Evidence map›Paper›PMID 37941521›Full record

ArticleAdvanced healthcare materials2024

In Vitro Mechanical Stimulation to Reproduce the Pathological Hallmarks of Human Cardiac Fibrosis on a Beating Chip and Predict The Efficacy of Drugs and Advanced Therapies.

Roberta Visone, Camilla Paoletti, Alessandro Cordiale, Letizia Nicoletti, Carla Divieto, Marco Rasponi, Valeria Chiono, Paola Occhetta

Open access · hybridAbstract read
In one paragraph

Article in Advanced healthcare materials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
7.0field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 22 citations in OpenAlex.

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  11. Dressed in Collagen: 2D and 3D Cardiac Fibrosis Models.International journal of molecular sciences · 2025
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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

8 authors at 4 institutions in 2 countries.

Roberta VisoneBiomimX Srl, Milan, 20157, Italy.ORCID 0000-0001-9077-1922
Camilla PaolettiDepartment of Mechanical and Aerospace Engineering, Politecnico di Torino, Turin, 10129, Italy.ORCID 0000-0002-2244-7001
Alessandro CordialeDepartment of Electronics, Informatics and Bioengineering, Politecnico di Milano, Milan, 20133, Italy.
Letizia NicolettiDepartment of Mechanical and Aerospace Engineering, Politecnico di Torino, Turin, 10129, Italy.ORCID 0000-0003-4423-0716
Carla DivietoIstituto Nazionale di Ricerca Metrologica, Division of Advanced Materials and Life Sciences, Turin, 10135, Italy.ORCID 0000-0002-3241-4588
Marco RasponiDepartment of Electronics, Informatics and Bioengineering, Politecnico di Milano, Milan, 20133, Italy.ORCID 0000-0002-2904-8652
Valeria ChionoDepartment of Mechanical and Aerospace Engineering, Politecnico di Torino, Turin, 10129, Italy.ORCID 0000-0003-2067-7732
Paola OcchettaBiomimX Srl, Milan, 20157, Italy.ORCID 0000-0002-5758-2019
Politecnico di Torino · ITPolitecnico di Milano · ITZimmer Biomet (Netherlands) · NLIstituto Nazionale di Ricerca Metrologica · IT

Funding

European Research Council 772168
6 · The paper itself

Abstract

Cardiac fibrosis is one of the main causes of heart failure, significantly contributing to mortality. The discovery and development of effective therapies able to heal fibrotic pathological symptoms thus remain of paramount importance. Micro-physiological systems (MPS) are recently introduced as promising platforms able to accelerate this finding. Here a 3D in vitro model of human cardiac fibrosis, named uScar, is developed by imposing a cyclic mechanical stimulation to human atrial cardiac fibroblasts (AHCFs) cultured in a 3D beating heart-on-chip and exploited to screen drugs and advanced therapeutics. The sole provision of a cyclic 10% uniaxial strain at 1 Hz to the microtissues is sufficient to trigger fibrotic traits, inducing a consistent fibroblast-to-myofibroblast transition and an enhanced expression and production of extracellular matrix (ECM) proteins. Standard of care anti-fibrotic drugs (i.e., Pirfenidone and Tranilast) are confirmed to be efficient in preventing the onset of fibrotic traits in uScar. Conversely, the mechanical stimulation applied to the microtissues limit the ability of a miRNA therapy to directly reprogram fibroblasts into cardiomyocytes (CMs), despite its proved efficacy in 2D models. Such results demonstrate the importance of incorporating in vivo-like stimulations to generate more representative 3D in vitro models able to predict the efficacy of therapies in patients.

Indexed as

CardiomyopathiesMyocytes, CardiacExtracellular Matrix ProteinsFibroblastsFibrosisHumansMyocardiumMyofibroblastsExtracellular Matrix Proteinscardiac fibrosisdirect reprogrammingefficacy screeningheart-on-chipmicroRNAs

Identifiers

PMID37941521
PMCPMC11468947
OpenAlexW4388538794

What Socratic 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 Socratic graph.