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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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