Evidence map›Paper›PMID 41552678›Full record

ArticleFrontiers in cardiovascular medicine2025

A pathogenic titin missense mutation in hiPSC-derived cardiomyocytes predisposes to ventricular fibrillation in acute ST-segment elevation myocardial infarction.

Ying-Ying Ji, Yang Wu, Ji Sun, Xiao-Xiong Lin, Xu-Miao Chen, Cheng-Cheng Ji, Li-Juan Liu, Yun-Jiu Cheng, Su-Hua Wu

Abstract read
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Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ying-Ying Ji *Department of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Yang Wu *Department of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Ji Sun *Department of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Xiao-Xiong Lin *Department of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Xu-Miao ChenDepartment of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Cheng-Cheng JiDepartment of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Li-Juan LiuDepartment of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Yun-Jiu ChengDepartment of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Su-Hua WuDepartment of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is growing evidence that genetic factors may play a crucial role in the development of ventricular fibrillation (VF) following acute ST-segment elevation myocardial infarction (STEMI). Previous studies have demonstrated that both truncating and missense mutations in the TTN gene, which encodes a large cellular structural protein, are linked to arrhythmogenesis. However, the precise role of TTN mutations in the onset of primary VF after acute STEMI remains poorly understood. Objectives: The primary objective of this study was to comprehensively determine the role and elucidate the electrophysiological mechanism of TTN missense mutations in VF development after acute STEMI. This was achieved by leveraging the unique capabilities of human-induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs). Methods: Whole-genome sequencing identified TTN mutations in four out of six unrelated patients who experienced VF after STEMI (STEMI/VF). Induced pluripotent stem cells were successfully generated from the peripheral blood mononuclear cells obtained from a 47-year-old male carrying a novel TTN variant (c.43803T>A/p.D14601E) and from an unrelated healthy control. Subsequently, a directed differentiation protocol was employed to create iPSC-CMs, followed by rigorous electrophysiological and functional analyses to elucidate the mechanisms underlying the observed phenotypes. Results: Compared with the control iPSC-CMs, the patient-derived iPSC-CMs with STEMI/VF exhibited a significant shortening of the action potential duration (APD). Specifically, peak sodium channel current (I Conclusions: The iPSC-CMs obtained from the patient carrying a TTN missense mutation and who suffered from VF after STEMI exhibited a decrease in I

Indexed as

iPSCspatch clampST-segment elevation myocardial infarctionTTN mutationventricular fibrillation

Identifiers

PMID41552678
PMCPMC12808434

What Socratic holds

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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 Socratic graph.