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iPSC modeling of RBM20-deficient DCM identifies upregulation of RBM20 as a therapeutic strategy

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Item Type:Article
Title:iPSC modeling of RBM20-deficient DCM identifies upregulation of RBM20 as a therapeutic strategy
Creators Name:Briganti, F., Sun, H., Wei, W., Wu, J., Zhu, C., Liss, M., Karakikes, I., Rego, S., Cipriano, A., Snyder, M., Meder, B., Xu, Z., Millat, G., Gotthardt, M., Mercola, M. and Steinmetz, L.M.
Abstract:Recent advances in induced pluripotent stem cell (iPSC) technology and directed differentiation of iPSCs into cardiomyocytes (iPSC-CMs) make it possible to model genetic heart disease in vitro. We apply CRISPR/Cas9 genome editing technology to introduce three RBM20 mutations in iPSCs and differentiate them into iPSC-CMs to establish an in vitro model of RBM20 mutant dilated cardiomyopathy (DCM). In iPSC-CMs harboring a known causal RBM20 variant, the splicing of RBM20 target genes, calcium handling, and contractility are impaired consistent with the disease manifestation in patients. A variant (Pro633Leu) identified by exome sequencing of patient genomes displays the same disease phenotypes, thus establishing this variant as disease causing. We find that all-trans retinoic acid upregulates RBM20 expression and reverts the splicing, calcium handling, and contractility defects in iPSC-CMs with different causal RBM20 mutations. These results suggest that pharmacological upregulation of RBM20 expression is a promising therapeutic strategy for DCM patients with a heterozygous mutation in RBM20.
Keywords:DCM, RBM20, Alternative Splicing, Precision Medicine, iPSC, Cardiomyocytes, Disease Modeling, Genome Editing
Source:Cell Reports
ISSN:2211-1247
Publisher:Cell Press / Elsevier
Volume:32
Number:10
Page Range:108117
Date:8 September 2020
Official Publication:https://doi.org/10.1016/j.celrep.2020.108117
PubMed:View item in PubMed

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