Bipolar Patient-Specific In Vitro Diagnostic Test Reveals Underlying Cardiac Arrhythmia Phenotype Caused by Calcium Channel Genetic Risk Factor
© 2024 The Authors..
A common genetic risk factor for bipolar disorder is CACNA1C, a gene that is also critical for cardiac rhythm. The impact of CACNA1C mutations on bipolar patient cardiac rhythm is unknown. Here, we report the cardiac electrophysiological implications of a bipolar disorder-associated genetic risk factor in CACNA1C using patient induced pluripotent stem cell-derived cardiomyocytes. Results indicate that the CACNA1C bipolar disorder-related mutation causes cardiac electrical impulse conduction slowing mediated by impaired intercellular coupling via connexin 43 gap junctions. In vitro gene therapy to restore connexin 43 expression increased cardiac electrical impulse conduction velocity and protected against thioridazine-induced QT prolongation. Patients positive for bipolar disorder CACNA1C genetic risk factors may have elevated proarrhythmic risk for adverse events in response to psychiatric medications that slow conduction or prolong the QT interval. This in vitro diagnostic tool enables cardiac testing specific to patients with psychiatric disorders to determine their sensitivity to off-target effects of psychiatric medications.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:4 |
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| Enthalten in: |
Biological psychiatry global open science - 4(2024), 3 vom: 30. Apr., Seite 100296 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Dow, Rachel [VerfasserIn] |
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| Links: |
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| Themen: |
Bipolar genetic risk factor |
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| Anmerkungen: |
Date Revised 03.04.2024 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1016/j.bpsgos.2024.100296 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM370502256 |
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| 520 | |a © 2024 The Authors. | ||
| 520 | |a A common genetic risk factor for bipolar disorder is CACNA1C, a gene that is also critical for cardiac rhythm. The impact of CACNA1C mutations on bipolar patient cardiac rhythm is unknown. Here, we report the cardiac electrophysiological implications of a bipolar disorder-associated genetic risk factor in CACNA1C using patient induced pluripotent stem cell-derived cardiomyocytes. Results indicate that the CACNA1C bipolar disorder-related mutation causes cardiac electrical impulse conduction slowing mediated by impaired intercellular coupling via connexin 43 gap junctions. In vitro gene therapy to restore connexin 43 expression increased cardiac electrical impulse conduction velocity and protected against thioridazine-induced QT prolongation. Patients positive for bipolar disorder CACNA1C genetic risk factors may have elevated proarrhythmic risk for adverse events in response to psychiatric medications that slow conduction or prolong the QT interval. This in vitro diagnostic tool enables cardiac testing specific to patients with psychiatric disorders to determine their sensitivity to off-target effects of psychiatric medications | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Bipolar genetic risk factor | |
| 650 | 4 | |a Cardiac electrophysiology | |
| 650 | 4 | |a Induced pluripotent stem cells | |
| 650 | 4 | |a Personalized medicine, Cardiac Regeneration | |
| 700 | 1 | |a DeLong, Cindy |e verfasserin |4 aut | |
| 700 | 1 | |a Jiang, Guihua |e verfasserin |4 aut | |
| 700 | 1 | |a Attili, Durga |e verfasserin |4 aut | |
| 700 | 1 | |a Creech, Jeffery |e verfasserin |4 aut | |
| 700 | 1 | |a Kraan, Rachel |e verfasserin |4 aut | |
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| 700 | 1 | |a Saraithong, Prakaimuk |e verfasserin |4 aut | |
| 700 | 1 | |a O'Shea, Sue |e verfasserin |4 aut | |
| 700 | 1 | |a Monteiro da Rocha, Andre |e verfasserin |4 aut | |
| 700 | 1 | |a McInnis, Melvin G |e verfasserin |4 aut | |
| 700 | 1 | |a Herron, Todd J |e verfasserin |4 aut | |
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