An In Vitro Model for Identifying Cardiac Side Effects of Anesthetics

识别麻醉药心脏副作用的体外模型

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作者:Alex C Y Chang, Andrew C H Chang, Luka Nicin, Gerhard J Weber, Colin Holbrook, M Frances Davies, Helen M Blau, Edward J Bertaccini

Abstract

The understanding of anesthetic side effects on the heart has been hindered by the lack of sophisticated clinical models. Using micropatterned human-induced pluripotent stem cell-derived cardiomyocytes, we obtained cardiac muscle depressant profiles for propofol, etomidate, and our newly identified anesthetic compound KSEB01-S2. Propofol was the strongest depressant among the 3 compounds tested, exhibiting the largest decrease in contraction velocity, depression rate, and beating frequency. Interestingly, KSEB01-S2 behaved similarly to etomidate, suggesting a better cardiac safety profile. Our results provide a proof-of-concept for using human-induced pluripotent stem cell-derived cardiomyocytes as an in vitro platform for future drug design.

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