In vitro Modelling of Cardiovascular Damage following Hypertensive Disorders of Pregnancy using Cardiac Spheroids and Patient-derived Plasma
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ABSTRACT: Background: Hypertensive disorders of pregnancy (HDP) affect 2-8% of pregnancies and are associated postpartum with ongoing, increased cardiovascular disease (CVD) risk. In this study, we aimed to model HDP-induced CVD and decipher systemic mechanisms, using an advanced 3D in vitro cardiac spheroid model. Methods: Human iPSC-derived cardiomyocytes, cardiac fibroblasts and coronary artery endothelial cells were co-cultured to form cardiac spheroids (CS ) in collagen type-1 hydrogels containing 10% patient plasma collected five years postpartum (n=5 per group: normotensive control, gestational hypertension (GH) and preeclampsia). Plasma-treated CS were assessed for cell viability, contractile function and markers of cardiac damage using immunofluorescence staining and imaging. An untargeted, label-free quantitative proteomic analysis of plasma samples was conducted (controls n=24; GH n=5; preeclampsia n=13). Results: Contraction frequency (CF) was increased in preclampsia-treated CS (CF:45.5 contractions/minute, p<0.001) and GH-treated CS (CF:45.7 contractions/minute, p<0.001), compared to controls (CF=21.8 contractions/minute). Only GH-treated CS presented increased fractional shortening (FS) % (FS%=9.5%, p<0.05), compared to controls (FS%=3.7%); this was in conjunction with a reduction in cell viability by ͠ 20% (p<0.05), and an increase in α-SMA expression (p<0.05). Proteomics analysis identified twenty differentially abundant proteins, with haemoglobin A2 the only protein perturbed in both GH and preeclampsia versus control (p<0.05). Conclusions: GH-induced CVD appears linked to an increase in cell death signaling and cardiac remodeling and preeclampsia-induced CVD to vascular and endothelial cell dysfunction. CS could in future be used to assess early changes in cardiac function and as a precision medicine platform for testing post-HDP CVD prevention therapeutics.
INSTRUMENT(S): Synapt MS
ORGANISM(S): Homo Sapiens (human)
TISSUE(S): Blood Plasma
DISEASE(S): Cardiovascular System Disease
SUBMITTER: Matthew Padula
LAB HEAD: Lana McClements
PROVIDER: PXD051288 | Pride | 2024-11-25
REPOSITORIES: Pride
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