Key result
Cell-based mathematical models accurately predict drug-induced electromechanical changes in human stem cell-derived cardiomyocytes.
Why the study?
Direct optical measurements of hiPSC-CMs yield valuable biomarkers but fall short of revealing underlying biophysical properties, while traditional averaged models overlook spatiotemporal waves.
The application of spatially resolved, cell-based computational models to hiPSC-CM microphysiological data allows for accurate deduction of drug-induced biophysical and electromechanical effects, offering a novel approach for preclinical safety screening.
Human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) are increasingly important in preclinical drug assessments, particularly for identifying potential cardiotoxicity. In this study, we utilize data from microphysiological systems of hiPSC-CMs to evaluate cellular characteristics, such as action potential duration, beat rate, conduction velocity and mechanical displacement. Based on these data, high-fidelity mathematical models facilitate precise assessments of critical biophysical parameters of the cells, including membrane ion channel conductances, cross-bridge cycle transition rates and cell-to-cell conductance. We emphasize the distinction between synchronized transients and travelling waves, highlighting their implications for deducing the biophysical properties of hiPSC-CMs. In this study, we analyse the effects of the drug compounds flecainide, quinidine, nifedipine, verapamil, blebbistatin and omecamtiv. Our findings show that for drug-induced changes in parameters describing membrane currents and contractile machinery close to ranges reported in the literature, the computed biomarkers align well with measured biomarkers. This study is the first to apply spatially resolved, cell-based models to identify drug effects through measurements of transmembrane potential and mechanical displacement, marking a significant step forward in using computational models for evaluating drug safety and offering a new approach to early identification of adverse drug reactions. KEY POINTS: Optical measurements of human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) present significant opportunities to advance understanding of how human heart cells function and interact. Although direct optical measurements yield valuable biomarkers, they fall short of revealing underlying biophysical properties, for example, how novel drug compounds perturb the ion channels. Drug properties are best understood through computational models that capture cell dynamics based on physical laws. Traditionally, data and models have been averaged over all cells in cell collections, thus overlooking spatiotemporal waves. Here, we use recently developed cell-based models, representing spatial dynamics including cell-to-cell electrical and mechanical coupling, to determine biophysical properties of collections of hiPSC-CMs.
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Jæger et al. (2025) studied In vitro human-induced pluripotent stem cell-derived cardiomyocytes. Cardioactive drugs (flecainide, quinidine, nifedipine, verapamil, blebbistatin, omecamtiv) vs. Baseline (no drug control) was evaluated on Alignment of computed biomarkers (action potential duration, beat rate, conduction velocity, mechanical displacement) with measured experimental values. Spatially resolved, cell-based mathematical models effectively captured experimental drug-induced changes in transmembrane potential and mechanical displacement in human-induced pluripotent stem cell-derived cardiomyocytes.
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