Modeling myotonic dystrophy type 1 with hiPSCs-derived cardiac organoids reveals key disease mechanisms

Cyrielle Jajkiewicz1, Valérie Pouliot1, Mohamed Chahine2

  • 1CERVO Brain Research Centre, Quebec City, Quebec, Canada.

Heart Rhythm
|February 20, 2026
PubMed

Insights

Myotonic dystrophy type 1 (DM1) cardiac dysfunction progresses from early electrical instability to later conduction and contractile problems. Mature 3D models reveal the full spectrum of DM1 heart disease, aiding therapeutic development.

Area of Science:

  • Cardiovascular Research
  • Stem Cell Biology
  • Genetic Disorders

Background:

  • Myotonic dystrophy type 1 (DM1) causes significant cardiac issues, including arrhythmias and sudden death.
  • Human induced pluripotent stem cell (hiPSC)-derived cardiomyocytes are used to model DM1 cardiac dysfunction.
  • Immature 2D cell cultures may not fully represent late-stage DM1 cardiac pathology.

Purpose of the Study:

  • To examine the progression of cardiac dysfunction in DM1.
  • To utilize developmentally mature 3D cardioids derived from patient-specific hiPSCs for this investigation.

Main Methods:

  • Differentiated control and DM1 hiPSC lines into chamber-specific cardioids.
  • Assessed electrophysiological properties using optical mapping and MEA.
  • Quantified contractile performance and analyzed gene expression for molecular and structural maturation.

Main Results:

  • DM1 cardioids showed stage-dependent cardiac dysfunction.
  • Early DM1 cardioids exhibited electrical hyperexcitability.
  • Later-stage DM1 cardioids displayed conduction slowing, impaired calcium handling, and reduced contractility.

Conclusions:

  • DM1 cardiac pathology evolves dynamically during maturation.
  • Developmentally mature 3D cardiac models are essential for capturing the full DM1 pathophysiology.
  • This approach enhances translational modeling for therapeutic discovery in DM1.
Abstract