Human induced pluripotent stem cell derived cardiomyocytes (hiPSC-CMs) are a novel but still evolving model system for cardiovascular diseases. A key question is how accurately these cells recapitulate the biology of human adult cardiomyocytes. Although hiPSC-CMs have been characterized in terms of global gene expression, little is known about the expression and function of the critical signaling pathways regulating function and structural remodeling in cardiomyocytes. We hypothesize that in hiPSC-CMs, the complex dual role of ?-AR signaling in regulating cardiac function and structural remodeling is established during cardiomyocyte maturation. If true, then ?-AR signaling can be used as a read-out for hiPSC-CM maturation. We also hypothesize that some of the alterations in ?-AR signaling seen in patients with dilated cardiomyopathy are myocyte-autonomous and due to intracellular crosstalk rather than catecholamine excess. If this is the case, we would expect that hiPSC-CMs from patients with a genetic dilated cardiomyopathy will demonstrate alterations in ?-AR signaling.
Aim 1 will evaluate ?-AR signaling mechanisms in hiPSC-CMs: (a) the maturation in ?-AR signaling at different stages after hiPSC differentiation into cardiomyocytes; (b) whether ?-ARs demonstrate subtype specific signaling in hiPSC-CMs; (c) whether ?-ARs exhibit compartmentalization of subtype-specific signaling; and (d) whether downregulation mechanisms are functional.
Aim 2 will determine whether ?-AR signaling alterations (e.g. downregulation) occur in hiPSC-CMs from patients with dilated cardiomyopathy; and delineate whether different genotypes (e.g. troponin T vs. phospholamban) of dilated cardiomyopathy lead to different ?- AR signaling alterations. These studies will determine how closely hiPSC-CM ?-AR signaling recapitulates that of adult cardiomyocytes and how useful hiPSC-CMs will be for evaluating disease mechanisms or for drug screening in cardiac diseases where ?-AR signaling plays a major role. If alterations in ?-AR signaling are present in hiPSC-CMs isolated from patients, these data would shift our paradigm for heart failure pathophysiology, suggesting that some of the classic alterations in ?-AR signaling are cell-autonomous and not due only to chronically increased sympathetic stimulation.

Public Health Relevance

Despite growing enthusiasm for using human induced pluripotent stem cell derived cardiomyocytes (hiPSC-CMs) as a tool to uncover heart diseases mechanism and to find new drugs, studies on the signaling pathways mediating alterations in heart function have never done in detail. The goal of our studies is to understand ?-adrenergic receptor (?-AR) signaling which is not only the primary controlling system for heart but also the major target of drugs to treat heart failure. We provide details of ?-AR signaling system in hiPSC-CMs in context of development and abnormality in disease models, ?-AR signaling can be utilized as monitoring methods for maturation and for novel drug screening.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Postdoctoral Individual National Research Service Award (F32)
Project #
5F32HL126348-02
Application #
8986090
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Meadows, Tawanna
Project Start
2014-12-01
Project End
2017-11-30
Budget Start
2015-12-01
Budget End
2016-11-30
Support Year
2
Fiscal Year
2016
Total Cost
Indirect Cost
Name
Stanford University
Department
Pediatrics
Type
Schools of Medicine
DUNS #
009214214
City
Stanford
State
CA
Country
United States
Zip Code
94304