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. 2019 Sep 6;20(18):4381. doi: 10.3390/ijms20184381

Table 2.

Overview about important iPSC lines carrying mutations in genes associated with genetic cardiomyopathies or related diseases.

Gene Protein Mutation(s) Method of Generation Main Phenotypic Findings Associated Disease References
ACTC1 Cardiac Actin p.E99K
  • Sendai virus transduction

  • Isogenic controls using CRISPR-Cas9 (PiggyBac)

Arrhythmias HCM/LVNC [380]
ALPK3 α-Kinase 3 p.W1264Xhom Electroporation with episomal plasmids
  • Sarcomeric disarray

  • Ca2+ handling defects

HCM [381]
BAG3 Bcl-2 Associated Athanogene 3
  • p.R90X

  • p.R90Xhom

  • p.R123X

  • Electroporation with episomal plasmids

  • & genome editing using

  • CRISPR-Cas9

  • TALENs

  • Decreased BAG3 expression

  • Sarcomeric disarray after prolonged culture

  • Decreased contraction

DCM [374]
BRAF B-Raf Proto-Oncogene, Serine/Threonine Kinase
  • p.Q257R

  • p.T599R

  • Retroviral transduction

  • Electroporation with episomal plasmids

  • Cellular hypertrophy

  • Pro-hypertrophic gene expression

  • Ca2+ handling defects

  • Abnormal TGFβ signaling

CFCS/HCM [382]
CAV Caveolin
  • c.303G > C

  • c.233C > A

  • c.∆184-192

Electroporation with episomal plasmids NA MP [383]
CRYAB αB-Crystallin
  • c.343delThet

  • c.343delThom

Retroviral transduction and genome editing (zinc finger nucleases)
  • No detectable expression of mutant αB-Crystallin

  • Loss of function mechanism

MFM [384]
DES Desmin p.N116S Lentiviral transduction NA ACM [385]
DES Desmin c.735+1G > A Sendai virus transduction NA DRC [386]
DES Desmin p.A285V Retroviral transduction
  • Desmin aggregation

  • Z-disk streaming

  • Decreased spontaneous beating rate

DCM [387]
DMD Dystrophin
  • ∆Ex8-12

  • c.5899C > T

Sendai virus transduction
  • Electrophysiological alterations

  • Arrhythmias

  • Prolonged action potential

DMD [388]
DMD Dystrophin
  • ∆Ex8-9

  • ∆Ex6-9

  • ∆Ex7-11

  • ∆Ex3-9

Sendai virus transduction in combination with CRISPR-Cas9
  • Out of frame deletion ∆Ex8-9 reduce contraction force

  • Second deletions to correct the reading fame of DMD restores the contractility

DMD [379]
DMD Dystrophin
  • c.263delG

  • ∆Ex50

Lentiviral transduction
CRISPR-Cas9
  • Reduced contractility

  • Ca2+ handling defects

DMD [389,390]
DSG2 Desmoglein-2 p.G638R Sendai virus transduction
  • Electrophysiological alterations

  • Ion channel dysfunction

ACM [391]
DSP Desmoplakin p.R451G Sendai virus transduction & genome editing for correction (CRISPR-Cas9) Reduced desmoplakin expression ACM [392]
FBN1 Fibrillin 1 c.4028G > A Sendai virus transduction NA Marfan Syndrome (HCM) [393]
FKRP Fukutin Related Protein c.826C > Ahom Lentiviral transduction
  • Abnormal action potential

  • Electrophysiological alterations

  • Decreased expression of SCN5A and CACNA1C

Limb-Girdle Muscular Dystrophy (DCM) [394]
FXN Frataxin Expanded GAA repeats Retroviral transduction
  • Iron homeostasis defects

  • Disorganized mitochondria

  • Cellular hypertrophy

  • Increased BNP expression

  • Ca2+ handling defects

Friedreich Ataxia (HCM) [395]
FXN Frataxin Expanded GAA repeats
  • 800/600

  • 900/400

Lentiviral transduction
  • Impaired mitochondrial function

  • Decreased mitochondrial membrane potential

  • Degeneration of mitochondria

Friedreich Ataxia (HCM) [396]
GLA Galactosidase α IVS4+919G > A Retroviral transduction
  • Decreased α-galactosidase activity

  • Cellular hypertrophy

  • Upregulation of fibrotic genes

Fabry Disease (HCM) [397,398]
LAMP2 Lysosomal Associated Membrane Protein 2 IVS6+1_4delGTGA Sendai virus transduction Autophagy dysfunction Danon Disease (CM) [399]
LAMP2 Lysosomal Associated Membrane Protein 2
  • c.129-130insAT

