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Updated: Oct 25, 2025

High-Throughput Cardiotoxicity Screening Using Mature Human Induced Pluripotent Stem Cell-Derived Cardiomyocyte Monolayers
Published on: March 24, 2023
An Evaluation of Human Induced Pluripotent Stem Cells to Test for Cardiac Developmental Toxicity
Lauren Michelle Walker1, Nicole R L Sparks1, Veronica Puig-Sanvicens1
1Stem Cell Center and Department of Molecular, Cell & Systems Biology, College of Natural and Agricultural Sciences, University of California Riverside, Riverside, CA 92521, USA.
Abstract:
To prevent congenital defects arising from maternal exposure, safety regulations require pre-market developmental toxicity screens for industrial chemicals and pharmaceuticals. Traditional embryotoxicity approaches depend heavily on the use of low-throughput animal models which may not adequately predict human risk. The validated embryonic stem cell test (EST) developed in murine embryonic stem cells addressed the former problem over 15 years ago. Here, we present a proof-of-concept study to address the latter challenge by updating all three endpoints of the classic mouse EST with endpoints derived from human induced pluripotent stem cells (hiPSCs) and human fibroblasts. Exposure of hiPSCs to selected test chemicals inhibited differentiation at lower concentrations than observed in the mouse EST. The hiPSC-EST also discerned adverse developmental outcomes driven by novel environmental toxicants. Evaluation of the early cardiac gene TBX5 yielded similar toxicity patterns as the full-length hiPSC-EST. Together, these findings support the further development of hiPSCs and early molecular endpoints as a biologically relevant embryotoxicity screening approach for individual chemicals and mixtures.
Insights
Human stem cells offer a more accurate way to screen chemicals for developmental toxicity, improving safety assessments for drugs and industrial compounds. This new method, using human induced pluripotent stem cells (hiPSCs), better predicts human risk than traditional animal models.
Area of Science:
- Toxicology
- Stem Cell Biology
- Developmental Biology
Background:
- Maternal exposure to chemicals can cause congenital defects, necessitating pre-market toxicity screening.
- Current animal models for developmental toxicity testing have limitations in predicting human risk.
- The established embryonic stem cell test (EST) using mouse cells has improved screening but may not fully represent human responses.
Purpose of the Study:
- To develop a human-relevant developmental toxicity screening approach.
- To update the traditional mouse embryonic stem cell test (EST) using human induced pluripotent stem cells (hiPSCs).
- To assess the utility of hiPSCs and early molecular endpoints for predicting embryotoxicity.
Main Methods:
- Utilized human induced pluripotent stem cells (hiPSCs) and human fibroblasts to update the three endpoints of the classic mouse EST.
- Exposed hiPSCs to selected test chemicals to evaluate differentiation inhibition.
- Assessed the expression of the early cardiac gene TBX5 as a molecular endpoint.
Main Results:
- hiPSCs demonstrated inhibition of differentiation at lower chemical concentrations compared to the mouse EST.
- The hiPSC-based test identified adverse developmental outcomes from novel environmental toxicants.
- The TBX5 gene evaluation showed toxicity patterns consistent with the full hiPSC-EST.
Conclusions:
- hiPSCs provide a more biologically relevant model for embryotoxicity screening.
- Early molecular endpoints, like TBX5, can complement full hiPSC-EST assessments.
- These findings support the development of hiPSC-based assays for chemical and mixture safety evaluations.
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