Mechanistic investigation of metabolism-associated cardiac recovery and material-dependent drug exposure.
Model & Design
Human iPSC-derived engineered heart tissues with supporting stromal cells and a single batch of primary human hepatocytes in communicating compartments.
Experimental Format
Co-culture and separate-tissue controls exposed to nominal terfenadine at 1 or 3 μM; video and medium samples at 4, 24 and 48 hours.
Model Components
Component
Human tissues
Description
Engineered cardiac tissues and primary hepatocytes with matched monoculture controls.
Component
Motion and chemistry
Description
Video-based contractile analysis, LC–MS/MS of terfenadine/fexofenadine and a cell-free PDMS-support adsorption comparison.
Measurements & Endpoints
Contraction amplitude
Contraction and relaxation velocities
Terfenadine/fexofenadine concentration
Material-associated drug loss
Analysis
Normalize cardiac motion to its pre-exposure baseline and compare the concentration/function time courses. Preserve the distinction between nominal and measured exposure.
Published Evidence
Study Design
Follow matched co-cultures and single-tissue systems after terfenadine exposure; evaluate adsorption separately.
Study Sample
Main experiments used three or four independent tissue constructs per group, one hepatocyte batch and one test drug.
Comparison
Heart-only, liver-only and liver–heart cultures; cell-free support/no-support controls.
Finding
At 1 μM, co-culture recovered to baseline contraction by 48 hours while heart monoculture remained depressed; recovery at 3 μM was partial. Parent-drug loss and metabolite formation accompanied recovery.
Interpretation & Limits
This is time-resolved experimental PK–PD association, not a fitted quantitative PK–PD model.
PDMS adsorption affects measured exposure.
The drug and hepatocyte-donor coverage are limited; the exact enzyme/channel mechanism needs separate perturbation evidence.
A coupled human liver–heart system followed terfenadine, its metabolite and cardiac motion over time. Contractile recovery occurred alongside hepatic metabolism, while material adsorption and exposure level shaped the experiment.