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Rationale: Induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs) are an emerging model for determining drug effects and modeling disease. Specialized devices can generate Extracellular Field Potential (EFP) measurements from these cells, analogous to the ventricular complex of the electrocardiogram.
Objective: The objective of this study was to develop an easy-to-use, easy-to-teach, reproducible software tool to measure EFPs.
Methods-results: We present the EFP-Analyzer (EFPA), a semi-automized analyzer for EFP traces, which identifies and averages beats, identifies landmarks, and calculates intervals. We evaluated the tool in an analysis of 358 EFP traces from 22 patient-derived lines. We analyzed spontaneously beating iPSC-CMs, as well as optically paced iPSC-CMs through channelrhodopsin. We developed stringent quality criteria and measured EFP intervals, including Field Potential Duration (FPD). FPD from optically paced iPSC-CMs were shorter than those of spontaneously beating iPSC-CMs (283.7.0±54.2 vs. 293.0±47.5, p: 0.32, respectively). We further analyzed the usability and data replicability of EFPA through an inter-intra observer analysis. Correlation coefficient for inter-reader tangent and threshold measurements for these FPD ranged between r: 0.93-1.00. Bland-Altman plots comparing inter observer results for spontaneously beating and paced iPSC-CMs showed 95% limits of agreement (-13.6 to 19.4ms and -13.2 to 15.3ms, respectively). The EFP-analyzer could accurately detect FPD prolongation due to drug (moxifloxacin) or pathogenic loss of function mutations ( N639T). This program is available for download at https://github.com/kroncke-lab/EFPA . The instructions will be available at the same listed website under the README section of the Github main page.
Conclusions: The EFP-Analyzer tool is a useful tool that enables the efficient use of iPSC-CMs as a model to study drug effects and disease.
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http://dx.doi.org/10.1101/2024.10.21.619481 | DOI Listing |
Adv Physiol Educ
September 2025
Swansea University Medical School, Swansea University, Swansea, UK.
The chick embryo ventricular cardiomyocyte model provides students easy access to experiments involving fundamental features of cardiac cell physiology and pharmacology. Using standard physiology teaching laboratories and basic cell culture equipment, spontaneously beating colonies of electrically-connected cardiomyocytes can be obtained by the students themselves. Students learn, aseptic techniques and cell culture alongside experiments illustrating, at the simplest level of experimentation, how beating rate can be altered physiologically or pharmacologically.
View Article and Find Full Text PDFJAMA Netw Open
August 2025
Section of Cardiac Electrophysiology, Division of Cardiovascular Medicine, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia.
Importance: Atrial fibrillation (AF) ablation aims to eliminate all AF triggers. Non-pulmonary vein (PV) triggers are observed in up to 10% of patients referred for a first AF ablation procedure. However, there are limited data on sex-specific differences in non-PV triggers.
View Article and Find Full Text PDFJ Pharmacol Sci
October 2025
Department of Pharmacology, School of Medicine, Wakayama Medical University, Wakayama, Japan. Electronic address:
Smoking of combustible cigarettes is a risk factor for cardiovascular disease. Heated tobacco products (HTPs) have recently increased in use due to their perceived lower toxicity compared with combustible cigarettes, yet their direct effects on cardiomyocytes remain unclear. In the present study, we compared the effects of nicotine- and tar-free cigarette smoke extracts (CSE) from two HTPs ('HTP-1' and 'HTP-2') and a combustible reference cigarette (RF) on cultured neonatal rat ventricular myocyte.
View Article and Find Full Text PDFCureus
July 2025
Acute Medicine, Northwick Park Hospital, London North West University Healthcare NHS Foundation Trust, London, GBR.
Long QT syndrome (LQTS) is a rare cardiac electrophysiological disorder that predisposes individuals to life-threatening arrhythmias such as torsades de pointes and ventricular fibrillation (VF). It may be congenital or acquired, with many cases triggered by specific medications or electrolyte disturbances. However, presentations in elderly individuals without prior cardiac history or drug exposure are exceedingly rare.
View Article and Find Full Text PDFNaunyn Schmiedebergs Arch Pharmacol
August 2025
Institute for Pharmacology and Toxicology, Medical Faculty, Martin-Luther-University Halle-Wittenberg (UG, JN), Magdeburger Straße 4, 06097, Halle (Saale), Germany.
There are five muscarinic receptor subtypes expressed in the human heart. The main subtype is the M-muscarinic receptor. We hypothesized that overexpression of the M-muscarinic receptor should augment any contractile effects that are M-muscarinic receptor-mediated.
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