Biology subjects

van Mil, A.

Publications and source records attributed to van Mil, A..

3 recordsLinked to original sources

bioRxiv2026

Increased Nuclear Susceptibility to Mechanical Stress in Phospholamban R14del Cardiomyopathy: A New Perspective on Disease Heterogeneity

Background: Clinical presentation of phospholamban (PLN) R14del cardiomyopathy is highly variable, from asymptomatic carriers to rapidly progressing heart failure. which cannot be fully explained by its known disturbance of sarcoplasmic reticulum calcium handling. Nuclear calcium signalling, shaped by sarcoplasmic reticulum calcium release, plays a key role in regulating gene expression and the cellular response to mechanical stress. However, how the R14del variant affects nuclear signalling under mechanical loading remains unclear. Objective: To uncover the impact of the PLN R14del variation on mechanosensing, nuclear calcium handling and its link to the variable clinical representation of this cardiomyopathy. Methods: Human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) carrying the PLN R14del variant, an isogenic control, and wildtype control were subjected to mechanical stimulation by cyclic stretch or cultured on substrates with physiological (10-20 kPa) and pathological (65-85 kPa) stiffness. Nuclear morphology, cytoskeletal organisation and nuclear body formation were assessed via immunofluorescence. Traction force microscopy was used to assess mechanical stress and force generation. Cardiac tissues from PLN R14del cardiomyopathy patients, dilated cardiomyopathy patients, and healthy controls were analysed under mechanical loading (at left ventricular assist device implantation) and unloading (at heart transplantation). Living myocardial slices from a PLN R14del patient were maintained under overloading or physiological loading conditions. Results: PLN R14del hiPSC-CMs showed impaired nuclear calcium handling and, under mechanical stress, exhibited impaired mechanotransduction and elevated nuclear bodies. A strain-avoidance response was triggered but failed to prevent apoptosis. Nuclear abnormalities were confirmed in patient myocardial slices and cardiac biopsies which normalized upon relative mechanical unloading. Conclusion: PLN R14del increases nuclear susceptibility to mechanical stress, linking nuclear dysfunction to new disease insights and highlighting potential for mechanobiology-based therapeutic interventions.

cell biology↗

bioRxiv2025

Isogenic monocytes improve the responsiveness of hiPSC cardiac spheroids to cardiac stressors

AimsHeart failure remains a leading cause of morbidity and mortality worldwide. Suitable in vitro models to accurately replicate the pathological environment in heart failure with reduced and preserved ejection fraction (HFrEF/HFpEF) are limited, hampering mechanistic studies and drug screening. In particular, these models rarely incorporate immune cells, which play a critical role in heart failure. To address these limitations, we developed an isogenic 3D induced pluripotent stem cell (iPSC)-derived cardiac spheroid model incorporating monocytes. Methods and resultsCardiac spheroids were assembled from three healthy female iPSC lines: three-cell-type (3CT) spheroids consisting of iPSC-derived cardiomyocytes, cardiac fibroblasts, and endothelial cells, and four-cell-type (4CT) spheroids additionally containing monocytes. After six days of culture, established spheroids were treated for 24 h with different known heart failure-associated triggers (glucose & tumour necrosis factor alpha (TNF) or ischaemia with/without reoxygenation). Differences between treated and control 3CT and 4CT spheroids were investigated at the cellular, molecular, and functional levels using confocal microscopy, RNA expression (qPCR and RNA sequencing), protein secretion using proximity extension assay technology (Olink), and functional analyses of beating rate, contraction, and relaxation. The results confirmed successful monocyte integration in 4CT spheroids, and only spheroids with monocytes (4CTs) exhibited changes in beating rate and relaxation duration upon stimulation, highlighting the necessity of incorporating immune cells to successfully mimic heart failure-associated functional changes. Along with a more pronounced global transcriptomic treatment response and inflammatory changes, additional transcriptomic alterations previously linked to heart failure in patients, as well as changes in metabolism, ion channels, and extracellular matrix pathways, were observed in 4CT compared with 3CT spheroids. ConclusionWe showed that immune cell incorporation enhances the functional and transcriptional responses of engineered cardiac tissue to relevant heart failure triggers in vitro and is essential for future studies to elucidate the cellular crosstalk and pathomechanisms. Translational perspectiveHeart failure continues to be a predominant cause of morbidity and mortality, necessitating the development of innovative therapeutic strategies, particularly in light of the rising prevalence of obesity and diabetes mellitus. We introduced an isogenic in vitro spheroid model comprising iPSC-derived cardiomyocytes, cardiac fibroblasts, endothelial cells, and monocytes to examine the effects of heart failure-associated triggers on cardiac tissue. Our findings indicate that spheroids incorporating monocytes exhibit a more pronounced response to heart failure-associated triggers and demonstrate greater differential transcriptional and functional responses than spheroids lacking immune cells. This model

cell biology↗

bioRxiv2020

Transcriptional regulation profiling reveals disrupted lipid metabolism in failing hearts with a pathogenic phospholamban mutation

BackgroundThe R14del mutation in the phospholamban (PLN) gene is associated with various types of cardiomyopathies and increases the risk of developing life-threatening ventricular arrhythmias. In this study, we focused on a homogeneous Dutch founder cohort of genetic cardiomyopathy due to PLN R14del mutation and aimed to study the influence of epigenetic changes from a multi-dimensional perspective. ResultsUsing cardiac tissue of PLN R14del patients and donors, we identified differentially acetylated promoters and enhancers (H3K27ac ChIPseq), annotated enriched transcription factor (TF) binding motifs located in those regions, and identified differentially expressed genes (RNA-seq). In line with the fibrofatty replacement in PLN R14del hearts at the histological level, our integrative analysis detected the downregulation of key TF regulators in fatty acid oxidation (FAO) metabolisms and their downstream target in PLN R14del hearts as compared to controls. We further examined heart tissue using immunofluorescence staining (IF) and to confirm the mitochondrial lipid abnormalities in the PLN R14del hearts. Furthermore, we observed the accumulation and deformation of lipid droplets and a disrupted morphology of mitochondria, the key organelle where FAO takes place, in PLN R14del heart using transmission electron microscopy (TEM). ConclusionUsing multi-omics approaches, we successfully obtained a unique list of chromatin regions and genes, including TF-coding genes, which played important roles in the metabolism-related signalling in PLN R14del hearts.

genomics↗