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      A microscale biomimetic platform for generation and electro-mechanical stimulation of 3D cardiac microtissues

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          Abstract

          Organs-on-chip technology has recently emerged as a promising tool to generate advanced cardiac tissue in vitro models, by recapitulating key physiological cues of the native myocardium. Biochemical, mechanical, and electrical stimuli have been investigated and demonstrated to enhance the maturation of cardiac constructs. However, the combined application of such stimulations on 3D organized constructs within a microfluidic platform was not yet achieved. For this purpose, we developed an innovative microbioreactor designed to provide a uniform electric field and cyclic uniaxial strains to 3D cardiac microtissues, recapitulating the complex electro-mechanical environment of the heart. The platform encompasses a compartment to confine and culture cell-laden hydrogels, a pressure-actuated chamber to apply a cyclic uniaxial stretch to microtissues, and stainless-steel electrodes to accurately regulate the electric field. The platform was exploited to investigate the effect of two different electrical stimulation patterns on cardiac microtissues from neonatal rat cardiomyocytes: a controlled electric field [5 V/cm, or low voltage (LV)] and a controlled current density [74.4 mA/cm 2, or high voltage (HV)]. Our results demonstrated that LV stimulation enhanced the beating properties of the microtissues. By fully exploiting the platform, we combined the LV electrical stimulation with a physiologic mechanical stretch (10% strain) to recapitulate the key cues of the native cardiac microenvironment. The proposed microbioreactor represents an innovative tool to culture improved miniaturized cardiac tissue models for basic research studies on heart physiopathology and for drug screening.

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          Most cited references36

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          Capturing complex 3D tissue physiology in vitro.

          The emergence of tissue engineering raises new possibilities for the study of complex physiological and pathophysiological processes in vitro. Many tools are now available to create 3D tissue models in vitro, but the blueprints for what to make have been slower to arrive. We discuss here some of the 'design principles' for recreating the interwoven set of biochemical and mechanical cues in the cellular microenvironment, and the methods for implementing them. We emphasize applications that involve epithelial tissues for which 3D models could explain mechanisms of disease or aid in drug development.
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            Human iPSC-based Cardiac Microphysiological System For Drug Screening Applications

            Drug discovery and development are hampered by high failure rates attributed to the reliance on non-human animal models employed during safety and efficacy testing. A fundamental problem in this inefficient process is that non-human animal models cannot adequately represent human biology. Thus, there is an urgent need for high-content in vitro systems that can better predict drug-induced toxicity. Systems that predict cardiotoxicity are of uppermost significance, as approximately one third of safety-based pharmaceutical withdrawals are due to cardiotoxicty. Here, we present a cardiac microphysiological system (MPS) with the attributes required for an ideal in vitro system to predict cardiotoxicity: i) cells with a human genetic background; ii) physiologically relevant tissue structure (e.g. aligned cells); iii) computationally predictable perfusion mimicking human vasculature; and, iv) multiple modes of analysis (e.g. biological, electrophysiological, and physiological). Our MPS is able to keep human induced pluripotent stem cell derived cardiac tissue viable and functional over multiple weeks. Pharmacological studies using the cardiac MPS show half maximal inhibitory/effective concentration values (IC50/EC50) that are more consistent with the data on tissue scale references compared to cellular scale studies. We anticipate the widespread adoption of MPSs for drug screening and disease modeling.
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              Electrical stimulation systems for cardiac tissue engineering.

              We describe a protocol for tissue engineering of synchronously contractile cardiac constructs by culturing cardiac cells with the application of pulsatile electrical fields designed to mimic those present in the native heart. Tissue culture is conducted in a customized chamber built to allow for cultivation of (i) engineered three-dimensional (3D) cardiac tissue constructs, (ii) cell monolayers on flat substrates or (iii) cells on patterned substrates. This also allows for analysis of the individual and interactive effects of pulsatile electrical field stimulation and substrate topography on cell differentiation and assembly. The protocol is designed to allow for delivery of predictable electrical field stimuli to cells, monitoring environmental parameters, and assessment of cell and tissue responses. The duration of the protocol is 5 d for two-dimensional cultures and 10 d for 3D cultures.
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                Author and article information

                Contributors
                Journal
                APL Bioeng
                APL Bioeng
                ABPID9
                APL Bioengineering
                AIP Publishing LLC
                2473-2877
                December 2018
                29 October 2018
                29 October 2018
                : 2
                : 4
                : 046102
                Affiliations
                [1 ]Department of Electronics, Information and Bioengineering, Politecnico di Milano , 20133 Milan, Italy
                [2 ]Cell and Tissue Engineering Lab, IRCCS Istituto Ortopedico Galeazzi , 20161 Milan, Italy
                [3 ]Department of Biomedicine, University Hospital Basel , 4056 Basel, Switzerland
                [4 ]Regenerative Medicine Technologies Lab, Ente Ospedaliero Cantonale (EOC) , 6900 Lugano, Switzerland
                [5 ]Swiss Institute of Regenerative Medicine (SIRM) , 6807 Taverne, Switzerland
                [6 ]Cardiocentro Ticino Foundation , 6900 Lugano, Switzerland
                Author notes
                [a) ]Author to whom correspondence should be addressed: marco.rasponi@ 123456polimi.it
                Author information
                http://orcid.org/0000-0003-0682-9349
                http://orcid.org/0000-0002-9020-2188
                http://orcid.org/0000-0002-2904-8652
                Article
                1.5037968 002804APB APB18-AR-BOH17-00045R1
                10.1063/1.5037968
                6481729
                31069324
                7145ded2-cfbb-417d-bd1e-434758a6de00
                © 2018 Author(s).

                2473-2877/2018/2(4)/046102/17

                All article content, except where otherwise noted, is licensed under a Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 30 April 2018
                : 08 October 2018
                Page count
                Pages: 17
                Funding
                Funded by: Fondazione Cariplo http://dx.doi.org/10.13039/501100002803
                Award ID: 2012-0891
                Funded by: H2020 Marie Skłodowska-Curie Actions http://dx.doi.org/10.13039/100010665
                Award ID: 642458
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