Sigma non-opioid receptor 1 is a potential therapeutic target for long QT syndrome
Sigma non-opioid receptor 1 is a potential therapeutic target for long QT syndrome
Some missense gain-of-function mutations in CACNA1C gene, encoding calcium channel CaV1.2, cause a life-threatening form of long QT syndrome named Timothy syndrome, with currently no clinically-effective therapeutics. Here we report that pharmacological targeting of sigma non-opioid intracellular receptor 1 (SIGMAR1) can restore electrophysiological function in iPSC-derived cardiomyocytes generated from patients with Timothy syndrome and two common forms of long QT syndrome, type 1 (LQTS1) and 2 (LQTS2), caused by missense trafficking mutations in potassium channels. Electrophysiological recordings demonstrate that an FDA-approved cough suppressant, dextromethorphan, can be used as an agonist of SIGMAR1, to shorten the prolonged action potential in Timothy syndrome cardiomyocytes and human cellular models of LQTS1 and LQTS2. When tested in vivo, dextromethorphan also normalized the prolonged QT intervals in Timothy syndrome model mice. Overall, our study demonstrates that SIGMAR1 is a potential therapeutic target for Timothy syndrome and possibly other inherited arrhythmias such as LQTS1 and LQTS2.
- University of Utah United States
- Department of Medecine, Columbia University United States
- Columbia University United States
- Barnard College United States
- Columbia University United States
2 Aetiology, Stem Cell Research - Induced Pluripotent Stem Cell - Human, Stem Cell Research - Induced Pluripotent Stem Cell, Cardiovascular, Stem Cell Research, Article, Orphan Drug, Rare Diseases, Heart Disease, Clinical Research, 5.1 Pharmaceuticals, Genetics, 2.1 Biological and endogenous factors, 5 Development of treatments and therapeutic interventions
2 Aetiology, Stem Cell Research - Induced Pluripotent Stem Cell - Human, Stem Cell Research - Induced Pluripotent Stem Cell, Cardiovascular, Stem Cell Research, Article, Orphan Drug, Rare Diseases, Heart Disease, Clinical Research, 5.1 Pharmaceuticals, Genetics, 2.1 Biological and endogenous factors, 5 Development of treatments and therapeutic interventions
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