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Cardiovasc Res. 2021 Mar 17; doi: 10.1093/cvr/cvab088. Epub 2021 Mar 17.

Organ-on-a-chip technology: a novel approach to investigate cardiovascular diseases.

Cardiovascular research

Valentina Paloschi, Maria Sabater-Lleal, Heleen Middelkamp, Aisen Vivas, Sofia Johansson, Andries van der Meer, Maria Tenje, Lars Maegdefessel

Affiliations

  1. Technical University Munich, Klinikum rechts der Isar, Department for Vascular and Endovascular Surgery, Munich, Germany.
  2. German Center for Cardiovascular Research (DZHK), Berlin, Germany, partner site Munich Heart Alliance.
  3. Research Institute of Hospital de la Santa Creu i Sant Pau, IIB Sant Pau, Genomics of Complex Diseases Group, Barcelona, Spain.
  4. Karolinska Institutet, Department of Medicine, Cardiovascular Medicine Unit, Stockholm, Sweden.
  5. BIOS/Lab on a Chip, University of Twente, Enschede, The Netherlands.
  6. Applied Stem Cell Technologies, University of Twente, Enschede, The Netherlands.
  7. Department of Materials Science and Engineering, Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
  8. Karolinska Institutet, Department of Medicine, Molecular Vascular Medicine Unit, Stockholm, Sweden.

PMID: 33729461 DOI: 10.1093/cvr/cvab088

Abstract

The development of organs-on-chip has revolutionized in vitro cell culture experiments by allowing a better mimicry of human physiology and pathophysiology that has consequently led researchers to gain more meaningful insights into disease mechanisms. Several models of hearts-on-chips and vessels-on-chips have been demonstrated to recapitulate fundamental aspects of the human cardiovascular system in the recent past. These 2D and 3D systems include synchronized beating cardiomyocytes in hearts-on-chips, and vessels-on-chips with layer-based structures and the inclusion of physiological and pathological shear stress conditions. The opportunities to discover novel targets and to perform drug testing with chip-based platforms have substantially enhanced thanks to the utilization of patient-derived cells and precise control of their microenvironment. These organ models will provide an important asset for future approaches to personalized cardiovascular medicine and improved patient care. However, certain technical and biological challenges remain, making the global utilization of organs-on-chips to tackle unanswered questions in cardiovascular science still rather challenging. This review article aims to introduce and summarize published work on hearts- and vessels-on chips but also to provide an outlook and perspective on how these advanced in vitro systems can be used to tailor disease models with patient-specific characteristics.

© The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology.

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