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June 20, 2011Toxicological Sciences274 citationsOpen Access

Estimating the Risk of Drug-Induced Proarrhythmia Using Human Induced Pluripotent Stem Cell–Derived Cardiomyocytes

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LGLiang GuoRARory AbramsJBJoshua Babiarz

Key Result

A high-throughput functional assay using human induced pluripotent stem cell-derived cardiomyocytes accurately detected drug-induced cardiac abnormalities across 28 tested compounds.

Structured PICO

Does a high-throughput functional assay using human iPSC-CMs accurately detect drug-induced proarrhythmic potential?

P
Population
Monolayer of beating human induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs)
I
Intervention
Treatment with 28 different compounds with known cardiac effects
O
Outcome
Compound-specific changes in beat rate and/or amplitude of impedance measurement, and an index of drug-induced arrhythmiassurrogate

A high-throughput functional assay using human iPSC-CMs can accurately detect drug-induced cardiac abnormalities and predict proarrhythmic potential in vitro.

Abstract

Improved in vitro systems for predicting drug-induced toxicity are needed in the pharmaceutical and biotechnology industries to decrease late-stage drug attrition. One unmet need is an early screen for cardiotoxicity, which accounts for about one third of safety-based withdrawn pharmaceuticals. Herein, the first published report of a high-throughput functional assay employing a monolayer of beating human induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs) is described, detailing a model that accurately detects drug-induced cardiac abnormalities. Using 96-well plates with interdigitated electrode arrays that assess impedance, the rhythmic, synchronous contractions of the iPSC-CMs were detected. Treatment of the iPSC-CMs with 28 different compounds with known cardiac effects resulted in compound-specific changes in the beat rate and/or the amplitude of the impedance measurement. Changes in impedance for the compounds tested were comparable with the results from a related technology, electric field potential assessment obtained from microelectrode arrays. Using the results from the set of compounds, an index of drug-induced arrhythmias was calculated, enabling the determination of a drug's proarrhythmic potential. This system of interrogating human cardiac function in vitro opens new opportunities for predicting cardiac toxicity and studying cardiac biology.

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Cite This Study

Guo et al. (2011) studied Drug-induced proarrhythmia. High-throughput functional assay using human iPSC-CMs vs. Electric field potential assessment from microelectrode arrays was evaluated on Changes in beat rate and/or amplitude of impedance measurement. A high-throughput functional assay using human induced pluripotent stem cell-derived cardiomyocytes accurately detected drug-induced cardiac abnormalities across 28 tested compounds.

synapsesocial.com/papers/6a1c8e8e94dbf6307b2feb21https://doi.org/10.1093/toxsci/kfr158
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