U.S. patent application number 17/824782 was filed with the patent office on 2022-09-15 for label-free monitoring of excitation-contraction coupling and excitable cells using impedance based systems with millisecond time resolution.
The applicant listed for this patent is Agilent Technologies, Inc.. Invention is credited to Yama A. Abassi, Xiaobo Wang, Biao Xi, Xiao Xu, Wen Fu Zhang.
Application Number | 20220291191 17/824782 |
Document ID | / |
Family ID | 1000006377476 |
Filed Date | 2022-09-15 |
United States Patent
Application |
20220291191 |
Kind Code |
A1 |
Wang; Xiaobo ; et
al. |
September 15, 2022 |
LABEL-FREE MONITORING OF EXCITATION-CONTRACTION COUPLING AND
EXCITABLE CELLS USING IMPEDANCE BASED SYSTEMS WITH MILLISECOND TIME
RESOLUTION
Abstract
A method for monitoring a cell beating parameter, which includes
adding excitable cells capable of beating to a system for
monitoring cell-substrate impedance, the system having an electrode
array electrically coupled to an impedance analyzer that measures
cell-substrate impedance at millisecond time resolution, and a
software program that determines a cell beating parameter from
measured cell-substrate impedance; monitoring cell-substrate
impedance of the excitable cells; and determining the cell beating
parameter from the monitored cell-substrate impedance.
Inventors: |
Wang; Xiaobo; (San Diego,
CA) ; Abassi; Yama A.; (San Diego, CA) ; Xi;
Biao; (San Diego, CA) ; Zhang; Wen Fu; (San
Diego, CA) ; Xu; Xiao; (San Diego, CA) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Agilent Technologies, Inc. |
Santa Clara |
CA |
US |
|
|
Family ID: |
1000006377476 |
Appl. No.: |
17/824782 |
Filed: |
May 25, 2022 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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16733781 |
Jan 3, 2020 |
11360072 |
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17824782 |
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16020679 |
Jun 27, 2018 |
10533985 |
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16733781 |
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15651882 |
Jul 17, 2017 |
10012636 |
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16020679 |
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12435569 |
May 5, 2009 |
9709548 |
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15651882 |
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61191684 |
Sep 11, 2008 |
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61126533 |
May 5, 2008 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
G01N 33/4836 20130101;
G01N 33/4833 20130101; G01N 33/5438 20130101; G01N 27/02 20130101;
G01N 33/48728 20130101 |
International
Class: |
G01N 33/483 20060101
G01N033/483; G01N 33/487 20060101 G01N033/487; G01N 33/543 20060101
G01N033/543; G01N 27/02 20060101 G01N027/02 |
Claims
1. A method for monitoring a cell beating parameter, the method
comprising: a) adding excitable cells capable of beating to a
system for monitoring cell-substrate impedance, the system
comprising an electrode array electrically coupled to an impedance
analyzer that measures cell-substrate impedance at millisecond time
resolution, and a software program that determines a cell beating
parameter from measured cell-substrate impedance; b) monitoring
cell-substrate impedance of the excitable cells; and c) determining
the cell beating parameter from the monitored cell-substrate
impedance.
2. The method of claim 1, wherein the cells are cardiomyocytes or
stem cells.
3. The method of claim 1, wherein the cells comprise a gene
knockout, a gene knockdown or express a transgene.
4. The method of claim 1, wherein the cell-substrate impedance is
resolved between two consecutive time points that are within 20
milliseconds apart.
5. The method of claim 1, wherein the cell-substrate impedance is
resolved between two consecutive time points that are within 10
milliseconds apart.
7. The method of claim 1 further comprising adding an agent
suspected of affecting cell beating to the cells, wherein
cell-substrate impedance is monitored at millisecond time
resolution before and after adding the agent.
8. The method of claim 7, further comprising determining the
beating parameter from the monitored cell-substrate impedance
before and after adding the agent and comparing the beating
parameters to assess whether the agent affected cell beating.
9. The method of claim 1, wherein the beating parameter is selected
from the group consisting of a beating cycle, a beating amplitude
and a beating rate.
10. The method of claim 1, wherein the beating parameter is a rise
or a decay of a beating cycle.
11. The method of claim 1, wherein the beating parameter is a
beating cycle peak.
12. The method of claim 1, wherein the beating parameter is
determined from an impedance-based curve.
13. The method of claim 1, wherein the cells are added to at least
two wells that each have a separate electrode array, the method
further comprising adding an agent suspected of affecting cell
beating to one of the wells to form a test well and maintaining
another well as a control well without the agent, and wherein the
steps of monitoring cell-substrate impedance and determining the
beating parameter is performed for both wells, and the method
further comprising comparing the beating parameters to assess
whether the agent affected the cell beating parameter.
14. The method of claim 13, wherein the beating parameter is
selected from the group consisting of a beating cycle, a beating
amplitude and a beating rate.
15. The method of claim 13, wherein the beating parameter is a rise
or a decay of a beating cycle.
16. The method of claim 13, wherein the beating parameter is a
beating cycle peak.
17. The method of claim 13, wherein the beating parameter is
determined from an impedance-based curve.
Description
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This is a continuation of U.S. patent application Ser. No.
16/733,781, filed Jan. 3, 2020, which is a continuation of U.S.
patent application Ser. No. 16/020,679, filed Jun. 27, 2018, now
U.S. Pat. No. 10,533,985, which is a continuation of U.S. patent
application Ser. No. 15/651,882, filed Jul. 17, 2017, now U.S. Pat.
No. 10,012,636, which is a continuation of U.S. patent application
Ser. No. 12/435,569, filed May 5, 2009, now U.S. Pat. No.
9,709,548, which claims benefit of priority to U.S. provisional
patent application Ser. No. 61/191,684, filed on Sep. 11, 2008, and
U.S. provisional patent application Ser. No. 61/126,533, filed on
May 5, 2008; the content of each is herein incorporated by
reference in its entirety.
FIELD OF THE INVENTION
[0002] The present invention relates generally to impedance-based
monitoring of cells and more particularly to systems and methods
for monitoring excitation-contraction coupling and excitable cells
using impedance based systems with millisecond time resolution.
BACKGROUND OF THE INVENTION
[0003] Excitation-contraction coupling (ECC) is a term used to
describe the physiological process of converting an electrical
stimulus to a mechanical response. The process is fundamental to
muscle physiology, wherein the electrical stimulus may be an action
potential and the mechanical response is contraction. Although ECC
has been known generally over half a century, it is still an active
area of biomedical research.
[0004] Cardiomyocytes are specialized muscle cells of the
myocardium that are capable of excitation-contraction coupling.
Cardiomyocytes are commonly used in biomedical research to assess
the cardiotoxicity of potential drugs or treatments. Two
conventional approaches to assess cardiotoxicity are primarily
used. A first approach involves isolation of cardiomyocytes
directly from a mammalian species such as rats and dogs followed by
electrophysiological studies on the isolated cardiomyocytes.
However, this approach suffers from being extremely
labor-intensive, time consuming and costly and at the same time not
very amenable to the high throughput demands of pharmaceutical
industry. An alternative approach utilizes cell-based assay models,
which heterologously express specific ion channels such as hERG
channels or voltage-gated calcium channels. These cardiac ion
channels have been envisioned as possible molecular targets through
which drugs could induce cytotoxicity. These cell-based systems
allow assessment of drug-channel interaction by monitoring the
effect of the drug on currents produced by different channels in
cultured cells using a technique known as "patch clamping." Patch
clamping isolates regions of the cell membrane containing channel
proteins and measures changes in electrical potential difference.
However, use of this method in high throughput requires automation
of patch clamping in an array format, which even though is becoming
increasing available, is not yet widespread. In addition, cardiac
toxicity may occur by other mechanisms that may be missed by this
type of targeted approach.
[0005] An alternative to in vitro ion-channel recording assays as
well as the labor-intensive isolation of primary tissue is the
differentiation of embryonic stem (ES) cells into cardiomyocytes.
The utility of ES cells as a treatment for various chronic diseases
has received much attention in recent years. Mammalian ES cells are
self renewing cells derived from the inner cell mass of a
blastocyst stage embryo which can be differentiated into multiple
different cell types. It has been demonstrated that the mouse ES
cells as well as human ES cells can be differentiated into
cardiomyocytes which retain the ability to beat in culture.
Differentiation of ES cells first involves an intermediate in vitro
developmental stage in which ES cells form compact cell structures
known as embryoid bodies. These embryoid bodies can induce the
developmental program of ES cell differentiation into multiple cell
types including cardiomyocytes, which are distinguished in culture
by their ability to undergo spontaneous beating. These ES derived
in vitro differentiated cardiomyocytes recapitulates the normal
development of cardiomyocytes as evidenced by the stage-specific
expression of cardiomyocyte specific genes. All the known
transcription factors, ion channels and structural proteins that
are part of normal heart, development and function in vivo are also
expressed in ES-derived cardiomyocytes.
[0006] Even though high throughput to medium throughput systems
have been developed for functional characterization of cell lines
heterologously expressing the gene for specific ion channels, high
throughput techniques for functional characterization of more
complex systems such as cardiomyocytes have been limited.
Technologies designed to assess cardiomyocyte behaviour and
function and the effect of drugs and other manipulations in vitro
can be divided into two different approaches. One approach involves
long term assessment of cardiomyocyte viability for example in
response to certain compounds. Such assays are typically end point
assays designed to measure a cellular component such as ATP which
correlates with the degree of viability of the cells. The other
approach involves studying short term effect of drugs and compounds
on beating function of cardiomyocytes. High throughput techniques
for short term functional characterization of ion channels and
other targets in cardiomyocytes has been rather challenging and
limited. The available systems typically only monitor a single
cardiomyocyte or a small number of cardiomyocytes at a time and
with very limited throughput.
SUMMARY OF THE INVENTION
[0007] The present invention addresses the need to provide systems
and methods for improved monitoring of excitation-contraction
coupling and excitable cells and provides related benefits.
Specifically, embodiments of the invention describe label-free
methods for monitoring excitable cells, such as cardiomyocytes, in
vitro. The system is capable of continuously monitoring
excitation-contraction coupling in a relatively high-throughput
manner. The systems and methods can be used for pharmacological
safety assessment, screening for novel compounds which modulate
cardiomyocyte function in a specific manner, and assessment of
genes involved or potentially involved in cardiac function. In
addition the system and methods may study the role of different
genes and proteins in cardiac function and development through the
use of embryonic stem (ES) derived cardiomyocytes.
[0008] In one aspect of the presence invention a system for
monitoring impedance of excitable cells in vitro is provided
including a device for monitoring cell-substrate impedance, an
impedance analyzer capable of impedance measurements at millisecond
time resolution, electronic circuitry that can engage the device
and selectively connect two or more electrode arrays of the device
to the impedance analyzer and a software program that controls the
electronic circuitry and records and analyzes data obtained from
the impedance analyzer. Embodiments of the device for monitoring
substrate impedance include a nonconductive substrate having one or
more individually addressable electrode arrays fabricated thereon
and one or more wells. Preferably, each of the one or more arrays
is associated with one of the one or more wells and each electrode
array is individually addressable. In further embodiments, a
surface of the substrate is suitable for cell attachment, wherein
cell attachment results in a detectable change in impedance between
electrodes within the array. Attachment or growth along the surface
may be enhanced by applying a precoat having one or more compounds
that improve attachment. In embodiments where the device includes
multiple wells, the impedance analyzer has the capability to allow
impedance measurements for each and every well at millisecond time
resolution. That is to say, for a selected time period, the
impedance data for each and every well of the system is measured at
millisecond time resolution. Further, when groups of wells are
monitored, the groups are monitored at millisecond time
resolution.
[0009] Embodiments of the system include electrode arrays having
two electrode structures that have substantially the same surface
area. The electrodes themselves may be formed from suitable
electrically conductive materials such as metal, gold, platinum,
titanium, chromium and the like. The electrode arrays may be
organized in a variety of configurations, including interdigitated,
circle-on-line, diamond-on-line, concentric, sinusoidal, and
castellated. The widths of the electrode structures may be between
20 microns and 500 microns or 5 microns and 100 microns.
[0010] Embodiments of the invention include impedance monitoring
using millisecond time resolution. Millisecond time resolution
allows monitoring of at least two consecutive impedance
measurements with an excitation cycle of excitable cells, which are
introduced into the well. Further, millisecond time resolution
enhances measurement such that excitation-contraction coupling of
excitable cells may be effectively monitored. In some embodiments
the excitation cycle is a beating cycle, such as a beating cycle of
a cardiomyocyte. In some embodiments at least two consecutive
impedance measurements are performed in less than 100 milliseconds.
In other embodiments at least two consecutive impedance
measurements are performed in less than 40 milliseconds. In still
further embodiments at least two consecutive impedance measurements
are performed in less than 20 milliseconds. In still further
embodiments the at least two consecutive impedance measurements are
performed in less 10 milliseconds.
[0011] In some embodiments the device is provided as a multiwell
device or a multiwell plate. In some embodiments, the multiwell
device or multiwell plate may including 6 wells, 8 wells, 16 wells,
32 wells, 96 wells, 384 wells or any number therebetween.
Throughout the present application where the device includes
multiple wells each of which is associated with an electrode array,
millisecond time resolution refers to that for any selected time
period, the impedance measurement for each and every well can be
performed with two consecutive measurements separated with
millisecond resolution. Further, when groups of wells, such as
subsets of all wells of a device, are monitored a group of wells
may be monitored using millisecond time resolution.
[0012] Embodiments of the present invention provide impedance-based
monitoring with millisecond time resolution in combination with
longer term monitoring of cells. By combining millisecond time
resolution technology with impedance monitoring having longer time
periods, both short term and long term effects on excitable cells
can be evaluated. In some embodiments impedance readouts can be
used to monitor both short term beating and long term viability
status of cardiomyocytes in the same well or the same population.
Such monitoring addresses needs where certain manipulations such as
drug treatment may not manifest its effect on cardiomyocyte beating
and/or viability until a later time period.
[0013] In some embodiments methods for assessing and quantifying
excitable cells in vitro include providing the impedance-based
system with millisecond time resolution; adding excitable cells to
one or more wells; monitoring impedance of the one or more wells
over a first time period, which is characterized as a longer time
period, such as seconds, minutes, hours or days; monitoring
impedance of the one or more wells over a second time period in
millisecond time resolution; determining a characteristic, such as
cell attachment, cell growth and cell viability from monitoring
over the first time period; and resolving individual cycles of the
excitable cells from monitoring over the second time period. In
such embodiments, monitoring impedance over the second time period
may be performed at regular or irregular time intervals within
monitoring impedance over the first time period.
[0014] Among the benefits, embodiments of the invention permit
impedance readouts to monitor the morphological or differentiative
behavior of cardiomyocytes in vitro. Certain treatments can induce
changes in morphological behavior of cardiomyocytes, such as
inducing hypertrophy which is associated with cardiomyocyte
elongation and expansion. Because impedance monitoring can detect
changes in cell morphology, it can be used to for detection of
hypertrophy in cardiomyocytes.
[0015] In another aspect of the present invention a method for
assessing or quantifying excitable cells in vitro is provided. An
exemplary method includes providing the impedance based system
having millisecond time resolution, adding excitable cells to the
one or more wells, monitoring impedance of the one or more wells,
and resolving individual cycles of the excitable cells. The method
has particular utility with cells that are known or suspected to be
capable of or undergo excitation-contraction coupling, such as
cardiomyocytes. The method may also be useful for monitoring
neurological cells or neurological systems. Impedance measurements
may be performed in millisecond time resolution. In some
embodiments, two consecutive impedance measurements for each and
every well of the system are performed less than 300 milliseconds
apart. In further embodiments, at least two consecutive impedance
measurements for each and every well of the system are performed
less than 100 milliseconds apart. In further embodiments, at least
two consecutive impedance measurements for each and every well of
the system are performed less than 40 milliseconds apart. In
further embodiments, at least two consecutive impedance
measurements for each and every well of the system are less than 10
milliseconds apart.
[0016] In some embodiments methods of determining whether a
compound modulates a beating cycle of an excitable cell is
provided. An exemplary method includes providing the impedance
based system having millisecond time resolution, wherein the system
includes at least two wells; adding excitable cells to the at least
two wells; monitoring impedance of the at least two wells; adding a
compound suspected of modulation of the beating cycle to a first of
the at least two wells to provide a test well, wherein a second
well lacking compound or having a control compound is provided as a
control well; resolving the beating cycle of both test well and
control well; and comparing the beating cycles between the test
well and control well, wherein a difference in beating cycles
indicates the compound modulates the beating cycle of the excitable
cell. In some embodiments, beating cycles are compared to identify
changes in beating magnitude or amplitude. In other embodiments,
beating cycles are compared to identify changes in beating
frequency, which may be regular changes or irregular changes. In
further embodiments the method includes determining a cell index
for each of the test well and control well such that the step of
comparing the beating cycles includes comparing the cell indices
between test well and control well. Peak magnitude or amplitude
and/or frequency may be compared. The method may also include
monitoring impedance over longer time periods of time. Such
embodiments may provide long term impedance monitoring with
intermittent monitoring using millisecond resolution. Thus short
term and long term monitoring may be performed.
