu University , Matsumoto , Japan )
  • Nagamine, Kohei  ( Shinshu University , Matsumoto , Japan )
  • Kadota, Shin  ( Shinshu University , Matsumoto , Japan )
  • Mitsuto, Sato  ( Shinshu University , Matsumoto , Japan )
  • Nakamura, Akinori  ( Matsumoto Medical Center , Matsumoto , Japan )
  • Shiba, Yuji  ( Shinshu University , Matsumoto , Japan )
  • Author Disclosures:
    Naoko Shiba: DO NOT have relevant financial relationships | Xiao Yang: DO NOT have relevant financial relationships | Masahiro Agata: No Answer | Kohei Nagamine: No Answer | Shin Kadota: DO NOT have relevant financial relationships | Sato Mitsuto: No Answer | Akinori Nakamura: No Answer | Yuji Shiba: DO NOT have relevant financial relationships
Meeting Info:

Basic Cardiovascular Sciences

2024

Chicago, Illinois

Session Info:

Poster Session and Reception 3

Wednesday, 07/24/2024 , 04:30PM - 07:00PM

Poster Session and Reception

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