Patient-specific hiPSC-derived cardiomyocytes indicate allelic and contractile imbalance as pathogenic factor in early-stage Hypertrophic Cardiomyopathy

Research output: Contribution to journalArticleResearchpeer review

Authors

  • Natalie Weber
  • Judith Montag
  • Kathrin Kowalski
  • Bogdan Iorga
  • Jeanne de la Roche
  • Tim Holler
  • Daniel Wojciechowski
  • Meike Wendland
  • Ante Radocaj
  • Anne Kathrin Mayer
  • Anja Brunkhorst
  • Felix Osten
  • Valentin Burkart
  • Birgit Piep
  • Alea Bodenschatz
  • Pia Gibron
  • Kristin Schwanke
  • Annika Franke
  • Stefan Thiemann
  • Anastasia Koroleva
  • Angelika Pfanne
  • Maike Konsanke
  • Jan Fiedler
  • Jan Hegermann
  • Christoph Wrede
  • Christian Mühlfeld
  • Boris Chichkov
  • Martin Fischer
  • Thomas Thum
  • Antonio Francino
  • Ulrich Martin
  • Joachim Meißner
  • Robert Zweigerdt
  • Theresia Kraft

Research Organisations

External Research Organisations

  • Hannover Medical School (MHH)
  • MSB Medical School Berlin - Hochschule für Gesundheit und Medizin
  • University of Bucharest
  • Fraunhofer Institute for Toxicology and Experimental Medicine (ITEM)
  • Biomedical Research in Endstage & Obstructive Lung Disease (BREATH)
  • Universitat de Barcelona
View graph of relations

Details

Original languageEnglish
Pages (from-to)112-125
Number of pages14
JournalJournal of Molecular and Cellular Cardiology
Volume198
Early online date7 Dec 2024
Publication statusPublished - Jan 2025

Abstract

Hypertrophic Cardiomyopathy (HCM) is often caused by heterozygous mutations in β-myosin heavy chain (MYH7, β-MyHC). In addition to hyper- or hypocontractile effects of HCM-mutations, heterogeneity in contractile function (contractile imbalance) among individual cardiomyocytes was observed in end-stage HCM-myocardium. Contractile imbalance might be induced by burst-like transcription, leading to unequal fractions of mutant versus wildtype mRNA and protein in individual cardiomyocytes (allelic imbalance). Until now it is not known if allelic and contractile imbalance are present early in HCM-development or rather occur in response to disease-associated remodeling. To address this question, we used patient-specific human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) with heterozygous MYH7-mutations R723G and G741R as models of early-stage HCM without secondary adaptions upon disease progression. R723G-hiPSC-CMs showed typical HCM-markers like hypertrophy and myofibrillar disarray. Using RNA-FISH and allele-specific single-cell-PCR, we show for both cell lines that MYH7 is transcribed in bursts. Highly variable mutant vs. wildtype MYH7-mRNA fractions in individual HCM-hiPSC-CMs indicated allelic imbalance. HCM-hiPSC-CM-lines showed functional alterations like slowed twitch contraction kinetics and reduced calcium sensitivity of myofibrillar force generation. A significantly larger variability in force generation or twitch parameters of individual HCM-hiPSC-CMs compared to WT-hiPSC-CMs indicated contractile imbalance. Our results with early-stage hiPSC-CMs strongly suggest that burst-like transcription and allelic imbalance are general features of CMs, which together with mutation-induced changes of sarcomere contraction could induce contractile imbalance in heterozygous CMs, presumably aggravating development of HCM. Genetic or epigenetic approaches targeting functional heterogeneity in HCM could lead to promising future therapies, in addition to myosin modulation.

