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Updated: Feb 3, 2026

Modeling and Evaluation of Murine Diabetic Cardiomyopathy Model
Published on: November 29, 2024
Diabetic Cardiomyopathy Modelling Using Induced Pluripotent Stem Cell Derived Cardiomyocytes: Recent Advances and
Cecilia Granéli1,2, Ryan Hicks3, Gabriella Brolén3
1Systems Biology Research Center, School of Bioscience, University of Skövde, SE-541 28, Skövde, Sweden. cecilia.graneli1@astrazeneca.com.
Insights
Human induced pluripotent stem cells (iPSCs) can model diabetic cardiomyopathy, showing insulin resistance and hypertrophy. Further research is needed to fully capture the diabetic cardiomyocyte
Area of Science:
- Cardiovascular Research
- Stem Cell Biology
- Metabolic Diseases
Background:
- Diabetes mellitus poses a significant global health burden, with cardiovascular complications causing millions of deaths annually.
- Diabetic cardiomyopathy (DCM) is a major diabetes complication, characterized by progressive cardiac dysfunction and leading to heart failure.
- Current understanding of DCM pathogenesis is limited, necessitating advanced in vitro models for mechanistic studies.
Purpose of the Study:
- To review recent advances in modeling diabetic cardiomyopathy, with a focus on human induced pluripotent stem cell (iPSC)-based systems.
- To discuss the challenges and future directions in developing accurate in vitro models of DCM.
- To highlight the potential of iPSC-derived cardiomyocytes for investigating diabetes-related cardiac dysfunction.
Main Methods:
- Review of recent scientific literature on diabetic cardiomyopathy models.
- Analysis of preliminary data on iPSC-derived cardiomyocyte models of diabetes.
- Focus on iPSC technology for generating disease-specific cardiac cells.
Main Results:
- Human iPSC-derived cardiomyocytes can recapitulate key features of DCM, including insulin resistance and hypertrophy.
- Impaired calcium handling is observed in iPSC-derived cardiomyocytes modeling diabetic conditions.
- Generating cardiomyocytes with a fully representative diabetic metabolic and functional phenotype remains an ongoing challenge.
Conclusions:
- iPSC-based models show promise for studying diabetic cardiomyopathy mechanisms.
- These models can display specific diabetic cardiac phenotypes like insulin resistance and hypertrophy.
- Further refinement is required to fully replicate the complex metabolic and functional aspects of DCM in vitro.
Abstract:
The global burden of diabetes has drastically increased over the past decades and in 2017 approximately 4 million deaths were caused by diabetes and cardiovascular complications. Diabetic cardiomyopathy is a common complication of diabetes with early manifestations of diastolic dysfunction and left ventricular hypertrophy with subsequent progression to systolic dysfunction and ultimately heart failure. An in vitro model accurately recapitulating key processes of diabetic cardiomyopathy would provide a useful tool for investigations of underlying disease mechanisms to further our understanding of the disease and thereby potentially advance treatment strategies for patients. With their proliferative capacity and differentiation potential, human induced pluripotent stem cells (iPSCs) represent an appealing cell source for such a model system and cardiomyocytes derived from induced pluripotent stem cells have been used to establish other cardiovascular related disease models. Here we review recently made advances and discuss challenges still to be overcome with regard to diabetic cardiomyopathy models, with a special focus on iPSC-based systems. Recent publications as well as preliminary data presented here demonstrate the feasibility of generating cardiomyocytes with a diabetic phenotype, displaying insulin resistance, impaired calcium handling and hypertrophy. However, capturing the full metabolic- and functional phenotype of the diabetic cardiomyocyte remains to be accomplished.
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