Systems Biology and Functional Assessments of Human iPSC-Cardiomyocyte Models of Insulin Resistance Capture Key Hallmarks of Diabetic Cardiomyopathy
Human-centric cardiac models are needed that recapitulate mechanistic and functional changes in the type 2 diabetic myocardium for understanding disease pathogenesis and developing new therapies. Using human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CM) in 2D and 3D as engineered heart tissue (EHT), we aimed to model diabetic cardiomyopathy in cellulo. Taking an unbiased systems biology approach, our cellular models recapitulated the dysregulated pathways and functional derangement of diabetic cardiomyopathy. Three-dimensional EHT models showed contractile dysfunction akin to that seen in patients, with mechanistic and functional changes reversed with metformin. It is possible to generate translationally relevant hiPSC-CM models that mimic diabetic cardiomyopathy.
Authors
- Ryan D. Carter
- Anandhakumar Chandran
- Jack J. Miller (ORCID: https://orcid.org/0000-0002-6258-1299)
- Charlotte Daly
- Carolyn A. Carr (ORCID: https://orcid.org/0000-0003-0102-5261)
- Helen Christian (ORCID: https://orcid.org/0000-0002-4263-5499)
- Ujang Purnama (ORCID: https://orcid.org/0000-0003-0513-3294)
- Lisa C. Heather (ORCID: https://orcid.org/0000-0002-7246-1338)
- Richard Mbasu
- Francesca M. Buffa (ORCID: https://orcid.org/0000-0003-0409-406X)
- Maxwell A. Ruby (ORCID: https://orcid.org/0000-0003-4790-590X)
- Marcos Castro‐Guarda (ORCID: https://orcid.org/0000-0001-5678-5319)
- Claudia N. Montes-Aparicio
- Kirsti Brisk
Institutions
- Aarhus University (DK)
- Aarhus University Hospital (DK)
- University of Oxford (GB)
- Novo Nordisk (Finland) (FI)
- Bocconi University (IT)
Publication Details
- Journal
- Diabetes
- Published
- 2025-09-16
- DOI
- https://doi.org/10.2337/db25-0204
- Citations
- 1
- Primary Topic
- Cardiovascular Function and Risk Factors
- Type
- article
- Field-Weighted Citation Impact
- 1.39
Funders
- British Heart Foundation
- Rosetrees Trust
- Novo Nordisk