Keywords

    Allelic imbalance, Contractile imbalance, hiPSC-derived cardiomyocytes, Hypertrophic cardiomyopathy, R723G myosin mutation

ASJC Scopus subject areas

Sustainable Development Goals

Cite this

Patient-specific hiPSC-derived cardiomyocytes indicate allelic and contractile imbalance as pathogenic factor in early-stage Hypertrophic Cardiomyopathy. / Weber, Natalie; Montag, Judith; Kowalski, Kathrin et al.
In: Journal of Molecular and Cellular Cardiology, Vol. 198, 01.2025, p. 112-125.

Research output: Contribution to journalArticleResearchpeer review

Weber, N, Montag, J, Kowalski, K, Iorga, B, de la Roche, J, Holler, T, Wojciechowski, D, Wendland, M, Radocaj, A, Mayer, AK, Brunkhorst, A, Osten, F, Burkart, V, Piep, B, Bodenschatz, A, Gibron, P, Schwanke, K, Franke, A, Thiemann, S, Koroleva, A, Pfanne, A, Konsanke, M, Fiedler, J, Hegermann, J, Wrede, C, Mühlfeld, C, Chichkov, B, Fischer, M, Thum, T, Francino, A, Martin, U, Meißner, J, Zweigerdt, R & Kraft, T 2025, 'Patient-specific hiPSC-derived cardiomyocytes indicate allelic and contractile imbalance as pathogenic factor in early-stage Hypertrophic Cardiomyopathy', Journal of Molecular and Cellular Cardiology, vol. 198, pp. 112-125. https://doi.org/10.1016/j.yjmcc.2024.11.007
Weber, N., Montag, J., Kowalski, K., Iorga, B., de la Roche, J., Holler, T., Wojciechowski, D., Wendland, M., Radocaj, A., Mayer, A. K., Brunkhorst, A., Osten, F., Burkart, V., Piep, B., Bodenschatz, A., Gibron, P., Schwanke, K., Franke, A., Thiemann, S., ... Kraft, T. (2025). Patient-specific hiPSC-derived cardiomyocytes indicate allelic and contractile imbalance as pathogenic factor in early-stage Hypertrophic Cardiomyopathy. Journal of Molecular and Cellular Cardiology, 198, 112-125. https://doi.org/10.1016/j.yjmcc.2024.11.007
Weber N, Montag J, Kowalski K, Iorga B, de la Roche J, Holler T et al. Patient-specific hiPSC-derived cardiomyocytes indicate allelic and contractile imbalance as pathogenic factor in early-stage Hypertrophic Cardiomyopathy. Journal of Molecular and Cellular Cardiology. 2025 Jan;198:112-125. Epub 2024 Dec 7. doi: 10.1016/j.yjmcc.2024.11.007
Download
@article{dd35e9f6f69d44d19435eacb7c870c1c,
title = "Patient-specific hiPSC-derived cardiomyocytes indicate allelic and contractile imbalance as pathogenic factor in early-stage Hypertrophic Cardiomyopathy",
abstract = "Hypertrophic Cardiomyopathy (HCM) is often caused by heterozygous mutations in β-myosin heavy chain (MYH7, β-MyHC). In addition to hyper- or hypocontractile effects of HCM-mutations, heterogeneity in contractile function (contractile imbalance) among individual cardiomyocytes was observed in end-stage HCM-myocardium. Contractile imbalance might be induced by burst-like transcription, leading to unequal fractions of mutant versus wildtype mRNA and protein in individual cardiomyocytes (allelic imbalance). Until now it is not known if allelic and contractile imbalance are present early in HCM-development or rather occur in response to disease-associated remodeling. To address this question, we used patient-specific human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) with heterozygous MYH7-mutations R723G and G741R as models of early-stage HCM without secondary adaptions upon disease progression. R723G-hiPSC-CMs showed typical HCM-markers like hypertrophy and myofibrillar disarray. Using RNA-FISH and allele-specific single-cell-PCR, we show for both cell lines that MYH7 is transcribed in bursts. Highly variable mutant vs. wildtype MYH7-mRNA fractions in individual HCM-hiPSC-CMs indicated allelic imbalance. HCM-hiPSC-CM-lines showed functional alterations like slowed twitch contraction kinetics and reduced calcium sensitivity of myofibrillar force generation. A significantly larger variability in force generation or twitch parameters of individual HCM-hiPSC-CMs compared to WT-hiPSC-CMs indicated contractile imbalance. Our results with early-stage hiPSC-CMs strongly suggest that burst-like transcription and allelic imbalance are general features of CMs, which together with mutation-induced changes of sarcomere contraction could induce contractile imbalance in heterozygous CMs, presumably aggravating development of HCM. Genetic or epigenetic approaches targeting functional heterogeneity in HCM could lead to promising future therapies, in addition to myosin modulation.",
keywords = "Allelic imbalance, Contractile imbalance, hiPSC-derived cardiomyocytes, Hypertrophic cardiomyopathy, R723G myosin mutation",
author = "Natalie Weber and Judith Montag and Kathrin Kowalski and Bogdan Iorga and {de la Roche}, Jeanne and Tim Holler and Daniel Wojciechowski and Meike Wendland and Ante Radocaj and Mayer, {Anne Kathrin} and Anja Brunkhorst and Felix Osten and Valentin Burkart and Birgit Piep and Alea Bodenschatz and Pia Gibron and Kristin Schwanke and Annika Franke and Stefan Thiemann and Anastasia Koroleva and Angelika Pfanne and Maike Konsanke and Jan Fiedler and Jan Hegermann and Christoph Wrede and Christian M{\"u}hlfeld and Boris Chichkov and Martin Fischer and Thomas Thum and Antonio Francino and Ulrich Martin and Joachim Mei{\ss}ner and Robert Zweigerdt and Theresia Kraft",
note = "Publisher Copyright: {\textcopyright} 2024 The Author(s)",
year = "2025",
month = jan,
doi = "10.1016/j.yjmcc.2024.11.007",
language = "English",
volume = "198",
pages = "112--125",
journal = "Journal of Molecular and Cellular Cardiology",
issn = "0022-2828",
publisher = "Academic Press Inc.",

