Key result
Astemizole applied to a closed-loop cardiomyocyte network induced early afterdepolarization-like waveforms and ventricular tachyarrhythmias, demonstrating the assay's potential for predicting lethal arrhythmia.
p-value: p=<0.01
An on-chip quasi-in vivo cardiomyocyte network assay successfully detected repolarization and conductance abnormalities induced by astemizole, demonstrating potential as a preclinical screening tool for drug-induced lethal arrhythmias.
BACKGROUNDS: Conventional in vitro approach using human ether-a-go-go related gene (hERG) assay has been considered worldwide as the first screening assay for cardiac repolarization safety. However, it does not always oredict the potential QT prolongation risk or pro-arrhythmic risk correctly. For adaptable preclinical strategiesto evaluate global cardiac safety, an on-chip quasi-in vivo cardiac toxicity assay for lethal arrhythmia (ventricular tachyarrhythmia) measurement using ring-shaped closed circuit microelectrode chip has been developed. RESULTS: The ventricular electrocardiogram (ECG)-like field potential data, which includes both the repolarization and the conductance abnormality, was acquired from the self-convolutied extracellular field potentials (FPs) of a lined-up cardiomyocyte network on a circle-shaped microelectrode in an agarose microchamber. When Astemisol applied to the closed-loop cardiomyocyte network, self-convoluted FP profile of normal beating changed into an early afterdepolarization (EAD) like waveform, and then showed ventricular tachyarrhythmias and ventricular fibrilations (VT/Vf). QT-prolongation-like self-convoluted FP duration prolongation and its fluctuation increase was also observed according to the increase of Astemizole concentration. CONCLUSIONS: The results indicate that the convoluted FPs of the quasi-in vivo cell network assay includes both of the repolarization data and the conductance abnormality of cardiomyocyte networks has the strong potential to prediction lethal arrhythmia.
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Nomura et al. (2011) studied Cardiac toxicity. Astemizole vs. Baseline (before administration) was evaluated on Field potential waveform changes (ST interval and short-term variability) (p=<0.01). Astemizole applied to a closed-loop cardiomyocyte network induced early afterdepolarization-like waveforms and ventricular tachyarrhythmias, demonstrating the assay's potential for predicting lethal arrhythmia.
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