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MAP4K4 Inhibition Promotes Survival of Human Stem Cell-Derived Cardiomyocytes and Reduces Infarct Size In Vivo.

Cell stem cell | 2019

Heart disease is a paramount cause of global death and disability. Although cardiomyocyte death plays a causal role and its suppression would be logical, no clinical counter-measures target the responsible intracellular pathways. Therapeutic progress has been hampered by lack of preclinical human validation. Mitogen-activated protein kinase kinase kinase kinase-4 (MAP4K4) is activated in failing human hearts and relevant rodent models. Using human induced-pluripotent-stem-cell-derived cardiomyocytes (hiPSC-CMs) and MAP4K4 gene silencing, we demonstrate that death induced by oxidative stress requires MAP4K4. Consequently, we devised a small-molecule inhibitor, DMX-5804, that rescues cell survival, mitochondrial function, and calcium cycling in hiPSC-CMs. As proof of principle that drug discovery in hiPSC-CMs may predict efficacy in vivo, DMX-5804 reduces ischemia-reperfusion injury in mice by more than 50%. We implicate MAP4K4 as a well-posed target toward suppressing human cardiac cell death and highlight the utility of hiPSC-CMs in drug discovery to enhance cardiomyocyte survival.

Pubmed ID: 30853557 RIS Download

Research resources used in this publication

Antibodies used in this publication

Associated grants

  • Agency: British Heart Foundation, United Kingdom
    Id: SI/11/2/28875
  • Agency: Wellcome Trust, United Kingdom
    Id: 205256/Z/16/Z
  • Agency: Medical Research Council, United Kingdom
    Id: G0901467
  • Agency: British Heart Foundation, United Kingdom
    Id: RE/08/002
  • Agency: Wellcome Trust, United Kingdom
    Id: WT10638
  • Agency: Medical Research Council, United Kingdom
    Id: MC PC 12015
  • Agency: Wellcome Trust, United Kingdom
  • Agency: British Heart Foundation, United Kingdom
    Id: RG/08/007
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL052555
  • Agency: Wellcome Trust, United Kingdom
    Id: WT205256
  • Agency: European Research Council, International
    Id: 233158
  • Agency: British Heart Foundation, United Kingdom
    Id: CH/08/002/29257

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Fiji (tool)

RRID:SCR_002285

Software package as distribution of ImageJ and ImageJ2 together with Java, Java3D and plugins organized into coherent menu structure. Used to assist research in life sciences.

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Molecular Probes (tool)

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BIOPUR (tool)

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HEK293 (tool)

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HGK Antibody (antibody)

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Anti-MLC-2V (antibody)

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caspase-3 Antibody (H-277) (antibody)

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p44/42 MAPK (Erk1/2) Antibody (antibody)

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MAP4K4 antibody (antibody)

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Troponin I (C-19) (antibody)

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HGK Antibody (antibody)

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Troponin T-C (1F2) (antibody)

RRID:AB_630390

This monoclonal targets Troponin T-C (1F2)

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HA-Tag Antibody (F-7) (antibody)

RRID:AB_627809

This monoclonal targets HA-Tag

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Goat Anti-Rabbit Immunoglobulins/HRP (antibody)

RRID:AB_2617138

This polyclonal secondary targets Immunoglobulins

View all literature mentions

Src (L4A1) Mouse mAb (antibody)

RRID:AB_10691385

This monoclonal targets Src

View all literature mentions

Anti-MLC-2A (antibody)

RRID:AB_887737

This monoclonal targets MLC-2A

View all literature mentions

MAP4K4 antibody (antibody)

RRID:AB_944156

This monoclonal targets MAP4K4

View all literature mentions

Anti-MLC-2V (antibody)

RRID:AB_887738

This monoclonal targets MLC-2V

View all literature mentions

HA-Tag Antibody (F-7) (antibody)

RRID:AB_627809

This monoclonal targets HA-Tag

View all literature mentions

Human Myosin Heavy Chain MAb (Clone MF20) (antibody)

RRID:AB_1293549

This monoclonal targets Human Myosin Heavy Chain MAb (Clone MF20)

View all literature mentions

Troponin I (C-19) (antibody)

RRID:AB_793464

This polyclonal targets TNNI3

View all literature mentions

Src (L4A1) Mouse mAb (antibody)

RRID:AB_10691385

This monoclonal targets Src

View all literature mentions

Troponin T-C (1F2) (antibody)

RRID:AB_630390

This monoclonal targets Troponin T-C (1F2)

View all literature mentions

Goat Anti-Rabbit Immunoglobulins/HRP (antibody)

RRID:AB_2617138

This polyclonal secondary targets Immunoglobulins

View all literature mentions

SAPK/JNK Antibody (antibody)

RRID:AB_2250373

This polyclonal targets SAPK/JNK

View all literature mentions

Human Myosin Heavy Chain MAb (Clone MF20) (antibody)

RRID:AB_1293549

This monoclonal targets Human Myosin Heavy Chain MAb (Clone MF20)

View all literature mentions

Phospho-SAPK/JNK (Thr183/Tyr185) Antibody (antibody)

RRID:AB_331659

This polyclonal targets Phospho-SAPK/JNK (Thr183/Tyr185)

View all literature mentions

p44/42 MAPK (Erk1/2) Antibody (antibody)

RRID:AB_330744

This polyclonal targets p44/42 MAPK (Erk1/2)

View all literature mentions

caspase-3 Antibody (H-277) (antibody)

RRID:AB_637828

This polyclonal targets caspase-3

View all literature mentions

Phospho-p38 MAPK (Thr180/Tyr182) Antibody (antibody)

RRID:AB_331641

This polyclonal targets p38 MAPK, phospho (Thr180 / Tyr182)

View all literature mentions