Evidence map›Paper›PMID 29217433›Full record

ArticleJournal of molecular and cellular cardiology2018

Hypertrophic cardiomyopathy-linked mutation in troponin T causes myofibrillar disarray and pro-arrhythmic action potential changes in human iPSC cardiomyocytes.

Lili Wang, Kyungsoo Kim, Shan Parikh, Adrian Gabriel Cadar, Kevin R Bersell, Huan He, Jose R Pinto, Dmytro O Kryshtal, Bjorn C Knollmann

Open access · greenAbstract read
In one paragraph

Article in Journal of molecular and cellular cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Associations between specific non-sustained ventricular tachycardia characteristics and sudden cardiac death in hypertrophic cardiomyopathy.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
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  18. Cardiac troponin T N-domain variant destabilizes the actin interface resulting in disturbed myofilament function.Proceedings of the National Academy of Sciences of the United States of America · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Lili WangDivision of Clinical Pharmacology, Vanderbilt Univ Medical Ctr, Nashville, TN, Medical Research Building IV, Rm.1275, 2215B Garland Ave, Nashville, TN 37232, USA.
Kyungsoo KimDivision of Clinical Pharmacology, Vanderbilt Univ Medical Ctr, Nashville, TN, Medical Research Building IV, Rm.1275, 2215B Garland Ave, Nashville, TN 37232, USA.
Shan ParikhDivision of Clinical Pharmacology, Vanderbilt Univ Medical Ctr, Nashville, TN, Medical Research Building IV, Rm.1275, 2215B Garland Ave, Nashville, TN 37232, USA.
Adrian Gabriel CadarDivision of Cardiovascular Medicine, Vanderbilt Univ Medical Ctr, Nashville, TN, Light Hall 1155A, 2215B Garland Ave, Nashville, TN 37232, USA.
Kevin R BersellDivision of Clinical Pharmacology, Vanderbilt Univ Medical Ctr, Nashville, TN, Medical Research Building IV, Rm.1275, 2215B Garland Ave, Nashville, TN 37232, USA.
Huan HeInstitute of Molecular Biophysics, Florida State University, 91 Chieftan Way, Tallahassee, FL 32306, USA; Translational Science Laboratory, Florida State University College of Medicine, 1115 W. Call Street, Tallahassee, FL 32306, USA.
Jose R PintoDepartment of Biomedical Sciences, Florida State University College of Medicine, 1115 W. Call Street, Tallahassee, FL 32306, USA.
Dmytro O KryshtalDivision of Clinical Pharmacology, Vanderbilt Univ Medical Ctr, Nashville, TN, Medical Research Building IV, Rm.1275, 2215B Garland Ave, Nashville, TN 37232, USA. Electronic address: dmytro.o.kryshtal@Vanderbilt.Edu.
Bjorn C KnollmannDivision of Clinical Pharmacology, Vanderbilt Univ Medical Ctr, Nashville, TN, Medical Research Building IV, Rm.1275, 2215B Garland Ave, Nashville, TN 37232, USA. Electronic address: bjorn.knollmann@vanderbilt.edu.
Florida State University · USVanderbilt University Medical Center · USVanderbilt University · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007347 · NIGMS · VANDERBILT UNIVERSITY · PI WILLIAMS, CHRISTOPHER S. · 1985 to 2023
$26.3M
Troponin T mutations and Sudden Cardiac DeathR01HL071670 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KNOLLMANN, BJORN C · 2003 to 2017
$4.5M
Calsequestrin in Ventricular Arrhythmia and Sudden DeathR01HL088635 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KNOLLMANN, BJORN C · 2007 to 2015
$3.2M
Toward a Mechanism-Based Approach to Treating Atrial FibrillationR01HL124935 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KNOLLMANN, BJORN C · 2015 to 2019
$2.8M
Modulators of Cardiomyopathic DiseasesR01HL128683 · NHLBI · FLORIDA STATE UNIVERSITY · PI PINTO, JOSE RENATO · 2016 to 2020
$1.8M
Pannexin channels in cardiac arrhythmiasR01HL128044 · NHLBI · VANDERBILT UNIVERSITY · PI KNOLLMANN, BJORN C, ZHOU, LUFANG · 2015 to 2018
$1.5M
Investigation of Troponin I-interacting kinase, a cardiomyocyte specific kinase, in the immune response to cardiac injuryF30HL131179 · NHLBI · VANDERBILT UNIVERSITY · PI PARIKH, SHAN · 2016 to 2019
$171k
NHLBI NIH HHS F30 HL131179NHLBI NIH HHS R01 HL071670NHLBI NIH HHS R01 HL088635NHLBI NIH HHS R01 HL124935NHLBI NIH HHS R01 HL128044NHLBI NIH HHS R01 HL128683NIGMS NIH HHS T32 GM007347
6 · The paper itself

Abstract

backgroundMutations in cardiac troponin T (TnT) are linked to increased risk of ventricular arrhythmia and sudden death despite causing little to no cardiac hypertrophy. Studies in mice suggest that the hypertrophic cardiomyopathy (HCM)-associated TnT-I79N mutation increases myofilament Ca sensitivity and is arrhythmogenic, but whether findings from mice translate to human cardiomyocyte electrophysiology is not known.

objectivesTo study the effects of the TnT-I79N mutation in human cardiomyocytes.

methodsUsing CRISPR/Cas9, the TnT-I79N mutation was introduced into human induced pluripotent stem cells (hiPSCs). We then used the matrigel mattress method to generate single rod-shaped cardiomyocytes (CMs) and studied contractility, Ca handling and electrophysiology.

resultsCompared to isogenic control hiPSC-CMs, TnT-I79N hiPSC-CMs exhibited sarcomere disorganization, increased systolic function and impaired relaxation. The Ca-dependence of contractility was leftward shifted in mutation containing cardiomyocytes, demonstrating increased myofilament Ca sensitivity. In voltage-clamped hiPSC-CMs, TnT-I79N reduced intracellular Ca transients by enhancing cytosolic Ca buffering. These changes in Ca handling resulted in beat-to-beat instability and triangulation of the cardiac action potential, which are predictors of arrhythmia risk. The myofilament Ca sensitizer EMD57033 produced similar action potential triangulation in control hiPSC-CMs.

conclusionsThe TnT-I79N hiPSC-CM model not only reproduces key cellular features of TnT-linked HCM such as myofilament disarray, hypercontractility and diastolic dysfunction, but also suggests that this TnT mutation causes pro-arrhythmic changes of the human ventricular action potential.

Indexed as

Action PotentialsArrhythmias, CardiacBase SequenceCalciumCardiomyopathy, HypertrophicCytosolHumansInduced Pluripotent Stem CellsMutationMyocardial ContractionMyocytes, CardiacMyofibrilsSarcomeresSodium-Calcium ExchangerSystoleTroponin TCalciumSodium-Calcium ExchangerTroponin TArrhythmiaCalciumHuman induced pluripotent stem cellsHypertrophic cardiomyopathyTroponin TVentricular AP

Identifiers

PMID29217433
PMCPMC5800960
OpenAlexW2775448139

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.