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SMARTHEART®
Human 3D Cardiac microtissue platform

SmartHeart® is a 96-well platform for drug efficacy testing, cardiotoxicity assessment and cardiac disease modeling. Human iPSC-derived cardiomyocytes and cardiac fibroblasts self-assemble around a central pillar into nine ring-shaped 3D cardiac microtissues per well. The circular geometry maintains the tissues under mechanical load and enables multiple tissue-level measurements of contractility, electrical activity and calcium dynamics within each experimental condition.

SmartHeart comparison

Human 3D Cardiac Safety Assessment

Human 3D Cardiac Efficacy & Rescue

RING-SHAPED HUMAN ENGINEERED HEART TISSUES (EHTs)

Connecting tissue architecture, mechanical load and cardiac function

 

SmartHeart® combines human iPSC-derived cardiomyocytes and cardiac fibroblasts in self-assembling, ring-shaped tissues around a central pillar. This architecture guides tissue organization and provides mechanical resistance during contraction.

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Tissue organization, mechanical loading and cellular maturation are closely linked to cardiac function. SmartHeart® brings these elements together in a 3D model, enabling researchers to investigate electrical activity, calcium dynamics and contraction within the same tissue platform.

SmartHeart ring-shaped engineered heart tissues self-assembled around a central deformable pillar

3-IN-1 CARDIAC ASSAY: CONTRACTILITY,
ELECTROPHYSIOLOGY AND CALCIUM DYNAMICS

SmartHeart® measures three interconnected components of cardiac function: electrical excitation, intracellular calcium dynamics and mechanical contraction. Together, these readouts help characterize how compounds affect excitation–contraction coupling in human 3D cardiac microtissues.

CONTRACTILITY

Contractility Metrics

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  • Frequency

  • Contraction stress

  • ​Contraction strain

  • Contraction speed

  • Relaxation speed

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Cardiac functional effects

 

  • Chronotropic effects

  • Inotropic effects

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  • Contractile kinetics

  • Lusitropic effects

ELECTROPHYSIOLOGY

Action potential Metrics

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  • Frequency

  • Interpeak duration STD Rising time, Upstroke velocity

  • APD10-90

  • Triangulation, Plateau phase

Electrophysiology features

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  • Rhythm

  • Regularity Depolarization

 

  • Impacted ion channels

  • Proarrhythmia

CALCIUM TRANSIENTS

CaT Metrics

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  • Frequency

  • Interpeak duration STD Amplitude

  • Area Under curve ‘Rise and decay’ duration and speeds

  • CD10,50,90

Comprehensive understanding of calcium dynamics in tissues

Frequency supports chronotropic assessment; contraction stress and strain characterize inotropic effects, while contraction and relaxation speeds describe contractile and lusitropic kinetics.

SmartHeart 3-in-1 cardiac assay integrating contractility, action potential and calcium dynamics

Brightfield - Contractility

FluoVolt - membrane action potential

CAL520 - Calcium transient

SMARTHEART® PLATFORM SPECIFICATIONS​

HUMAN CARDIAC CELL COMPOSITION

Human iPSC-derived cardiomyocytes and cardiac fibroblasts

96-WELL PLATE FORMAT

Designed for scalable cardiac studies

MULTIPARAMETRIC FUNCTIONAL ASSESSMENT

Contractility, electrophysiology, and calcium dynamics

SELF-ASSEMBLING TISSUES

Cells self-assemble into ring-shaped 3D cardiac microtissues after seeding

LOW CELL REQUIREMENT

7,200 cells per tissue, with a  3:1 cardiomyocyte-to-fibroblast ratio

9 MICROTISSUES PER WELL

Within-well assessment of tissue response consistency

HIGH-RESOLUTION IMAGING

Glass bottom plate

IN SITU CHARACTERIZATION

Direct functional measurements in the culture plate, without transferring the microtissues

SMARTHEART® TISSUE STRUCTURE AND FUNCTION​

SmartHeart® combines ring-shaped 3D tissue architecture with structural, molecular and functional characterization. Fluorescence imaging and immunostaining reveal tissue organization and sarcomeric structures, RT-qPCR profiles cardiac gene expression, and functional assays quantify responses to reference compounds. Together, these complementary readouts provide a powerful human 3D cardiac model for investigating cardiac function and drug-induced effects.

