1. Readthrough-Promoting Drugs Gentamicin and PTC124 Fail to Rescue Na v 1.5 Function of Human-Induced Pluripotent Stem Cell–Derived Cardiomyocytes Carrying Nonsense Mutations in the Sodium Channel Gene SCN5A
- Author
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Arthur A.M. Wilde, Simone van de Pas, A. O. Verkerk, Christine L. Mummery, Milena Bellin, Connie R. Bezzina, Christiaan C. Veerman, Simona Casini, and Georgios Kosmidis
- Subjects
0301 basic medicine ,Mutation ,Sodium channel ,Nonsense mutation ,Translational readthrough ,HEK 293 cells ,030204 cardiovascular system & hematology ,Biology ,Pharmacology ,Nav1.5 ,medicine.disease_cause ,Cell biology ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,Physiology (medical) ,medicine ,biology.protein ,Myocyte ,Cardiology and Cardiovascular Medicine ,Induced pluripotent stem cell - Abstract
Background— Several compounds have been reported to induce translational readthrough of premature stop codons resulting in the production of full-length protein by interfering with ribosomal proofreading. Here we examined the effect of 2 of these compounds, gentamicin and PTC124, in human-induced pluripotent stem cell (hiPSC)–derived cardiomyocytes bearing nonsense mutations in the sodium channel gene SCN5A , which are associated with conduction disease and potential lethal arrhythmias. Methods and Results— We generated hiPSC from 2 patients carrying the mutations R1638X and W156X. hiPSC-derived cardiomyocytes from both patients recapitulated the expected electrophysiological phenotype, as evidenced by reduced Na + currents and action potential upstroke velocities compared with hiPSC-derived cardiomyocytes from 2 unrelated control individuals. While we were able to confirm the readthrough efficacy of the 2 drugs in Human Embryonic Kidney 293 cells, we did not observe rescue of the electrophysiological phenotype in hiPSC-derived cardiomyocytes from the patients. Conclusions— We conclude that these drugs are unlikely to present an effective treatment for patients carrying the loss-of-function SCN5A gene mutations examined in this study.
- Published
- 2016
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