  • IVS-1.c64+1G > A

Unknown
  • Mitochondrial-oxidative stress

  • Apoptosis

  • Disrupted mitophagic flux

  • Mitochondrial respiratory deficiency

Danon Disease (CM) [400]
LAMP2 Lysosomal Associated Membrane Protein 2
  • c.1082delA

  • c.247C > T

  • c.64+1G > A

  • Retroviral transduction

  • Sendai virus transduction

  • CRISPR-Cas9 for correction

  • Defects in autophagic fusion

  • Mitochondrial abnormalities

  • Contractile abnormalities

Danon Disease (CM) [401]
LMNA Lamin A/C p.S143P Sendai virus transduction
  • Sarcomere damage after hypoxia

  • Arrhythmias after β-adrenergic stimulation

  • Ca2+ handling defects

DCM [402]
LMNA Lamin A/C p.S18fsX Combined lentiviral and retroviral transduction Normal nuclear membrane morphology DCM [403]
LMNA Lamin A/C p.R225X Lentiviral transduction
  • Reduced expression of lamin A/C

  • Increased cellular apoptosis under electrical stimulation

DCM [404]
LMNA Lamin A/C
  • p.R225X

  • p.Q354X

  • p.T518fsX29

Lentiviral transduction
  • Increased nuclear blebbing under electrical stimulation

  • Increased apoptosis under electrical stimulation

  • Haploinsufficiency

  • Treatment with PTC124 reverse the phenotypic findings

DCM & conduction disorders [405]
LMNA Lamin A/C p.K219T Lentiviral transduction
  • Electrophysiological alterations

  • Downregulation of SCN5A expression by epigenetic modulation of the promoter

DCM & conduction disorders [406]
MT-RNR2 Mitochondrially Encoded 16S rRNA m.2336T > C Retroviral transduction
  • Decreased stability of 16S rRNA

  • Mitochondrial dysfunction

  • Reduced ATP/ADP ratio

  • Reduced mitochondrial potential

  • Electrophysiological alterations

HCM [407]
MYBPC3 Myosin Binding Protein C3
  • p.V321M

  • p.V219L

  • c.2905+1G > A

Sendai virus transduction Abnormal Ca2+ handling HCM [408]
MYBPC3 Myosin Binding Protein C3 p.R326Q Electroporation with episomal plasmids Ca2+ handling deficits HCM [409]
MYBPC3 Myosin Binding Protein C3 c.2373 Lentiviral transduction
  • Cellular hypertrophy

  • Contractile defect

HCM [410,411]
MYBPC3 Myosin Binding Protein C3 p.R502W Electroporation with episomal plasmids NA HCM [412]
MYBPC3 Myosin Binding Protein C3
  • p.R502W

  • p.W792VfsX41

CRISPR-Cas9
  • Hypercontractility

  • P53 activation

  • Oxidative stress

  • Metabolic stress

HCM [413]
MYBPC3 Myosin Binding Protein C3
  • p.R943X

  • p.R1073fsX4

Sendai virus transduction & genome editing for correction (CRISPR-Cas9)
  • Reduced expression of MYBPC3 at the mRNA level but not at the protein level

  • Ca2+ handling defects

  • Activation of nonsense-mediated mRNA decay

HCM [414,415]
MYBPC3 Myosin Binding Protein C3 p.G999-Q1004del Sendai virus transduction
  • Cellular hypertrophy

  • Myofibrillar disarray

  • Reduced MYBPC3 expression

  • Increased ANP expression

HCM [416]
MYBPC3 Myosin Binding Protein C3 p.Q1061X
  • Sendai virus transduction

  • Retroviral transduction

Arrhythmias HCM [417,418]
MYBPC3 Myosin Binding Protein C3 p.V454CfsX21 Retroviral transduction
  • Haploinsufficiency (at the mRNA and protein level)

  • Cellular hypertrophy

  • Altered gene expression

  • Efficient gene replacement using AAV9 reduce phenotypic findings

HCM [419]
MYBPC3 Myosin Binding Protein C3 ∆25 bp in intron 32 including the splicing branch point & p.D389V (same allele) Sendai virus transduction
  • Cellular hypertrophy

  • Ca2+ handling deficits

HCM [420]
MYBPHL Myosin Binding Protein H-Like p.R255X Electroporation with episomal plasmids Haploinsufficiency by nonsense mediated mRNA decay DCM & conduction disorders [187]
MYH7 Myosin Heavy Chain 7 p.R663H Sendai virus transduction Abnormal Ca2+ handling HCM [408]
MYH7 Myosin Heavy Chain 7
  • p.R453Chet