[0017] In another exemplary methods include providing a device for
measuring cell-substrate impedance operably connected to an
impedance analyzer, wherein the device includes at least two wells;
adding ES cells, adult stem-cell derived cardiomyocytes or primary
cardiomyocytes to at least two wells; monitoring impedance of the
at least two wells at different or similar time intervals over a
period of time and optionally determining cell indices from
impedance values; generating an impedance-based curve or optionally
a cell index curve for each of the at least one known biologically
active agent and the control; comparing the impedance-based curves
or optionally the cell index curves between the at least one known
biologically active agent well and the control well. The
impedance-based curves may be direct measurement of cardiomyocyte
excitation-contraction coupling and if significantly different,
concluding that the biologically active agent modulates
cardiomyocyte function. Optionally, impedance-based curves or
optionally cell index curves are used to calculate average rate of
beats of cardiomyocytes per unit time, average amplitude intensity
in a unit time as well as the average length of time between the
beats, comparison of these optionally derived parameters is made
between the at least one known biologically active agent well and
the control well, and if significant differences exist, one may
optionally conclude that the biologically active agents modulate
cardiomyocyte functions.
[0018] In other embodiments of the present invention, a method of
characterizing rhythmic beating of a cardiomyocyte is provided. An
exemplary method includes providing the impedance based system with
millisecond time resolution; adding excitable cells to the one or
more wells; monitoring impedance of the one or more wells in
millisecond time resolution; determining a plurality of beating
cycle peaks; and comparing magnitude or amplitude or frequency of
the peaks over a time unit. Various methods can be used for
determining beating cycle peaks. For example, time dependent
impedance values or cell index values for a well are analyzed by
deriving their first order derivatives and second order derivatives
using numerical methods. The beating cycle peaks are those data
points where the first order derivatives of impedance values or
cell index values are zero or close to zero in its absolute value.
If the beating cycle peak is a positive peak (i.e. peak corresponds
to a maximum value in measured impedance or cell index over the
beating cycle), then the peak would correspond to the data points
where the second order derivatives of the impedance values or cell
index values is negative and where the first order derivatives of
the impedance values or cell index values is zero or close to zero
in its absolute value. If the beating cycle peak is a negative peak
(i.e. peak corresponds to a minimum value in measured impedance or
cell index over the beating cycle), then the peak would correspond
to the data points where the second order derivatives of the
impedance values or cell index values is positive and where the
first order derivatives of the impedance values or cell index
values is zero or close to zero in its absolute value. The step of
determining a plurality of beating cycle peaks may include
determining a rise in impedance and a decay in impedance and
extrapolating a peak from each rise and decay. The method may
further include determining a cell index for each of the one or
more wells, which may allow improved comparison of beating cycles.
Further, beating cycle peaks may be determined by identifying
frequency components having largest magnitude in Fourier
transformed impedance data. The method may also include monitoring
impedance over longer time periods of time. Such embodiments may
provide long term impedance monitoring with intermittent monitoring
using millisecond resolution.
[0019] A variety of agents and compounds may be tested for
modulation of excitable cells and for modulation of rhythmic
beating of cardiomyocytes. Examples include compounds, peptides,
proteins, antibodies or antibody fragments, siRNA, shRNA, lipid or
any combination of thereof.
[0020] In another aspect of the present invention a method of
assessing genetic manipulation of an embryonic stem cell is
provided including providing the impedance based system having
millisecond time resolution, mutating embryonic stem cells to
include a genetic mutation; adding mutated embryonic stem cells to
a first well of at least two wells to form a test well and control
embryonic stem cells to a second of at least two wells to form a
control well; monitoring impedance of the at least two wells in
millisecond time resolution; resolving the beating cycles of both
test well and control well, if any; and comparing the beating
cycles between the test well and control well, wherein a difference
in beating cycles indicates the genetic mutation modulates
embryonic stem cell differentiation. In some embodiments the
embryonic stem cell differentiation is differentiation into a
cardiomyocyte. In some embodiments the genetic mutation is selected
from the group consisting of a genetic knock out, a knock down and
an inserted transgene. The method may also include monitoring
impedance over longer time periods of time. Such embodiments may
provide long term impedance monitoring with intermittent monitoring
using millisecond resolution. Thus short term and long term
monitoring may be performed.
BRIEF DESCRIPTION OF THE DRAWINGS
[0021] Those skilled in the art will recognize that the drawings
described below are for illustrative purposes only. The drawings
are not intended to limit the scope of the invention but to provide
exemplary embodiments.
[0022] FIGS. 1A-1B depict schematic drawings of one design of a
cell-substrate impedance measurement device of the present
invention. FIG. 1A shows a nonconductive substrate (101) shown with
16 electrode arrays fabricated on the substrate. Each electrode
array (102) comprises two electrode structures (shown in detail in
FIG. 1B). Each electrode structure comprises multiple electrode
elements. Each electrode array connects to two electrical traces
(103), with each of the two traces connected one of the two
electrode structures. These electrical connection traces (103) from
the electrode array (102) are connected to the connection pads
(104) at the edges of the substrate (101). As shown in FIG. 1A,
each the four electrode arrays in each of four quarters on the
substrate (101) have one of their electrical connection traces
(103) connected to a common connection pad (104). Thus, for the
entire device there are four common connection pads (104), one for
each quarter of the device. In addition, each electrode array has a
separate electrical connection trace (103), connecting to an
independent connection pad (104). Thus, there are total 20
connection pads (104) at the edges of the substrate (101). In FIG.
1B a single exemplary electrode array is shown. The electrode array
has two electrode structures, where each electrode structure
comprises multiple electrode elements (105) shown here having a
circle-on-line geometry. In this electrode array structure,
electrode elements (105) of one electrode structure of the array
alternate with electrode elements (105) of the other electrode
structure of the array. Each of the electrode structures is
independently connected to its electrode bus (106), in this case,
by means of direct connection of the electrode elements (105) to
the electrode bus (106). Each electrode bus (106) forms an arc
around the perimeter of the array, where the two buses of the array
do not abut or overlap. The electrically conductive connection
traces (103 in FIG. 1A) connect each bus with a connection pad (104
in FIG. 1A) on the edge of the substrate (101 in FIG. 1A).
[0023] FIG. 2A is a schematic representation of a device 100 with
two electrode structures of same or similar areas deposited on a
substrate. First electrode structure has electrode elements 110a,
110b, 110c and second electrode structure has electrode elements
120a, 120b, 120c and 120d. Electrode elements within an electrode
structure are connected to each other by arc-shaped connection
electrode bus 125. Like the electrode elements, such
connection-buses (125) are also made of electrically conductive
material (e.g. gold film, platinum film, gold film over a chromium
or titanium film). These electrically conductive connection-paths
or connection buses (125) may have an insulating coating. Electrode
elements 110a-110c and 120a-120d comprise electrode lines with
connected circles added on the line. The overall area of electrode
elements and gaps between electrode elements may correspond to, or
may be slightly larger than, or may be slightly smaller than, the
bottom of a well (e.g., a cylinder shaped well, a conical shaped
well, or a cubic shaped well), for example, a 24 well-plate, a
96-well plate, or 384 well plate that are commonly used. The whole
surfaces of the wells may be covered with electrodes to ensure that
the cell attachment at nearly any locations of the bottom surface
of the well can contribute to the impedance change. This
arrangement has an advantage that non-uniform landing and
attachment of cells on the bottom surface of the different wells
would result in only a small variation in the impedance measured
between electrode structures 110 and 120. 150 are connection pads
that can be connected to an external impedance measurement circuit.
130 is the electrical connection traces that connects the
connection pad to the electrode structures 110 and 120. Such
connection traces can extend in any direction in the plane of the
electrodes. FIG. 2B is a schematic representation of a device 200
with two electrode structures of similar areas deposited on a
substrate. Electrode structures 210 and 220 comprise multiple
interconnected electrode elements. Electrode elements (210a-210c,
220a-220d) are rectangular lines and together form an
interdigitated electrode structure unit. Similar to FIG. 2A, the
electrode elements (210a-210c, 220a-220d) within each electrode
structure are connected through arc-shaped, electrically conductive
paths or electrode buses (225). Connection pads 250 are connected
to electrode structures through the electrical connection traces
230. FIG. 2C is a schematic representation of a device 300 with two
electrode structures of similar areas deposited on a substrate.
Electrode structures 310 and 320 comprise multiple interconnected
electrode elements (310a-310f, 320a-320f). Electrode elements
(310a-310c, 320a-320d) are rectangular lines and together form an
interdigitated electrode structure unit. Different from FIG. 2A and
FIG. 28, the electrode structures having electrode elements
310a-310c and 320a-320c are connected to connection pads 350.
[0024] FIG. 3 shows the cell index curves measured on RT-CES system
for 4 different seeding densities (3750, 7500, 15,000 and 30,000
cells per well) of mouse ES-derived cardiomyocytes. In this
example, the impedance measurement was taken with a time resolution
of 1 hour between any two consecutive data points for each
well.
[0025] FIG. 4A provides a plot of normalized cell index values for
cells in different wells treated with different concentrations of
sodium dichromate dehydrate (SDD). FIG. 4B provides the
corresponding sigmoidal curve for deriving the IC-50 of the
compound.
[0026] FIG. 5A provides a graph of normalized impedance data over
time showing shifts in morphology in response to isproteranol, a
.beta.2 adrenergic receptor agonist. FIG. 5B shows a plot of the
normalized cell indices against the log of the corresponding
isoproterenol concentrations to calculate the EC-50.
[0027] FIG. 6 shows the cell index curves measured on RT-CES system
for 4 individual wells, with cell culture medium as background
starting from cell seeding to about 86 hrs after cell seeding. For
such long term measurement, cell electrode impedance and
corresponding cell indices were measured at about 15 minute
intervals. Thus for each well, the impedance measurement was
performed with a time resolution of 15 minutes.
[0028] FIGS. 7A-D provides a series of graphs showing cardiomyocyte
beating throughout attachment and growth phases.
[0029] FIG. 8A and FIG. 8B are a pair of cell index curves and the
corresponding beat rate derived from Fourier transformation of
impedance values
[0030] FIGS. 9A-D show cardiomyocyte beating data from mouse
cardiomyocytes treated with sotalol. In FIGS. 9C and 9D, the time
resolution between two adjacent points is 40 milliseconds. In other
words, a second in FIGS. 9C and 9D is equivalent to 40
milliseconds.
[0031] FIG. 10A depicts graphs of agents which slow down heart rate
and cardiomyocyte beating. FIG. 10B depicts graphs of agents which
increase heart rate and cardiomyocyte beating.
[0032] FIGS. 11A-T depict impedance data of cardiomyocyte patterns
associated with testing of a variety of known compounds, which are
further described in Table II.
[0033] FIG. 12 depicts impedance based cardiotoxic patterns from
known compounds.
[0034] FIG. 13 shows an example of dose dependent effects of
Astemizole on cardiomyocytes beating at different
concentrations.
[0035] FIGS. 14A-H are graphical depictions of real time
impedance-based millisecond time resolution of cardiomyocyte
beating in response to Haloperidol treatment. The Y-axis is the
cell index value.
[0036] FIGS. 15A-H depict graphical analysis of the impedance
beating frequency from impedance plots (cell index plots) shown in
FIGS. 14A-H.
[0037] FIGS. 16A-H depict additional graphical analysis of the
magnitude or amplitude of the beating cycle peaks from impedance
plots (cell index plots) shown in FIGS. 14A-H.
[0038] FIGS. 17A-I are graphical depictions of real time
impedance-based millisecond time resolution of cardiomyocyte
beating in response to Erythromycin treatment. The Y-axis is the
cell index value.
[0039] FIGS. 18A-I depict graphical analysis of the impedance
beating frequency from impedance plots (cell index plots) shown in
FIGS. 17A-I.
[0040] FIGS. 19A-I depict additional graphical analysis of beating
magnitude or amplitude of the beating cycle peaks shown from
impedance plots (cell index plots) shown in FIGS. 17A-I.
DETAILED DESCRIPTION OF INVENTION
[0041] Detailed descriptions of preferred embodiments of the
provided herein. It is to be understood; however, that the present
invention may be embodied in various forms. Therefore specific
reference to various forms are provided as a basis for the claims
and for teaching one skilled in the present art to employ the
present invention in appropriate system, structure or manner.
A. Definitions
[0042] Unless defined otherwise, all technical and scientific terms
used herein have the same meaning as is commonly understood by one
of ordinary skill in the art to which this invention belongs. All
patents, applications, published applications and other
publications referred to herein are incorporated by reference in
their entirety. If a definition set forth in this section is
contrary to or otherwise inconsistent with a definition set forth
in the patents; applications, published applications and other
publications that are herein incorporated by reference, the
definition set forth in this section prevails over the definition
that is incorporated herein by reference.
[0043] As used herein, "a" or "an" means "at least one" or "one or
more."
[0044] As used herein, "membrane" is a sheet of material.
[0045] As used herein, "biocompatible polymer" means a polymeric
material that does not have deleterious effects on cells, including
the viability, attachment, spreading, motility, growth, or cell
division.
[0046] As used herein, "suitable for attachment" refers to
structural features that permit attachment of cells thereto. A
surface is "suitable for cell attachment" when a significant
percentage of the cells attach or adhere to the surface within
twelve hours. Preferably, at least 50% of the cells are adhered to
the surface within twelve hours. More preferably, at least 70% of
the cells are adhered to the surface within twelve hours of plating
(i.e., adding cells to the well or fluid container). Even more
preferably, the surface properties of a surface that is suitable
for cell attachment results in at least 90% of the cells adhering
to the surface within twelve hours of plating. Most preferably, the
surface properties of a surface that is suitable for cell
attachment results in at least 90% of the cells adhering to the
surface within eight, six, four, two hours of plating. To have
desired surface properties for cell attachment, the surface may
need to chemically-treated (e.g. treatment with an acid and/or with
a base), and/or physically treated (e.g. treatment with plasma),
and/or biochemically treated (e.g. coated with one or more
molecules or biomolecules that promotes cell attachment).
[0047] As used herein, "impedance measurement at millisecond time
resolution" refers to the ability to perform a series of at least
two consecutive impedance measurements within milliseconds of one
another for each and every well of the system where each well is
associated with an electrode array for impedance measurement. In
each instance the time between two consecutive impedance
measurements are less than 300 milliseconds from one another.
Preferably, consecutive impedance measurements are less than 200
milliseconds from one another. More preferably impedance
measurements are less than 100 milliseconds from one another. For
example, the time between two consecutive impedance measurements
are 40 milliseconds from one another for each and every well of the
system. To be clear, that is to say, in a time period of 40
milliseconds, the system has the ability to measure two impedance
data points for each and every well of the system.
[0048] As used herein, "excitable cells" refers to a cell
population that is capable of propagation and spreading action
potentials to surrounding cells. These cells are able to produce
and respond to electrical signals. Some excitable cells are capable
of excitation-contraction coupling. Examples of "excitable cells"
include cardiomyocytes, cells that beat, some skeletal muscle
cells, some smooth muscle cells and some neural cells.
Identification of excitable cells may be found in cell biology
literature.
[0049] As used herein, "excitation-contraction coupling" refers to
the physiological process of converting an electrical stimulus to
mechanical response. This process is fundamental to muscle
physiology, whereby the electrical stimulus is usually an action
potential and the mechanical response is contraction. EC coupling
can be dysregulated in many disease conditions.
[0050] As used herein, "beating cycle" refers the time between
which a cardiomyocyte sequentially beats. The "beating cycle" may
vary depending on organism and developmental stage of the
cardiomyocyte. A beating cycle may be as short as between 100 and
200 milliseconds, translating to a beating rate of 600 to 300 beats
per minute. A beating cycle may be as long as between 1000
milliseconds and 10,000 milliseconds, translating to a beating rate
of 60 to 6 beats per minute.
[0051] As used herein, "biomolecular coating" or "coated with a
biomolecule" refers to is a coating on a surface that comprises a
molecule that is a naturally occurring biomolecule or biochemical,
or a biochemical derived from or based on one or more naturally
occurring biomolecules or biochemicals. For example, a biomolecular
coating can comprise an extracellular matrix component (e.g.,
fibronectin, collagens), or a derivative thereof, or can comprise a
biochemical such as polylysine or polyornithine, which are
polymeric molecules based on the naturally occurring biochemicals
lysine and ornithine. Polymeric molecules based on naturally
occurring biochemicals such as amino acids can use isomers or
enantiomers of the naturally-occurring biochemicals.
[0052] As used herein, "extracellular matrix component" refers to a
molecule that occurs in the extracellular matrix of an animal. It
can be a component of an extracellular matrix from any species and
from any tissue type. Nonlimiting examples of extracellular matrix
components include laminins, collagens fibronectins, other
glycoproteins, peptides, glycosaminoglycans, proteoglycans, etc.
Extracellular matrix components can also include growth
factors.
[0053] As used herein, "electrode" refers to a structure having a
high electrical conductivity, that is, an electrical conductivity
much higher than the electrical conductivity of the surrounding
materials.
[0054] As used herein "electrode structure" refers to a single
electrode, particularly one with a complex structure (as, for
example, a spiral electrode structure), or a collection of at least
two electrode elements that are electrically connected together.
All the electrode elements within an "electrode structure" are
electrically connected.
[0055] As used herein, "electrode element" refers to a single
structural feature of an electrode structure, such as, for example,
a fingerlike or branched projection of an interdigitated electrode
structure.
[0056] As used herein "electrode structure unit" refers to two or
more electrode structures that are constructed to have dimensions
and spacing such that they can, when connected to a signal source,
operate as a unit to generate an electrical field in the region of
spaces around the electrode structures. Preferred electrode
structure units of the present invention can measure impedance
changes due to cell attachment to an electrode surface.
