Les récepteurs couplés aux protéines G (RCPGs) représentent la plus grande famille de cibles thérapeutiques pour le traitement d’une panoplie de pathologies humaines. Bien que plusieurs décennies de recherche aient permis de façonner nos connaissances sur ces protéines membranaires, notre compréhension des déterminants moléculaires de leur activité signalétique reste encore limitée. De ces domaines de recherche, une avancée récente a mis à jour un nouveau phénomène, appelé sélectivité fonctionnelle des ligands, qui a bouleversé les paradigmes décrivant leu fonctionnement de ces récepteurs. Ce concept émane d’observations montrant que l’activité pharmacologique de certains ligands n’est pas nécessairement conservée sur tout le répertoire signalétiques connu du récepteur et peu se restreindre à l'activation sélective d’un sous-groupe de voies de signalisation.Ce nouveau modèle pharmacologique de l'activation des RCPG ouvre de nouvelles possibilités pour la découverte de médicaments plus efficace et sûr, ciblant les RCPGs. En effet, il permet la conception de molécules modulant spécifiquement les voies signalétiques d’intérêt thérapeutique, sans engager les autres voies qui pourraient mener à des effets secondaires indésirables ou de la tolérance. Cette thèse décrit l'utilisation d'une nouvelle approche sans marquage, basée sur la mesure du changement l'impédance cellulaire. Par la mesure des changements cellulaires, comme la morphologie, l’adhésion et/ou la redistribution des macromolécules, cette approche permet de mesurer de façon simultanée l'activité de plusieurs voies de signalisation impliqués dans ces réponses. Utilisant le récepteur β2-adrénergique (β2AR) comme modèle, nous avons démontré que les variations dans l’impédance cellulaire étaient directement liées à l’activation de multiples voies de signalisation suite à la stimulation du récepteur par son ligand. L’agoniste type du β2AR, l’isoprotérénol, s’est avéré induire une réponse d’impédance dose-dépendante constituée, dans le temps, de plusieurs caractéristiques distinctes pouvant être bloquées de façon compétitive par l’antagoniste ICI118,551 Par l’utilisation d’inhibiteurs sélectifs, nous avons été en mesure de déterminer la contribution de plusieurs voies signalétiques canoniques, comme les voies dépendantes de Gs et Gi, la production d’AMPc et l’activation de ERK1/2, sur ces changements. De plus, la dissection de la réponse d’impédance a permis d’identifier une nouvelle voie de mobilisation du Ca2+ contribuant à la réponse globale des changements initiés par la stimulation du β2AR. Dans une autre étude, nous avons rapporté que la réponse calcique induite par le β2AR serait attribuable à une transactivation Gs-dépendant du récepteur purinergique P2Y11, lui-même couplé à la protéine Gq. La mesure d’impédance permettant de distinguer et de décrire une pléiade d’activités signalétiques, nous avons émis l’hypothèse que des ligands arborant des profils signalétiques différents généreraient des réponses d’impédance distinctes. Le criblage d’une librairie de ligands spécifiques au β2AR a révélé une grande variété de signatures d’impédance. Grâce au développement d’une approche computationnelle innovatrice, nous avons été en mesure de regrouper ces signatures en cinq classes de composés, un regroupement qui s’est avéré hautement corrélé avec le profil signalétique des différents ligands. Nous avons ensuite combiné le criblage de composés par impédance avec l’utilisation d’inhibiteurs sélectifs de voies signalétiques afin d’augmenter la résolution du regroupement. En évaluant l’impact d’une voie signalétique donnée sur la signature d’impédance, nous avons été en mesure de révéler une plus grande variété de textures parmi les ligands. De plus, cette méthode s’est avérée efficace pour prédire le profil signalétique d’une librairie de composés non caractérisés, ciblant le β2AR. Ces travaux ont mené à l’élaboration d’une méthode permettant d’exprimer visuellement la sélectivité fonctionnelle de ligands et ont révélé de nouvelles classes de composés pour ce récepteur. Ces nouvelles classes de composés ont ensuite été testées sur des cardiomyocytes humains, confirmant que les composés regroupés dans différentes classes produisent des effets distincts sur la contractilité de ces cellules. Globalement, ces travaux démontrent la pertinence de l’utilisation de l’impédance cellulaire pour une évaluation précise des différences fonctionnelles parmi les composés ciblant les RCPGs. En fournissant une représentation pluridimensionnelle de la signalisation émanant des RCPGs à l’aide d’un seul essai ne requérant pas de marquage, les signatures d’impédance représentent une stratégie simple et innovante pour l’évaluation de la fonctionnalité sélective des ligands. Cette méthode pourrait être d’une grande utilité dans le processus de découverte de nouveaux médicaments. / G protein-coupled receptors (GPCRs) represent the largest family of therapeutic targets for the treatment of a wide variety of human pathologies. Decades of research have provided an extensive base of knowledge about these fascinating membrane proteins, yet significant advancements in the understanding of the structural and functional details of these important drug targets continue to accumulate to this day. One such area of research in particular that has caused a paradigm shift in the way we conceptualize receptor function is a recently identified phenomenon known as ligand functional selectivity. This concept refers to the numerous observations that the pharmacological activity of a ligand at a given receptor is not always conserved over all possible signalling events engaged by the receptor, often resulting in the selectivity of a ligand to modulate only a subset of the receptor’s signalling repertoire. This model of receptor activity reveals exciting new possibilities for the discovery of safer and more efficacious drugs targeting GPCRs; through the design of drugs specifically targeting the pathway of therapeutic interest without modulating other, uninvolved pathways which could lead to tolerance or adverse effects. This thesis will describe the use of a novel, label-free technique based on cellular impedance to further characterize ligand functional selectivity at GPCRs. By measuring changes in higher-order cellular responses, such as changes in morphology, adhesion and redistribution of macromolecules, this approach provides a means to simultaneously measure the activity of multiple signalling pathways converging on these responses. Using the β2-adrenergic receptor (β2AR) as a model system, we have demonstrated that changes in cellular impedance reflect the activity of multiple signalling events elicited following ligand stimulation of the receptor. Isoproterenol, the prototypical agonist of the β2AR, was found to elicit a dose-dependent impedance response consisting of multiple, discrete features over time, which could be blocked in a competitive manner by the antagonist ICI118,551. Using pathway-selective inhibitors, we were able to dissect the contribution of many of the canonical pathways activated by the β2AR, including Gs- and Gi-dependent signalling, as well as cAMP production and ERK1/2 activation. Furthermore, through the pharmacological dissection of this impedance response, we identified a novel Ca2+ mobilization pathway that contributes to the overall cellular response to β2AR stimulation. In a separate study of the mechanism generating this β2AR-promoted Ca2+ response, we revealed a Gs-dependent transactivation mechanism of the Gq-coupled P2Y11 purinergic receptor. Given the ability of impedance measurements to capture this pleiotropic signalling activity, we then reasoned that ligands exhibiting different signalling profiles should generate distinct impedance signatures. In screening a library of functionally selective compounds targeting the β2AR, we obtained a wide variety of impedance signatures. Through the development of a novel computational approach, we were able to cluster these signatures into five distinct compounds classes, which were highly correlated with signalling profiles of the ligands. In an extension of this approach, we then combined impedance screening with the use of pathway-selective inhibitors to determine if this would provide greater resolution in distinguishing among functionally distinct compounds. By assessing if and how a given signalling pathway contributes to a ligand’s impedance signature, we were able to reveal even more texture among ligands targeting the β2AR. Furthermore, this approach was found to be predictive of the signalling profiles of a library of uncharacterized compounds for the β2AR. This work led to the development of a visualization method to express ligand functional selectivity and revealed potentially novel classes of compounds for the receptor. These compound classes were then validated in human cardiomyocytes, confirming that compounds clustering into different classes produced distinct effects on cardiomyocyte contractility. Altogether, this work demonstrates the ability of cellular impedance to accurately measure functional differences among compounds targeting GPCRs. In providing a representation of the pluridimensionality of GPCR signalling using a single, label-free assay, impedance profiling represents an innovative strategy to assess ligand functional selectivity and may be a valuable addition to future drug discovery campaigns.

