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Updated: Jun 7, 2026

An Approach to Study Shape-Dependent Transcriptomics at a Single Cell Level
Published on: November 2, 2020
Computational approaches identify a transcriptomic fingerprint of drug-induced structural cardiotoxicity
Victoria P W Au Yeung1,2, Olga Obrezanova3, Jiarui Zhou4
1Safety Sciences, Clinical Pharmacology & Safety Sciences, R&D, AstraZeneca, Cambridge, UK. victoria.auyeung.publications@gmail.com.
Abstract:
Structural cardiotoxicity (SCT) presents a high-impact risk that is poorly tolerated in drug discovery unless significant benefit is anticipated. Therefore, we aimed to improve the mechanistic understanding of SCT. First, we combined machine learning methods with a modified calcium transient assay in human-induced pluripotent stem cell-derived cardiomyocytes to identify nine parameters that could predict SCT. Next, we applied transcriptomic profiling to human cardiac microtissues exposed to structural and non-structural cardiotoxins. Fifty-two genes expressed across the three main cell types in the heart (cardiomyocytes, endothelial cells, and fibroblasts) were prioritised in differential expression and network clustering analyses and could be linked to known mechanisms of SCT. This transcriptomic fingerprint may prove useful for generating strategies to mitigate SCT risk in early drug discovery.
Insights
Structural cardiotoxicity (SCT) is a major drug discovery risk. This study identified key predictive parameters and a gene expression fingerprint to improve mechanistic understanding and mitigate SCT risk in early drug development.
Area of Science:
- Drug Discovery
- Cardiology
- Toxicology
Background:
- Structural cardiotoxicity (SCT) poses a significant challenge in drug discovery.
- A deeper mechanistic understanding of SCT is crucial for early risk mitigation.
Purpose of the Study:
- To enhance the mechanistic understanding of structural cardiotoxicity.
- To identify predictive parameters and molecular signatures associated with SCT.
Main Methods:
- Machine learning applied to calcium transient assays in human-induced pluripotent stem cell-derived cardiomyocytes.
- Transcriptomic profiling of human cardiac microtissues exposed to cardiotoxins.
- Differential gene expression and network clustering analyses.
Main Results:
- Nine parameters were identified as predictive of SCT.
- A 52-gene transcriptomic fingerprint was associated with known SCT mechanisms across cardiomyocytes, endothelial cells, and fibroblasts.
- This fingerprint can be linked to established SCT pathways.
Conclusions:
- The identified parameters and transcriptomic fingerprint offer improved mechanistic insights into SCT.
- This knowledge can guide strategies to mitigate SCT risk during early drug discovery phases.
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