Non-limiting examples of electrode structure units are
interdigitated electrode structure units and concentric electrode
structure units.
[0057] As used herein, "electrode traces" refer to electrically
conductive paths that extend from electrodes or electrode elements
or electrode structures toward one end or boundary of a device or
apparatus for connecting the electrodes or electrode elements or
electrode structures to an impedance analyzer. The end or boundary
of a device may correspond to the connection pads on the device or
apparatus.
[0058] As used herein, "connection pad" refers to an area on an
apparatus or a device of the present invention which is
electrically connected to at least one electrode or all electrode
elements within at least one electrode structure on an apparatus or
a device and which can be operatively connected to external
electrical circuits e.g., an impedance measurement circuit or a
signal source). The electrical connection between a connection pad
and an impedance measurement circuit or a signal source can be
direct or indirect, through any appropriate electrical conduction
means such as leads or wires. Such electrical conduction means may
also go through electrode or electrical conduction paths located on
other regions of the apparatus or device.
[0059] As used herein, "interdigitated" refers to having
projections coming from one direction that interlace with
projections coming from a different direction in the manner of the
fingers of folded hands (with the caveat that interdigitated
electrode elements preferably do not contact one another).
[0060] As used herein, "high probability of contacting an electrode
element" refers to if a cell is randomly positioned within the
sensor area of a device or apparatus of the present invention, the
probability of a cell (or particle) contacting on an electrode
element, calculated from the average diameter of a cell used on or
in a device or apparatus of the present invention, the sizes of the
electrode elements, and the size of the gaps between electrode
elements, is greater than about 50%, more preferably greater than
about 60%, yet more preferably greater than about 70%, and even
more preferably greater than about 80%, greater than about 90%, or
greater than about 95%.
[0061] As used herein, "at least two electrodes fabricated on said
substrate" refers to at least two electrodes are fabricated or made
or produced on the substrate. The at least, two electrodes can be
on the same side of the substrate or on the different side of the
substrate. The substrate may have multiple layers, the at least two
electrodes can be either on the same or on the different layers of
the substrate.
[0062] As used herein, "at least two electrodes fabricated to a
same side of said substrate" refers to at least two electrodes are
fabricated on the same side of the substrate.
[0063] As used herein, "at least two electrodes fabricated to a
same plane of said substrate" refers to, if the nonconducting
substrate has multiple layers, the at least two electrodes are
fabricated to the same layer of the substrate.
[0064] As used herein, "electrodes have substantially same surface
area" refers to the surface areas of the electrodes referred to are
not substantially different from each other, so that the impedance
change due to cell attachment or growth on any one of the
electrodes referred to will contribute to the overall detectable
change in impedance to a same or similar degree as the impedance
change due to cell attachment or growth on any other of the
electrodes referred to. In other words, where electrodes have
substantially the same surface area, any one of the electrodes can
contribute to overall change in impedance upon cell attachment or
growth on the electrode. In most cases, the ratio of surface area
between the largest electrode and the smallest electrode that have
"substantially the same surface area" is less than 10. Preferably,
the ratio of surface area between the largest electrode and the
smallest electrode of an electrode structure is less than 5, 4, 3,
2, 1.5, 1.2 or 1.1. More preferably, the at least two electrodes of
an electrode structure have nearly identical or identical surface
area.
[0065] As used herein, "said device has a surface suitable for cell
attachment or growth" refers to the electrode and/or non-electrode
area of the apparatus has appropriate physical, chemical or
biological properties such that cells of interest can viably attach
on the surface and new cells can continue to attach, while the cell
culture grows, on the surface of the apparatus. However, it is not
necessary that the device, or the surface thereof, contain
substances necessary for cell viability or growth. These necessary
substances, e.g., nutrients or growth factors, can be supplied in a
medium. Preferably, when a suspension of viable, unimpaired,
excitable cells is added to the "surface suitable for cell
attachment" at least 50% of the cells adhere to the surface within
twelve hours. More preferably, a surface that is suitable for cell
attachment has surface properties so that at least 70% of the cells
are adhering to the surface within twelve hours of plating (i.e.,
adding cells to the chamber or well that comprises the said
device). Even more preferably, the surface properties of a surface
that is suitable for cell attachment results in at least 90% of the
cells adhering to the surface within twelve hours of plating. Most
preferably, the surface properties of a surface that is suitable
for cell attachment results in at least 90% of the cells adhering
to the surface within eight, six, four, two hours of plating.
[0066] As used herein, "detectable change in impedance between or
among the electrodes" refers to the impedance between or among the
electrodes would have a significant change that can be detected by
an impedance analyzer or impedance measurement circuit when
molecule binding reaction or cell attachment or cell adhesion or
cell presence occurs on the electrode surfaces. The impedance
change refers to the difference in impedance values when cell
attachment or cell adhesion or cell presence or molecule binding
reaction occurs on the electrode surface of the apparatus and when
no molecular reaction occurs on the electrode surface or no cell is
present on the electrode surface. The impedance change may occur
upon the presence or decay of a beat from a cardiomyocyte.
Alternatively, the impedance change refers to the difference in
impedance values when cells are attached to the electrode surface
and when cells are not attached to the electrode surface, or when
the number, type, activity, or morphology of cells attached to the
electrode-comprising surface of the apparatus changes. In most
cases, the change in impedance is larger than 0.1% to be
detectable. Preferably, the detectable change in impedance is
larger than 1%, 2%, 5%, or 8%. More preferably, the detectable
change in impedance is larger than 10%. Impedance between or among
electrodes is typically a function of the frequency of the applied
electric field for measurement. "Detectable change in impedance
between or among the electrodes" does not require the impedance
change at all frequencies being detectable. "Detectable change in
impedance between or among the electrodes" only requires a
detectable change in impedance at any single frequency (or multiple
frequencies). In addition, impedance has two components, resistance
and reactance (reactance can be divided into two categories,
capacitive reactance and inductive reactance). "Detectable change
in impedance between or among the electrodes" requires only that
either one of resistance and reactance has a detectable change at
any single frequency or multiple frequencies. In the present
application, impedance is the electrical or electronic impedance.
The method for the measurement of such impedance is achieved by,
(1) applying a voltage between or among the electrodes at a given
frequency (or multiple frequencies, or having specific voltage
waveform) and monitoring the electrical current through the
electrodes at the frequency (or multiple frequencies, or having
specific waveform), dividing the voltage amplitude value by the
current amplitude value to derive the impedance value; (2) applying
an electric current of a single frequency component (or multiple
frequencies or having specific current wave form) through said
electrodes and monitoring the voltage resulted between or among the
electrodes at the frequency (or multiple frequencies, or having
specific waveform), dividing the voltage amplitude value by the
current amplitude value to derive the impedance value; (3) other
methods that can measure or determine electric impedance. Note that
in the description above of "dividing the voltage amplitude value
by the current amplitude value to derive the impedance value", the
"division" is done for the values of current amplitude and voltage
amplitude at same frequencies. Measurement of such electric
impedance is an electronic or electrical process that does not
involve the use of any reagents.
[0067] As used herein, "multiple pairs of electrodes or electrode
structures spatially arranged according to wells of a multi-well
microplate" refers to multiple pairs of electrodes or electrode
structures of a device or apparatus are spatially arranged to match
the spatial configuration of wells of a multi-well microplate so
that, when desirable, the device can be inserted into, joined with,
or attached to a multiwell plate (for example, a bottomless
multiwell plate) such that multiple wells of the multi-well
microplate will comprise electrodes or electrode structures.
[0068] As used herein, "arranged in a row-column configuration"
refers to that, in terms of electric connection, the position of an
electrode, an electrode array or a switching circuit is identified
by both a row position number and a column position number.
[0069] As used herein, "each well contains substantially same
number . . . of cells" refers to the lowest number of cells in a
well is at least 50% of the highest number of cells in a well.
Preferably, the lowest number of cells in a well is at least 60%,
70%, 80%, 90%, 95% or 99% of the highest number of cells in a well.
More preferably, each well contains an identical number of
cells.
[0070] As used herein, "each well contains . . . same type of
cells" means that, for the intended purpose, each well contains
same type of cells; it is not necessary that each well contains
exactly identical type of cells. For example, if the intended
purpose is that each well contains mammalian cells, it is
permissible if each well contains same type of mammalian cells,
e.g., human cells, or different mammalian cells, e.g., human cells
as well as other non-human mammalian cells such as mice, goat or
monkey cells, etc. In some instances the "same type of cells" may
initially refer to embryonic stein cells; however, the stage of
differentiation into cardiomyocytes may be differ.
[0071] As used herein, "each well contains . . . serially different
concentration of a test compound" means that each well contains a
test compound with a serially diluted concentrations, e.g., an
one-tenth serially diluted concentrations of 1 M, 0.1 M, 0.01 M,
etc.
[0072] As used herein, "dose-response curve" means the dependent
relationship of response of cells on the dose concentration of a
test compound. The response of cells can be measured by many
different parameters. For example, a test compound is suspected to
be cardiotoxic if it impairs cardiomyocyte beating, whether
magnitude or amplitude or frequency, or if it causes cell death.
Then the response of cells can be measured by percentage of
non-viable (or viable) cardiac cells after the cells are treated by
the test compound.
[0073] As used herein, "microelectrode strip or electrode strip"
refers to a non-conducting substrate strip on which electrodes or
electrode structure units are fabricated or incorporated. The
non-limiting examples of the non-conducting substrate strips
include polymer membrane, glass, plastic sheets, ceramics,
insulator-on-semiconductor, fiber glass (like those for
manufacturing printed-circuits-board). Electrode structure units
having different geometries can be fabricated or made on the
substrate strip by any suitable microfabrication, micromachining,
or other methods. Non-limiting examples of electrode geometries
include interdigitated electrodes, circle-on-line electrodes,
diamond-on-line electrodes, castellated electrodes, or sinusoidal
electrodes. Characteristic dimensions of these electrode geometries
may vary from as small as less than 5 micron, or less than 10
micron, to as large as over 200 micron, over 500 micron, over 1 mm.
The characteristic dimensions of the electrode geometries refer to
the smallest width of the electrode elements, or smallest gaps
between the adjacent electrode elements, or size of a repeating
feature on the electrode geometries. The microelectrode strip can
be of any geometry for the present invention. One exemplary
geometry for the microelectrode strips is rectangular shape--having
the width of the strip between less than 50 micron to over 10 mm,
and having the length of the strip between less than 60 micron to
over 15 mm. An exemplary geometry of the microelectrode strips may
have a geometry having a width of 200 micron and a length of 20 mm.
A single microelectrode strip may have two electrodes serving as a
measurement unit, or multiple such two-electrodes serving as
multiple measurement units, or a single electrode structure unit as
a measurement unit, or multiple electrode structure units serving
as multiple electrode structure units. In one exemplary embodiment,
when multiple electrode structure units are fabricated on a single
microelectrode strip, these electrode structure units are
positioned along the length direction of the strip. The electrode
structure units may be of squared-shape, or rectangular-shape, or
circle shapes. Each of electrode structure units may occupy size
from less than 50 micron by 50 micron, to larger than 2 mm.times.2
mm.
[0074] A "compound" or "test compound" is any compound whose
activity or direct or indirect effect or effects on cells is
investigated in any assay. A test compound can be any compound,
including, but not limited to, a small molecule, a large molecule,
a molecular complex, an organic molecule, an inorganic molecule, a
biomolecule or biological molecule such as but not limited to a
lipid, a steroid, a carbohydrate, a fatty acid, an amino acid, a
peptide, a protein, a nucleic acid, or any combination thereof. A
test compound can be a synthetic compound, a naturally occurring
compound, a derivative of a naturally occurring compound, etc. The
structure of a test compound can be known or unknown. In one
application of the present invention, a compound is capable of, or
is suspected of, modulating the beating cycle of a cardiomyocyte
cell population, whether by beating amplitude or frequency. In
still another application, a compound is capable of, or is
suspected of, interacting with cells (for example, binding to cell
surface receptor, or inhibiting certain intracellular signal
transduction pathway, or activating cells).
[0075] A "known compound" is a compound for which at least one
activity is known. In the present invention, a known compound
preferably is a compound for which one or more direct or indirect
effects on cells is known. Preferably, the structure of a known
compound is known, but this need not be the case. Preferably, the
mechanism of action of a known compound on cells is known, for
example, the effect or effects of a known compound on cells can be,
as nonlimiting examples, effects on cardiotoxicity or embryonic
stem cell development, etc.
[0076] An "impedance value" is the impedance measured for
electrodes in a well with or without cell present. Impedance is
generally a function of the frequency, i.e., impedance values
depend on frequencies at which the measurement was conducted. For
the present application, impedance value refers to impedance
measured at either single frequency or multiple frequencies.
Furthermore, impedance has two components, one resistance component
and one reactance component. Impedance value in the present
application refers to resistance component, or reactance component,
or both resistance and reactance component. Thus, when "impedance
value" was measured or monitored, we are referring to that,
resistance, or reactance, or both resistance and reactance were
measured or monitored. In many embodiments of the methods of the
present application, impedance values also refer to parameter
values that are derived from raw, measured impedance data. For
example, cell index, or normalized cell index, or delta cell index
could be used to represent impedance values.
[0077] A "Cell Index" or "CI" is a parameter that can derived from
measured impedance values and that can be used to reflect the
change in impedance values. There are a number of methods to derive
or calculate Cell Index.
[0078] A "Normalized Cell Index" at a given time point is
calculated by dividing the Cell Index at the time point by the Cell
Index at a reference time point. Thus, the Normalized Cell Index is
1 at the reference time point.
[0079] A "delta cell index" at a given time point is calculated by
subtracting the cell index at a standard time point from the cell
index at the given time point. Thus, the delta cell index is the
absolute change in the cell index from an initial time (the
standard time point) to the measurement time.
[0080] A "Cell Change Index" or "CCI" is a parameter derived from
Cell Index and "CCI" at a time point is equal to the 1.sup.st order
derive of the Cell Index with respect to time, divided by the Cell
Index at the time point. In other words, CCI is calculated as
CCI .function. ( t ) = dCI .function. ( t ) CI .function. ( t ) dt
. ##EQU00001##
[0081] As used herein, "primary cell" or "primary cells" refers to
any non-immortalized cell that has been derived from various
tissues and organs of a patient or an animal.
B. Introduction to Impedance-Based Systems and Methods Having
Millisecond Time Resolution
[0082] The impedance-based system and methods of the present
invention fill a major technological gap in monitoring of
excitation-contraction coupling and excitable cells, such as
cardiomyocytes, in vitro. This is accomplished, in part, from the
development of an impedance-based system and monitoring method that
employs millisecond time resolution. Millisecond timer resolution
permits effective monitoring of excitable cells for short
durations, such as less than about 100 milliseconds. Further by
coupling millisecond time resolution with longer duration time
periods, both short term and long term effects of drugs, such as
cell viability, changes in morphology and adhesion can also be
assessed. These combination studies permit further data collection
with respect to compounds such as adrenergic receptor agonists,
well known and characterized modulators of heart function in vivo
and in vitro, which can induce long term hypertrophic responses in
cardiomyocytes, which is associated with elongated morphology of
the cells. When combining long term monitoring and short term
monitoring it may be desirable to provide long term monitoring
coupled to intermittent short term monitoring periods.
[0083] The devices, systems and methods provided permit
impedance-based monitoring of excitable cells using millisecond
time resolution. It has been discovered that by developing enhanced
impedance based systems, detailed analysis of excitable cells, the
excitation cycle of cells and potential modulators of excitable
cells can be performed. Further, by studying the excitation cycle
with increased resolution embodiments of the invention permit the
effective evaluation of factors that may alter normal or abnormal
cycling. Without millisecond time resolution, it would not be
possible to perform detailed analysis of the beating cycle of the
excitable cells. For example, for cardiomyocytes, if the impedance
is measured at seconds time-resolution such as a ten-second or even
one-second resolution, it would not be possible to observe beating
of the cardiomyocytes or resolve a beating cycle of the
cardiomyocytes with an impedance measurement. The
cardiomyocytes-beating-resulted impedance change would be shown as
"noise" on the impedance curves measured at seconds or minutes
time-resolution. Indeed, it was a surprise that the beating of the
cardiomyocytes on the electrode surfaces would result in periodic
change in impedance and even more surprise that the impedance
measurement, when performed at appropriate time resolution of
milliseconds, could resolve such beating cycles. After we
discovered that cardiomyocyte beating, when cultured on electrode
surfaces, can be monitored via impedance measurement, we
interpreted that such dynamic monitoring of cardiomyocyte beating
is based on quantification in real time of the rhythmic changes in
cardiomyocyte morphology and/or attachment as a result of the
excitation contraction coupling of the electrically excitable
cardiomyocytes growing on microelectrodes' surface in E-PLATES
(ACEA Biosciences. San Diego, Calif.). The quantification of the
rhythmic changes in cardiomyocyte morphology and/or attachment is
achieved via the fast (millisecond resolution) and continuous
measurement of electrode impedance. The method essentially provides
a cellular cardio-gram which can provide incisive information about
the status of cardiomyocytes especially upon treatment with
pharmacological agents.
