Table 4 In vitro models of inherited cardiomyopathies

From: Advanced in vitro cardiac models for drug evaluation: integration of organoids, engineered tissues, and microphysiological systems

Disease

Modeling strategy: hiPSCs-CM genotype

Features

In vitro models

Ref.

Hypertrophic cardiomyopathy (HCM)

CRISPR-edited MYH7 mutation

Increased contractile force

Prolonged relaxation kinetics

EHT

111

CRISPR-edited MYBPC3 mutation

Increased contractile force

Reduced beating frequency and relaxation time Higher spontaneous arrhythmic behavior

EHT

112

Patient-derived

BRAF mutation

Increased tissue size and twitch force

Atrial natriuretic peptide gene expression

EHT

113

Patient-derived PRKAG2 mutation

Glycogen accumulation

Increased twitch force

Increased AMPK activity

EHT

189

CRISPR-edited ACTN2 mutation

Myofibrillar disarray

Increased contractility

Impaired relaxation

Higher myofilament Ca2+ sensitivity

Prolonged APD

EHT

190

Dilated cardiomyopathy (DCM)

Patient-derived

TNNT2 mutation

Shortened sarcomere length and sarcomere disarray

Abnormal sarcomeric structure

Defective calcium handling

Impaired contractility

EHT

114

CRISPR-edited TNNT2 mutation

Reduced contractile force

Shortened sarcomere length

EHT

115

Patient-derived

TTN mutation

Sarcomere disorganization

Reduced contractile force

Impaired mechano-/β-adrenergic stress responses

EHT

116

CRISPR-edited

TPM1 and VCL mutation

Sarcomere disorganization

Reduced contractile force

2D monolayer

117

Patient-derived

PLN mutation

Reduced contractile force

Elevated ER stress with UPR activation

EHT

118

Patient-derived RBM20 mutation

Titin splicing abnormality

Sarcomere disarray

Defective calcium handling

EHT

119

Duchenne muscular dystrophy

(DMD)

Patient-derived

DMD mutation

ABD-1 mutation correction restored

contractility and Ca²⁺ handling

2D monolayer

120

Increased sensitivity to mechanical stress

Defective calcium handling

121

Impaired contractility

(rescued by myoediting)

EHT

122

Lack of initial proliferative capacity

Sarcoglycan mislocalization

Elevated ER stress with adipogenesis and fibrosis

CO

123

Arrhythmogenic cardiomyopathy (ACM)

Patient-derived

PKP2 mutation

Defective calcium handling

Excessive lipogenesis

Increased apoptosis

CO

124

Reduced Cx43

High-rate pacing capture failure

EHT

125

Patient-derived

DSP mutation

Reduced desmoplakin

Diastolic lengthening

Defective calcium handling

Impaired contractility

EHT

126

Restrictive

cardiomyopathy (RCM)

Patient-derived

FLNC mutation

Increased passive tension

Impaired relaxation velocity

(rescued by trequinsin)

EHT

127

Mitochondrial

cardiomyopathy

(Barth Syndrome)

Patient-derived

TAZ mutation

Sarcomere disorganization

Reduced contractile force

Increased oxidative stress

2D aligned tissue

93

  1. MYH7 myosin heavy chain 7, MYBPC3 myosin binding protein C, cardiac type, PRKAG2 protein kinase AMP-activated non-catalytic subunit gamma 2, AMPK AMP-activated protein kinase, ACTN2 alpha-actinin 2, APD action potential duration, TNNT2 troponin T type 2, TTN titin, TPM1 tropomyosin 1, VCL vinculin, PLN phospholamban, ER endoplasmic reticulum, UPR unfolded protein response, RBM20 RNA binding motif protein 20, ABD-1 actin-binding domain 1, PKP2 plakophilin-2, Cx43 Connexin 43, DSP desmoplakin, FLNC filamin C, TAZ tafazzin, EHT engineered heart tissue, CO cardiac organoid