Table 2.
Disease model | Genetic cause | Source of somatic cells |
Reprogramming strategy |
Cardiac differentiation |
Disease phenotypes observed | Rescue | |
---|---|---|---|---|---|---|---|
LEOPARD syndrome (Carvajal-Vergara et al., 2010) |
ptpn11 (SHP2) T468M substitution |
Skin | Retrovirus: oct4, sox2, klf4, and c- myc |
EB, staged, defined |
Increased cell size and sarcomeric organization; Nuclear localization of NFATC4 |
N/A | |
Long QT 1 (Moretti et al., 2010) | kcnq1 (IKs) R190Q missense mutation |
Skin | Retrovirus: oct4, sox2, klf4, and c- myc |
EB, serum- based |
Catecholamine-induced tachyarrhythmia | Propanolol | |
Long QT 2 (Itzhaki et al., 2011) | kcnh2/herg (IKr) A614V missense mutation |
Skin | Retrovirus: oct4, sox2, and klf4 |
EB, serum- based |
Prolongation of AP duration | EAD; Triggered arrhythmias |
Nifepidine, Pinacidil, and Ranolazine |
Long QT 2 (Matsa et al., 2011) | kcnh2/herg (IKr) G1681A point mutation |
Skin | Lentivirus: oct4, sox2, nanog, and lin28 |
EB, serum- based |
Deficient IKr activity | Arrhythmias and EAD triggered by E4031 and isoproterenol |
Propanolol, Nadalol, Nicorandil, and PD118057 |
Long QT 2 (Lahti et al., 2012) | kcnh2/herg (IKr) R176W missense mutation |
Skin | Retrovirus: oct4, sox2, klf4, and c- myc |
Co-culture with END2 |
Spontaneous arrhythmogenic activity, aggravated by E4031 and sotalol |
N/A | |
Timothy syndrome (Yazawa et al., 2011) |
cacna1c (CaV1.2) G406R missense mutation |
Skin | Retrovirus: oct4, sox2, klf4, and c- myc |
EB, serum- based |
Irregular contraction, prolonged action potentials, altered Ca2+ influx, and transients in ventricular-like cells |
Roscovitine | |
Catecholaminergic polymorphic ventricular tachycardia (Itzhaki et al., 2012) |
RYR2 M4109R point mutation |
Skin | Retrovirus: oct4, sox2, and klf4 |
EB, serum- based |
DAD and abnormal Ca2+ handling |
Isoproterenol and forskolin increased frequency and magnitude of AD, also leading to development of triggered activity; Whole-cell Ca2+ transient irregularities, worsened with adrenergic stimulation and Ca2+ overload |
Flecainide, Thapsighargin, and Propanolol |
Catecholaminergic polymorphic ventricular tachycardia (Fatima et al., 2011) |
ryr2 p.F2483I mutation |
Skin | Retrovirus: oct4, sox2, klf4, and c- myc |
Co-culture with END2 |
Development arrhythmogenic behaviors and DAD following isoproterenol treatment; Higher amplitude and longer duration of spontaneous local Ca2+ releasing events |
N/A | |
Catecholaminergic polymorphic ventricular tachycardia (Jung et al., 2012) |
RYR2 S406L missense mutation |
Skin | Retrovirus: oct4, sox2, klf4, and c- myc |
EB, serum- based |
DAD and abnormal Ca2+ handling |
Prolongation of Ca2+ sparks | Dantrolene |
Catecholaminergic polymorphic ventricular tachycardia (Kujala et al., 2012) |
RYR2 P2328S mutation |
Skin | Retrovirus: oct4, sox2, klf4, and c- myc |
Co-culture with END2 cells |
Abnormal Ca2+ signaling and arrhythmias upon catecholaminergic stress; Reduced SR Ca2+ content, indicating leakage of Ca2+ from the SR; DAD during spontaneous beating and in response to adrenaline; EAD during spontaneous beating |
N/A | |
Familial dilated cardiomyopathy (Sun et al., 2012) |
TNNT2 (cTNT) R173W point mutation |
Adipose tissue | Retrovirus: oct4, sox2, klf4, and c- myc |
EB, staged, defined |
Abnormal sarcomeric structure and contractility, aggravated by β-adrenergic stimulation; Alterations in Ca2+ handling |
Metoprolol and forced overexpression of Serca2a |
|
Arrhythmogenic right ventricular cardiomyopathy (Ma et al., 2012) |
plakophilin-2 c.1841T.C nucleotide change |
Skin | Retrovirus oct4, sox2, klf4, and c- myc |
EB, serum- based |
Increased lipid accumulation in AC CMs following |
Reduced plakoglobin expression. Larger and denser lipid droplets |
N/A |
Arrhythmogenic right ventricular cardiomyopathy (Kim et al., 2013) |
plakophilin-2 homozygous c.2484C.T frameshift mutation and c.2013delC frameshift mutation |
Skin | Retrovirus oct4, sox2, klf4, and c- myc |
EB, serum- based |
adipogenic conditions |
Nuclear localization of plakoglobin, reduced β-catenin activity, and increased apoptosis. Metabolic shift from FAO towards glycolysis. Deficient Ca2+ relaxation and reduced serca2a and ncax1 expression |
Forced expression of plakophilin-2. N-acetyl cysteine and ascorbic acid; GW966, T0070907, and GW6471 |
Overlapping Na+ channel disease syndrome (Davis et al., 2012) |
SCN5A (INa) 1795insD insertion mutation |
Skin | Floxed lentivirus: oct4, sox2, klf4, and c-myc |
Co-culture with END2 cells |
Decrease in peak INa and an increase in persistent INa | N/A |
EAD = Early afterdepolarizations; DAD = delayed afterdepolarizations; FAO = fatty acid oxidation.