Les canaux calciques de type L CaV1.2 sont principalement responsables de l’entrée des ions calcium pendant la phase plateau du potentiel d’action des cardiomyocytes ventriculaires. Cet influx calcique est requis pour initier la contraction du muscle cardiaque. Le canal CaV1.2 est un complexe oligomérique qui est composé de la sous-unité principale CaVα1 et des sous-unités auxiliaires CaVβ et CaVα2δ1. CaVβ joue un rôle déterminant dans l’adressage membranaire de la sous-unité CaVα1. CaVα2δ1 stabilise l’état ouvert du canal mais le mécanisme moléculaire responsable de cette modulation n’a pas été encore identifié. Nous avons récemment montré que cette modulation requiert une expression membranaire significative de CaVα2δ1 (Bourdin et al. 2015). CaVα2δ1 est une glycoprotéine qui possède 16 sites potentiels de glycosylation de type N. Nous avons donc évalué le rôle de la glycosylation de type-N dans l’adressage membranaire et la stabilité de CaVα2δ1. Nous avons d’abord confirmé que la protéine CaVα2δ1 recombinante, telle la protéine endogène, est significativement glycosylée puisque le traitement à la PNGase F se traduit par une diminution de 50 kDa de sa masse moléculaire, ce qui est compatible avec la présence de 16 sites Asn. Il s’est avéré par ailleurs que la mutation simultanée de 6/16 sites (6xNQ) est suffisante pour 1) réduire significativement la densité de surface de! CaVα2δ1 telle que mesurée par cytométrie en flux et par imagerie confocale 2) accélérer les cinétiques de dégradation telle qu’estimée après arrêt de la synthèse protéique et 3) diminuer la modulation fonctionnelle des courants générés par CaV1.2 telle qu’évaluée par la méthode du « patch-clamp ». Les effets les plus importants ont toutefois été obtenus avec les mutants N663Q, et les doubles mutants N348Q/N468Q, N348Q/N812Q, N468Q/N812Q. Ensemble, ces résultats montrent que Asn663 et à un moindre degré Asn348, Asn468 et Asn812 contribuent à la biogenèse et la stabilité de CaVα2δ1 et confirment que la glycosylation de type N de CaVα2δ1 est nécessaire à la fonction du canal calcique cardiaque de type L. / L-type CaV1.2 channels play a key role in the excitation-contraction coupling in the heart. They are formed of a pore-forming CaVα1 subunit in complex with the intracellular CaVβ and the disulfur-linked CaVα2δ accessory subunits. CaVα2δ significantly increases peak current densities of CaV1.2. The mechanism underlying this effect is still under study but requires that CaVα2δ be trafficked at the cell surface. CaVα2δ contains 16 putative N-glycosylation sites. A study was carried out to identify the role of N-glycosylation in the trafficking and protein stability of the subunit CaVα2δ. Herein we show that enzymatic removal of N-glycans produced a 50 kDa shift in the mobility of cardiac and recombinant CaVα2δ1 proteins. Simultaneous mutation of the 16 Asn sites was required to fully account for this change in protein mobility. Nonetheless, the mutation of only 6/16 sites was sufficient to 1) significantly reduce the steady-state cell surface fluorescence of CaVα2δ1 as characterized by two-color flow cytometry assays and confocal imaging; 2) accelerate the degradation kinetics estimated from cycloheximide chase assays; and 3) prevent the CaVα2δ1-mediated increase in peak current density and voltage-dependent gating of CaV1.2. Reversing the N348Q and N812Q mutations in the non-operational 6 Asn mutant functionally rescued CaVα2δ1. Single mutation N663Q and double mutations N348Q/ N468Q, N348Q/ N812Q, N468Q/N812Q decreased protein stability/synthesis and abolished steady-state cell surface density as well as upregulation of L-type currents. These results demonstrate that Asn663, and to a lesser extent Asn348, Asn468, and Asn812 contribute to the stability of CaVα2δ1 function and furthermore that N- glycosylation of CaVα2δ1 is essential to produce functional L-type Ca2+ channels.

