REVIEW: Current approaches for the recreation of cardiac ischaemic environment in vitro

First TMELab publication in 2023!

We just published a review entitled “Current approaches for the recreation of cardiac ischaemic environment in vitro”.

Myocardial ischaemia is one of the leading dead causes worldwide. Although animal experiments have historically provided a wealth of information, animal models are time and money consuming, and they usually miss typical human patient’s characteristics associated with ischemia prevalence, including aging and comorbidities. Generating reliable in vitro models that recapitulate the human cardiac microenvironment during an ischaemic event can boost the development of new drugs and therapeutic strategies, as well as our understanding of the underlying cellular and molecular events, helping the optimization of therapeutic approaches prior to animal and clinical testing.

In this review, current in vitro cardiac culture systems used for modelling cardiac ischaemia, from self-aggregated organoids to scaffold-based constructs and heart-on-chip platforms are described. The advantages of these models to recreate ischaemic hallmarks such as oxygen gradients, pathological alterations of mechanical strength or fibrotic responses are highlighted. The new models represent a step forward to be considered, but unfortunately, we are far away from recapitulating all complexity of the clinical situations. Achieving a highly mature myocardial phenotype and mimicking the variety of ischaemic phenomena within the same model, with further implementation of monitoring techniques, may greatly increase the predictive power of these models for drug research and personalized medicine.

Great and exhaustive work of our Ph.D. student Laura Paz-Artigas and our collaborators from CIMA Pilar Montero-Calle, Olalla Iglesias-García and Manuel Mazo, supervised by Ignacio Ochoa and Jesús Ciriza.

Tissue Microenvironment lab - Universidad de Zaragoza | We are us and our circumstances (José Ortega y Gasset)

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