Multilayered Cell Sheets of Cardiac Reprogrammed Cells for the Evaluation of Drug Cytotoxicity

Sung Pil Kwon1, Seuk Young Song1, Jin Yoo1

  • 1School of Chemical and Biological Engineering, Seoul National University, Seoul, 08826, Republic of Korea.

Abstract

Insights

Multilayered cardiac-mimetic cell sheets show reduced drug cytotoxicity compared to single-layered sheets. This finding suggests that in vitro models mimicking in vivo cellular structures improve drug toxicity evaluations.

Area of Science:

  • Biomedical Engineering
  • Cell Biology
  • Pharmacology

Background:

  • In vitro cell-culture systems are crucial for evaluating drug toxicity, but factors influencing cytotoxicity outcomes are not fully understood.
  • Existing models often lack the complex cellular architecture found in vivo, potentially affecting toxicity assessments.
  • Cardiac-mimetic cells, reprogrammed from human fibroblasts, offer a promising model for studying drug effects.

Purpose of the Study:

  • To investigate the impact of cell layer number on drug cytotoxicity outcomes using multilayered cardiac-mimetic cell sheets.
  • To compare the cytotoxicity of a model drug (5-fluorouracil) in mono-layered versus double-layered cardiac-mimetic cell sheets.
  • To explore the relationship between cell density, intercellular interactions, and drug cytotoxicity.

Main Methods:

  • Cardiac-mimetic cell sheets were generated by reprogramming human fibroblasts.
  • Mono-layered and double-layered cell sheets were created and treated with 5-fluorouracil (5-FU).
  • Apoptosis, lipid peroxidation, mitochondrial function, and plasma membrane integrity were analyzed. Cell density effects were studied in monolayer cultures.

Main Results:

  • Double-layered cell sheets demonstrated significantly lower cytotoxicity (reduced apoptosis and lipid peroxidation) than mono-layered sheets when exposed to the same 5-FU dose.
  • The multilayered configuration better preserved mitochondrial function and plasma membrane integrity compared to the monolayer.
  • Reduced cytotoxicity in multilayered sheets correlated with increased intercellular interactions, mirroring findings where higher cell density in monolayers decreased 5-FU toxicity.

Conclusions:

  • The number of cell layers in cardiac-mimetic cell sheets critically influences drug cytotoxicity outcomes in in vitro toxicity testing.
  • In vitro cellular configurations that better replicate in vivo tissue structures appear to exhibit reduced cytotoxicity.
  • This study highlights the importance of mimicking in vivo cellular architecture for more accurate drug toxicity evaluations.

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