O complexo distrofina-glicoproteínas associadas (DGC) localiza-se no sarcolema das células musculares esqueléticas e cardíacas e tem como função principal proporcionar ligação mecânica entre o citoesqueleto intracelular e a matriz extracelular. Estudos prévios realizados em nosso laboratório, focalizando o complexo DGC, demonstraram perda de proteínas importantes desse complexo. As situações avaliadas anteriormente foram: infecção experimental por Trypanosoma cruzi (T. cruzi) e sépsis experimental. Em ambas as situações verificou-se a perda da distrofina acompanhada por disfunção contrátil e aumento nos níveis da calpaína, protease dependente de cálcio implicada na proteólise da distrofina. Todavia, o mecanismo responsável pela ativação das calpaínas e proteólise da distrofina na infecção experimental por T. cruzi e na sépsis experimental não está totalmente definido. O objetivo desse trabalho foi avaliar in vitro o mecanismo responsável pela ativação das calpaínas nas culturas de cardiomiócitos desafiadas com o soro dos animais infectados experimentalmente com T. cruzi ou com o soro dos animais submetidos à sépsis grave experimental. Camundongos C57BL/6 foram submetidos à sépsis grave ou infectados com a cepa Y de T. cruzi. No pico de expressão das citocinas pró-inflamatórias, 12 dias após inoculação do parasito ou 6 horas após a indução da sépsis, o sangue foi coletado e o soro separado. Corações de camundongos recém-nascidos foram isolados para o cultivo dos cardiomiócitos. No quinto dia após o início das culturas, as células foram estimuladas com 10% do soro de animais infectados com T. cruzi ou o soro de animais submetidos à sépsis grave durante 24 horas. Após, as células foram coletadas para análises de Western blotting e imunofluorescência para verificar a expressão da distrofina e calpaína-1. Avaliou-se também, por imunofluorescência, a expressão do NF-B. Os cardiomiócitos foram estimulados e tratados com o dantrolene, inibidor da liberação de cálcio do retículo sarcoplasmático, ou ALLN, inibidor da calpaína-1, e após coletados para verificar a expressão da distrofina e calpaína-1 por Western blotting e imunofluorescência. Nossos resultados mostraram uma redução significativa na expressão da distrofina com desarranjo das miofibrilas contráteis e formação de bolhas citoplasmáticas, além de um aumento nos níveis da calpaína-1 e do NF-B. O tratamento com dantrolene nas culturas estimuladas com o soro de animais infectados experimentalmente com T. cruzi ou com o soro dos animais submetidos à sépsis grave, recuperou a expressão da distrofina e reduziu os níveis da calpaína-1. O tratamento com ALLN nos cardiomiócitos estimulados com o soro de animais infectados experimentalmente com T. cruzi recuperou a expressão da distrofina e não alterou os níveis da calpaína-1. Nas culturas estimuladas com o soro dos animais submetidos à sépsis grave, o tratamento com o ALLN recuperou a expressão da distrofina e reduziu os níveis da calpaína-1. Nossos resultados demonstraram que citocinas pró-inflamatórias presentes no soro dos animais infectados experimentalmente com T. cruzi como também no soro dos animais submetidos à sépsis grave induziriam um aumento no influxo de cálcio com consequente ativação das calpaínas, as quais atuariam na ativação do NF-B e na degradação da distrofina. Esse mecanismo poderia ser responsável pela proteólise da distrofina cardíaca observada na infecção experimental por Trypanosoma cruzi como também sépsis experimental. Mais estudos são necessários para elucidar este mecanismo, principalmente em relação a inibidores dos canais de cálcio, das citocinas pró-inflamatórias e das calpaínas, com o objetivo de fornecer novas vias de intervenção na prevenção de alterações cardíacas observadas na doença de Chagas e na sépsis. / The dystrophin-glycoprotein complex (DGC), located in the sarcolemma of cardiac and skeletal muscle cells and concentrated along the plasma membrane in costameric structures provides a framework that connects the intracellular cytoskeleton to the extracellular matrix. Previous studies from our laboratory clearly demonstrated disruption of DGC proteins in experimentally-induced T. cruzi infection and experimental sepsis. Both situation presented dystrophin disruption associated with contractile dysfunction and increased calpain levels, calcium dependent protease responsible for dystrophin proteolysis. However, the mechanism responsible for calpain activation and dystrophin proteolysis in experimentally-induced T. cruzi infection and experimental sepsis is not totally understood. The aim of this study was to evaluate in vitro the mechanism responsible for calpain activation in cultured cardiomyocytes challenged with serum from animals experimentally infected with T. cruzi or subjected to severe sepsis. Mice C57BL/6 were subjected to sepsis induction or infected with Y strain from T. cruzi. At the peak of proinflammatory cytokines expression, 12 days after parasite inoculation or 6 hours after sepsis induction, the blood was collected and the serum separated. Hearts from newborn mice were isolated for culture of cardiomyocytes. After 5 days of incubation, the cardiac cells were stimulated with 10% of serum from animals experimentally infected with T. cruzi or subjected to severe sepsis during 24 hours, and collected for Western blotting and immunofluorescence analysis to verify dystrophin and calpain-1 expression. The expression of NF-B was evaluated by immunofluorescence. The treatments with dantrolene, inhibitor of calcium release from sarcoplasmic reticulum, or ALLN, calpain-1 inhibitor, were performed in cultured cardiomyocytes stimulated during 24 hours with serum from animals infected with T. cruzi or subjected to severe sepsis, and dystrophin and calpain-1 expression were analyzed by Western blotting and immunofluorescence. Our results demonstrated loss of dystrophin associated with myofibers derangement and presence of cytoplasmic blebs as well increase of calpain-1 and NF-B expression. The dantrolene treatment in cultures stimulated with serum from animals infected with T. cruzi or subjected to severe sepsis recovey dystrophin expression and reduced calpain-1 levels. The ALLN treatment in cardiomyocytes stimulated with serum from animals infected with T. cruzi recovery dystrophin expression and preserved calpain-1 levels. In cultures stimulated with serum from animals subjected to severe sepsis, the ALLN treatment recovery dystrophin expression and decreased calpain-1 levels. Our results demonstrated that proinflammatory cytokines in serum from mice infected with T. cruzi or subjected to severe sepsis could induce an increase calcium influx with calpain activation, which could act in NF-B activation and dystrophin disruption. Possibly, this mechanism could be responsible to dystrophin proteolysis observed in experimentally-induced acute T. cruzi infection and experimental sepsis. More studies are needed to elucidate this mechanism, especially in relation to calcium channel blockers and inhibitors of pro-inflammatory cytokines and calpains, which may provide new routes for intervention to prevent cardiac damage in Chagas disease and sepsis.

