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Hyperglycaemia-induced impairment of the autorrhythmicity of mouse embryonic stem cell-derived cardiomyocytes

                                                                            A Menzele      H Aboalgasm      R Ballo    A Gwanyanya
                                                                             Department of Human Biology,  University of Cape Town


    Background                                                                                       Results & Discussion

    Diabetes mellitus with uncontrolled                 Fig 1. Suppressed beating activity                                 Fig 2. Pro-arrhythmic tendency
    hyperglycaemia induces cardiac disease
    associated with life-threatening                                                 120
    arrhythmias.                                                                     100 80  p=0.005, n>20



    Aim of study                                            1 sec                   Beating Rate (bpm)     60 40  49 bpm  *  35 bpm   Baseline glucose       Beating Rate (bpm)
                                                               Baseline glucose
    To explore the effects of hyperglycaemia          Amplitude (1 a.u)              20                                      Amplitude (1 a.u)  1 sec
    on cardiac autorrhythmicity                                                       0  Baseline                                                                  Baseline    High
                                                                                                                                                                   glucose
                                                                                         glucose    High                                                                       glucose
                                                                                                    glucose
    Methods                                                     High glucose                                                           High glucose

    Model : Mouse embryonic stem cells                                                                                     Fig 4. Reduced pacemaker sensitivity
    (mESCs) were differentiated into                  Fig 3. Unchanged action potential (AP) profile                                         Ivabradine (10µM)
    colonies (embryoid bodies - EBs)  of
    cardiac cells.                                                                                                                                            60       p=0.5, n=8


                       A spontaneously                                                                                     Amplitude (1 a.u)  Baseline glucose  Reduction in beat rate (%)   40
                       beating embryoid                                                                                       1 sec         Ivabradine (10µM)  20      22%       13%
                       body (EB)                                                                                                                              0   Baseline   High



    Experimental design :  Cultured EBs in                                                                                                                        glucose   glucose
    baseline (25mM) vs High (50mM)                                                                                                      High glucose
    glucose
    Recordings :     Beating rate (Myocyter)                                                               Conclusion
                   Action potential  (di-4                  Hyperglycaemia suppressed cardiac  autorrhythmicity and enhanced  cellular sensitivity to pro-arrhythmic stimulation
                  ANEPPS fluorescence)                      in mESC-derived cardiac cells, possibly through modulation of  pacemaking channels
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