}

Download

TY - JOUR

T1 - Patient-specific hiPSC-derived cardiomyocytes indicate allelic and contractile imbalance as pathogenic factor in early-stage Hypertrophic Cardiomyopathy

AU - Weber, Natalie

AU - Montag, Judith

AU - Kowalski, Kathrin

AU - Iorga, Bogdan

AU - de la Roche, Jeanne

AU - Holler, Tim

AU - Wojciechowski, Daniel

AU - Wendland, Meike

AU - Radocaj, Ante

AU - Mayer, Anne Kathrin

AU - Brunkhorst, Anja

AU - Osten, Felix

AU - Burkart, Valentin

AU - Piep, Birgit

AU - Bodenschatz, Alea

AU - Gibron, Pia

AU - Schwanke, Kristin

AU - Franke, Annika

AU - Thiemann, Stefan

AU - Koroleva, Anastasia

AU - Pfanne, Angelika

AU - Konsanke, Maike

AU - Fiedler, Jan

AU - Hegermann, Jan

AU - Wrede, Christoph

AU - Mühlfeld, Christian

AU - Chichkov, Boris

AU - Fischer, Martin

AU - Thum, Thomas

AU - Francino, Antonio

AU - Martin, Ulrich

AU - Meißner, Joachim

AU - Zweigerdt, Robert

AU - Kraft, Theresia

N1 - Publisher Copyright: © 2024 The Author(s)