O complexo distrofina-glicoproteínas associadas (DGC) localiza-se no sarcolema das células musculares esqueléticas e cardíacas e tem como função principal proporcionar ligação mecânica entre o citoesqueleto intracelular e a matriz extracelular. Estudos prévios realizados em nosso laboratório, focalizando o complexo DGC, demonstraram perda de proteínas importantes desse complexo. As situações avaliadas anteriormente foram: infecção experimental por Trypanosoma cruzi (T. cruzi) e sépsis experimental. Em ambas as situações verificou-se a perda da distrofina acompanhada por disfunção contrátil e aumento nos níveis da calpaína, protease dependente de cálcio implicada na proteólise da distrofina. Todavia, o mecanismo responsável pela ativação das calpaínas e proteólise da distrofina na infecção experimental por T. cruzi e na sépsis experimental não está totalmente definido. O objetivo desse trabalho foi avaliar in vitro o mecanismo responsável pela ativação das calpaínas nas culturas de cardiomiócitos desafiadas com o soro dos animais infectados experimentalmente com T. cruzi ou com o soro dos animais submetidos à sépsis grave experimental. Camundongos C57BL/6 foram submetidos à sépsis grave ou infectados com a cepa Y de T. cruzi. No pico de expressão das citocinas pró-inflamatórias, 12 dias após inoculação do parasito ou 6 horas após a indução da sépsis, o sangue foi coletado e o soro separado. Corações de camundongos recém-nascidos foram isolados para o cultivo dos cardiomiócitos. No quinto dia após o início das culturas, as células foram estimuladas com 10% do soro de animais infectados com T. cruzi ou o soro de animais submetidos à sépsis grave durante 24 horas. Após, as células foram coletadas para análises de Western blotting e imunofluorescência para verificar a expressão da distrofina e calpaína-1. Avaliou-se também, por imunofluorescência, a expressão do NF-B. Os cardiomiócitos foram estimulados e tratados com o dantrolene, inibidor da liberação de cálcio do retículo sarcoplasmático, ou ALLN, inibidor da calpaína-1, e após coletados para verificar a expressão da distrofina e calpaína-1 por Western blotting e imunofluorescência. Nossos resultados mostraram uma redução significativa na expressão da distrofina com desarranjo das miofibrilas contráteis e formação de bolhas citoplasmáticas, além de um aumento nos níveis da calpaína-1 e do NF-B. O tratamento com dantrolene nas culturas estimuladas com o soro de animais infectados experimentalmente com T. cruzi ou com o soro dos animais submetidos à sépsis grave, recuperou a expressão da distrofina e reduziu os níveis da calpaína-1. O tratamento com ALLN nos cardiomiócitos estimulados com o soro de animais infectados experimentalmente com T. cruzi recuperou a expressão da distrofina e não alterou os níveis da calpaína-1. Nas culturas estimuladas com o soro dos animais submetidos à sépsis grave, o tratamento com o ALLN recuperou a expressão da distrofina e reduziu os níveis da calpaína-1. Nossos resultados demonstraram que citocinas pró-inflamatórias presentes no soro dos animais infectados experimentalmente com T. cruzi como também no soro dos animais submetidos à sépsis grave induziriam um aumento no influxo de cálcio com consequente ativação das calpaínas, as quais atuariam na ativação do NF-B e na degradação da distrofina. Esse mecanismo poderia ser responsável pela proteólise da distrofina cardíaca observada na infecção experimental por Trypanosoma cruzi como também sépsis experimental. Mais estudos são necessários para elucidar este mecanismo, principalmente em relação a inibidores dos canais de cálcio, das citocinas pró-inflamatórias e das calpaínas, com o objetivo de fornecer novas vias de intervenção na prevenção de alterações cardíacas observadas na doença de Chagas e na sépsis. / The dystrophin-glycoprotein complex (DGC), located in the sarcolemma of cardiac and skeletal muscle cells and concentrated along the plasma membrane in costameric structures provides a framework that connects the intracellular cytoskeleton to the extracellular matrix. Previous studies from our laboratory clearly demonstrated disruption of DGC proteins in experimentally-induced T. cruzi infection and experimental sepsis. Both situation presented dystrophin disruption associated with contractile dysfunction and increased calpain levels, calcium dependent protease responsible for dystrophin proteolysis. However, the mechanism responsible for calpain activation and dystrophin proteolysis in experimentally-induced T. cruzi infection and experimental sepsis is not totally understood. The aim of this study was to evaluate in vitro the mechanism responsible for calpain activation in cultured cardiomyocytes challenged with serum from animals experimentally infected with T. cruzi or subjected to severe sepsis. Mice C57BL/6 were subjected to sepsis induction or infected with Y strain from T. cruzi. At the peak of proinflammatory cytokines expression, 12 days after parasite inoculation or 6 hours after sepsis induction, the blood was collected and the serum separated. Hearts from newborn mice were isolated for culture of cardiomyocytes. After 5 days of incubation, the cardiac cells were stimulated with 10% of serum from animals experimentally infected with T. cruzi or subjected to severe sepsis during 24 hours, and collected for Western blotting and immunofluorescence analysis to verify dystrophin and calpain-1 expression. The expression of NF-B was evaluated by immunofluorescence. The treatments with dantrolene, inhibitor of calcium release from sarcoplasmic reticulum, or ALLN, calpain-1 inhibitor, were performed in cultured cardiomyocytes stimulated during 24 hours with serum from animals infected with T. cruzi or subjected to severe sepsis, and dystrophin and calpain-1 expression were analyzed by Western blotting and immunofluorescence. Our results demonstrated loss of dystrophin associated with myofibers derangement and presence of cytoplasmic blebs as well increase of calpain-1 and NF-B expression. The dantrolene treatment in cultures stimulated with serum from animals infected with T. cruzi or subjected to severe sepsis recovey dystrophin expression and reduced calpain-1 levels. The ALLN treatment in cardiomyocytes stimulated with serum from animals infected with T. cruzi recovery dystrophin expression and preserved calpain-1 levels. In cultures stimulated with serum from animals subjected to severe sepsis, the ALLN treatment recovery dystrophin expression and decreased calpain-1 levels. Our results demonstrated that proinflammatory cytokines in serum from mice infected with T. cruzi or subjected to severe sepsis could induce an increase calcium influx with calpain activation, which could act in NF-B activation and dystrophin disruption. Possibly, this mechanism could be responsible to dystrophin proteolysis observed in experimentally-induced acute T. cruzi infection and experimental sepsis. More studies are needed to elucidate this mechanism, especially in relation to calcium channel blockers and inhibitors of pro-inflammatory cytokines and calpains, which may provide new routes for intervention to prevent cardiac damage in Chagas disease and sepsis.