  • p.R453Chom

CRISPR-Cas9
  • Cellular hypertrophy

  • Sarcomeric disarray

  • Increased expression of hypertrophy markers

  • Ca2+ handling deficits

HCM [421]
MYH7 Myosin Heavy Chain 7
  • p.R403Q

  • p.V606M

CRISPR-Cas9
  • Hypercontractility

  • P53 activation

  • Oxidative stress

  • Metabolic stress

HCM [413]
MYH7 Myosin Heavy Chain 7 p.V698A Electroporation with episomal plasmids NA HCM [422]
MYH7 Myosin Heavy Chain 7 p.E848G Electroporation with episomal plasmids Reduced contractile function HCM [423,424]
MYH7 Myosin Heavy Chain 7 p.R403Q Electroporation with episomal plasmids NA HCM [425]
MYH7 Myosin Heavy Chain 7 p.R633H Lentiviral transduction
  • Ca2+ handling deficits

  • Arrhythmias

  • Cellular hypertrophy

HCM [414,426]
MYH7 Myosin Heavy Chain 7 p.R442G Retroviral transduction
  • Disorganized sarcomeres

  • Increased expression of genes involved in cell proliferation

  • Electrophysiological alterations

HCM [427]
MYL2 Myosin Light Chain 2 p.R58Q Non-integrating mRNA/miRNA technology
  • Cellular hypertrophy

  • Myofibrillar disarray

  • Irregular contraction

  • Decreased Ca2+ transients

HCM [428]
MYL3 Myosin Light Chain 3
  • p.A57Dhet

  • p.A57Dhom

  • p.A57Ghet

CRISPR-Cas9
  • Asymptomatic

  • Classification of benign GSVs

HCM [375]
PKP2 Plakophilin-2 p.L614P Retroviral transduction
  • Reduced expression of plakophilin-2

  • Adipogenic phenotype

ACM [429]
PKP2 Plakophilin-2
  • c.2484C > Thom

  • c.2013delC

Retroviral transduction
  • Lipogenesis

  • Apoptosis

  • Ca2+ handling deficits

  • Pro-fibrotic gene expression

  • Dysregulation of genes, encoding cell-cell connections.

ACM [430,431,432]
PKP2 Plakophilin-2 c.972insT Retroviral transduction
  • Reduced expression of plakophilin-2

  • Changes of the desmosomal structure

  • Lipid droplet accumulation

ACM [433]
PKP2 Plakophilin-2
  • c.354delT

  • p.K859R

Sendai virus transduction NA ACM [434]
PKP2 Plakophilin-2 c.2569_3018del50 Electroporation with episomal plasmids NA ACM [435]
PLN Phospholamban p.R9C CRISPR-Cas9
  • Cellular hypertrophy

  • Ca2+ handling deficits

  • Increased expression of hypertrophic markers

  • Altered metabolic state

  • Changes of miRNA expression

  • Increased expression of profibrotic genes

DCM [414,436]
PLN Phospholamban p.R14del Transfection with mRNAs& genome editing (TALENs) for mutation correction
  • Ca2+ handling deficits

  • Abnormal cytoplasmic localization of phospholamban

  • Increased expression of hypertrophic markers

  • Gene correction reverses the phenotypic findings

DCM [437,438]
PRGAG2 Protein Kinase AMP-Activated Non-Catalytic Subunit Gamma 2 p.R302Q Sendai virus transduction & genome editing for correction (CRISPR-Cas9)
  • Arrhythmias

  • Electrophysiological alterations

  • Cellular hypertrophy

  • Gene correction using CRISPR-Cas9 reverses the phenotypic findings

Wolff–Parkinson–White Syndrome (HCM) [439]
PRKAG2 Protein Kinase AMP-Activated Non-Catalytic Subunit Gamma 2 p.N488I Lentiviral transduction & genome editing for correction (TALEN)
  • Activated AMPK remodeled metabolism

  • Cellular hypertrophy

HCM [440]
PTPN11 Protein Tyrosine Phosphatase Non-Receptor Type 11 p.T468M Retroviral transduction
  • Cellular hypertrophy

  • Impaired sarcomere structure

LEOPARD Syndrome (HCM) [360]
PTPN11 Protein Tyrosine Phosphatase Non-Receptor Type 11 p.Q510P Sendai virus transduction NA LEOPARD Syndrome (HCM) [441]
RAF1 Raf-1 Proto-Oncogene, Serine/Threonine Kinase p.S257L Electroporation of episomal plasmids & genome editing for correction (CRISPR-Cas9)
  • Cellular hypertrophy

  • Myofibrillar disarray

  • Hyperactivation of MEK1/2 pathway

  • Increased ERK5 signaling

Noonan Syndrome (HCM) [442]
RBM20 RNA Binding Motif Protein 20 p.S635A Lentiviral transduction
  • Altered Ca2+ handling

