Engineered Heart Tissues for Cardiotoxicity Screening
Background
- Drugs commonly have pro-arrhythmic effect on the heart that limits their safety margin
- Several other drugs have been withdrawn from the market due to lethal arrhythmia
- New cancer drugs often interfere with growth factor signaling cascades that are required for tumor expansion, but unfortunately also for the maintenance of normal heart function
- Thousands of new compounds are in development and the demand for sensitive and specific experimental systems to detect cardio toxicity is increasing.
- Authorities require extensive testing for pro arrhythmic effects of every new licensed drug.
- The current panel of tests is of limited predictive value, labor-intensive and expensive. Thus, there is a clear need for improved tests.
Method
- Freshly isolated rat neonatal cardiac myocytes (or mouse embryonic stem cells) are mixed with collagen I and growth factors and pipetted in a circular dish with a silicone bottom
- The cell-populated hydrogel condenses around a central cylinder in the dish and forms 3D EHT ring around it.
- After 12-14 days, the EHT rings are transferred to organ baths to record isometric force of contraction and other readouts
Readouts
- Speed and extend of tissue formation over time
- Contractile force and its reaction to acute and chronic interventions
- Contraction kinetics and its reaction to acute and chronic interventions
- Spontaneous rhythm and its reaction to acute and chronic interventions
Sample data has been generated using EHTs to test the following:
- Doxorubicin
- Astemizole
- Atorvastatin