[0084] When combining long term impedance monitoring and short term
monitoring it may be desirable to provide long term monitoring
coupled to intermittent short term monitoring. In other words,
while long term impedance monitoring is able to identify long term
effects on excitable cells, short term impedance monitoring, such
as at millisecond time resolution may be employed at particular
time points to assess short term effects. In some instances,
impedance monitoring with millisecond time resolution is performed
at regular or irregular time intervals. In these instances, time
intervals may be preprogrammed in the system or may be initiated by
the user. In some instances intermittent measuring at millisecond
time resolution is initiated upon the occurrence of an event, such
as an event detected or determined while long term monitoring of
impedance. Such events may be changes in measured impedance data,
changes in optical property and the like. Monitoring at millisecond
time resolution may continue until a programmed event occurs, such
as expiration of a time period. After or during which, long term
impedance monitoring may continue.
[0085] In some embodiments, long term and short term monitoring of
excitation-contraction coupling or excitable cells is provided in
combination. Exemplary methods include providing the
impedance-based system with millisecond time resolution; adding
excitable cells or cells suspected of excitation-contraction
coupling to one or more wells; monitoring impedance of the one or
more wells over a first time period, which is characterized as a
longer time period, such as seconds, minutes, hours or days;
monitoring impedance of the one or more wells over a second time
period in millisecond time resolution; determining a
characteristic, such as cell attachment, cell growth and cell
viability from monitoring over the first time period; and resolving
individual cycles of the excitable cells from monitoring over the
second time period. In such embodiments, monitoring impedance over
the second time period may be performed at regular or irregular
time intervals within monitoring impedance over the first time
period. Further, test agents may be added to assess their short
term effects and long term effects on the cells.
[0086] Impedance monitoring using, at least in part, millisecond
time resolution will be useful in the testing of compounds such as
drugs for the treatment or prevention of various medical conditions
or their safety. In some embodiments the systems and methods are
used to test or evaluate potential compounds, drugs or treatments
for cardiotoxicity data. In some embodiments potential compounds,
drugs or treatments are tested for cardioprotective data. In some
embodiments potential compounds, drugs or treatments are tested for
potential applicability for cardiovascular treatments, including
hypertension or congestive heart failure. In some embodiments
potential compounds, drugs or treatments are tested for modulation
of embryonic stem cell development, such as development into
cardiomyocytes. In other embodiments the systems and methods are
used to test or assess potential drugs or treatments for
neurological data, such as beneficial or deleterious neurological
effects. As will be understood by those skilled n the present art,
the impedance based system and methods including millisecond time
resolution permits evaluation across multiple cell populations or
systems that including excitation-contraction coupling.
[0087] One skilled in the art will understand embodiments of the
present invention may be used for studying a variety of excitable
cells or effects thereon. As nonlimiting examples cells may be
cardiac muscle cells, neurological cells, differentiating stem
cells, embryonic stem cells, adult stem cells and the like. Smooth
muscle cells and skeletal muscle cells that undergo
excitation-contraction coupling may also be studied.
[0088] In some embodiments of the present invention the excitation
cycle or beating of cardiomyocytes is studied. Cardiomyocytes are
specialized muscle cells, which make up the majority of the volume
of the myocardium. The myocardium also includes epithelial cells
and fibroblasts. Cardiomyocytes are arranged largely in a
circumferential and spiral orientation around the left ventricle,
the chamber that pumps blood to the systemic circulation. Atrial
myocytes, also cardiomyocytes, are smaller in diameter and less
structured than their ventricular counterparts. Cardiomyocytes have
five major components: cell membrane (sarcolemma) and T-tubules,
for impulse conduction; sarcoplasmic reticulum, a calcium reservoir
needed for contraction; contractile elements; mitochondria; and
nucleus. Cellularly, cardiomyocytes may be identified by the
presence of cardiac tropnin T (TnT) and atrial natriuretic peptide
(ANP).
[0089] The functional intracellular contractile unit of cardiac
muscle (like skeletal muscle) is the sarcomere, an orderly
arrangement of thick filaments composed principally of myosin, and
thin filaments containing actin. Contraction of cardiac muscle
occurs by the cumulative effort of sliding of the actin filaments
between the myosin filaments toward the center of each
sarcomere.
[0090] Cardiomyocytes may be obtained or isolated from cardiac
tissue directly, may be cultured from cardiomyocyte cells or may be
differentiated from stem cells, such as embryonic stem cells. In
some embodiments embryonic or adult stem cells are used. Methods
for obtaining or isolating cardiomyocytes from cardiac tissue may
be found in the literature.
[0091] Since embryonic stem (ES) cells are self renewing cells in
culture they can serve as an excellent source for continuous
production of cardiomyocytes. These derived cardiomyocytes, which
behave in every way like normal cardiomyocytes isolated from the
heart tissue itself, addresses the ever important supply problem
and for the first time allows for assessment of cardiac function
and its modulation by lead candidate drugs and compounds in
relatively large scale. Furthermore, because the technology exists
to selectively knockout or express trans-genes in ES cells, it
provides an excellent model system to study the role of certain
genes in cardiac development and function without concern of
adverse affects on overall embryonic development in transgenic
animals. Further, the ability to express transgenes in ES cells has
been utilized as a way to enrich for preparation of cardiomyocytes
that are 100% pure. For example, the gene encoding GIP has been
cloned downstream of a cardiac-specific promoter and then
introduced into ES cells. Embryoid cells which ultimately
differentiate into cardiomyocytes express the GFP transgenes and
can be easily identified and isolated by cell sorting techniques
and therefore an enriched cardiomyocyte population can be
obtained.
C. Impedance-Based Systems Having Millisecond Time Resolution
[0092] In preferred embodiments the system for monitoring impedance
of excitable cells in vitro includes a device for monitoring
cell-substrate impedance, an impedance analyzer capable of
impedance measurements at millisecond time resolution, electronic
circuitry that can engage the device and selectively connect two or
more electrode arrays of the device to the impedance analyzer and a
software program that controls the electronic circuitry and records
and analyzes data obtained from the impedance analyzer. By
providing the impedance based system with millisecond time
resolution, excitation-contraction coupling cells can be
efficiently monitored and studied. Accordingly, the systems
provided herein are able to identify and evaluate changes in
excitation-contraction events, which may be used for high
throughput analysis of potential therapeutics. Millisecond time
resolution measurements may be coupled with longer term impedance
monitoring, such as longer than seconds, hours or days. In some
embodiments, long term impedance monitoring is performed with
intermittent periods of impedance monitoring at millisecond time
resolution.
[0093] Embodiments of the device for monitoring substrate impedance
include a nonconductive substrate having one or more individually
addressable electrode arrays fabricated thereon and one or more
wells. A surface of the substrate may be suitable for cell
attachment, wherein the cell attachment results in a detectable
change in impedance between electrodes within the array.
Preferably, the nonconducting substrate is planar, and is flat or
approximately flat. The substrates may be constructed from a
variety of nonconductive materials known in the present art,
including, but not limited to, silicon dioxide on silicon,
silicon-on-insulator (SOI) wafer, glass (e.g., quartz glass, lead
glass or borosilicate glass), sapphire, ceramics, polymer, fiber
glass, plastics, e.g., polyimide (e.g. Kapton, polyimide film
supplied by DuPont), polystyrene, polycarbonate, polyvinyl
chloride, polyester, polypropylene and urea resin. Preferably, the
substrate is biocompatible with excitable cells; however, materials
that are not biocompatible can be made biocompatible by coating
with a suitable material, such as a biocompatible polymer or
coating. Further, attachment or growth along the substrate or
electrodes may be enhanced by precoating the substrate with a
protein or compound that facilitates attachment or growth. Such
compounds may be chosen according to techniques known in the
cellular biology arts; however, in some embodiments fibronectin is
effective. Alternatively, the substrate may be chemically modified
to display reactive groups that enhance cell attachment,
particularly ES cells or cardiomyocytes.
[0094] Each electrode array includes two or more electrode
structures that are constructed to have dimensions and spacing such
that they can, when connected to a signal source, operate as a unit
to generate an electrical field in the region of spaces around the
electrode structures. Preferably the electric field is
substantially uniform across the array. An electrode structure
refers to a single electrode, particularly one with a complex
structure. Specifically, an electrode array includes two electrode
structures, each of which includes multiple electrode elements, or
substructures, which branch from the electrode structure. In
preferred embodiments, the electrode structures of each of the two
or more electrode arrays of a device have substantially the same
surface area.
[0095] Each of the two electrode structures of an electrode array
is connected to a separate connection pad that is preferably
located at the edge of the substrate. Specifically, for each of the
two or more electrode arrays of the device, preferably the first of
the two electrode structures is connected to one of the two or more
connection pads, and the second of the two electrode structures is
connected to another of the two or more connection pads.
Preferably, each array of a device is individually addressed,
meaning that the electrical traces and connection pads of the
arrays are configured such that an array can be connected to an
impedance analyzer in such a way that a measuring voltage can be
applied across a single array at a given time by using switches
(such as electronic switches).
[0096] Preferably, each electrode array of the device has an
approximately, uniform electrode resistance distribution across the
entire array. By "uniform resistance distribution across the array"
is meant that when a measurement voltage is applied across the
electrode structures of the array, the electrode resistance at any
given location of the array is approximately equal to the electrode
resistance at any other location on the array. Preferably, the
electrode resistance at a first location on an array of the device
and the electrode resistance at a second location on the same array
does not differ by more than 30%. More preferably, the electrode
resistance at a first location on an array of the device and the
electrode resistance at a second location on the same array does
not differ by more than 15%. Even more preferably, the electrode
resistance at a first location on an array of the device and a
second location on the same array does not differ by more than 5%.
More preferably yet, the electrode resistance at a first location
on an array of the device and a second location on the same array
does not differ by more than 2%.
[0097] Preferred arrangements for electrode elements and gaps
between the electrodes and electrode buses in a given electrode
array are used to allow all cells, no matter where they land and
attach to the electrode surfaces and to contribute similarly to the
total impedance change measured for the electrode array. Thus, it
is desirable to have similar electric field strengths at any two
locations within any given array of the device when a measurement
voltage is applied to the electrode array. At any given location of
the array, the field strength is related to the potential
difference between the nearest point on a first electrode structure
of the array and the nearest point on a second electrode structure
of the array. It is therefore desirable to have similar electric
potential drops across the electrode elements and across the
electrode buses of a given array. Based on this requirement, it is
preferred to have an approximately uniform electrode resistance
distribution across the whole array where the electrode resistance
at a location of interest is equal to the sum of the electrode
resistance between the nearest point on a first electrode structure
(that is the point on the first electrode structure nearest the
location of interest) and a first connection pad connected to the
first electrode structure and the electrode resistance between the
nearest point on a second electrode structure (that is the point on
the first electrode structure nearest the location of interest) and
a second connection pad connected to the second electrode
structure.
[0098] Preferably, devices of the present invention are designed
such that the arrays of the device have an approximately uniform
distribution across the whole array. This can be achieved, for
example, by having electrode structures and electrode buses of
particular spacing and dimensions (lengths, widths, thicknesses and
geometrical shapes) such that the resistance at any single location
on the array is approximately equal to the resistance at any single
other location on the array. In most embodiments, the electrode
elements (or electrode structures) of a given array will have even
spacing and be of similar thicknesses and widths, the electrode
buses of a given array will be of similar thicknesses and widths,
and the electrode traces leading from a given array to a connection
pad will be of closely similar thicknesses and widths. Thus, in
these preferred embodiments, an array is designed such that the
lengths and geometrical shapes of electrode elements or structures,
the lengths and geometrical shapes of electrode traces, and the
lengths and geometrical shapes of buses allow for approximately
uniform electrode resistance distribution across the array.
[0099] In some preferred embodiments of impedance measurement
devices, electrode structures comprise multiple electrode elements,
and each electrode element connects directly to an electrode bus.
Electrode elements of a first electrode structure connect to a
first electrode bus, and electrode elements of a second electrode
structure connect to a second electrode bus. In these embodiments,
each of the two electrode buses connects to a separate connection
pad via an electrical trace. Although the resistances of the traces
contribute to the resistance at a location on the array, for any
two locations on the array the trace connections from the first bus
to a first connection pad and from the second bus to a second
connection pad are identical. Thus, in these preferred embodiments
trace resistances do not need to be taken into account in designing
the geometry of the array to provide for uniform resistances across
the array.
[0100] In preferred embodiments of the present invention, a device
for monitoring cell-substrate impedance has two or more electrode
arrays that share a connection pad. Preferably one of the electrode
structures of at least one of the electrode arrays of the device is
connected to a connection pad that also connects to an electrode
structure of at least one other of the electrode arrays of the
device. Preferably for at least two arrays of the device, each of
the two or more arrays has a first electrode structure connected to
a connection pad that connects with an electrode structure of at
least one other electrode array, and each of the two or more arrays
has a second electrode structure that connects to a connection pad
that does not connect with any other electrode structures or arrays
of the device. Thus, in preferred designs of a device there are at
least two electrode arrays each of which has a first electrode
structure that is connected to a common connection pad and a second
electrode structure that is connected to an independent connection
pad.
[0101] In some preferred embodiments of the present invention, each
of the electrode structures of an array is connected to an
electrode bus that is connected to one of the two or more
connection pads of the device via an electrically conductive trace.
In preferred embodiments, each of the two electrode structures is
connected to a single bus, such that each array connects to two
buses, one for each electrode structure. In this arrangement, each
of the two buses connects to a separate connection pad of the
substrate.
[0102] The electrically conductive traces that connect a bus with a
connection can be fabricated of any electrically conductive
material. The traces can be localized to the surface of the
substrate and can be optionally covered with an insulating layer.
Alternatively the traces can be disposed in a second plane of the
substrate. Description of arrangements and design of electrically
conductive traces on impedance measurement devices can be found in
U.S. Pat. No. 7,470,533, herein incorporated by reference for all
disclosure on fabrication and design of electrically conductive
trace on substrates.
[0103] Appropriate electronic connection means such as metal clips
engaged onto the connection pads on the substrate and connected
printed-circuit-boards can be used for leading the electronic
connections from the connection pads on the devices to external
electronic circuitry (e.g. an impedance analyzer). Description of
the design of cell-substrate impedance devices and their
manufacture can be found in U.S. Pat. No. 7,470,533, herein
incorporated by reference for all description and disclosure of the
design, features, and manufacture of impedance device comprising
electrode arrays.
[0104] Descriptions of electrode arrays used for impedance
measurement that apply to the devices of the present invention are
described in U.S. Pat. No. 7,470,533, herein incorporated by
reference for all disclosure relating to electrode arrays (or
structural units), electrode structures, electrode materials,
electrode dimensions, and methods of manufacturing electrodes on
substrates.
[0105] Preferred electrode arrays for devices of the present
invention include arrays comprising two electrode structures, such
as, for example, spiral electrode arrays and interdigitated arrays.
In some preferred devices of the present invention, electrode
arrays are fabricated on a substrate, in which the arrays comprises
two electrode structures, each of which comprises multiple
circle-on-line electrode elements, in which the electrode elements
of one structure alternate with the electrode elements of the
opposite electrode structure. Electrode arrays may be provided in
configurations, such as interdigitated, circle-on-line,
diamond-on-line, concentric, sinusoidal and castellated.
[0106] Preferably, the electrode elements (or electrode structures)
of an array of the present device of the present invention are of
approximately equal widths. Preferably the electrode elements (or
electrode structures) of an array of the present device of the
present invention are greater than 20 microns and less than 500
microns in width, more preferably from about 50 to about 300
microns in width.
[0107] Preferably, the electrode elements (or electrode structures)
of an array of the present device of the present invention are
approximately evenly spaced. Preferably, the gap between electrode
elements (or electrode structures) of an array of the present
device of the present invention is less than 100 microns and more
than 5 microns in width, more preferably from about 10 to about 80
microns in width.
[0108] A device of the present invention can include one or more
fluid-impermeable receptacles which serve as fluid containers or
wells. Such receptacles may be reversibly or irreversibly attached
to or formed within the substrate or portions thereof (such as, for
example, wells formed as in a microtiter plate). In another
example, the device of the present invention includes
microelectrode strips reversibly or irreversibly attached to
plastic housings that have openings that correspond to electrode
structure units located on the microelectrode strips. Suitable
fluid container materials comprise plastic, glass, or
plastic-coated materials such as a ceramic, glass, metal, etc.
Descriptions and disclosure of devices that comprise fluid
containers can be found in U.S. Pat. No. 7,470,533, herein
incorporated by reference for all disclosure of fluid containers
and fluid container structures that can engage a substrate
comprising electrodes for impedance measurements, including their
dimensions, design, composition, and methods of manufacture.
[0109] In preferred embodiments, each electrode array on the
substrate of a device of the present invention is associated with a
fluid-impermeable container or receptacle, such as, for example, a
well. Preferably, the device of the present invention is assembled
to a bottomless, multiwell plastic plate or strip with a fluid
tight seal. The device is assembled such that a single array of the
substrate is at the bottom of a receptacle or well. Preferably,
each array of a device is associated with a well of a multiwell
plate. In some preferred embodiments, a multiwell device for
cell-substrate impedance measurement has "non-array" wells that are
attached to the substrate but not associated with arrays. Such
wells can optionally be used for performing non-impedance based
assays, or for viewing cells microscopically.
[0110] The design and assembly of multiwell impedance measurement
devices is described in U.S. Pat. No. 7,470,533, and also in U.S.
Pat. No. 7,192,752, both herein incorporated by reference for
disclosure of multiwell impedance measurement devices, including
their design, composition, and manufacture. A device of the present
invention preferably has between 2 and 1,536 wells and more
preferably between 4 and 384 wells. In some embodiments the device
includes 6 wells, 16 wells, 32 wells, 96 wells or 386 wells.