  • Impaired sarcomere structure

  • Reduced titin N2B isoform expression

DCM [443]
RBM20 RNA Binding Motif Protein 20 p.R636S Sendai virus transduction
  • Impaired sarcomere structure

  • Altered transcriptome

  • Altered Ca2+ handling

  • Apoptotic changes

  • Therapeutic treatment using β-blockers or Ca2+ channel blockers reverse phenotypic findings

DCM [444,445]
RYR2 Ryanodine Receptor 2 p.F2483I Retroviral transduction
  • Arrhythmias

  • Altered Ca2+ handling

CPVT [350]
RYR2 Ryanodine Receptor 2
  • p.S404R & p.N685S

  • p.G3946S & p.G1885E

Sendai virus transduction
  • Altered Ca2+ handling

  • Calmodulin-dependent protein kinase II inhibition reverse the arrhythmias

CPVT [376]
SCN5A Sodium Voltage-Gated Channel Alpha Subunit 5
  • p.S1898R

Sendai virus transduction & CRISPR-Cas9 for correction
  • Reduction in peak sodium channel

ACM [446]
SCN5A Sodium Voltage-Gated Channel Alpha Subunit 5 p.R219H Sendai virus transduction
  • Proton leakage

  • Disrupted ion homeostasis

  • Structural abnormalities

  • Electrophysiological alterations

  • Reduced contraction

ACM/DCM [447]
SCO2 SCO2 Cytochrome C Oxidase Assembly Protein
  • p.E140K

  • p.G193Shom

Sendai virus transduction
  • Structural abnormalities

  • Altered Ca2+ handling

HCM [448]
TAZ Tafazzin
  • c.517delG

  • c.328T > C

Transfection with synthetic mRNAs & CRISPR-Cas9 for correction
  • Impaired sarcomere structure

  • Decreased contraction

  • Increased reactive oxygen species

Barth Syndrome [449]
TBX20 T-Box Factor 20
  • p.T262M

  • p.Y317X

Sendai virus transduction
  • Perturbed TGFβ signaling

  • Reduced expression of cardiac transcription factors

LVNC [450]
TNNT2 Cardiac Troponin T p.R92W Sendai virus transduction & CRISPR-Cas9 for correction Abnormal Ca2+ handling HCM [408]
TNNT2 Cardiac Troponin T p.R173W Lentiviral transduction
  • Decreased contractility

  • Altered Ca2+ handling

  • Impaired sarcomere structure

DCM [414,451,452,453,454]
TNNT2 Cardiac Troponin T
  • Compound heterozygous: ∆5bp and ∆2bp deletions in exon 2 leading to frameshifts

  • Heterozygous ∆27bp deletion in exon 2 leading to a frameshift

TALEN
  • Sarcomere disassembly

  • Altered Ca2+ handling

DCM/HCM [453]
TNNT2 Cardiac Troponin T p.I79N CRISPR-Cas9
  • Impaired sarcomere structure

  • Increased systolic function

  • Impaired relaxation

  • Altered Ca2+ handling

HCM [455,456]
TPM1 Tropomyosin-1 p.D175N
  • Sendai virus transduction

  • Retroviral transduction

Arrhythmias HCM [417,418]
TTN Titin
  • p.W976R+/-

  • p.V6382fs+/-

  • p.V6382fs-/-

  • p.A22352fs+/-

  • p.P22582fs+/-

  • p.N22577fs+/-

  • p.N22577fs-/-

  • p.T33520fs-/-

  • Lentiviral transduction (for patient specific iPSC)

  • CRISPR-Cas9 (for generation of isogenic iPSC)

  • Impaired sarcomere structure

  • Decreased contractility

  • Diminished activation of growth factors, hypoxia regulating factors and MAP kinases

DCM [457]
TTN Titin p.S14450fsX4 Sendai virus transduction Antisense-mediated exon skipping restores titin expression DCM [377]
TTN Titin
  • c.86076dupA

  • c.70690dupAT

Lentiviral transduction
  • Sarcomere defects

  • Diminished inotropic and lusitropic responses

DCM [458]
TTR Transthyretin p.L55P Lentiviral transduction Increased oxidative stress Hereditary Transthyretin Amyloidosis [459]

ACM—Arrhythmogenic cardiomyopathy; CFCS—Cardio facio cutaneous syndrome; CM—Cardiomyopathy; CPVT—Catecholaminergic polymorphic ventricular tachycardia; DCM—Dilated cardiomyopathy; DMD—Duchenne muscular dystrophy; DRC—Desmin-related cardiomyopathy; HCM—Hypertrophic cardiomyopathy; LVNC—Left-ventricular non-compaction cardiomyopathy; MFM—Myofibrillar myopathy; MP—Myopathy; NA—Not assessed; RCM—Restrictive cardiomyopathy.