Evidence map›Paper›PMID 28706272›Full record

ArticleScientific reports2017

Modeling Atrial Fibrillation using Human Embryonic Stem Cell-Derived Atrial Tissue.

Zachary Laksman, Marianne Wauchop, Eric Lin, Stephanie Protze, Jeehoon Lee, Wallace Yang, Farzad Izaddoustdar, Sanam Shafaattalab, Lior Gepstein, Glen F Tibbits and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Application of human cardiac organoids in cardiovascular disease research.Frontiers in cell and developmental biology · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Towards Improved HumanBiomedicines · 2023
    Review
  13. Review
  14. Generation of cardiomyocytes from human-induced pluripotent stem cells resembling atrial cells with ability to respond to adrenoceptor agonists.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2023
    Article
  15. Article
  16. Modeling the human heart ex vivo-current possibilities and strive for future applications.Journal of tissue engineering and regenerative medicine · 2022
    Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Zachary LaksmanUniversity of British Columbia, Vancouver, Canada. zlaksman@mail.ubc.ca.
Marianne WauchopUniversity of Toronto, Toronto, Canada.
Eric LinSimon Fraser University, Burnaby, Canada.
Stephanie ProtzeMcEwen Center of Regenerative Medicine, Toronto, Canada.
Jeehoon LeeMcEwen Center for Regenerative Medicine, Toronto, Canada.
Wallace YangUniversity of Toronto, Toronto, Canada.
Farzad IzaddoustdarUniversity of Toronto, Toronto, Canada.
Sanam ShafaattalabSimon Fraser University, Burnaby, Canada.
Lior GepsteinCardiac Electrophysiology and Regenerative Medicine, Technion, Haifa, Israel.
Glen F TibbitsSimon Fraser University, Burnaby, Canada.ORCID 0000-0002-2586-3115
Gordon KellerMcEwen Center for Regenerative Medicine, Toronto, Canada.
Peter H BackxYork University, Toronto, Canada. pbackx@yorku.ca.
Simon Fraser University · CAUniversity of Toronto · CATechnion – Israel Institute of Technology · ILUniversity of British Columbia Hospital · CAYork University · CA

Funding

CIHR MOP-83453
6 · The paper itself

Abstract

Since current experimental models of Atrial Fibrillation (AF) have significant limitations, we used human embryonic stem cells (hESCs) to generate an atrial-specific tissue model of AF for pharmacologic testing. We generated atrial-like cardiomyocytes (CMs) from hESCs which preferentially expressed atrial-specific genes, and had shorter action potential (AP) durations compared to ventricular-like CMs. We then generated confluent atrial-like CM sheets and interrogated them using optical mapping techniques. Atrial-like CM sheets (~1 cm in diameter) showed uniform AP propagation, and rapid re-entrant rotor patterns, as seen in AF could be induced. Anti-arrhythmic drugs were tested on single atrial-like CMs and cell sheets. Flecainide profoundly slowed upstroke velocity without affecting AP duration, leading to reduced conduction velocities (CVs), curvatures and cycle lengths of rotors, consistent with increased rotor organization and expansion. By contrast, consistent with block of rapid delayed rectifier K+ currents (Ikr) and AP prolongation in isolated atrial-like CMs, dofetilide prolonged APs and reduced cycle lengths of rotors in cell sheets without affecting CV. In conclusion, using our hESC-derived atrial CM preparations, we demonstrate that flecainide and dofetilide modulate reentrant arrhythmogenic rotor activation patterns in a manner that helps explain their efficacy in treating and preventing AF.

Indexed as

Models, BiologicalAction PotentialsAtrial FibrillationCells, CulturedHeart AtriaHuman Embryonic Stem CellsHumansPhenethylaminesPotassium Channel BlockersSulfonamidesdofetilidePhenethylaminesPotassium Channel BlockersSulfonamides

Identifiers

PMID28706272
PMCPMC5509676
OpenAlexW2733298659

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.