[0111] In some preferred embodiments, commercial tissue culture
plates can be adapted to fit a device of the present invention.
Bottomless plates may also be custom-made to preferred dimensions.
Preferably, well diameters are from about 1 millimeter to about 20
millimeters, more preferably from about 2 millimeters to about 8
millimeters at the bottom of the well (the end disposed on the
substrate). The wells can have a uniform diameter or can taper
toward the bottom so that the diameter of the container at the end
in contact with the substrate is smaller than the diameter of the
opposing end.
[0112] In the system for monitoring impedance of excitable cells
the impedance analyzer engages connection pads of one or more
multi-well devices to measure impedance. In one embodiment of the
above system, the impedance analyzer is capable of measuring
impedance between 0.1 ohm and 10.sup.5 ohm in frequency range of 1
Hz to 1 MHz. The impedance analyzer is preferably capable of
measuring both resistance and reactance (capacitive reactance and
inductive reactance) components of the impedance. In a preferred
embodiment of the above system, the impedance analyzer is capable
of measuring impedance between 1 ohm and 10.sup.3 ohm in frequency
range of 1.00 Hz to 300 kHz.
[0113] In preferred embodiments the impedance analyzer is capable
of impedance measurements at millisecond time resolution. The
required or desired time resolution may vary depending on the
excitation cycle of the excitable cell. Excitable cells having
shorter excitation cycles would tend to require faster time
resolution. In some embodiments 500 millisecond time resolution is
sufficient, such that at least two consecutive impedance
measurements are between about 300 milliseconds and about 500
milliseconds apart. In preferred embodiments, impedance measurement
at millisecond time resolution includes at least two consecutive
impedance measurements less than 100 milliseconds apart. In some
instances the at least two consecutive impedance measurements are
less than 50 milliseconds or less than 40 milliseconds apart. In
some instances the at least two consecutive impedance measurements
are less than 20 milliseconds apart. In some instances at least two
consecutive impedance measurements are less than 10 milliseconds
apart. In some instances millisecond time resolution includes two
consecutive impedance measurements between 1 millisecond and 5
milliseconds, between 5 milliseconds and 10 milliseconds, between
10 milliseconds and 20 milliseconds, between 20 milliseconds and 40
milliseconds, or between 40 milliseconds and 50 milliseconds apart.
In some instances millisecond time resolution includes at least two
consecutive impedance measurements between 50 milliseconds and 100
milliseconds apart. In some instances millisecond time resolution
includes at least two consecutive impedance measurements between
100 milliseconds and 150 milliseconds or between 150 and 300
milliseconds apart.
[0114] Millisecond time resolution of impedance-based devices
provides a significant technical step over traditional impedance
measuring devices, which are typically limited to second or minute
resolution. That is, substantial reconfiguration of a traditional
impedance-based system is required to obtain millisecond time
resolution. Advances in multiple steps are required to achieve
millisecond time resolution, including the impedance measurement
circuitry together with electronic switching circuitry.
Technological advances are further required when performing
millisecond time resolution over multiple wells, such as 4 wells, 8
wells, 16 wells or 96 wells. For example, if the system comprises a
device having 96 wells, the system hardware and software should be
capable of, for a given time period, measuring the impedances of
all 96 wells with millisecond time resolution between two adjacent
or consecutive impedance measurement points for each and every
well. Thus, comparing two impedance analyzers, one for impedance
measurement of 96 wells with millisecond resolution and another for
impedance measurement of a single well with millisecond time
resolution, the one for 96 well measurement is effectively 96-times
faster than one for a single well measurement since it is required
to have a capability for performing impedance measurement for all
96 wells with millisecond time resolution. Similarly, if a 96 well
device is provided, a group of wells, such as a group of 2, 4, 6,
12, 24 or 48 wells, may be measured in millisecond time resolution.
Preferably, the time difference between two adjacent measurement
points for each and every given well is less than 500 milliseconds.
More preferably, the time difference between two adjacent
measurement points for each and every given well is less than 300
milliseconds. Still more preferably, the time difference between
two adjacent measurement points for each and every given well is
less than 100 milliseconds. Still more preferably, the time
difference between two adjacent measurement points for each and
every given well is less than 40 milliseconds. Still more
preferably, the time difference between two adjacent measurement
points for each and every given well is less than 20 milliseconds.
Still more preferably, the time difference between two adjacent
measurement points for each and every given well is less than 10
milliseconds.
[0115] A number of improvements in the impedance measurement
circuitry, electronic switching circuitry, communication between
impedance measurement circuitry and software can be used to achieve
such millisecond time resolution. For instance, improvement likely
requires the use of fast processing electronic chips for
analogue-to-digital conversion, for parallel digital signal
processing and data calculation with field-programmable gate array
(FPGA) and for fast communication between the impedance measurement
circuitry and software. Another example of improvements includes
the use of multiple analogue-to-digital (AD) conversion channels so
that analog electronic signals from multiple channels can be
converted to digital signals simultaneously. Such parallel AD
conversion is important, particular for the system having multiple
wells, each of which's measurement time resolution is required to
be in the millisecond resolution. And, a very important is to
replace previous working mode of "measurement of one-well's
impedance at a time" with a mode of "measurement of multiple-wells'
impedances at a time". In "one-well at a time" mode, when the
software issue a command for measuring one well's impedance, the
measurement circuitry would perform the measurement for one well
including signal generation to the well, converting the voltage
signal and the electric current signal for the well to digital
signal, digitally processing the signals to do impedance
calculation and sending the well's impedance data to the computer
over the communication line between the impedance measurement
circuitry and the computer. The system will not perform any
measurement for another well until the completion of the
measurement of this well and until receiving another command for
the measurement of another well. In "multiple-wells at a time"
mode, the software would issue a command for measuring multiple
wells' impedances. The measurement circuitry would simultaneously
or nearly simultaneously perform signal conversion, signal
processing and impedance calculation for multiple wells. The
multiple impedance data for the multiple wells would be sent over
the communication lines to the computer sequentially with one
well's data at the same time or simultaneously with more than one
well's data being sent at a time. In this "measurement of
multiple-wells' impedances at a time" mode, the system may be
performing multiple tasks simultaneously, for example, while one
well's impedance data is being measured and calculated, another
well's impedance data may be communicated and sent over the
communication lines to the computer.
[0116] With millisecond time resolution for impedance measurement,
it becomes possible to resolve individual beating cycles of
cardiomyocytes cultured on electrodes. Whilst theoretically one
needs at least two data points for each beating cycle, in practice
more than 2 data points are needed for each beating cycle. For
example, if cells have a beating rate of 60 beats per minute, i.e.,
one beat per second. It would be preferred to have a time
resolution of at least 200 milliseconds so that each beating cycle
consists of 5 data points. More preferably, the measurement time
resolution is 100 milliseconds. Still more preferably, the time
resolution is 50 milliseconds or less.
[0117] One skilled in the art will understand that the
cell-substrate impedance measurement or monitoring system with
millisecond time resolution can be used to efficiently and
simultaneously perform multiple assays by using circuitry of the
device station to digitally switch from recording from measuring
impedance over an array in one well to measuring impedance over an
array in another well. Similarly, groups of wells may be monitored
simultaneously and switching between occur between designated
groups. In one embodiment of the above system, the system under
software control is capable of completing an impedance measurement
for an individual well at a single frequency within milliseconds,
such as less than 100 milliseconds, less than 40 milliseconds, less
than 20 milliseconds, less than 10 milliseconds or between 1
millisecond and 40 milliseconds. In some embodiments the user may
choose the frequency of measurement for millisecond time
resolution.
[0118] A multiple-well cell-substrate impedance measuring device in
a system of the present invention can be any multiple-well
cell-substrate impedance measuring device in which at least two of
the multiple wells comprise an electrode array at the bottom of the
well, and in which at least two of the multiple wells comprise an
electrode array are individually addressed. In one embodiment of
the above system, the multi-well device takes the form of a
specialized microtiter plate which has microelectronic sensor
arrays integrated into the bottom of the wells.
[0119] A device used in a system of the present invention, when
connected to an impedance analyzer, can measure differences in
impedance values that relate to cell behavior. For example, a
cell-substrate impedance measuring device used in a system of the
present invention can measure differences in impedance values when
cells are attached to the electrode array and when cells are not
attached to the electrode array, or can detect differences in
impedance values when the number, type, activity, adhesiveness, or
morphology of cells attached to the electrode-comprising surface of
the apparatus changes. Further, by using millisecond time
resolution differences in impedance may be detected or monitored
that relate to excitation-contraction coupling, including the
beating of cardiomyocytes or stem cells differentiating into
cardiomyocytes, and the signaling between neurological cells.
Impedance monitoring of the excitation cycle of excitable cells may
be determined and monitored before, during or after adding a test
compound, which is suspected of affecting the excitation cycle.
Thus, by monitoring the excitation cycle of the excitable cell
before, dud ng or after adding a test compound the system provides
data corresponding to the potential affect of the compound on the
cardiovascular system, the heart, the nervous system, and the like.
In some embodiments monitoring the excitation cycle of the cell
before, during or after adding a compound provides cardiotoxicity
data useful in drug screening.
[0120] In some embodiments a device station or electromechanical
apparatus or assembly capable of interfacing multiwell devices can
include one or more platforms or one or more slots for positioning
one or more multiwell devices. The one or more platforms or one or
more slots can comprise sockets, pins or other devices for
electrically connecting the device to the device station. The
device station or electromechanical apparatus or assembly capable
of interfacing multiwell devices preferably can be positioned in a
tissue culture incubator during cell impedance measurement assays.
It can be electrically connected to an impedance analyzer and
computer that are preferably located outside the tissue culture
incubator.
[0121] The device station or electromechanical apparatus or
assembly capable of interfacing multiwell devices includes
electronic circuitry that can connect to the impedance monitoring
device and an impedance analyzer and electronic switches that can
switch on and off connections to each of the two or more electrode
arrays of the multiwell devices used in the system. The switches of
the device station or electromechanical apparatus or assembly
capable of interfacing multiwell devices are controlled by a
software program, each of which has been improved to provide
millisecond time resolution. The software program directs the
device station to connect arrays of the device to an impedance
analyzer and monitor impedance from one or more of the electrode
arrays. During impedance monitoring, the impedance analyzer can
monitor impedance at one frequency or at more than one frequency.
Preferably, impedance monitoring is performed at more than one time
point for a given assay, and preferably, impedance is monitored
using at least two time points. The device station can connect
individual arrays of a device to an impedance analyzer to monitor
one, some, or all of the arrays of a device for a measurement time
point. In some preferred embodiments of the present invention, the
device station software is programmable to direct impedance
monitoring of any of the wells of the device that comprise arrays
at chosen time intervals.
[0122] The software of the impedance monitoring system can also
store and display data. Data can be displayed on a screen, as
printed data, or both. Preferably the software can allow entry and
display of experimental parameters, such as descriptive information
including cells types, compound concentrations, time intervals
monitored, etc.
[0123] Preferably, the software can also analyze impedance data. In
preferred embodiments, the software can calculate a cell index (CI)
for one or more time points for one or more wells of the multiwell
device. In some preferred embodiments, the software can calculate a
cell change index (CCI) from impedance measurements of one or more
wells of the multiwell device. The software can preferably generate
plots of impedance data and impedance values, such as but not
limited to CI or CCI, with respect to time. The software may
perform other analysis as well, such as calculate cell number from
CI, generate dose-response curves based on impedance data,
calculate IC values based on impedance values, and calculate
kinetic parameters of the excitation cycle cell based on impedance
values and impedance value curves. In some embodiments the beating
cycle of a cardiomyocyte population is determined, which may
include initiation and decay of individual beats. Peaks may be
derived from the detection of vectors associated with initiation of
beating or beating decay. Peaks may be derived with other methods.
In further embodiments the change in beating cycle of a
cardiomyocyte population is determined in response to a stimulus
such as a pharmacological agent. The software of the impedance
monitoring system can also store and display analyses of the data,
such as calculated impedance values and kinetic parameters derived
therefrom, Data can be displayed on a screen, as printed data, or
both. Data may be stored on a hard drive for exportation into
compatible programs for further analysis or data storage
[0124] Further information regarding how to calculate a cell index,
cell change index, normalized cell index, and delta cell index may
be found in U.S. patent application Ser. No. 11/235,938, and U.S.
Pat. No. 7,470,533, the contents of which are herein incorporated
by reference with respect to the cell index, cell index number,
cell change index, and cell change index number. However each is
briefly summarized.
[0125] The cell index obtained for a given well reflects: 1) how
many cells are attached to the electrode surfaces in this well, 2)
how well cells are attached to the electrode surfaces in the well.
In this case, a zero or near-zero "cell index or cell number index"
indicates that no cells or very small number of cells are present
on or attached to the electrode surfaces. In other words, if no
cells are present on the electrodes, or if the cells are not
well-attached onto the electrodes cell index=0. A higher value of
"cell number index" indicates that, for same type of the cells and
cells under similar physiological conditions, more cells are
attached to the electrode surfaces. Thus Cell index is a
quantitative measure of cell number present in a well. A higher
value of "cell index" may also indicate that, for same type of the
cells and same number of the cells, cells are attached better (for
example, cells spread out more, or cell adhesion to the electrode
surfaces is stronger) on the electrode surfaces.
[0126] A "Normalized Cell Index" at a given time point is
calculated by, dividing the Cell Index at the time point by the
Cell Index at a reference time point. Thus, the Normalized Cell
Index is 1 at the reference time point. Normalized cell index is
cell index normalized against cell index at a particular time
point. In most cases in the present applications, normalized cell
index is derived as normalized relative to the time point
immediately before a compound addition or treatment. Thus,
normalized cell index at such time point (immediately before
compound addition) is always unit one for all wells. One possible
benefit for using such normalized cell index is to remove the
effect from difference in cell number in different wells. A well
having more cells may produce a larger impedance response following
compound treatment. Using normalized cell index, it helps to remove
such variations caused by different cell numbers.
[0127] A "delta cell index" at a given time point is calculated by
subtracting the cell index at a standard time point from the cell
index at the given time point. Thus, the delta cell index is the
absolute change in the cell index from an initial time (the
standard time point) to the measurement time.
[0128] The time-dependent cellular response (including
cardiotoxicity response) may be analyzed by deriving parameters
that directly reflect the changes in cell status. For example, time
dependent cellular response may be analyzed by calculating the
slope of change in the measured impedance responses (that is
equivalent to the first order derivative of the impedance response
with respect to time, impedance response here can be measured
impedance data or derived values such as cell index, normalized
cell index or delta cell index). In another example, the
time-dependent cellular responses (including cardiotoxic responses)
may be analyzed for their higher order derivatives with respect to
time. Such high order derivatives may provide additional
information as for how cells responding to different compounds and
as for the mechanisms of compound action.
[0129] Thus CCI is the normalized rate of change in cell index. CCI
values can be used to quantify the cell status change. For cells in
an exponential growth under regular cell culture condition, the
cell index determined by a cell-substrate impedance monitoring
system described herein is expected to be a proportionate measure
of the cell number in the well since the cell morphology and
average extent of cell adhesion to the electrode surfaces among the
whole cell population do not exhibit significant changes over
time.
[0130] After measuring and recording time dependent impedance data
for excitable cells cultured on electrodes, various methods can be
used for determining beating cycle peaks. For example, time
dependent impedance values or cell index values for a well are
analyzed by deriving their first order derivatives and second order
derivatives using numerical methods. The beating cycle peaks are
those data points where the first order derivatives of impedance
values or cell index values are zero or close to zero in its
absolute value. If the beating cycle peak is a positive peak (i.e.
peak corresponds to a maximum value in measured impedance or cell
index over the beating cycle), then the peak would correspond to
the data points where the second order derivatives of the impedance
values or cell index values is negative and where the first order
derivatives of the impedance values or cell index values is zero or
close to zero in its absolute value. If the beating cycle peak is a
negative peak (i.e. peak corresponds to a minimum value in measured
impedance or cell index over the beating cycle), then the peak
would correspond to the data points where the second order
derivatives of the impedance values or cell index values is
positive and where the first order derivatives of the impedance
values or cell index values is zero or close to zero in its
absolute value. In another example, the method of determining a
beating cycle peak is to search for the data point where the trend
of the data changes direction from "increasing" to "decreasing"
with time (for a positive peak), or from "decreasing" to
"increasing" (for a negative peak). After the identification of the
beating cycle peaks, the impedance or cell index values at such
peak time points are the magnitude or amplitude of the beating
cycle peaks.
[0131] After determining the beating cycle peaks, various methods
can be used to calculate the beating rate. The beating rate can be
determined by dividing a unit time (e.g., 1 minute) by the time
period between two adjacent peaks. For example, if two adjacent
peaks are separated by 500 milliseconds, then the beating rate for
this 500 milliseconds can be determined as 120 beats per minute.
Another method is simply to count how many peaks in a unit time by
software. For example, if there are 2 peaks in one second interval,
then the beating rate should be 2 beats per second, or 120 beats
per minute.
D. Assessing or Quantifying Excitable Cells, Excitation
Contraction-Coupling and Cardiomyocytes In Vitro
[0132] In another aspect of the present invention a method for
assessing or quantifying excitable cells in vitro is provided. The
methods including detecting or monitoring excitable cells using
impedance monitoring with millisecond time resolution. In preferred
embodiments, the method includes providing the impedance based
system having millisecond time resolution system, adding excitable
cells to one or more wells of the device, monitoring impedance of
the one or more wells with millisecond time resolution, and
resolving individual cycles of the excitable cells. In some
embodiments monitoring impedance further includes determining cell
indices from impedance values, calculating average rate of
excitation events per unit time (such as beats per unit time when
using cardiomyocytes), determining amplitude intensity or average
amplitude intensity in a unit time, and/or determining the length
of time between excitation cycles (or beating cycles). These
additional determinations may be compared to further assess
excitable cells.
