PMID- 27711080 OWN - NLM STAT- MEDLINE DCOM- 20170828 LR - 20220129 IS - 2041-4889 (Electronic) VI - 7 IP - 10 DP - 2016 Oct 6 TI - Adeno-associated virus-mediated CASQ2 delivery rescues phenotypic alterations in a patient-specific model of recessive catecholaminergic polymorphic ventricular tachycardia. PG - e2393 LID - 10.1038/cddis.2016.304 [doi] AB - Catecholaminergic Polymorphic Ventricular Tachycardia type 2 (CPVT2) is a highly lethal recessive arrhythmogenic disease caused by mutations in the calsequestrin-2 (CASQ2) gene. We have previously demonstrated that viral transfer of the wild-type (WT) CASQ2 gene prevents the development of CPVT2 in a genetically induced mouse model of the disease homozygous carrier of the R33Q mutation. In the present study, we investigated the efficacy of the virally mediated gene therapy in cardiomyocytes (CMs) differentiated from induced pluripotent stem cells (iPSCs) obtained from a patient carrying the homozygous CASQ2-G112+5X mutation. To this end, we infected cells with an Adeno-Associated Viral vector serotype 9 (AAV9) encoding the human CASQ2 gene (AAV9-hCASQ2). Administration of the human WT CASQ2 gene was capable and sufficient to restore the physiological expression of calsequestrin-2 protein and to rescue functional defects of the patient-specific iPSC-derived CMs. Indeed, after viral gene transfer, we observed a remarkable decrease in the percentage of delayed afterdepolarizations (DADs) developed by the diseased CMs upon adrenergic stimulation, the calcium transient amplitude was re-established and the density and duration of calcium sparks were normalized. We therefore demonstrate the efficacy of the AAV9-mediated gene replacement therapy for CPVT2 in a human cardiac-specific model system, supporting the view that the gene-therapy tested is curative in models with different human mutations of CPVT. FAU - Lodola, Francesco AU - Lodola F AD - Molecular Cardiology, IRCCS Fondazione Salvatore Maugeri, Pavia, Italy. FAU - Morone, Diego AU - Morone D AD - Laboratory of Inflammation and Immunology in Cardiovascular Pathologies, Humanitas Research Hospital, Rozzano (MI), Italy. FAU - Denegri, Marco AU - Denegri M AD - Molecular Cardiology, IRCCS Fondazione Salvatore Maugeri, Pavia, Italy. FAU - Bongianino, Rossana AU - Bongianino R AD - Molecular Cardiology, IRCCS Fondazione Salvatore Maugeri, Pavia, Italy. FAU - Nakahama, Hiroko AU - Nakahama H AD - Laboratory of Inflammation and Immunology in Cardiovascular Pathologies, Humanitas Research Hospital, Rozzano (MI), Italy. FAU - Rutigliano, Lucia AU - Rutigliano L AD - Laboratory of Inflammation and Immunology in Cardiovascular Pathologies, Humanitas Research Hospital, Rozzano (MI), Italy. AD - Institute of Genetic and Biomedical Research (IRGB) - UOS Milan, National Research Council of Italy, Milan, Italy. FAU - Gosetti, Rosanna AU - Gosetti R AD - Laboratory of Inflammation and Immunology in Cardiovascular Pathologies, Humanitas Research Hospital, Rozzano (MI), Italy. FAU - Rizzo, Giulia AU - Rizzo G AD - Molecular Cardiology, IRCCS Fondazione Salvatore Maugeri, Pavia, Italy. FAU - Vollero, Alessandra AU - Vollero A AD - Molecular Cardiology, IRCCS Fondazione Salvatore Maugeri, Pavia, Italy. FAU - Buonocore, Michelangelo AU - Buonocore M AD - Unit of Clinical Neurophysiology & Neurodiagnostic Skin Biopsy, IRCCS Fondazione Salvatore Maugeri, Pavia, Italy. FAU - Napolitano, Carlo AU - Napolitano C AD - Molecular Cardiology, IRCCS Fondazione Salvatore Maugeri, Pavia, Italy. FAU - Condorelli, Gianluigi AU - Condorelli G AUID- ORCID: 0000-0003-0481-6843 AD - Laboratory of Inflammation and Immunology in Cardiovascular Pathologies, Humanitas Research Hospital, Rozzano (MI), Italy. AD - Institute of Genetic and Biomedical Research (IRGB) - UOS Milan, National Research Council of Italy, Milan, Italy. AD - Humanitas University, Rozzano (MI), Italy. FAU - Priori, Silvia G AU - Priori SG AUID- ORCID: 0000-0001-6877-0288 AD - Molecular Cardiology, IRCCS Fondazione Salvatore Maugeri, Pavia, Italy. AD - Department of Molecular Medicine, University of Pavia, Pavia, Italy. FAU - Di Pasquale, Elisa AU - Di Pasquale E AD - Laboratory of Inflammation and Immunology in Cardiovascular Pathologies, Humanitas Research Hospital, Rozzano (MI), Italy. AD - Institute of Genetic and Biomedical Research (IRGB) - UOS Milan, National Research Council of Italy, Milan, Italy. LA - eng GR - 294609/ERC_/European Research Council/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20161006 PL - England TA - Cell Death Dis JT - Cell death & disease JID - 101524092 RN - 0 (CASQ2 protein, human) RN - 0 (Calsequestrin) RN - 0 (Catecholamines) RN - SY7Q814VUP (Calcium) RN - Polymorphic catecholergic ventricular tachycardia SB - IM MH - Arrhythmias, Cardiac/metabolism/pathology MH - Biopsy MH - Calcium/metabolism MH - Calsequestrin/*genetics MH - Catecholamines/*metabolism MH - Cell Differentiation MH - Dependovirus/*metabolism MH - Female MH - *Gene Transfer Techniques MH - *Genes, Recessive MH - Humans MH - Induced Pluripotent Stem Cells/metabolism MH - Male MH - *Models, Biological MH - Myocytes, Cardiac/metabolism/pathology MH - Pedigree MH - Phenotype MH - Skin/pathology MH - Tachycardia, Ventricular/pathology/physiopathology/*therapy PMC - PMC5133973 EDAT- 2016/10/07 06:00 MHDA- 2017/08/29 06:00 PMCR- 2016/10/01 CRDT- 2016/10/07 06:00 PHST- 2016/06/06 00:00 [received] PHST- 2016/08/01 00:00 [revised] PHST- 2016/08/24 00:00 [accepted] PHST- 2016/10/07 06:00 [entrez] PHST- 2016/10/07 06:00 [pubmed] PHST- 2017/08/29 06:00 [medline] PHST- 2016/10/01 00:00 [pmc-release] AID - cddis2016304 [pii] AID - 10.1038/cddis.2016.304 [doi] PST - epublish SO - Cell Death Dis. 2016 Oct 6;7(10):e2393. doi: 10.1038/cddis.2016.304.