Key result
Hybrid 2D/3D cardiac organoid model reliably detects doxorubicin-induced cardiotoxicity and contractile dysfunction.
Why the study?
Current technologies for analyzing multimodality testing parameters in iPSC-CMs are expensive and resource-intensive.
A novel 2D/3D hybrid organoid system reliably detects doxorubicin-induced cardiotoxicity through optical analysis of calcium transients and contractility, offering a high-throughput platform for preclinical drug screening.
No immediate clinical impact; extends preclinical organoid tools for high-throughput cardiotoxicity screening but leaves translation open.
Background: Human induced pluripotent stem cell cardiomyocytes (hiPSC-CMs) allow for high-throughput evaluation of cardiomyocyte (CM) physiology in health and disease. While multimodality testing provides a large breadth of information related to electrophysiology, contractility, and intracellular signaling in small populations of iPSC-CMs, current technologies for analyzing these parameters are expensive and resource-intensive. Methods: We have designed a novel 2D/3D hybrid organoid system that can harness optical imaging techniques to assess electromechanical properties and calcium dynamics across CMs in a high-throughput manner. We validated our methods using a doxorubicin-based system, as the drug has well-characterized cardiotoxic, pro-arrhythmic effects. Results: This novel hybrid system provides the functional benefit of 3D organoids while minimizing optical interference from multilayered cellular systems through our cell-culture techniques that propagate organoids outwards into 2D iPSC-CM sheets. The organoids recapitulate contractile forces that are more robust in 3D structures and connectivity, while 2D CMs facilitate analysis at an individual cellular level, which recreated numerous doxorubicin-induced electrophysiologic and propagation abnormalities. Conclusions: Thus, we have developed a novel 2D/3D hybrid organoid model that employs an integrated optical analysis platform to provide a reliable high-throughput method for studying cardiotoxicity, providing valuable data on calcium, contractility, and signal propagation.
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Lewis et al. (2025) studied In vitro iPSC-CMs (Preclinical) (n=18). Doxorubicin vs. Control media was evaluated on Detection of cardiotoxicity via optical analysis of calcium transients, contractility, and signal propagation. The novel 2D/3D hybrid organoid model successfully detected doxorubicin-induced cardiotoxicity, demonstrating prolonged calcium reuptake, reduced contraction velocity, and impaired signal propagation.
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