Affiliation:
1. Department of Cardiovascular Surgery University Heart and Vascular Center Hamburg Hamburg Germany
2. DZHK (German Centre for Cardiovascular Research), partner site Hamburg/Kiel/Lübeck Hamburg Germany
Abstract
AbstractObjectivesEngineered Heart Tissue (EHT) is a promising tool to repair heart muscle defects and can additionally be used for drug testing. Due to the absence of an in vitro vascularization, EHT geometry crucially impacts nutrient and oxygen supply by diffusion capacity. We analyzed cardiomyocyte survival in different EHT geometries.MethodsDifferent geometries with varying surface‐area‐to‐volume‐ratios were calculated (structure A (Ring) AS/V = 58.47 mm2/440 μL3, structure B (Infinity) 25.86 mm2/440 μL3). EHTs were generated from hiPSC‐derived cardiomyocytes (4 × 106) and a fibrin/thrombin hydrogel. Cell viability was evaluated by RT‐PCR, cytometric studies, and Bioluminescence imaging.ResultsUsing 3D‐printed casting molds, spontaneously beating EHTs can be generated in various geometric forms. At day 7, the RT‐PCR analyses showed a significantly higher Troponin‐T value in ring EHTs, compared to infinity EHTs. In cytometric studies, we evaluated 15% more Troponin‐T positive cells in ring (73% ± 12%), compared to infinity EHTs (58% ± 11%, p = 0.04). BLI visualized significantly higher cell survival in ring EHTs (ROI = A: 1.14 × 106 p/s and B: 8.47 × 105 p/s, p < 0.001) compared to infinity EHTs during longitudinal cultivation process.ConclusionUse of 3D‐printing allows the creation of EHTs in all desired geometric shapes. The geometry with an optimized surface‐area‐to‐volume‐ratio (ring EHT) demonstrated a significantly higher cell survival measured by RT‐PCR, Bioluminescence imaging, and cytometric studies using FACS analysis.