PY - 2025/1

Y1 - 2025/1

N2 - Hypertrophic Cardiomyopathy (HCM) is often caused by heterozygous mutations in β-myosin heavy chain (MYH7, β-MyHC). In addition to hyper- or hypocontractile effects of HCM-mutations, heterogeneity in contractile function (contractile imbalance) among individual cardiomyocytes was observed in end-stage HCM-myocardium. Contractile imbalance might be induced by burst-like transcription, leading to unequal fractions of mutant versus wildtype mRNA and protein in individual cardiomyocytes (allelic imbalance). Until now it is not known if allelic and contractile imbalance are present early in HCM-development or rather occur in response to disease-associated remodeling. To address this question, we used patient-specific human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) with heterozygous MYH7-mutations R723G and G741R as models of early-stage HCM without secondary adaptions upon disease progression. R723G-hiPSC-CMs showed typical HCM-markers like hypertrophy and myofibrillar disarray. Using RNA-FISH and allele-specific single-cell-PCR, we show for both cell lines that MYH7 is transcribed in bursts. Highly variable mutant vs. wildtype MYH7-mRNA fractions in individual HCM-hiPSC-CMs indicated allelic imbalance. HCM-hiPSC-CM-lines showed functional alterations like slowed twitch contraction kinetics and reduced calcium sensitivity of myofibrillar force generation. A significantly larger variability in force generation or twitch parameters of individual HCM-hiPSC-CMs compared to WT-hiPSC-CMs indicated contractile imbalance. Our results with early-stage hiPSC-CMs strongly suggest that burst-like transcription and allelic imbalance are general features of CMs, which together with mutation-induced changes of sarcomere contraction could induce contractile imbalance in heterozygous CMs, presumably aggravating development of HCM. Genetic or epigenetic approaches targeting functional heterogeneity in HCM could lead to promising future therapies, in addition to myosin modulation.

AB - Hypertrophic Cardiomyopathy (HCM) is often caused by heterozygous mutations in β-myosin heavy chain (MYH7, β-MyHC). In addition to hyper- or hypocontractile effects of HCM-mutations, heterogeneity in contractile function (contractile imbalance) among individual cardiomyocytes was observed in end-stage HCM-myocardium. Contractile imbalance might be induced by burst-like transcription, leading to unequal fractions of mutant versus wildtype mRNA and protein in individual cardiomyocytes (allelic imbalance). Until now it is not known if allelic and contractile imbalance are present early in HCM-development or rather occur in response to disease-associated remodeling. To address this question, we used patient-specific human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) with heterozygous MYH7-mutations R723G and G741R as models of early-stage HCM without secondary adaptions upon disease progression. R723G-hiPSC-CMs showed typical HCM-markers like hypertrophy and myofibrillar disarray. Using RNA-FISH and allele-specific single-cell-PCR, we show for both cell lines that MYH7 is transcribed in bursts. Highly variable mutant vs. wildtype MYH7-mRNA fractions in individual HCM-hiPSC-CMs indicated allelic imbalance. HCM-hiPSC-CM-lines showed functional alterations like slowed twitch contraction kinetics and reduced calcium sensitivity of myofibrillar force generation. A significantly larger variability in force generation or twitch parameters of individual HCM-hiPSC-CMs compared to WT-hiPSC-CMs indicated contractile imbalance. Our results with early-stage hiPSC-CMs strongly suggest that burst-like transcription and allelic imbalance are general features of CMs, which together with mutation-induced changes of sarcomere contraction could induce contractile imbalance in heterozygous CMs, presumably aggravating development of HCM. Genetic or epigenetic approaches targeting functional heterogeneity in HCM could lead to promising future therapies, in addition to myosin modulation.

KW - Allelic imbalance

KW - Contractile imbalance

KW - hiPSC-derived cardiomyocytes

KW - Hypertrophic cardiomyopathy

KW - R723G myosin mutation

UR - http://www.scopus.com/inward/record.url?scp=85211017594&partnerID=8YFLogxK

U2 - 10.1016/j.yjmcc.2024.11.007

DO - 10.1016/j.yjmcc.2024.11.007

M3 - Article

C2 - 39647438

AN - SCOPUS:85211017594

VL - 198

SP - 112

EP - 125

JO - Journal of Molecular and Cellular Cardiology

JF - Journal of Molecular and Cellular Cardiology

SN - 0022-2828

ER -