Pluripotent stem cells (PSCs) are specialized cells, which have remarkable ability to maintain in an undifferentiated state and are capable of undergoing differentiation to three germ-layer lineage cell types, under differentiation-enabling conditions. PSCs include embryonic stem (ES)-cells, embryonal carcinoma (EC)-cells and embryonic germ (EG)-cells. ES-cells are derived from the inner cell mass (ICM) of day 3.5 blastocysts (mouse). On the other hand, EC- and EG-cells have different source of origin and exhibit some differences in terms of their differentiation abilities and culture requirements. These PSCs act as an ideal in-vitro model system to study early mammalian development and cell differentiation and, they could potentially be used for experimental cell-based therapy for a number of diseases. However, one of the problems encountered is the immune rejection of transplanted cells. For this, immune-matched induced pluripotent stem (iPS)-cells have been derived from somatic cells, by forced expression of a few stemness genes. Although, human PSCs lines are being experimented, their cell-therapeutic potential is still far from being thoroughly tested due to lack of our understanding regarding lineage-specific differentiation, homing and structural-functional integration of differentiated cell types in the host environment. To understand these mechanisms, it is desirable to have fluorescently-marked PSCs and their differentiated cell-types, which could facilitate experimental cell transplantation studies. In this regard, our laboratory has earlier generated enhanced green fluorescent protein (EGFP)-expressing FVB/N transgenic ‘green’ mouse: GU-3 line (Devgan et al., 2003). This transgenic mouse has been an excellent source of intrinsically green fluorescent cell types. Recently, we have derived a ‘GS-2’ ES-cell line from the GU-3 mouse line (Singh et al., 2012). Additionally, we envisaged the need for developing an iPS-cell line from the GU-3 mouse and then use them for studying cell differentiation. Thus, aims of the study described in the thesis are to: (1) develop an experimental system to derive EGFP-expressing fluorescently-marked iPS-cell line from a genetically non-permissive FVB/N mouse strain, characterize the established iPS-cell line and achieve differentiation of various cell types from EGFP-expressing iPS-cell line; (2) to study differentiation phenomenon, in particular to cardiac lineage, using select-cardiogenesis modulators and (3) to assess the gene-expression profiles and signaling system associated with cardiomyocyte differentiation of PSCs. This thesis is divided into four chapters with the 1st chapter being a review of literature followed by three data chapters. In the chapter I of the thesis, a comprehensive up-to¬date review of literature is provided pertaining to PSCs, their classification, derivation strategies especially for reprogramming of somatic cells for iPSC generation, their differentiation potential and characterization, particularly to cardiac lineage. Various molecular regulators involved in cardiac differentiation of PSCs with emphasis on epigenetic regulation involving DNA methylation and signaling pathways involved are described in detail. Subsequently, various approaches used for enhanced cardiac differentiation of PSCs and the therapeutic potential of PSC-derived differentiated cell types to treat disease(s) are discussed. Chapter-II describes the successful establishment of a permanent iPS-cell line (named ‘N9’ iPS-cell line) from the non-permissive FVB/N EGFP-transgenic GU-3 ‘green’ mouse. This chapter provides results pertaining to detailed derivation strategy and characterization of the ‘N9’ iPS-cell line which includes colony morphology, expansion (proliferation) efficiency, alkaline phosphatase staining, pluripotent markers’ expression analysis by qPCR and immunostaining approaches and karyotyping analysis. Further, in order to thoroughly assess the differentiation competence of the ‘N9’ iPS¬cell line, assessment of in-vitro and in-vivo differentiation potential of the ‘N9’ iPS-cell line by embryoid body (EB) formation and teratoma formation in nude mice and its detailed histological analysis showing three germ layer cell types and their derivatives were performed, followed by the generation of chimeric blastocysts by aggregation method. This established N9 iPS-cell line could potentially offer a suitable model system to study cardiac differentiation along with other established PSC lines such as the GS-2 and D3 ES-cell lines and the P19 EC-cell line. Following the establishment of the system to study cardiac differentiation of PSC lines, efforts were made to understand the biology of cardiac differentiation of PSCs (wild¬type and EGFP-transgenic PSC lines and P19 EC-cell line) using small molecules as modulators. Data pertaining to this is described in Chapter-III. The possible involvement of epigenetic regulation of cardiogenesis for example, DNA methylation changes in cardiogenesis-associated genes is studied using 5-aza cytidine as one of the chromatin modifiers. In order to understand the cardiac differentiation phenomenon, as a consequence of using 5-aza cytidine in cell culture, it was important to investigate its ability to induce/mediate cardiac differentiation. This involved an assessment by quantitating the cardiac beating phenotype and correlating this with enhanced cardiac-gene expression profiles. Further, DNA methylation regulation of cardiogenesis¬associated genes is described using various DNA methylation analysis techniques. Moreover, the possible involvement of other signaling members in mediating the cardiac differentiation is also studied using the P19 EC-cells. Results pertaining to the above findings are described in detail in the Chapter-III. Chapter-IV is focused on various efforts made towards investigating the ability of ascorbic acid to enhance cardiac differentiation of mouse ES-cells (GS-2 and D3 lines). Ascorbic acid has been implicated to be influencing cardiogenesis and it is reported to enhance differentiation of various cell types under certain culture conditions. Results pertaining to enhancement of cardiac differentiation of PSCs using ascorbic acid are presented in this chapter. This included assessment by quantitating cardiac beating phenotype and its correlation with enhanced cardiogenesis-associated gene expression profiles. Besides, estimation on the sorted cardiomyocyte population, derived from PSCs was also made using mature-cardiac marker. The possible underlying signaling mechanism involved was also studied in detail, using specific inhibitors for pERK (U0126), integrin signaling (pFAK; PP2) and collagen synthesis (DHP), in order to ascertain their involvement in ascorbic acid-mediated cardiac differentiation of mouse ES-cells. Subsequent to the three data chapters (II-IV), separate sections are provided for ‘Summary and Conclusion’ and for ‘Bibliography’, cited in the thesis. The overall scope of the study has been to understand the basic biology of cardiac differentiation from PSCs (EC-cells, iPS-cells and transgenic and wild-type ES-cells) and to assess, by using certain small molecules, whether PSCs could be coaxed to enhance the differentiation to a particular cell type (cardiac). The data contained in this thesis addresses the above theme.