RING-SHAPED 3D TISSUE ARCHITECTURE

SmartHeart® microtissues form a continuous ring around a central deformable pillar. This geometry generates radial mechanical loading during contraction and enables tissue-level measurements of contraction strain and stress.

3D fluorescence reconstruction of a ring-shaped cardiac tissue formed by hiPSC-derived cardiomyocytes and adult dermal fibroblasts

3D reconstruction of a SmartHeart® microtissue. Vimentin (green), cardiac troponin T (red) and nuclei (DAPI, blue)

ORGANIZED CONTRACTILE FIBERS AND SARCOMERES

Cardiac troponin T immunostaining shows organized contractile fibers and sarcomeric structures within the 3D microtissues.

Cardiac troponin T-positive contractile fibers in a ring-shaped cardiac tissue at 63× magnification

Cardiac troponin T (red) and nuclei (DAPI, blue), imaged at 63× magnification – Seguret & al.

Published imaging configuration

The fluorescence images shown above were generated using the ring-shaped cardiac tissue configuration described by Seguret et al. in eLife, combining human iPSC-derived cardiomyocytes and normal adult human dermal fibroblasts at a 3:1 ratio. The current SmartHeart® platform retains the ring-shaped, pillar-based architecture and uses cardiac fibroblasts.

CARDIAC GENE EXPRESSION

RT-qPCR data highlight the upregulation of key genes for cardiac function compared to 2D models.

Relative expression of cardiac maturation genes in SmartHeart microtissues versus matched 2D cultures at days 15–16

RT-qPCR analysis was performed at days 15–16. Gene expression was normalized to GAPDH and calculated using the 2^−ΔΔCq method, with matched 2D cultures used as the calibrator. For each gene, N = 3 independent experiments; each experiment included 15–36 cardiac rings.

TISSUE-LEVEL CONTRACTILITY

Conventional hERG assays, often performed using CHO cells, assess ion-channel activity, while many 2D hiPSC-derived cardiomyocyte assays characterize contraction through cell motion, shortening or impedance.

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SmartHeart® enables quantitative assessment of mechanically loaded human 3D cardiac microtissues. SmartX 3.0 analyzes tissue deformation to measure contraction strain, beating activity and contraction/relaxation kinetics, with derived contractile stress calculated from the calibrated mechanical properties of the hydrogel pillar.

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In a fit-for-purpose qualification study, SmartHeart® correctly identified the expected direction of inotropic effects for all seven reference compounds (five positive and two negative inotropes), with at least 20 evaluable microtissues per compound across three independent experiments.

PEER-REVIEWED SCIENTIFIC EVIDENCE SUPPORTING SMARTHEART®

SmartHeart® is supported by published scientific research documenting its human 3D cardiac tissue architecture, functional measurements and applications in drug testing and disease modeling.

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The original study published in eLife (2024) established the use of self-assembled cardiac rings in a 96-well format for quantitative mechanical measurements and pharmacological characterization.

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A subsequent independent study published in Cardiovascular Research (2026) used SmartHeart® to investigate contractile dysfunction associated with LMNA-related cardiomyopathy and demonstrated improvement following pharmacological modulation of mitochondrial calcium uptake.

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Together, these publications illustrate the platform's versatility for investigating cardiac function and disease mechanisms in human-derived tissue models.

Key Scientific References

Séguret et al., eLife (2024) — Development and pharmacological characterization of 3D ring-shaped human cardiac tissues. DOI: 10.7554/eLife.87739

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Séguret et al., Cardiovascular Research (2026) — Investigation of LMNA-related cardiac dysfunction and pharmacological rescue using human 3D cardiac tissues. DOI: 10.1093/cvr/cvag163

SMARTHEART®
CONTRACTILITY ASSAY - PERFORMANCE & QUALIFICATION​

The SmartHeart Contractility Assay has undergone fit-for-purpose qualification for detecting and characterizing drug-induced inotropic effects in human 3D cardiac microtissues.

