Investigating and Resolving Cardiotoxicity Induced by COVID-19 Treatments using Human Pluripotent Stem Cell-Derived Cardiomyocytes and Engineered Heart Tissues
机构:[1]Center of Translational Medicine, The First Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-Sen University, Guangdong 510080, China中山大学附属第一医院[2]NHC Key Laboratory of Assisted Circulation (Sun Yat-Sen University), Guangzhou 510080, China[3]The Seventh Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-Sen University, Guangdong 510080, China[4]National & Local Joint Engineering Research Center of High-throughput Drug Screening Technology, State Key Laboratory of Biocatalysis and Enzyme Engineering, Hubei Province Key Laboratory of Biotechnology of Chinese Traditional Medicine, Hubei University, Wuhan 430062, China[5]MOE Key Laboratory of Gene Function and Regulation, State Key Laboratory of Biocontrol, School of Life Sciences, Sun Yat-Sen University, Guangdong 510275, China
Coronavirus disease 2019 continues to spread worldwide. Given the urgent need for effective treatments, many clinical trials are ongoing through repurposing approved drugs. However, clinical data regarding the cardiotoxicity of these drugs are limited. Human pluripotent stem cell-derived cardiomyocytes (hCMs) represent a powerful tool for assessing drug-induced cardiotoxicity. Here, by using hCMs, it is demonstrated that four antiviral drugs, namely, apilimod, remdesivir, ritonavir, and lopinavir, exhibit cardiotoxicity in terms of inducing cell death, sarcomere disarray, and dysregulation of calcium handling and contraction, at clinically relevant concentrations. Human engineered heart tissue (hEHT) model is used to further evaluate the cardiotoxic effects of these drugs and it is found that they weaken hEHT contractile function. RNA-seq analysis reveals that the expression of genes that regulate cardiomyocyte function, such as sarcomere organization (TNNT2, MYH6) and ion homeostasis (ATP2A2, HCN4), is significantly altered after drug treatments. Using high-throughput screening of approved drugs, it is found that ceftiofur hydrochloride, astaxanthin, and quetiapine fumarate can ameliorate the cardiotoxicity of remdesivir, with astaxanthin being the most prominent one. These results warrant caution and careful monitoring when prescribing these therapies in patients and provide drug candidates to limit remdesivir-induced cardiotoxicity.
基金:
N.C. is funded by the National
Key R&DProgram of China (2018YFA0109100 and 2018YFA050830),
the National Natural Science Foundation of China (92057113, 32122027,
and 82061148011), and the Guangdong Innovative and Entrepreneurial
Research Team Program (2016ZT06S029). D.Z. is funded by the National
Natural Science Foundation of China (31871496) and the Hubei Science
Fund for Distinguished Young Scholars (2019CFA092).
第一作者机构:[1]Center of Translational Medicine, The First Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-Sen University, Guangdong 510080, China[2]NHC Key Laboratory of Assisted Circulation (Sun Yat-Sen University), Guangzhou 510080, China
共同第一作者:
通讯作者:
推荐引用方式(GB/T 7714):
He Xu,Ge Liu,Jixing Gong,et al.Investigating and Resolving Cardiotoxicity Induced by COVID-19 Treatments using Human Pluripotent Stem Cell-Derived Cardiomyocytes and Engineered Heart Tissues[J].ADVANCED SCIENCE.2022,9(30):doi:10.1002/advs.202203388.
APA:
He Xu,Ge Liu,Jixing Gong,Ying Zhang,Shanshan Gu...&Nan Cao.(2022).Investigating and Resolving Cardiotoxicity Induced by COVID-19 Treatments using Human Pluripotent Stem Cell-Derived Cardiomyocytes and Engineered Heart Tissues.ADVANCED SCIENCE,9,(30)
MLA:
He Xu,et al."Investigating and Resolving Cardiotoxicity Induced by COVID-19 Treatments using Human Pluripotent Stem Cell-Derived Cardiomyocytes and Engineered Heart Tissues".ADVANCED SCIENCE 9..30(2022)