Key result
Adding simulated IK1 conductance to suspended iPSC-derived cardiomyocytes using dynamic clamp on an automated patch clamp platform restored a stable resting membrane potential and prolonged action potential duration with a clear plateau phase.
Why the study?
Does adding simulated IK1 conductance using dynamic clamp improve the electrophysiological maturity of iPSC-derived cardiomyocytes on an automated patch clamp platform?
Does adding simulated IK1 conductance using dynamic clamp improve the electrophysiological maturity of iPSC-derived cardiomyocytes on an automated patch clamp platform?
Combining dynamic clamp with automated patch clamp to add virtual IK1 channels to iPSC-CMs improves their electrophysiological maturity and restores sensitivity to pharmacological modulation, offering a higher-throughput model for safety pharmacology.
May enhance iPSC-CM models for safety pharmacology; leaves open translation to clinical cardiac risk assessment.
An important aspect of the CiPA (Comprehensive In Vitro Proarrhythmia Assay) proposal is the use of human stem cell-derived cardiomyocytes and the confirmation of their predictive power in drug safety assays. The benefits of this cell source are clear; drugs can be tested in vitro on human cardiomyocytes, with patient-specific genotypes if needed, and differentiation efficiencies are generally excellent, resulting in a virtually limitless supply of cardiomyocytes. There are, however, several challenges that will have to be surmounted before successful establishment of hSC-CMs as an all-round predictive model for drug safety assays. An important factor is the relative electrophysiological immaturity of hSC-CMs, which limits arrhythmic responses to unsafe drugs that are pro-arrhythmic in humans. Potentially, immaturity may be improved functionally by creation of hybrid models, in which the dynamic clamp technique joins simulations of lacking cardiac ion channels (e.g. IK1) with hSC-CMs in real-time during patch clamp experiments. This approach has been used successfully in manual patch clamp experiments, but throughput is low. In this study, we combined dynamic clamp with automated patch clamp of iPSC-CMs in current clamp mode, and demonstrate that IK1 conductance can be added to iPSC-CMs on an automated patch clamp platform, resulting in an improved electrophysiological maturity.
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Goversen et al. (2018) studied In vitro proarrhythmia assay (CiPA) / Safety pharmacology. Dynamic clamp with simulated IK1 conductance vs. Constant current injection / control conditions was evaluated on Action potential duration and waveform (APD90). Adding simulated IK1 conductance to suspended iPSC-derived cardiomyocytes using dynamic clamp on an automated patch clamp platform restored a stable resting membrane potential and prolonged action potential duration with a clear plateau phase.
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