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Research: Patient-Specific Stem-Cell Models for Long-QT Syndrome September 3, 2010

Posted by Peng-Sheng Chen, MD, FHRS in Science & Research.
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Patient-Specific Stem-Cell Models for Long-QT Syndrome
Moretti et al (NEJM 2010; Epub, PMID: 20660394) screened a family affected by long-QT syndrome type 1 (LQT1) and identified an autosomal dominant missense mutation (R190Q) in the KCNQ1 gene.

They infected dermal fibroblasts from family members and healthy controls with retroviral vectors to generate pluripotent stem cells, which were then directed to differentiate into cardiac myocytes. The action potential duration was markedly prolonged in cells derived from patients with LQT1, as compared with cells from control subjects. The LQT1 myocytes had an increased susceptibility to catecholamine-induced tachyarrhythmia and that beta-blockade attenuated this phenotype.

The authors conclude that they generated patient-specific pluripotent stem cells from family members affected by LQT1 and induced them to differentiate into functional cardiac myocytes. The patient-derived cells recapitulated the electrophysiological features of the disorder.

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