[0133] The methods have particular utility with cells that are
known or suspected to be capable of or undergo
excitation-contraction coupling, such as cardiomyocytes. Thus the
methods may monitor, detect or determine excitation
contraction-coupling of excitable cells. Further, even minor
variations in excitation-contraction coupling may be detected.
[0134] Preferably impedance measurements are performed with
millisecond time resolution. In some embodiments, two consecutive
impedance measurements are performed at less than 300 milliseconds
apart. In further embodiments, at least two consecutive impedance
measurements are performed less than 100 seconds apart. In further
embodiments, at least two consecutive impedance measurements are
performed less than 40 milliseconds apart. In further embodiments,
at least two consecutive impedance measurements are performed less
than 10 milliseconds apart. In some embodiments at least two
impedance measurements are between 1 millisecond and 50
milliseconds apart.
[0135] Cardiomyocytes are a subset of cells that are involved in
excitation-contraction coupling. Embodiments of the present
invention include applications for studying cardiomyocyte activity,
function and its modulation. By monitoring the continuous rhythmic
beating of cardiomyocytes, methods of the present invention allow
the study of cardiomyocytes themselves as well as screening for
pharmacological agents which may alter cardiomyocyte rhythmic
beating. Thus the methods permit screening of compounds or
conditions that affect cardiomyocyte function or induce
cardiotoxicity. Specifically, methods may assess or quantify
cardiomyocyte beating in vitro using impedance-based technology
having millisecond time resolution. In preferred embodiments, the
methods are based on quantification in real time of the rhythmic
changes in cardiomyocyte morphology as a result of the excitation
contraction coupling of the electrically excitable cardiomyocytes
growing on microelectrodes' surface in E-PLATES (ACEA Biosciences,
Inc. San Diego, Calif.). Thus quantification of the rhythmic
changes in cardiomyocyte morphology is achieved via the measurement
of electrode impedance, which may be performed with millisecond
time resolution. In summary, some methods provide a cellular
cardio-gram, which can provide incisive information about the
status of cardiomyocytes especially upon treatment with
pharmacological agents.
[0136] Cardiomyocytes used in the present invention may be any
known or experimental cardiomyocyte population. Human
cardiomyocytes will be particularly desirable when studying the
effect of pharmacological agents for human use; however,
cardiomyocytes may also be murine or mouse, rat, rabbit, dog, and
the like. Further, the cardiomyocytes may be primary cardiomyocytes
isolated from cardiac tissue or may be cultured cardiomyocytes,
which are cultured over time. In some embodiments, ES cells
destined to differentiate into cardiomyocytes are used. Isolated
primary cardiomyocytes as well as ES-derived cardiomyocytes retain
the ability to beat in culture. Thus, these cells provide a
desirable model system to study cardiomyocyte function in
vitro.
[0137] Cardiomyocytes have an innate ability to undergo
mechanotransduction. In other words, the spontaneous force
generated from the beating cardiomyocyte is translated to
intracellular biochemical signals. Membrane receptors such as
integrins, ion channels and other proteins have been shown to play
a crucial role in cardiac mechanotransduction and lead to a
continuous and rhythmic dynamics of the cardiac actin cytoskeleton
and morphology. Because the impedance-based system can sensitively
and precisely detect transient changes in morphology and adhesive
capacity of the cells, it can be used to monitor cardiac function
in vitro. Further, the development of millisecond time resolution
permits impedance monitoring of the cardiomyocyte beating cycle as
well as fluctuations, even minor alterations, in response to
external stimuli.
[0138] Exemplary steps involved in using an impedance-measurement
system for measurement of cardiomyocyte function include: providing
a system for monitoring impedance of excitable cells, in vitro,
which is capable of millisecond time resolution, optionally coating
wells of the device with either fibronectin or other matrix
proteins; seeding either embryonic stem cells (ES cells) of
mammalian origin or primary cardiomyocytes at sufficient seeding
densities into the wells of the device; allowing the cells to
attach and spread; after a period of time unique to ES-derived
cardiomyocytes or primary cardiomyocytes, monitoring cardiomyocyte
beating using the impedance-monitoring system to monitor electrode
impedance by using millisecond kinetic readout to resolve the
individual beat cycles of the cells.
[0139] The millisecond kinetic readout requires the impedance
measurement system be capable of obtaining impedance measurement
data at millisecond time resolution. Preferably, the time
difference between two consecutive impedance measurements for a
well is within the range of milliseconds (e.g., less than 300
millisecond, less than 100 milliseconds, less than 50 milliseconds,
less than 20 milliseconds, less than 10 milliseconds, or less than
or about 1 millisecond). Due to the fast nature of beating cycles
of cells, millisecond kinetic readout is required for proper
resolution. Thus, the time resolution for the impedance measurement
should allow the system to perform measurement using at least two
time points for each beat cycle, or at more than two points for
each beating cycle. In some embodiments, three, four, five or even
ten, or fifteen or twenty or more time points within each beating
cycle are obtained.
[0140] Embodiments of the present invention include methods of
assessing or quantifying cardiomyocytes include providing the
system for monitoring impedance of excitable cells in vitro, which
includes millisecond time resolution, adding cardiomyocytes to one
or more wells, monitoring impedance of the one or more wells, such
as using millisecond time resolution, and resolving excitation
cycle or beating cycle of the cardiomyocytes In further
embodiments, the method also includes determining cell indices from
impedance values, optionally calculating average rate of beats per
unit time, average amplitude intensity in a unit time as well as
the average length of time between the beats. In preferred
embodiments; millisecond time resolution permits measurement of at
least two consecutive impedance measurements within a beating
cycle. In some embodiments at least three consecutive impedance
measurements are performed with millisecond time resolution.
[0141] Isolated primary cardiomyocytes as well as ES-derived
cardiomyocytes retain the ability to beat in culture. These cells
provide an excellent model system to study cardiomyocyte function
in vitro, especially with regards to cardiotoxicity. A number of
cardiotoxic drugs are known to affect certain heart channels, such
as the ERG channels, that are involved in excitation-contraction
coupling of cardiomyocytes. Cardiomyocytes have an innate ability
to undergo mechanotransduction, that is that the spontaneous force
generation of the beating cardiomyocyte is translated to
intracellular biochemical signals. Membrane receptors such as
integrins, ion channels and other proteins have been shown to play
a crucial role in cardiac mechanotransduction and lead to a
continuous and rhythmic dynamics of the cardiac actin cytoskeleton
and morphology. Because the impedance-based system can sensitively
and precisely detect transient changes in morphology and adhesive
capacity of the cells, the it can be used to monitor cardiomyocyte
beating in vitro.
[0142] Another exemplary method for impedance based measurement of
cardiomyocyte beating includes: providing a single-well or
multi-well device that comprise microelectrode arrays in well(s) of
the device; which can be used for monitoring cell-substrate
impedance; optionally coating wells of the device with either
fibronectin or other matrix proteins; seeding either embryonic stem
cells (ES cells) of mammalian origin or primary cardiomyocytes at
specific seeding densities to the wells of the device; allowing the
cells to attach and spread; after a specified period of time unique
to ES-derived cardiomyocytes or primary cardiomyocytes, monitoring
cardiomyocyte beating using the impedance-monitoring system to
monitor electrode impedance by using millisecond kinetic readout to
resolve the individual beat cycles of the cells.
[0143] In another exemplary embodiment for measurement of
cardiomyocyte function the method includes: optionally coating
E-PLATES with either fibronectin or other matrix proteins; seeding
either ES cells of mammalian origin or primary cardiomyocytes at
specific seeding densities; allowing the cells to attach and
spread; after a specified period of time unique to ES-derived
cardiomyocytes or primary cardiomyocytes, monitoring cardiomyocyte
beating using an impedance-based system by using millisecond
kinetic readout to resolve the individual beat cycles of the
cells.
[0144] Dynamic monitoring of cardiomyocyte beating is based on
quantification in real time of the rhythmic changes in
cardiomyocyte morphology as a result of the excitation contraction
coupling of the electrically excitable cardiomyocytes growing on
microelectrodes' surface of E-PLATES. The quantification of the
rhythmic changes in cardiomyocyte morphology is achieved via the
fast, millisecond resolution and continuous measurement of
electrode impedance. The method essentially provides a cellular
cardio-gram which can provide incisive information about the status
of cardiomyocytes especially upon treatment with pharmacological
agents. An exemplary, method includes providing a device for
measuring cell-substrate impedance operably connected to an
impedance analyzer, wherein the device includes at least one well
optionally coated with fibronectin to expedite attachment; adding
cells to the at least one well, where the cells can be mouse or
human or other mammalian ES cells or adult stem cells destined to
differentiate into cardiomyocytes or primary cardiomyocytes
isolated directly from the heart of an experimental system
including mice, rats, rabbits or dog; monitoring impedance of the
at least one well at time intervals over a period of time and
optionally determining cell indices from impedance values;
optionally calculating average rate of beats per unit time, average
amplitude intensity in a unit time as well as the average length of
time between the beats.
[0145] Certain cardiotoxic drugs can illicit their effect by
affecting the morphological aspects of cardiomyocyte morphology.
For example, it is well known that compounds such as .beta.-2
adrenergic receptor agonists can induce morphological changes
resulting in an elongated cardiomyocyte morphology, otherwise known
as hypertrophy. Morphological changes can occur immediately in the
order of minutes as with certain GPCR agonists or can be of longer
duration detectable over several days. The time resolution of the
impedance-based system can be used to distinguish between different
kinds of morphological effects. The steps involved in using an
impedance-monitoring system for measurement of morphological
modulation of cardiomyocytes may include: optionally coating
E-PLATES with either fibronectin or other matrix proteins; seeding
either embryonic stem cells (ES cells) of mammalian origin,
mammalian adult stem cell-derived cardiomyocytes or primary
cardiomyocytes isolated directly from mammalian heart tissue at
specific seeding densities to the wells of the device; allowing the
cells to attach and spread; monitoring cardiomyocyte viability over
time using the impedance-monitoring system at prespecified
intervals of time for 12, 24, 48, 72 hours or longer; at certain
times after cell seeding, treat the cell with agents that may cause
morphology changes at one or more concentration; using the vehicle
that the agent is dissolved in as a control; continuing to
monitoring the cardiomyocytes at 1 minute intervals for at least
1-2 hours to capture any immediate morphological changes and
continue to monitor at 30 minutes intervals of time for additional
12, 24, 48, 72 hours or longer to detect long term morphological
changes; and quantifying the extent of morphological change by
normalizing the cell index values immediately prior to agent
addition and determine the normalized cell index at a given time
point after agent addition. The extent of morphological change can
be expressed as EC-50 value which quantifies the activity of the
agent with respect to the cardiomyocyte shape changes.
[0146] Once regular cardiomyocyte beating can be effectively
monitored compounds may be added to the wells to assess whether or
not beating frequency is altered, beating amplitude is altered and
the like. Thus, compounds that adversely affect the normal
cardiomyocyte beating are suspected of being cardiotoxic. However,
cardioprotective agents can also be assessed by adding an agent
suspected of being cardioprotective to the well and inducing a
cardiotoxic response.
[0147] Accordingly, methods of identifying or screening for
potential agents that modulate ES-derived cardiomyocyte beating or
primary cardiomyocyte beating by monitoring and measuring the
excitation-contraction coupling of cardiomyocytes upon treatment
with pharmacological agents are also provided. The methods may
include providing the system for monitoring impedance at
millisecond resolution of excitable cells in vitro, adding ES cells
or primary cardiomyocytes to two or more wells, adding a test agent
suspected of modulating ES-derived or primary cardiomyocyte beating
to a first well to provide a test well and either no agent or a
control agent to a second well to form a control well, monitoring
impedance of the two or more wells at different or similar time
intervals using millisecond time resolution at least in part, and
optionally determining cell indices from impedance values,
generating an impedance-based curve or optionally a cell index
curve for each of the test well and control well, and comparing the
impedance-based curves or optionally the cell index curves between
the test well and the control well. If significantly different, the
test agent is concluded to modulate cardiomyocyte function. In
preferred embodiments, the impedance-based curves may be direct
measurement of cardiomyocyte excitation-contraction coupling;
however, the methods may also include long term monitoring of the
viability and or morphology of the cardiomyocytes. The methods may
show whether the test agent increases cardiomyocyte beating, which
is indicative of increased heart rate, or whether the cardiomyocyte
beating is slowed, which is indicative of lowered heart rate.
[0148] In another exemplary embodiment a method for screening for
modulators of cardiomyocyte beating using an impedance-measurement
system in vitro may include: providing a single-well or multi-well
device that comprise microelectrode arrays in well(s) of the
device, which can be used for monitoring cell-substrate impedance;
optionally coating wells of the device with either fibronectin or
other matrix proteins; seeding either embryonic stem cells (ES
cells) of mammalian origin, mammalian adult stem cell-derived
cardiomyocytes or primary cardiomyocytes at specific seeding
densities to the wells of the device; allowing the cells to attach
and spread; after a specified period of time unique to ES-derived
cardiomyocytes or primary cardiomyocytes, monitoring cardiomyocyte
beating using the impedance-monitoring system to monitor electrode
impedance by using millisecond kinetic readout to resolve the
individual beat cycles of the cells; and adding the pharmacological
agents at one or more doses and continue monitoring the
cardiomyocyte beating frequency. Preferably, the step of monitoring
impedance of beating is performed immediately prior to addition of
pharmacological agent, in order to obtain a baseline of the
cardiomyocyte beating frequency using fast measurement software and
hardware to ensure milli-second kinetic readout signals.
[0149] In another exemplary embodiment, a method of screening for
modulators of cardiomyocyte beating using an impedance-based system
in vitro includes seeding cardiomyocytes, in E-PLATES exactly as
described in the previous exemplary, embodiment; however, prior to
addition of pharmacological agent, obtaining a baseline of the
cardiomyocyte beating frequency using the impedance measurement
system with millisecond time resolution; and adding the
pharmacological agents at one or more doses and continue monitoring
the cardiomyocyte beating frequency.
[0150] It is well established that certain pharmacological
treatments and disease conditions can result in cardiac hypertrophy
or atrophy culminating in changes in the morphology of
cardiomyocyte. Cell substrate impedance can be used to precisely
measure and quantify these changes in cell morphology and shape.
Certain treatments can also affect the differentiative process of
ES cells to cardiomyocytes which may involve specific morphological
and adhesive changes. In some embodiments the present invention is
directed to a method to screen for potential agents that may
modulate the morphology of ES-derived cardiomyocyte, adult stem
cell-derived cardiomyocyte or primary cardiomyocyte or its
differentiation. The agent may include but is not limited to
compounds, drugs, peptides, proteins, antibodies, siRNA, shRNA,
miRNA, cDNA, lipids and any combination thereof. The method
includes providing a device for measuring cell-substrate impedance
operably connected to an impedance analyzer, wherein the device
includes at least two wells; adding ES cells, adult stem-cell
derived cardiomyocytes or primary cardiomyocytes to at least two
wells; monitoring impedance of the at least two wells at different
or similar time intervals over a period of time and optionally
determining cell indices from impedance values; generating an
impedance-based curve or optionally a cell index curve for each of
the at least one known factor and the control; comparing the
impedance-based curves or optionally the cell index curves between
the at least one known biologically active agent well and the
control well; the impedance-based curves could be direct
measurement of changes in cell morphology and if significantly
different, concluding that the biologically active agent modulates
cardiomyocyte function. Optionally, impedance-based curves or
optionally cell index curves are used to calculate the compound
dose-dependent changes in cardiomyocyte morphology and generate an
EC-50 value for the potency of the compound.
[0151] The method of the present invention is to devise a
label-free cell-based assay system for continuous monitoring of
cardiomyocyte viability, the rhythmic beating of cardiomyocytes and
cardiomyocyte morphology and differentiation and to screen for
pharmacological agents which may modulate these processes and
induce cardiotoxicity. In some embodiments, viability is monitored
based on long term impedance monitoring of cardiomyocytes seeded in
microelectronic plates (E-Plates). Viable cells will continue to
generate impedance signal and any changes in viability, especially
due to cytotoxic or cardiotoxic drugs will be reflected by changes
in impedance. In one respect, the method includes providing a
device for measuring cell-substrate impedance operably connected to
an impedance analyzer, wherein the device includes at least one
well optionally coated with fibronectin to expedite attachment;
adding cells to the at least one well, where the cells can be mouse
or human or other mammalian ES cells or adult stem cells destined
to differentiate into cardiomyocytes or primary cardiomyocytes
isolated directly from the heart of an experimental system
including mice, rats, rabbits or dog; monitoring impedance of the
at least one well over a period of time and optionally determining
cell index from impedance values; In another aspect, the method
includes providing a device for measuring cell-substrate impedance
operably connected to an impedance analyzer, wherein the device
includes at least two wells optionally coated with fibronectin to
expedite attachment; adding cells to the at least two wells, where
the cells can be mouse or human or other mammalian ES cells or
adult stem cells destined to differentiate into cardiomyocytes or
primary cardiomyocytes isolated directly from the heart of an
experimental system including mice, rats, rabbits or dog;
monitoring impedance of the at least two wells over a period of
time and optionally determining cell index from impedance values.