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There is a growing consensus that life-threatening cardiac arrhythmias like ven- tricular tachycardia (VT) or ventricular fibrillation (VF) arise because of the formation of spiral waves of electrical activation in cardiac tissue; unbroken spiral waves are associated with VT and broken ones with VF. Several experimental studies have shown that in homogeneities in cardiac tissue can have dramatic effects on such spiral waves. In this thesis we focus on spiral-wave dynamics in mathematical models of human ventricular tissue which contain (a) conduction in homogeneities, (b) ionic in- homogeneities, (c) fibroblasts, (d) Purkinje fibers. We also study the effect of a periodic deformation of the simulation domain on spiral wave-dynamics. Chapter 2 contains our study of “Spiral-Wave Dynamics and Its Control in the Presence of In homogeneities in Two Mathematical Models for Human Cardiac Tissue”; this chapter follows closely parts of a paper we have published [1]. Chapter 3 contains our study of “Spiral-wave dynamics in a Mathematical Model of Human Ventricular Tissue with Myocytes and Fibroblasts”; this chapter follows closely a paper that we have submitted for publication. Chapter 4 contains our study of “Spiral-wave Dynamics in Ionically Realistic Mathematical Models for Human Ventricular Tis- sue: The Effects of Periodic Deformation”; this chapter follows closely a paper that we have submitted for publication. Chapter 5 contains our study of “Spiral-wave dynamics in a Mathematical Model of Human Ventricular Tissue with Myocytes and Purkinje fibers”; this chapter follows closely a paper that we will submit for publication soon. In chapter 2, we study systematically the AP morphology in a state-of-the-art mathematical model of human ventricular tissue due to ten-Tusscher, Noble, Noble, and Panfilov (the TNNP04 model); we also look at the contribution of individual ionic currents to the AP by partially or completely blocking ion channels associated with the ionic currents. We then carry out systematic studies of plane- wave and circular-wave dynamics in the TNNP04 model for cardiac tissue model. We present a detailed and systematic study of spiral-wave turbulence and spa- tiotemporal chaos in two mathematical models for human cardiac tissue due to (a) ten-Tusscher and Panfilov (the TP06 model) and (b) ten-Tusscher, Noble, Noble, and Panfilov (the TNNP04 model). In particular, we use extensive numerical simulations to elucidate the interaction of spiral waves in these models with conduction and ionic in homogeneities. Our central qualitative result is that, in all these models, the dynamics of such spiral waves depends very sensitively on such in homogeneities. A major goal here is to develop low amplitude defibrillation schemes for the elimination of VT and VF, especially in the presence of in homogeneities that occur commonly in cardiac tissue. Therefore, we study a control scheme that has been suggested for the control of spiral turbulence, via low-amplitude current pulses, in such mathematical models for cardiac tissue; our investigations here are designed to examine the efficacy of such control scheme in the presence of in homogeneities in biophysical realistic models. We find that a scheme that uses control pulses on a spatially extended mesh is more successful in the elimination of spiral turbulence than other control schemes. We discuss the theoretical and experimental implications of our study that have a direct bearing on defibrillation, the control of life-threatening cardiac arrhythmias such as ventricular fibrillation. In chapter 3, we study the role of cardiac fibroblasts in ventricular tissue; we use the TNNP04 model for the myocyte cell, and the fibroblasts are modelled as passive cells. Cardiac fibroblasts, when coupled functionally with myocytes, can modulate their electrophysiological properties at both cellular and tissue levels. Therefore, it is important to study the effects of such fibroblasts when they are coupled with myocytes. Chapter 3 contains our detailed and systematic study of spiral-wave dynamics in the presence of fibroblasts in both homogeneous and inhomogeneous domains of the TNNP04 model for cardiac tissue. We carry out extensive numerical studies of such modulation of electrophysiological properties in mathematical models for (a) single myocyte fibroblast (MF) units and (b) two-dimensional (2D) arrays of such units; our models build on earlier ones and allow for no, one-way, or two-way MF couplings. Our studies of MF units elucidate the dependence of the action-potential (AP) morphology on parameters such as Ef , the fibroblast resting membrane potential, the fibroblast conductance Gf , and the MF gap-junctional coupling Ggap. Furthermore, we find that our MF composite can show autorhythmic and oscillatory behaviors in addition to an excitable response. Our 2D studies use (a) both homogeneous and inhomogeneous distributions of fibroblasts, (b) various ranges for parameters such as Ggap, Gf , and Ef , and (c) intercellular couplings that can be no, one-way, and two-way connections of fibroblasts with myocytes. We show, in particular, that the plane-wave conduction velocity CV decreases as a function of Ggap, for no and one-way couplings; however, for two-sided coupling, CV decreases initially and then increases as a function of Ggap, and, eventually, we observe that conduction failure occurs for low values of Ggap. In our homogeneous studies, we find that the rotation speed and stability of a spiral wave can be controlled either by controlling Ggap or Ef . Our studies with fibroblast inhomogeneities show that a spiral wave can get anchored to a local fibroblast inhomogeneity. We also study the efficacy of a low-amplitude control scheme, which has been suggested for the control of spiral-wave turbulence in mathematical models for cardiac tissue, in our MF model both with and without heterogeneities. In chapter 4, we carry out a detailed, systematic study of spiral-wave dynamics in the presence of periodic deformation (PD) in two state-of-the-art mathematical models of human ventricular tissue, namely, the TNNP04 model and the TP06 model. To the best of our knowledge, our work is the first, systematic study of the dynamics of spiral waves of electrical activation and their transitions, in the presence of PD, in such biophysically realistic mathematical models of cardiac tissue. In our studies, we use three types of initial conditions whose time evolutions lead to the following states in the absence of PD: (a) a single rotating spiral (RS), (b) a spiral-turbulence (ST) state, with a single meandering spiral, and (c) an ST state with multiple broken spirals for both these models. We then show that the imposition of PD in these three cases leads to a rich variety of spatiotemporal pat- terns in the transmembrane potential including states with (a) an RS state with n-cycle temporal evolution (here n is a positive integer), (b) rotating-spiral states with quasiperiodic (QP) temporal evolution, (c) a state with a single meandering spiral MS, which displays spatiotemporal chaos, (d) an ST state, with multiple bro- ken spirals, and (e) a quiescent state in which all spirals are absorbed (SA). For all three initial conditions, precisely which one of the states is obtained depends on the amplitudes and the frequencies of the PD in the x and y directions. We also suggest specific experiments that can test the results of our simulations. We also study, in the presence of PD, the efficacy of a low-amplitude control scheme that has been suggested, hitherto only without PD, for the control of spiral-wave turbulence, via low-amplitude current pulses applied on a square mesh, in mathematical models for cardiac tissue. We also develop line-mesh and rectangular-mesh variants of this control scheme. We find that square- and line-mesh-based, low-amplitude control schemes suppress spiral-wave turbulence in both the TP06 and TNNP04 models in the absence of PD; however, we show that the line-based scheme works with PD only if the PD is applied along one spatial direction. We then demonstrate that a minor modification of our line-based control scheme can suppress spiral-wave turbulence: in particular, we introduce a rectangular-mesh-based control scheme, in which we add a few control lines perpendicular to the parallel lines of the line- based control scheme; this rectangular-mesh scheme is a significant improvement over the square-mesh scheme because it uses fewer control lines than the one based on a square mesh. In chapter 5, we have carried out detailed numerical studies of (a) a single unit of an endocardial cell and Purkinje cell (EP) composite and (b) a two-dimensional bilayer, which contains such EP composites at each site. We have considered bio- physically realistic ionic models for human endocardial cells (Ecells) and Purkinje cells (Pcells) to model EP composites. Our study has been designed to elucidate the sensitive dependence, on parameters and initial conditions, of (a) the dynamics of EP composites and (b) the spatiotemporal evolution of spiral waves of electrical activation in EP-bilayer domains. We examine this dependence on myocyte parameters by using the three different parameter sets P1, P2, and P3; to elucidate the initial-condition dependence we vary the time at which we apply the S2 pulse in our S1-S2 protocol; we also investigate the dependence of the spatiotemporal dynamics of our system on the EP coupling Dgap, and on the number of Purkinje- ventricular junctions (PVJs), which are measured here by the ratio R, the ratio of the total number of sites to the number of PVJs in our simulation domain. Our studies on EP composites show that the frequency of autorhythmic activity of a P cell depends on the diffusive gap-junctional conductance Dgap. We perform a set of simulations to understand the source-sink relation between the E and P cells in an EP composite; such a source-sink relation is an important determinant of wave dynamics at the tissue level. Furthermore, we have studied the restitution properties of an isolated E cell and a composite EP unit to uncover this effect on wave dynamics in 2D, bilayers of EP composites. Autorhythmicity is an important property of Purkinje cell; it helps to carry electrical signals rapidly from bundle of His to the endocardium. Our investigation of an EP composite shows that the cycle length (CL) of autorhythmic activity decreases, compared to that of an uncoupled Purkinje cell. Furthermore, we find that the APD increases for an EP composite, compared to that of an uncoupled P cell. In our second set of simulations for an EP-composite unit, we have obtained the AP behaviors and the amount of flux that flows from the E to the P cell during the course of the AP. The direction of flow of this flux is an important quantity that identifies which one of these cells act as a source or a sink in this EP composite. We have found that the P cell in an EP composite acts as a stimulation-current source for the E cell in the depolarization phase of the AP, when the stimulus is applied to both cells or to the P cell only. However, the P cell behaves both as a source and a sink when the stimulus is applied to the E cell only. In our third set of simulations for an EP composite unit, we have calculated the restitution of the APD; this plays an important role in deciding the stability of spiral waves in mathematical models for cardiac tissue. Our simulation shows that, for the EP composite with high coupling (Dgap = Dmm~10), the APDR slope decreases, relative to its value for an isolated E cell, for parameter sets P1 and P2, and first increases (for 50 ≤ DI ≤ 100 ms) and then decreases for the parameter set P3 ; however, for low coupling (Dgap = Dmm~100), the variation of the AP D as function of DI, for an EP composite, shows biphasic behavior for all these three parameter sets. We found that the above dynamics in EP cable type domains, with EP composites, depends sensitively on R. We hope our in silico studies of spiral-wave dynamics in a variety of state-of-the- art ionic models for ventricular tissue will stimulate more experimental studies that examine such dynamics.

