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High-Throughput Cardiotoxicity Screening Using Mature Human Induced Pluripotent Stem Cell-Derived Cardiomyocyte Monolayers
Published on: March 24, 2023
Does Enhanced Structural Maturity of hiPSC-Cardiomyocytes Better for the Detection of Drug-Induced Cardiotoxicity?
Dieter Van de Sande1, Mohammadreza Ghasemi2,3, Taylor Watters2,3
1Global Safety Pharmacology, Nonclinical Safety, Janssen Pharmaceutical NV, B-2340 Beerse, Belgium.
Insights
Human induced pluripotent stem cell derived cardiomyocytes (hiPSC-CMs) cultured on standard or maturity-enhancing matrices show comparable efficacy in detecting drug-induced electrophysiological cardiotoxicity. Structural maturity did not significantly alter functional electrophysiology assessments.
Area of Science:
- Cardiovascular Pharmacology
- Stem Cell Biology
- Drug Safety Assessment
Background:
- Human induced pluripotent stem cell derived cardiomyocytes (hiPSC-CMs) are vital for drug-induced cardiotoxicity screening per ICH guidelines.
- Immature hiPSC-CMs may not fully replicate adult cardiomyocyte properties, potentially impacting toxicity detection.
- Enhancing hiPSC-CM structural maturity is explored to improve predictive accuracy in safety studies.
Purpose of the Study:
- To compare the efficacy of hiPSC-CMs cultured on standard fibronectin matrix (FM) versus a maturity-enhancing matrix (MM) for detecting drug-induced cardiotoxicity.
- To investigate if enhanced structural maturity of hiPSC-CMs improves the detection of drug-induced electrophysiological and contractile changes.
- To assess functional differences in hiPSC-CMs under varying culture conditions using high-throughput screening.
Main Methods:
- Cultured hiPSC-CMs in 2D monolayers on standard fibronectin matrix (FM) and CELLvo™ Matrix Plus (MM) to promote structural maturity.
- Assessed electrophysiology using voltage-sensitive fluorescent dyes and contractility using video technology in a high-throughput screening approach.
- Utilized 11 reference drugs to evaluate the functional responses of hiPSC-CMs in both FM and MM conditions.
- Performed RNA profiling for cardiac proteins to compare gene expression across the two culture conditions.
Main Results:
- No functionally relevant differences in electrophysiology were observed between hiPSC-CMs cultured on FM and MM.
- Contractility read-outs showed altered amplitude but no changes in the time course of contraction between the two matrix conditions.
- RNA profiling indicated similar cardiac protein RNA expression across both 2D culture types.
- Drug-induced cardiotoxicity detection efficacy was comparable between the standard FM and maturity-enhanced MM settings for electrophysiological effects.
Conclusions:
- hiPSC-CMs cultured on both standard fibronectin matrix and maturity-enhancing matrices are equally effective for detecting drug-induced electrophysiological effects in functional safety studies.
- Differences in contraction amplitude between the two matrix conditions may be attributed to cell-to-matrix adhesion variations.
- Enhanced structural maturity, while affecting contraction amplitude, did not significantly improve the detection of drug-induced electrophysiological cardiotoxicity in this study.
Abstract:
Human induced pluripotent stem cell derived cardiomyocytes (hiPSC-CMs) are currently used following the Comprehensive in vitro Proarrhythmic Assay (CiPA) initiative and subsequent recommendations in the International Council for Harmonization (ICH) guidelines S7B and E14 Q&A, to detect drug-induced cardiotoxicity. Monocultures of hiPSC-CMs are immature compared to adult ventricular cardiomyocytes and might lack the native heterogeneous nature. We investigated whether hiPSC-CMs, treated to enhance structural maturity, are superior in detecting drug-induced changes in electrophysiology and contraction. This was achieved by comparing hiPSC-CMs cultured in 2D monolayers on the current standard (fibronectin matrix, FM), to monolayers on a coating known to promote structural maturity (CELLvo™ Matrix Plus, MM). Functional assessment of electrophysiology and contractility was made using a high-throughput screening approach involving the use of both voltage-sensitive fluorescent dyes for electrophysiology and video technology for contractility. Using 11 reference drugs, the response of the monolayer of hiPSC-CMs was comparable in the two experimental settings (FM and MM). The data showed no functionally relevant differences in electrophysiology between hiPSC-CMs in standard FM and MM, while contractility read-outs indicated an altered amplitude of contraction but not changes in time course. RNA profiling for cardiac proteins shows similarity of the RNA expression across the two forms of 2D culture, suggesting that cell-to-matrix adhesion differences may explain account for differences in contraction amplitude. The results support the view that hiPSC-CMs in both 2D monolayer FM and MM that promote structural maturity are equally effective in detecting drug-induced electrophysiological effects in functional safety studies.
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