Treating at least one well with an agent; where the agent could
include but is not limited to a compound, peptide, protein,
antibody, siRNA, shRNA, lipid or any combination of thereof and the
other well is treated with an appropriate control; continue
monitoring of control and treated well over a period of time
preoptimized for the experiment of interest; concluding that the
factor may affect cell viability if the impedance or alternatively
the cell index of the treated well is significantly different than
the impedance or cell index of the treated well.
[0152] In other preferred embodiments short term measurement using
millisecond time resolution is combined with longer term impedance
monitoring, such as over seconds, hours, days and the like. Certain
cardiotoxic drugs can directly affect the viability of
cardiomyocytes. Thus, long term impedance monitoring may be used to
assess loss of viability of cardiomyocytes. An exemplary long term
method to assess loss of viability includes: optionally coating
E-PLATES with either fibronectin or other matrix proteins; seeding
either embryonic stem cells (ES cells) of mammalian origin,
mammalian adult stem cell-derived cardiomyocytes or primary
cardiomyocytes isolated directly from mammalian heart tissue at
seeding densities to the wells of the device; allowing the cells to
attach and spread; monitoring cardiomyocyte viability over time
using the impedance-monitoring system to monitor electrode
impedance at pre-specified intervals of time for specified length
of time such as 12, 24, 37, 48, 72 hours or longer; at certain time
after cell seeding; treating the cell with a cytotoxic agent at one
or more concentration; using the vehicle that the agent is
dissolved in as a control; continue monitoring the cardiomyocytes
at pre-specified intervals of time for specified length of time
such as additional 12, 24, 48, 72 hours or longer, quantify the
extent of cardiotoxicity by normalizing the cell index values
immediately prior to agent addition and determining the normalized
cell index at a given time point after agent addition;
alternatively the rate of cytotoxicity can also be quantified for a
given time period after compound addition for a given agent
concentration or a group of concentrations. The extent of
cytotoxicity can be expressed as IC-50 value which quantifies the
activity of the agent with respect to the cardiomyocytes.
[0153] In another aspect of the present invention, direct optical
monitoring of cardiomyocytes is used to quantify and measure the
beating of cardiomyocytes. The method includes providing a device
for optically monitoring cells and monitoring cell morphology
operably connected to an optical measurement system, where the
device includes at least two wells optionally coated with
fibronectin to expedite attachment; adding cells to the at least
two wells, where the cells can be mouse or human or other mammalian
ES cells destined to differentiate into cardiomyocytes or primary
cardiomyocytes isolated directly from the heart of an experimental
system including mice, rats, rabbits or dog; optically monitoring
the cells of at least two wells at time intervals over a period of
time via the optical measurement system; optionally calculating
average rate of beats per unit time, average amplitude intensity in
a unit time as well as the average length of time between the
beats. The device for such optical measurement of cells may include
microtiter plates. The optical system may include optical
magnification instrument such as microscope, optical CCD camera,
optical-signal processing algorithm to quantify cell beating and to
derive cell-beating parameters (such as calculating average rate of
beats per unit time, average amplitude intensity in a unit time as
well as the average length of time between the beats) based on cell
morphology images.
[0154] On skilled in the art will recognize that any agent may be
tested. The agent may be a biologically active agent. Exemplary
test agents include compounds, drugs, peptides, proteins,
antibodies, antibody fragments, siRNA, shRNA, miRNA, cDNA, lipids
and any combination thereof. Optionally, impedance-based curves or
optionally cell index curves are used to calculate average rate of
beats of cardiomyocytes per unit time, average amplitude intensity
in a unit time as well as the average length of time between beats,
comparison of these optionally derived parameters is made between
the test well and the control well, and if significant differences
exist, one may optionally conclude that the test agent modulates
cardiomyocyte functions.
[0155] The study of cardiomyocyte function and modulation has
particular utility in the biomedical arts. For example, the methods
of the present invention may be used to assess whether a potential
agent is cardiotoxic, cardioprotective and the like. If normal
cardiomyocyte beating is altered, the result likely demonstrates
the potential agent is cardiotoxic. Such information would permit
effective screening prior to testing in live animals or in humans.
Further, by coupling millisecond time resolution over extended time
periods, the methods may assess short term and long term effects on
cardiomyocytes. Since it is well established that certain
pharmacological treatments and disease conditions can result in
cardiac hypertrophy or atrophy culminating in changes in the
morphology of cardiomyocyte, the systems and methods are able to
precisely measure and quantify these changes in cell morphology and
shape. Thus the methods and systems have particular utility in the
areas of biomedical research.
[0156] In some embodiments, potential agents are tested to assess
whether they are cardioprotective, or protect against adverse
affects. In such embodiments the agent suspected of being
cardioprotective is added to the cardiomyocytes prior to,
simultaneously or after adding a cardiotoxic agent or a cardiotoxic
event. Thus, a cardioprotective agent may prevent abnormal shifts
in beating cycle, which would naturally occur in the presence of a
cardiotoxic agent. In further embodiments, cardiomyocytes having
abnormal beating cycles are treated with potential agents to assess
whether normal beating may be induced, such as through
administration of a cardioprotective pharmacological agent.
[0157] Certain treatments can also affect the differentiative
process of ES cells to cardiomyocytes which may involve specific
morphological and adhesive changes. In another aspect of the
present invention a method is provide to screen or potential agents
that may modulate the morphology of ES-derived cardiomyocyte, adult
stem cell-derived cardiomyocyte or primary cardiomyocyte or its
differentiation.
[0158] Impedance-based curves and optionally cell index curves may
be used to calculate average rate of beats per unit time, average
amplitude intensity in a unit time as well as the average length of
time between the beats. Significant difference between measurements
or data of a test well and a control well support a finding that
the biologically active agent within the test well modulates
cardiomyocyte function.
E. Assessing the Developmental or Functional Consequence of Gene
Knockout and Transgene Expression in Embryonic Stem Cell-Derived
Cardiomyocytes
[0159] Embodiments of the present invention also include assessing
the developmental consequence of genetically manipulated ES cells
or their derived cardiomyocytes. ES cells offer a suitable
experimental model system that is amenable to genetic manipulation.
Therefore, specific genes can be targeted in knockout experiment as
well as genes can be expressed in a developmental or stage specific
manner under the control of special promoters. The impedance-based
measurement system with millisecond time resolution can be used to
evaluate the role of these genes in cardiac development and or
function.
[0160] Steps involved in assessing the developmental and functional
effect of gene knockout or transgene expression may include:
obtaining ES cells harboring specific knockout of genes or which
expresses a particular transgene; provide the system for monitoring
impedance of excitable cells having millisecond time resolution;
optionally coating wells of the device with either fibronectin or
other matrix proteins; seeding the embryonic stem cells (ES cells)
of mammalian origin at desired seeding densities into the wells of
the device; allowing the cells to attach and spread; after a time
period unique to ES-derived cardiomyocytes or primary
cardiomyocytes, and monitoring cardiomyocyte beating using the
impedance-monitoring system using millisecond kinetic readout to
resolve the individual beat cycles of the cells. If a particular
gene is required for development of cardiomyocytes from ES cells,
it is likely that the knockout of that gene will either block or
delay the differentiation of ES cells to cardiomyocytes. Since the
impedance-based measurement system is capable of functional
monitoring of cardiomyocyte, it can be used as a specific way to
monitor the effect of either gene knockout or transgene expression
on cardiomyocyte function. In alternative embodiments, the ES cells
can be transfected with specific siRNA to "knockdown" the product
of a particular transcript and then monitor cardiomyocyte
differentiation and function in vitro using the impedance-based
measurement system with millisecond time resolution.
[0161] In other exemplary embodiments an impedance-based
measurement system is used to evaluate the role of genes in cardiac
viability, morphology, development and or beating function. The
steps involved in assessing developmental and functional effect of
gene knockout or transgene expression may include: obtaining ES
cells harboring specific knockout of genes or which expresses a
particular transgene; providing a single-well or multi-well device
that comprise microelectrode arrays in well(s) of the device, which
can be used for monitoring cell-substrate impedance; optionally
coat wells of the device with either fibronectin or other matrix
proteins; seeding the embryonic stem cells (ES cells) of mammalian
origin or adult stem cells of mammalian origin at specific seeding
densities to the wells of the device; allowing the cells to attach
and spread and monitor the growth and viability of the cells using
the impedance-based system; after a specified period of time unique
to ES-derived cardiomyocytes or primary cardiomyocytes, monitoring
cardiomyocyte beating using the impedance-monitoring system to
monitor electrode impedance by using milli-second kinetic readout
to resolve the individual beat cycles of the cells. If a particular
gene is required for development of cardiomyocytes from ES cells,
it is likely that the knockout of that gene will either affect the
viability of the cells or block or delay the differentiation of ES
cells to cardiomyocytes. Since the impedance-based measurement
system is capable of functional monitoring of cardiomyocyte both in
long term assays and short term assays, it can be used as a
specific way to monitor the effect of either gene knockout or
transgene expression on cardiomyocyte function. In related
embodiments; the ES cells can be transfected with specific siRNA to
"knockdown" the product of a particular transcript and then monitor
cardiomyocyte viability, differentiation and function in vitro
using the impedance-based measurement system.
[0162] In another exemplary embodiment, steps involved in assessing
the developmental and functional effect of gene knockout or
transgene expression using an impedance-based system in vitro are
provided, which include: obtaining ES cells harboring specific
knockout of genes or which expresses a particular transgene;
optionally coating E-PLATES with either fibronectin or other matrix
proteins; seeding either ES cells of mammalian origin or primary
cardiomyocytes at specific seeding densities; allowing the cells to
attach and spread; and after a specified period of time unique to
ES-derived cardiomyocytes or primary cardiomyocytes, monitoring
cardiomyocyte beating using the impedance-based system by using
millisecond kinetic readout to resolve the individual beat cycles
of the cells. If a particular gene is required for development of
cardiomyocytes from ES cells, it is likely that the knockout of
that gene will either block or delay the differentiation of ES
cells to cardiomyocytes. Since the impedance-based system is
capable of functional monitoring of cardiomyocyte, it can be used
as a specific way to monitor the effect of either gene knockout or
transgene expression on cardiomyocyte function. Alternatively, the
ES cells can be transfected with specific siRNA to "knockdown" the
product of a particular transcript and then monitor cardiomyocyte
differentiation and function in vitro using the impedance-based
system.
[0163] In another aspect, the present invention is directed to
method to establish an assay to assess the effect of gene knockout
or transgene expression in ES cells differentiated to
cardiomyocytes and functionally monitored by the impedance-based
system. The method includes providing a device for measuring
cell-substrate impedance operably connected to an impedance
analyzer, wherein the device includes at least two wells; adding
wildtype ES cells as control to at least 1 well and ES cells with a
gene knockout or a transgene in at least 1 other well; monitoring
impedance of the at least two wells at time intervals over a period
of time and optionally determining cell indices from impedance
values; comparing the impedance-based curves or optionally the cell
index curves between the control well and the well containing the
ES cells harboring a knockout of a specific gene or expressing a
specific transgene; and if significantly different, concluding that
the gene knockout or the transgene can affect either cardiomyocyte
viability, morphology from ES cells or cardiomyocyte function as
monitored by observing the excitation-contraction coupling.
[0164] As above, in preferred embodiments, the time difference
between two consecutive impedance measurement for a well is in the
range of milliseconds (e.g., less than 500 milliseconds, less than
300 milliseconds, less than 100 milliseconds, less than 10
milliseconds, or less than about 1 millisecond or faster). The
millisecond kinetic readout is required to resolve the individual
beat cycles of the cells. Thus, the time resolution for the
impedance measurement should allow the system to perform
measurement using at least two time points for each beat cycle. In
some embodiments more than two time points are resolved for each
beating cycle.
EXAMPLES
Example 1
Impedance Monitoring of Attachment, Growth and Viability of Mouse
ES Cell-Derived Cardiomyocytes
[0165] Since isolated primary cardiomyocytes, ES-derived
cardiomyocytes and adult stem cell-derived cardiomyocytes can be
maintained in culture, these cells provide a desirable model system
to study cardiomyocytes as well as cardiomyocyte modulation. The
present example demonstrates the use of the ACEA RT-CES system to
measure and monitor the attachment, growth and viability of mouse
ES-derived cardiomyocytes which were seeded at different seeding
densities.
[0166] Mouse ES cells were seeded at a density ranging from 3000
cells to 50,000 cells per well in E-PLATES (Acea Biosciences, San
Diego, Calif.) precoated with fibronectin. The attachment, growth
and viability of the cells were monitored on RT-CES system
measuring impedance signal in the form of cell index every 30
minute for 48 hours. At about 48 hrs after cell seeding, the growth
of the cells had ceased and the appearance of beating
cardiomyocytes were evident as judged by looking at the cells
inside the E-PLATE under the microscope.
[0167] FIG. 3 shows the cell index curves measured on RT-CES system
for 4 different seeding densities (3750, 7500, 15,000 and 30,000
cells per well) of mouse ES-derived cardiomyocytes. For such long
term measurement, cell electrode impedance and corresponding cell
indices were measured at about 15 minute intervals. Based on the
cell index growth and viability curves, it is evident that the
extent of the impedance signal correlates well with the seeding
density of viable ES-derived cardiomyocytes.
Example 2
Detection of Cardiotoxic Effects Using Real Tim Impedance
Monitoring
[0168] As an example, we describe here the use of the ACEA RT-CES
system to measure and monitor the attachment and growth of mouse ES
cells derived cardiomyocytes and subsequently treated with a
cytotoxic agent (FIG. 4A-B).
[0169] Mouse ES-derived cardiomyocytes were seeded at a density of
25,000 cells per well in E-PLATES precoated with fibronectin. The
attachment and growth of cells were monitored on RT-CES system for
72 hours and then treated with increasing doses of the compound of
sodium dichromate dehydrate which is known to induce cytotoxicity.
According to FIG. 4A the plot of normalized cell index for cells in
different wells treated with different concentrations of sodium
dichromate dehydrate (SDD), SDD causes a concentration dependent
decrease in viability of ES-derived cardiomyocytes. To quantify the
extent of sodium dichromate dehydrate activity against the
cardiomyocytes, the normalized cell indices at 24 hrs after
compound treatment were plotted against the log of the
corresponding sodium dichromate dehydrate concentrations. From the
sigmoidal curve, shown in FIG. 4B, half maximal activity or IC-50
value of 1.48 uM was derived for the compound.
Example 3
Real Time Monitoring of Mouse ES Cell-Derived Cardiomyocytes and
Inducing Hypertrophy
[0170] As an example, we describe here the use of the ACEA RT-CES
system to measure and monitor the attachment and growth of mouse ES
cells derived cardiomyocytes and subsequently treated with
isoproteranol, a .beta.2 adrenergic receptor agonist known to
induce hypertrophy (FIG. 5A).
[0171] Mouse ES-derived cardiomyocytes were seeded at a density of
25,000 cells per well in E-PLATES precoated with fibronectin. The
attachment and growth of the cells were monitored on RT-CES system
for 72 hours and then treated with increasing doses of the compound
isoproteranol. According to FIG. 5A, isoproteranol causes a
concentration dependent change in cell index readings. The timing
of the cell index change is consistent with a change in the
morphology of the cells which we have shown previously for other
GPCR agonists in primary cells (Yu et al (2006): Real-time
monitoring of morphological changes in living cells by electronic
cell sensor arrays: an approach to study G protein-coupled
receptors; Analytical Chemistry, Vol 78, pages 35-43). To quantify
the extent of isoproteranol-induced morphological changes in mouse
ES-derived cardiomyocytes, the normalized cell indices were plotted
against the log of the corresponding isoproteranol concentrations
(FIG. 5B). From the sigmoidal CU generated a half maximal activity
or IC-50 value of 3.1 nM was derived for the compound.
Example 4
Real Time Impedance Monitoring with Millisecond Resolution of
Beating Cardiomyocytes
[0172] As an example, we describe here the use of an improved
impedance-based system with millisecond time resolution to measure
and monitor the beating of cardiomyocytes using fast kinetic
software.
[0173] Mouse ES cells were seeded at a density of between 3,000 to
50,000 cells per well in E-PLATES precoated with fibronectin. The
attachment and growth of the cells were monitored on RT-CES system.
FIG. 6 shows the cell index curves measured on RT-CES system for 4
individual wells, with cell culture medium as background starting
from cell seeding to about 86 hrs after cell seeding. For such long
term measurement, cell electrode impedance and corresponding cell
indices were measured at about 15 minute intervals. As evidenced on
these plots, the cell index curves were rather smooth up to about
44-48 hrs, after which there were "noises" or "small-spikes" on the
cell index curves. Such spikes were most evident after about 60
hrs. We now understand the origins of such "small-spikes" and
interpret that such spikes in the impedance or cell index readout
are associated with the beating of the cells. During the
synchronized beating of the cells, the cell morphology and cell
adhesion/attachment to the electrodes change regularly in synchrony
with the cell beating. Such regular or periodic changes in cell
morphology and cell adhesion/attachment are then reflected in the
changes in cell-electrode or cell-substrate impedances.
[0174] In order to monitor beating of cardiomyocytes, a specially
designed software and measurement circuit hardware that are capable
of millisecond impedance data acquisition (e.g., typically with
time resolution between consecutive impedance measurement for a
same well being less than 40 milliseconds) was used to monitor the
quick rhythmic beating of the cardiomyocytes. For such measurement,
the background electrode impedance is measured with the cells
inside the wells (note, this is in contrast with FIGS. 3 and 6,
where the background measurement is performed using cell culture
media). The software was used to measure cardiomyocyte beating at
distinct stages throughout its attachment and growth phases (FIG.