Cardiac arrhythmias, such as ventricular tachycardia (VT) and ventricular fibrillation (VF), are among the leading causes of death in the industrialized world. There is growing consensus that these arrhythmias are associated with the formation of spiral and scroll waves of electrical activation in mammalian cardiac tissue; whereas single spiral and scroll waves are believed to be associated with VT, their turbulent analogs are associated with VF. Thus, the study of these waves is an important biophysical problem in-so-far-as to develop an understanding of the electrophysiological basis of VT and VF. In this thesis, we provide a brief overview of recent numerical studies of spiral- and scroll-wave dynamics in mathematical models of mammalian cardiac tissue. In addition to giving a description of how spiral and scroll waves can be initiated in such models, how they evolve, how they interact with conduction and ionic inhomogeneities, how their dynamics is influenced by the size and geometry of the heart, we also discuss how active Purkinje networks and passive fibroblast clusters modify the electrical activity of cardiomyocytes, and the relevance of such studies to defibrillation. In Chapter 2 we present a systematic study of the combined effects of muscle-fiber rotation and inhomogeneities on scroll-wave dynamics in the TNNP (ten Tusscher Noble Noble Panfilov) model for human cardiac tissue. In particular, we use the three-dimensional (3D) TNNP model with fiber rotation and consider both conduction and ionic inhomogeneities. We find that, in addition to displaying a sensitive dependence on the positions, sizes, and types of inhomogeneities, scroll-wave dynamics also depends delicately upon the degree of fiber rotation. We find that the tendency of scroll waves to anchor to cylindrical conduction inhomogeneities increases with the radius of the inho-mogeneity. Furthermore, the filament of the scroll wave can exhibit drift or meandering, transmural bending, twisting, and break-up. If the scroll-wave filament exhibits weak meandering, then there is a fine balance between the anchoring of this wave at the inho-mogeneity and a disruption of wave-pinning by fiber rotation. If this filament displays strong meandering, then again the anchoring is suppressed by fiber rotation; also, the scroll wave can be eliminated from most of the layers only to be regenerated by a seed wave. Ionic inhomogeneities can also lead to an anchoring of the scroll wave; scroll waves can now enter the region inside an ionic inhomogeneity and can display a coexistence of spatiotemporal chaos and quasi-periodic behavior in different parts of the simulation domain. We discuss the experimental implications of our study. In Chapter 3 we present a comprehensive numerical study of plane and scroll waves of electrical activation in two state-of-the-art ionic models for rabbit and pig cardiac tissue. We use anatomically realistic, 3D simulation domains, account for muscle-fiber rotation, and show how to include conduction and ionic inhomogeneities in these models; we consider both localized and randomly distributed inhomogeneities. Our study allows us to compare scroll-wave dynamics, with and without inhomogeneities, in these rabbit-and pig-heart models at a level that has not been attempted hitherto. We begin with a comparison of single-cell action potentials (APs) and ionic currents in the Bers-Puglisi (BP) and modified-Luo-Rudy I (mLRI) models for rabbit- and pig-myocytes, respec-tively. We then show how, for plane-wave propagation in rabbit- and pig-heart models, the conduction velocity CV and wavelength λ depend on the distance of the plane of measurement from the plane containing the heart apex. Without inhomogeneities, and in the parameter r´egime in which these models display scroll waves, the rabbit-heart model supports a single scroll wave, which rotates periodically, whereas the pig-heart model supports two scroll waves, which rotate periodically, but with a slight difference in phase; this is partly because the rabbit-heart model is smaller in size, than the pig-heart one. With randomly-distributed inhomogeneities, we find that the rabbit-heart model loses its ability to support electrical activity, even at inhomogeneity concentra-tions as low as 5%. In the pig-heart model, we obtain rich, scroll-wave dynamics in the presence of localized or distributed inhomogeneities, both of conduction and ionic types; often, but not always, scroll waves get anchored to localized inhomogeneities; and distributed inhomogeneities can lead to scroll-wave break up. In Chapter 4, we present a comprehensive numerical study of spiral-and scroll-wave dynamics in a state-of-the-art mathematical model for human ventricular tissue with fiber rotation, transmural heterogeneity, myocytes, and fibroblasts. Our mathematical model introduces fibroblasts randomly, to mimic diffuse fibrosis, in the ten Tusscher-Noble-Noble-Panfilov (TNNP) model for human ventricular tissue; the passive fibrob-lasts in our model do not exhibit an action potential in the absence of coupling with myocytes; and we allow for a coupling between nearby myocytes and fibroblasts. Our study of a single myocyte-fibroblast (MF) composite, with a single myocyte coupled to Nf fibroblasts via a gap-junctional conductance Ggap, reveals five qualitatively different responses for this composite. Our investigations of two-dimensional domains with a ran-dom distribution of fibroblasts in a myocyte background reveal that, as the percentage Pf of fibroblasts increases, the conduction velocity of a plane wave decreases until there is conduction failure. If we consider spiral-wave dynamics in such a medium we find, in two dimensions, a variety of nonequilibrium states, temporally periodic, quasiperi-odic, chaotic, and quiescent, and an intricate sequence of transitions between them; we also study the analogous sequence of transitions for three-dimensional scroll waves in a three-dimensional version of our mathematical model that includes both fiber rotation and transmural heterogeneity. We thus elucidate random-fibrosis-induced nonequilib-rium transitions, which lead to conduction block for spiral waves in two dimensions and scroll waves in three dimensions. We explore possible experimental implications of our mathematical and numerical studies for plane-, spiral-, and scroll-wave dynamics in cardiac tissue with fibrosis. In Chapter 5 we present a detailed numerical study of the electrophysiological in-teractions between a random Purkinje network and simulated human