A technique Is presented that allows neonatal rat cardiac myocytes to form
spontaneously and coherently beating 3-dimensional engineered heart tissue
(EHT) in vitro, either as a plane biconcaval matrix anchored at bath sides
on Velcro-coated silicone tubes or as a ring. Contractile activity was moni
tored in standard organ baths or continuously in a CO2 incubator for up to
18 days (=26 days after casting). Long-term measurements showed an increase
in force between days 8 and 18 after casting and stable forces thereafter,
At day 10, the twitch amplitude (TA) of electrically paced EHTs (average l
ength x width x thickness, 11 x 6 x 0.4 mm) was 0.51 mN at length of maxima
[ force development (L-max) and a maximally effective calcium concentration
. EHTs showed typical features of neonatal rat heart: a positive force-leng
th and a negative force-frequency relation, high sensitivity to calcium (EC
50 0.24 mM), modest positive inotropic, (increase in TA by 46%) and pronoun
ced positive lusitropic effect of isoprenaline (decrease in twitch duration
by 21%). Both effects of isoprenaline were sensitive to the muscarinic rec
eptor agonist carbachol in a pertussis toxin-sensitive manner. Adenovirus-m
ediated gene transfer of beta-galactosidase into EHTs reached 100% efficien
cy. In summary, EHTs retain many of the physiological characteristics of ra
t cardiac tissue and allow efficient gene transfer with subsequent force me
asurement. (C) 2000 John Wiley & Sons, Inc.