PMID- 32392813 OWN - NLM STAT- MEDLINE DCOM- 20210225 LR - 20210225 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 9 IP - 5 DP - 2020 May 7 TI - hiPSC-Derived Cardiomyocyte Model of LQT2 Syndrome Derived from Asymptomatic and Symptomatic Mutation Carriers Reproduces Clinical Differences in Aggregates but Not in Single Cells. LID - 10.3390/cells9051153 [doi] LID - 1153 AB - Mutations in the HERG gene encoding the potassium ion channel HERG, represent one of the most frequent causes of long QT syndrome type-2 (LQT2). The same genetic mutation frequently presents different clinical phenotypes in the family. Our study aimed to model LQT2 and study functional differences between the mutation carriers of variable clinical phenotypes. We derived human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CM) from asymptomatic and symptomatic HERG mutation carriers from the same family. When comparing asymptomatic and symptomatic single LQT2 hiPSC-CMs, results from allelic imbalance, potassium current density, and arrhythmicity on adrenaline exposure were similar, but a difference in Ca2+ transients was observed. The major differences were, however, observed at aggregate level with increased susceptibility to arrhythmias on exposure to adrenaline or potassium channel blockers on CM aggregates derived from the symptomatic individual. The effect of this mutation was modeled in-silico which indicated the reactivation of an inward calcium current as one of the main causes of arrhythmia. Our in-vitro hiPSC-CM model recapitulated major phenotype characteristics observed in LQT2 mutation carriers and strong phenotype differences between LQT2 asymptomatic vs. symptomatic were revealed at CM-aggregate level. FAU - Shah, Disheet AU - Shah D AUID- ORCID: 0000-0002-8229-0835 AD - Faculty of Medicine and Health Technology and BioMediTech Institute, Tampere University, Tampere 33520, Finland. FAU - Prajapati, Chandra AU - Prajapati C AD - Faculty of Medicine and Health Technology and BioMediTech Institute, Tampere University, Tampere 33520, Finland. FAU - Penttinen, Kirsi AU - Penttinen K AD - Faculty of Medicine and Health Technology and BioMediTech Institute, Tampere University, Tampere 33520, Finland. FAU - Cherian, Reeja Maria AU - Cherian RM AD - Faculty of Medicine and Health Technology and BioMediTech Institute, Tampere University, Tampere 33520, Finland. FAU - Koivumaki, Jussi T AU - Koivumaki JT AD - Faculty of Medicine and Health Technology and BioMediTech Institute, Tampere University, Tampere 33520, Finland. FAU - Alexanova, Anna AU - Alexanova A AD - Faculty of Medicine and Health Technology and BioMediTech Institute, Tampere University, Tampere 33520, Finland. FAU - Hyttinen, Jari AU - Hyttinen J AD - Faculty of Medicine and Health Technology and BioMediTech Institute, Tampere University, Tampere 33520, Finland. FAU - Aalto-Setala, Katriina AU - Aalto-Setala K AD - Faculty of Medicine and Health Technology and BioMediTech Institute, Tampere University, Tampere 33520, Finland. AD - Heart Hospital, Tampere University Hospital, Tampere 33520, Finland. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200507 PL - Switzerland TA - Cells JT - Cells JID - 101600052 SB - IM MH - Adult MH - Alleles MH - Case-Control Studies MH - Cell Aggregation MH - Female MH - Humans MH - Induced Pluripotent Stem Cells/metabolism/*pathology MH - Ion Channel Gating MH - Long QT Syndrome/*genetics/*pathology MH - Male MH - Middle Aged MH - *Models, Biological MH - Mutation/*genetics MH - Myocytes, Cardiac/metabolism/*pathology PMC - PMC7290503 OTO - NOTNLM OT - HERG OT - LQT2 OT - arrhythmia OT - channelopathies OT - in vitro electrophysiology OT - in-silico modeling OT - induced pluripotent stem cells COIS- The abstract for this project was presented at BioMediTech Research day, University of Tampere, Finland, at the Ion Channel Symposium, Cardiac Arrhythmia meeting, Copenhagen and at the Euro-physiology conference, in London, England. The authors declare no competing or financial interests. EDAT- 2020/05/13 06:00 MHDA- 2021/02/26 06:00 PMCR- 2020/05/01 CRDT- 2020/05/13 06:00 PHST- 2020/02/26 00:00 [received] PHST- 2020/04/29 00:00 [revised] PHST- 2020/05/02 00:00 [accepted] PHST- 2020/05/13 06:00 [entrez] PHST- 2020/05/13 06:00 [pubmed] PHST- 2021/02/26 06:00 [medline] PHST- 2020/05/01 00:00 [pmc-release] AID - cells9051153 [pii] AID - cells-09-01153 [pii] AID - 10.3390/cells9051153 [doi] PST - epublish SO - Cells. 2020 May 7;9(5):1153. doi: 10.3390/cells9051153.