endocardial tissue, (a) in the presence of, and (b) in the absence of existing electrical excitation in the system. We study the dependence of the activation-onset-time (ta) on the strength of coupling (Dmp) between the myocyte layer and the Purkinje network, in the absence of any external stimulus. Since the connection between the endocardial layer and the Purkinje network occurs only at discrete points, we also study the dependence of ta on the number of Purkinje-myocyte junctions (PMJs) at fixed values of Dmp, in the ab-sence of any applied excitation. We study signal propagation in the system; our results demonstrate the situations of (a) conduction block from the Purkinje layer to the endo-cardial layer, (b) anterograde propagation of the excitation from the Purkinje layer to the endocardium, (c) retrograde propagation of the excitation from the endocardium to the Purkinje layer and (d) development of reentrant circuits in the Purkinje layer that lead to formation of ectopic foci at select PMJs. We extend our study to explore the effects of Purkinje-myocyte coupling on spiral wave dynamics, whereby, we find that such coupling can lead to the distortion and breakage of the parent rotor into multiple rotors within the system; with or without internal coherence. We note that retrograde propa-gation leads to the development of reentrant circuits in the Purkinje network that help to initiate and stabilize ectopic foci. However, in some cases, Purkinje-myocyte coupling can also lead to the suppression of spiral waves. Finally we conduct four representative simulations to study the effects of transmural heterogeneity, fiber rotation and coupling with a non-penetrating Purkinje network on a three dimensional slab of cardiac tissue. Lastly, In Chapter 6, we study reentry associated with inexcitable obstacles in the ionically-realistic TNNP model for human ventricular tissue, under the influence of high-frequency stimulation. When a train of plane waves successively impinge upon an obstacle, the obstacle splits these waves as they tend to propagate past it; the emergent broken waves can either travel towards each other, bridging the gap introduced by the obstacle at the time of splitting, or, they can travel away from each other, resulting in the growth of the gap. The second possibility eventually results in the formation of spiral waves. This phenomenon depends on frequency of the waves. At high frequency, the excitability of the tissue decreases and the broken waves have a tendency to move apart. Hence high-frequency stimulation increases the chances of reentry in cardiac tissue. We correlate the critical period of pacing that leads to reentry in the presence of an inexcitable obstacle, with the period of spiral waves, formed in the homogeneous domain, and study how the critical period of pacing depends on the parameters of the model.

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Der Herzmuskel muss sich einer dynamischen und sich mechanisch verändernden Umgebung anpassen. Die Mechanosignaltransduktion ermöglicht es Zellen mechanischen Kräfte zu erfassen und durch nachgeschaltete biochemische Signalkaskaden darauf zu reagieren. Obwohl verschiedene Gewebestrukturen und Proteine damit in Verbindung gebracht wurden, wie das Herz die mechanischen Kräfte wahrnimmt, ist unser Verständnis der kardialen Mechanosignaltransduktion unvollständig. Durch Dehnung aktivierte Ionenkanäle spielen eine wichtige Rolle bei der mechanosensitiven Autoregulation des Herzens. Um die funktionelle Rolle von PIEZO1 in Kardiomyozyten zu untersuchen, habe ich daher PIEZO1 in induzierten pluripotenten Stammzellen mittels Genomeditierung deletiert. Die PIEZO1-/- Zellen wurden dann in lebensfähige, herzähnlich schlagende Kardiomyozyten differenziert. In phänotypische Analysen der elektrophysiologischer Eigenschaften, Zellmorphologie und der herzähnlichen Schlagaktivität habe ich den Effekt der PIEZO1-deletion in genomeditierten Kardiomyozyten untersucht. Die Deletion von PIEZO1 zeigte zum ersten Mal, dass es PIEZO1-abhängige dehnungsaktivierte und Kalzium-Ströme in vom Menschen stammenden differenzierten Kardiomyozyten gibt. Dies legt nahe, dass PIEZO1 eine Rolle in der Mechanosignaltransduction in Herzzellen spielt. Darüber hinaus zeigte eine RNA-Sequenz Analyse, dass der Verlust von PIEZO1 in vom Menschen stammenden differenzierten Kardiomyozyten mit der Herunterregulation von Proteinen korreliert, die für die extrazellulärer Matrix von Bedeutung sind. Diese Daten unterstreichen die Rolle von PIEZO1 in Kardiomyozyten und legen seine Bedeutung für die Organisation und Struktur der extrazellulären Matrix nahe. / The cardiac muscle has to adapt in a highly dynamic mechanical environment. Mechanotransduction is the process that allows cells to sense the mechanical forces and respond by downstream biochemical signaling cascades. Although different tissue structures and proteins have been implicated in how the heart senses the mechanical forces, yet our understanding in cardiac mechanotransduction is incomplete. Stretch-activated channels (SACs) have been suggested to play an important role in the mechanosensitive autoregulation of the heart. PIEZO1 is a stretch-activated channel and has been involved in vascularization, erythrocyte volume homeostasis and regulation of the baroreceptor reflex, yet its role in cardiac mechanotransduction has not been described. To study the functional role of PIEZO1 in cardiomyocytes I have generated a PIEZO1 knockout (KO) human induced pluripotent cell (hiPSC) line using genome editing technology. The genome edited cells were then differentiated into viable, beating cardiomyocytes. Different phenotypic analyses were conducted, including the evaluation of electrophysiological characteristics, observation of cell morphology and beating activity of the genome edited hiPSC-derived cardiomyocytes. With this approach the aim was to gain more insight into PIEZO1 function in cardiomyocytes using a reliable, efficient and reproducible human cellular model system. For the first time PIEZO1-dependent calcium transients and stretch-activated currents were observed in hiPSC-derived cardiomyocytes (hiPSC-CMs). This proposes a possible role of PIEZO1 as a cardiac mechanotransducer. Furthermore, RNA-seq analysis revealed that loss of PIEZO1 in hiPSC-CMs is associated with downregulation of the expression of extracellular matrix-associated proteins. These data highlight the role of PIEZO1 in cardiomyocytes and suggest its implication in extracellular matrix organization and structure.