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The heart's ability to pump blood efficiently relies on the architecture and mechanical properties (stiffness) of its myocardium, where the precise organization of cells and tissue is essential for coordinated contraction and overall function. The myocardium is primarily composed of cardiomyocytes (CMs), which, in adults, exhibit an elongated, almost rod-like morphology with sarcomeres (the contractile unit of the CMs) aligned along the length of the cell. In contrast, fetal or induced pluripotent stem cell (iPSC)-derived CMs differ significantly from adult CMs. They tend to have a more rounded shape, a single nucleus, a disorganized or unaligned sarcomeric structure, and an irregular beating frequency. The structural resemblance of the in vivo organization of the myocardium allows for synchrony of contraction and force transmission; this is critical and essential to recapitulating natural myocardium through an in vitro model. To generate CMs with structural characteristics similar to mature myocardium, previous studies have demonstrated successful strategies for enhancing maturation, including manipulating substrate stiffness1,2, applying mechanical strain3, utilizing contact guidance4,5, or employing electrical pacing6,7.
It has long been understood that the stiffness of the extracellular environment impacts cells. A vast diversity of stiffness exists throughout the human body, ranging from hundreds of pascals (Pa) in the brain and up to tens of gigapascals (GPa) in bone8,9,10. It has been found that during development, tissues change stiffness, and this alteration regulates cellular level differentiation and maturation into the adult phenotypes that are needed for normal function11,12,13,14. Changes in stiffness have also been linked to disease states and the progression of specific pathologies15,16,17,18. Specifically, the stiffness of the myocardium changes with the development and progression of diseases; for instance, a healthy myocardium has an elastic modulus of ~10 kPa in contrast to a failing heart, which has an elastic modulus of 35-70 kPa or more19. Additionally, numerous in vitro studies have reported that cardiomyocytes cultured on a substrate similar to the native myocardium stiffness had better sarcomere organization20, generated optimal contraction1,19, and had the longest action potential duration21.
Additionally, it has become more well-recognized that cells in vivo are exposed to a complex variety of topographical cues within their microenvironment that drive form and function. These topographical cues come in various sizes and geometries, from the random arrangement of integrins at a molecular level to the micron-level alignment of cells in muscle tissues22,23. Similar to other mechanical regulators, topography is important to cell morphology, such as spreading, elongation, alignment, motility, differentiation, and apoptosis24,25,26. With the introduction of synthetic culture substrates, methods have been developed to create controlled surface topography for cell and tissue culture27,28,29. For instance, micropatterned nano- and micro-grooves have been used to provide contact guidance for mammalian cells so that cells orient and remodel their cytoskeleton to follow the topographical structures of the culture substrate.
Here, we introduce an in vitro culture method that integrates both structural (contact cue) and mechanical (stiffness) guidance using a patterned magnetorheological elastomer (MRE) substrate, a tunable material that can be stiffened or softened by adjusting the strength of the magnetic field17,30,31,32. By positioning magnets near the culture substrate, stiffness can be increased, with the degree of stiffening modifiable by varying the distance between the sample and the magnet. Conversely, stiffness can be reduced by removing the magnet altogether. This approach provides a robust, dynamic, and controllable method to replicate the in vivo-like mechanical conditions, while the surface micropatterning introduces anisotropy, enabling the creation of more biomimetic 2D cell culture substrates.