Atrial-like Engineered Heart Tissue: An In Vitro Model of the Human Atrium

Stem Cell Reports. 2018 Dec 11;11(6):1378-1390. doi: 10.1016/j.stemcr.2018.10.008. Epub 2018 Nov 8.

Abstract

Cardiomyocytes (CMs) generated from human induced pluripotent stem cells (hiPSCs) are under investigation for their suitability as human models in preclinical drug development. Antiarrhythmic drug development focuses on atrial biology for the treatment of atrial fibrillation. Here we used recent retinoic acid-based protocols to generate atrial CMs from hiPSCs and establish right atrial engineered heart tissue (RA-EHT) as a 3D model of human atrium. EHT from standard protocol-derived hiPSC-CMs (Ctrl-EHT) and intact human muscle strips served as comparators. RA-EHT exhibited higher mRNA and protein concentrations of atrial-selective markers, faster contraction kinetics, lower force generation, shorter action potential duration, and higher repolarization fraction than Ctrl-EHTs. In addition, RA-EHTs but not Ctrl-EHTs responded to pharmacological manipulation of atrial-selective potassium currents. RA- and Ctrl-EHTs' behavior reflected differences between human atrial and ventricular muscle preparations. Taken together, RA-EHT is a model of human atrium that may be useful in preclinical drug screening.

Keywords: atrial differentiation; atrial fibrillation; atrial myocytes; atrial-like cells; cardiac tissue engineering; engineered heart tissue; hiPSC-CMs; pluripotent stem cells; retinoic acid.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 4-Aminopyridine / pharmacology
  • Action Potentials / drug effects
  • Biomarkers / metabolism
  • Cell Count
  • Cell Differentiation / drug effects
  • Cell Differentiation / genetics
  • Cell Line
  • Cell Size / drug effects
  • Gene Expression Regulation / drug effects
  • Heart Atria / anatomy & histology*
  • Heart Atria / cytology
  • Humans
  • Kinetics
  • Models, Cardiovascular*
  • Myocardial Contraction / drug effects
  • Organ Specificity / drug effects
  • Organ Specificity / genetics
  • Potassium Channel Blockers / pharmacology
  • Potassium Channels / metabolism
  • Receptors, Muscarinic / metabolism
  • Tissue Engineering / methods*
  • Tretinoin / pharmacology

Substances

  • Biomarkers
  • Potassium Channel Blockers
  • Potassium Channels
  • Receptors, Muscarinic
  • Tretinoin
  • 4-Aminopyridine