Publications by authors named "Max J Cumberland"

Purpose Of Review: Fabry Disease (FD) is a rare lysosomal storage disorder characterised by multiorgan accumulation of glycosphingolipid due to deficiency in the enzyme α-galactosidase A. Cardiac sphingolipid accumulation triggers various types of arrhythmias, predominantly ventricular arrhythmia, bradyarrhythmia, and atrial fibrillation. Arrhythmia is likely the primary contributor to FD mortality with sudden cardiac death, the most frequent cardiac mode of death.

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Animal models have proven integral to broadening our understanding of complex cardiac diseases but have been hampered by significant species-dependent differences in cellular physiology. Human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) have shown great promise in the modelling of cardiac diseases despite limitations in functional and structural maturity. 3D stem cell-derived cardiac models represent a step towards mimicking the intricate microenvironment present in the heart as an model.

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Article Synopsis
  • Activation of cardiac fibroblasts into myofibroblasts contributes to heart issues like arrhythmias and heart failure, marked by increased expression of α-SMA and collagen secretion.
  • TGF-β and mechanical stress trigger this activation, but the potential for reversing this process in human cardiac fibroblasts has not been thoroughly studied.
  • The study found that manipulating substrate stiffness and TGF-β receptor inhibition did not restore myofibroblasts to a quiescent state, indicating a loss of responsiveness in chronically activated human cells.
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Patients with heart failure often develop cardiac arrhythmias. The mechanisms and interrelations linking heart failure and arrhythmias are not fully understood. Historically, research into arrhythmias has been performed on affected individuals or (animal) models.

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