7). For a baseline reference, the impedance measurement was done on
the ES cells at 24 hours where the cells had not fully spread and
formed a tight monolayer and even though the cells appear to beat
when visualized under a microscope, they do so asynchronously and
as a result no net beating signal is detected (FIG. 7A). For plot,
impedance readout has been converted into dimensionless cell
indices, FIGS. 7B and 7C show that ES cells that had fully spread
and formed tight junctions with neighboring cells at 48 hours and
72 hours respectively, show regular impedance-spikes which
correlate with the beating frequency of cardiomyocytes as judged by
microscopic observation.
[0175] To use the measured cell index curves, it is important to
further derive various physiologically relevant parameters. Several
important parameters may include, the beating rate of the
cardiomyocytes (i.e., how many times the cells beat within a unit
of time for example, a minute), the beating amplitude (i.e. the
magnitude of the beating of cells in terms of impedance change) the
average amplitude intensity in a unit time as well as the average
length of time between the beats, time of rise for a beat, time of
decay for a beat. Because of the unique and complex nature of the
impedance readout signals (smaller signal amplitude, sampling time
resolution may be limited by the hardware and the software used),
appropriate methods or techniques are required for analyzing cell
index curves to derive the above mentioned parameters.
[0176] For deriving the beating rates of cardiomyocytes, one method
may be by counting how many peaks there are within a given time
frame (for example, one minute). For this approach to work, the
sampling time resolution has to be sufficiently high so that the
each beat of the cells does show a peak on the recorded cell index
curves. In addition, determining a peak "automatically" also
require some algorithm. For example, each peak would have to have
one "rise" in cell index and also one "decay" in cell decay. Each
"rise"-and-"decay" pair forms a single peak. The algorithm needs to
determine such "rise" and "decay" portions of the curves and then
counts a peak.
[0177] Another method to derive or count the beating rates of
cardiomyocytes is to perform a detailed signal analysis to derive
the frequency components of the cell index curves and to derive the
magnitude of each frequency components. One method of signal
analysis is Fourier transform of the cell index curve (of the time
domain). Like above method, the sampling time-resolution needs to
be sufficiently high so that each beat of the cells has at least
three time points being measured. After performing Fourier
transform, we would look for the frequency components having the
largest magnitude and such frequency would correspond to, or be
very close to, the beating frequency. In addition, for such
analysis, giving a fixed sampling time resolution, the more time
points sampled for analysis, the more accurate it is for the
analyzed heating frequency. FIG. 8A and FIG. 8B shows a pair of
cell index curves and the corresponding beat rate based the above
described Fourier transform. In FIG. 8B, the cell index curves last
from time zero to time 42 seconds. In FIG. 8B, the beating
frequency for the traces in FIG. 8A is analyzed using the method
described here, i.e., Fourier transform followed by picking up the
highest-magnitude frequency component. For each derived frequency
data at one time moment in FIG. 8B, cell index data from multiple
time points (starting from previous 98 time points plus the time
moment of interest) is used for analysis. Thus, the time axis in
FIG. 8B starts from about 20 seconds to 42 seconds.
[0178] Another method deriving the beating rates of cardiomyocytes
is to first determine the time length (.DELTA.T in seconds) between
two consecutive peaks and then calculate the beating rate according
to the formula of "beats per minute=60/.DELTA.T". Thus for each
two-consecutive peaks, one can calculate one heating rate.
Furthermore, one can plot this beating rate as a function of the
time (of the first of the two consecutive peaks) to obtain the time
dependency of the beating rates. FIG. 9A shows an example of the
time-dependent beat rates derived using this method, for mouse
ES-derived cardiomyocytes treated with compound sotalol at a
concentration of 4.4 uM. Corresponding cell index data is shown in
FIGS. 9C and 9D, where the time resolution between two adjacent
points is 40 milliseconds. In other words, a second in FIGS. 9C and
9D is equivalent to 40-milliseconds.
[0179] For deriving the amplitude of the beating of the
cardiomyocytes, there may also be different methods. One method is
to analyze each peak and finding the peak maximum and the peak
minimum. The amplitude is calculated by subtracting peak maximum by
the peak minimum. Then, one can plot the peak amplitude as a
function of the time of the peak to obtain the time dependency of
the peak amplitude. FIG. 9B shows an example of the time-dependent
peak amplitudes derived using this method, for mouse ES-derived
cardiomyocytes treated with compound sotalol at a concentration of
4.4 uM. Another approach may also be to use Fourier transform
described above. Then based on derived Fourier coefficients, one
can re-simulate time domain cell index curves and look for the peak
magnitude from the simulated curves.
[0180] For deriving the averaged length of time between the beats,
there may also be different methods. For each identified peak, one
can first determine a starting point of the peak. Then the time
difference between two consecutive peaks at the two starting points
of the peak can be used for the length of time between the
beats.
[0181] With the method of determining each peak, one can also
calculate the time-of-rise of the peak and the time-decay-of the
peak.
Example 5
Identifying Modulators of Cardiac Function Using Real Time
Impedance Monitoring with Millisecond Resolution
[0182] Similar to Example 4, the millisecond kinetic readout
requires that the impedance measurement system can provide
impedance measurement data at millisecond time resolution. In other
words, the time difference between two consecutive impedance
measurement for a well shall be in the range of milliseconds (e.g.,
less than 500 millisecond, less than 300 millisecond, less than 100
millisecond, less than 10 millisecond, or less than 1 millisecond
or faster). The millisecond kinetic readout is required to resolve
the individual beat cycles of the cells. Thus, the time resolution
for the impedance measurement should allow the system to perform
measurement at least two time points for each beat cycle, or at
more than two points for each beat cycle.
[0183] In order to demonstrate the utility of the millisecond
kinetic impedance-measurements, we first used two pharmacological
agents, one known to suppress the heart rate and consequently
cardiomyocyte beating and the other known to increase the heart
rate and consequently the rate of cardiomyocyte beating. As Mouse
ES cells were seeded in FN-coated E-PLATES and monitored for about
72 hours when the cells differentiated into beating cardiomyocytes,
as described in Section 4. A baseline of the cardiomyocyte was
taken for approximately 40 seconds using the specially designed
fast kinetic data acquisition hardware and software which is
capable of millisecond data acquisition and display. An agonist of
muscarinic receptors, carbachol, which is known to slow down the
heart rate was added to one well at a final concentration of 333 nM
and cardiomyocyte beating was monitored for 10 minutes (FIG. 10A).
The data clearly shows that carbachol significantly slows down the
rate of cardiomyocyte beating from .about.80 beats/min prior to
carbachol addition to .about.60 beats/min after carbachol addition
(Table I). Alternatively, addition of isoproterenol at a final
concentration of 4.4 uses significantly increased the rate of
cardiomyocyte beating from 65 beats/min to 115-135 beats/min (FIG.
10B and Table I). These data clearly show that the readout system
and the fast kinetic software are sufficiently robust and sensitive
to detect these changes in rate of cardiomyocyte beating even at
very low compound concentrations. Similar to the cell index plot
shown in FIGS. 9C and 9D, the time resolution between two adjacent
points in FIGS. 10A and 10B is 40 milliseconds. In other words, a
second in FIGS. 10A and 10B is equivalent to 40 millisecond.
TABLE-US-00001 TABLE I Beat Compound Mechanism Concentration Rate
Amplitude Pattern Change Carbachol Muscarnic receptor 333 nM From
~80 From 0.07 Beating rate agonist to ~60 to 0.06 decreased
Isoproteranol b2 Adrenergic 4.4 uM From From 0.19 Beating rate
receptor agonist ~65 to to 0.16 increased 115-136
[0184] To further demonstrate the capabilities of the improved
impedance-based monitoring of cardiomyocyte beating in detecting
drugs which may adversely affect heart function, a number of drugs
which have been pulled out of the market due to cardiotoxic side
effects such as ERG channel inhibition and QT elongation were
compiled and tested in a dose-dependent manner. The list of these
compounds, their mechanism and adverse side affects are shown in
Table II. For these tests, mouse ES derived cardiomyocytes were
seeded at a final density of 25,000 cells in ACEA E-Plates and
continually monitored by the RT-CES system. Approximately, 72 hours
after cell seeding the improved, impedance-measurement system with
millisecond time resolution was used to establish a baseline
reading of cardiomyocyte beating for each well for about 40
seconds. Subsequently, the cells in each well were treated with the
indicated drug and dose shown in FIGS. 11A-11T. Similar to the cell
index plot shown in FIGS. 9C and 9D, the time resolution between
two adjacent points in all the figures in FIG. 9 is 40
milliseconds. In other words, a second in FIG. 9 is equivalent to
40-milliseconds.
[0185] Table II shows a summary of the results, clearly
demonstrating that compounds which have been shown to affect ERG
channels do affect various aspects of cardiomyocyte beating and
function such as frequency of beating, magnitude of beating.
Furthermore, as shown in FIG. 12 some of these compounds can lead
to qualitatively different or similar patterns. For example, the
compounds E4031, Astezimole and dofetilide which are ERG channel
inhibitors do contain patterns with similar features. In summary
these results clearly indicate that using the impedance-measurement
system with millisecond time resolution do lead to a sensitive and
robust readout for cardiomyocyte beating that can also detect drugs
which are known to be cardiotoxic. Similar to the cell index plot
shown in FIGS. 9C and 90, the time resolution between two adjacent
points in all the figures in FIGS. 10A-10B is 40 milliseconds. In
other words, a second in a figure in FIGS. 10A-10B is equivalent to
40-millisecond.
TABLE-US-00002 TABLE II Compound Mechanism Concentration Beat Rate
Amplitude Pattern Change Astemizole anti-histamine 400 nM 0
<0.01 From 68-72 bpm to irregular being to beating stopped
Terfenadine anti-histamine 200 nM 0 <0.01 From 71-78 bpm to
irregular beating to beating stopped Erythromycin anti-biotic 13.3
uM From ~60 0.09 to No pattern change to ~80 0.07 Moxifloxacin
anti-biotic 20 uM From ~80 From No pattern change to ~73 0.055 to
0.060 Pentamidine anti-infective 20 uM From 71~78 From No pattern
change to ~71 0.24 to 0.21 Amitriptyline Serotonergic 4.4 uM From
~70 From 0.22 No pattern change Inhibitor to ~90 to 0.17 Verpamil
Ca channel 130 nM From ~65 From 0.13 From ~65 bpm to only blocker
to 0 to 0.06 occasional single beating. Rosglitazone PPAR agonist
13.3 uM From ~79 From 0.22 No pattern change to ~75 to 0.17
Dofitlite 500 nM From ~80 From 0.09 Pattern changed, much to ~180
to 0.02 faster Rofecoxib COX-2 Inhibitor 13.3 uM From ~68 From 0.2
No pattern change to ~60 to 0.19 Rofecoxib COX-2 inhibitor 40 uM
From ~62 From 0.16 Pattern change, no beating to ~60 to 0.10 after
initial treatment, then recovers Celecoxib COX-2 inhibitor 4.4 uM
From ~60 From ~0.2 Pattern change to (~20-~50) to ~0.12 Doxirubicin
Anthracycline 40 uM ~70 ~0.16 No pattern change (initially).
Beating pattern changes after 2 hrs. Cyclosporin A Calcineurin 13.3
uM From ~70 From 0.18 No pattern change inhibitor to ~80 to 0.15
Propalanol .beta.2-adrenergic 4.4 uM From ~70 to From 0.25 Pattern
changed, much receptor over 150 to 0.025 faster and irregular
antagonist Sotalol K channel 13.3 uM From ~80 From 0.27 Much
faster, pattern E4031 inhibitor 120 nM to ~160 to 0.07 changed DDT
Pesticide 8 uM From 80 From 0.09 Pattern changed, much PCB Organic
toxicant 8 uM to 160 to 0.03 faster Endosulfan insecticide 8 uM
From 80 to From 0.25 Initially become faster, later 140, then to
0.02 irregular beating to ~80 From 0.2 Beating stopped From ~65 to
0 Beating stopped to o From 0.2 From ~75 to 0 to o
[0186] To further demonstrate the capabilities of the fast
impedance-measurement-system-based monitoring of cardiomyocyte
beating in detecting drugs which may adversely affect heart
function, compounds at different concentrations were tested to
demonstrate the dose-dependent effects of these compounds on
cardiomyocytes. Approximately, 72 hours after cell seeding the
impedance-measurement system with millisecond time resolution was
used to establish a baseline reading of cardiomyocyte beating for
each well for about 40 seconds. Subsequently, the cells in each
well were treated with drugs at different dose concentrations. FIG.
13 shows an example of dose dependent effects of Astemizole on
cardiomyocytes beating at different concentrations. At high
concentration of 400 nM, Astemizole had such a strong effect on the
beating of cardiomyocytes that the beating almost stopped. The
effect of Astemizole on the beating of the cardiomyocytes is
clearly does-dependent. At low concentration of 40 OA, its effect
on the beating of the cardiomyocytes is small that the
cardiomyocyte beating rate was not affected. Similar to the cell
index plot shown in FIGS. 9C and 9D, the time resolution between
two adjacent points in all the figures in FIGS. 11A-11T is 40
milliseconds. In other words, a second in FIG. 13 is equivalent to
40 milliseconds.
Example 6
Modulation of Cardiomyocyte Beating in Response to Haloperidol
Treatment Using Millisecond Time Resolution
[0187] To further demonstrate the capabilities of the improved
impedance measurement system for monitoring of cardiomyocyte
beating in detecting drugs which may adversely affect heart
function, 500 nM Haloperidol was tested to demonstrate its
time-dependent effects on cardiomyocytes. Approximately, 72 hours
after cell seeding the improved impedance system was used to
establish a baseline reading of cardiomyocyte beating for each well
for about 16 seconds (FIG. 14A). Note that in FIG. 14A, each minute
showed on the x-axis of FIG. 14A corresponds to one second in real
measurement. Subsequently, the cells in the well treated with 500
nM Haloperidol. FIGS. 14B, C, D, E, F, G and H show the
impedance-based monitoring of beating of the cardiomyocytes at time
points of first 30 seconds, about 1 minute, about 2 minutes, about
4 minutes, about 5.5 minutes, about 1 hour and about 21 hours after
the compound treatment. In FIGS. 14B through 14H, each minute
showed on the x-axis corresponds to one second in real measurement.
It is clear that within 1 hr of compound treatment, the
cardiomyocytes exhibit significant, time-dependent change in their
impedance responses. Even at 21 hrs after compound treatment, the
impedance pattern did not restore and the beating frequency
(50.about.60 beats per minute) appeared to become about half of
that before compound treatment (90.about.100 beats per minute
before treatment). Yet the amplitude of the impedance response
spikes nearly doubled compared with that before compound treatment.
FIGS. 15A-H and FIGS. 16A-H show the analysis results of the
impedance beating pattern of FIGS. 14A-H in terms of the beating
frequency (beats per minute) and the beating magnitude For FIGS.
15A-H and FIG. 16A-H, each unit (1) on the x-axis corresponds to
0.016 second (16 milliseconds) in real measurement.
Example 7
Modulation of Cardiomyocyte Beating In Response to Eromycin
Treatment Using Millisecond Time Resolution
[0188] To further demonstrate the capabilities of the improved
impedance measurement system for monitoring of cardiomyocyte
beating in detecting drugs which may adversely affect heart
function, 300 uM erythromycin was tested to demonstrate its
time-dependent effects on cardiomyocytes. Approximately, 72 hours
after cell seeding the improved impedance system was used to
establish a baseline reading of cardiomyocyte beating for each well
for about 15 seconds (FIG. 17A). Note that in FIG. 17A, each minute
showed on the x-axis of FIG. 17A corresponds to one second in real
measurement. Subsequently, the cells in the well treated with 300
uM erythromycin. FIGS. 17B-I show the impedance-based monitoring of
beating of the cardiomyocytes at time points of first 30 seconds,
about 1 minute, about 2 minutes, about 4 minutes, about 5.5
minutes, about 1 hour, about 3 hr and about 21 hours after the
compound treatment. In FIGS. 17B-H, each minute showed on the
x-axis corresponds to one second in real measurement. It is clear
that within 3 hr of compound treatment, the cardiomyocytes exhibit
significant, time-dependent change in their impedance responses.
For example, at about 1 hr after the treatment, the frequency of
the impedance-based beating spikes is much higher than that for the
cardiomyocytes before treatment, yet the magnitude is much smaller.
On the other hand, at about 3 hr after treatment, the
impedance-based beating pattern becomes rather irregular whilst the
magnitude of the beating pattern has somewhat restored. Still, even
at .about.21 hrs after compound treatment, the impedance pattern
did not restore and the beating frequency appeared to about 70% (at
50.about.60 beats per minute) of that before compound treatment (at
80.about.90 beats per minute). Yet the amplitude of the impedance
response spikes increased by about 50% compared with that before
compound treatment. FIGS. 18A-I and FIGS. 19A-I show the analysis
results of the impedance beating pattern of FIGS. 17A-I in terms of
the beating frequency (beats per minute) and the beating magnitude.
For FIGS. 18A-I and FIGS. 19A-I, each unit (1) on the x-axis
corresponds to 0.016 second (16 milli-seconds) in real
measurement.
* * * * *