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The qualification study evaluated seven reference compounds with distinct pharmacological mechanisms, assessing the accuracy of inotropic response detection, concentration-response relationships, assay reproducibility and analytical sensitivity.

 

Under the qualified experimental conditions, SmartHeart correctly identified the direction of inotropic effects for all seven reference compounds.

7/7
Correct inotropic effect detection

3
Independent experiments per compound

>20
Evaluable tissues per compound

3.7-5.7%
Minimum detectable effect by readout

The SmartHeart® Contractility Assay was qualified for acute inotropic compound screening using Day 21 human 3D cardiac microtissues, sequential compound addition and brightfield video analysis.

​Readout-specific minimum detectable effects ranged from 3.7% to 5.7%, based on at least 20 evaluable microtissues per compound across three independent experiments, with 80% statistical power at a 5% significance level.

These performance characteristics apply to the evaluated assay conditions. Complementary electrophysiology, calcium-handling, electrical pacing and longer-term exposure studies require their own performance assessment when performed under different experimental conditions.

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Explore our Cardiac contractility assay for qualification results, study design and analytical performance.

CARDIAC SAFETY ASSESSMENT
WITH CiPA REFERENCE COMPOUNDS

SmartHeart® was evaluated using seven CiPA reference compounds spanning high, intermediate and low torsade de pointes (TdP) risk categories.

 

By combining optical action-potential mapping with tissue-level contractility measurements, the platform captures compound-specific changes in repolarization, beating regularity and mechanical function.

 

These complementary readouts support an integrated, mechanistic assessment of proarrhythmic and cardiotoxic effects beyond ion-channel screening alone.

Selected HIGH TdP-RISK reference compounds

SmartHeart action-potential and contractility responses to selected high TdP-risk CiPA compounds
SmartHeart action-potential and contractility responses to selected low TdP-risk CiPA compounds

Selected LOW TdP-RISK reference compounds

See the cardiac-safety white paper for compound concentrations, experimental conditions, sample sizes and statistical analyses.

PACE X  WELL-BY-WELL ELECTRICAL STIMULATION

PACE X provides independent electrical field stimulation in each well of a SmartHeart® plate. It supports rate-controlled functional measurements, well-by-well experimental protocols and repeated electrical conditioning of human 3D cardiac microtissues.

Unpaced

1.5 Hz

2 Hz

2.5 Hz

Controlled pacing frequency

Apply defined pacing frequencies to compare spontaneous and paced cardiac activity under standardized conditions. Different frequencies can be assigned across the plate to evaluate compounds, cell sources or culture protocols.

Reduced frequency-related variability

Spontaneous beating rate can influence contractility, action-potential and calcium-transient measurements. By imposing a defined rate, PACE X helps reduce frequency-related variability and improve the comparability of functional responses across experimental conditions.

Synchronized functional measurements

Perform optical measurements under controlled pacing conditions to investigate rate-dependent changes in contraction, action potential and calcium dynamics.

Electrical conditioning for cardiac tissue maturation

Repeated electrical pacing can promote structural and functional maturation of hiPSC-derived cardiac tissues. PACE X enables controlled conditioning protocols for SmartHeart® microtissues.

SMARTX 3.0 DEEP-LEARNING ANALYSIS

SmartX 3.0 is an AI-powered image analysis software designed to quantify the contractile function of SmartHeart® microtissues from brightfield videos.

Using deep-learning-based image analysis, SmartX 3.0 detects and segments the inner and outer contours of individual ring-shaped cardiac microtissues.

By tracking changes in tissue radius over time, the software quantifies contraction strain, beating frequency, rhythm regularity, and contraction and relaxation kinetics. Contractile stress is estimated from tissue strain using the calibrated Young's modulus of the central hydrogel pillar.

SmartX 3.0 deep-learning detection and tracking of a SmartHeart cardiac microtissue in brightfield video
SmartX 3.0 contractility traces derived from changes in cardiac microtissue ring radius over time

Automated ring-level analysis and quality control

SmartX 3.0 applies a deep-learning algorithm trained on internal 4Dcell imaging datasets to detect and analyze individual cardiac microtissues.

The analysis workflow combines automated ring segmentation with quality-control criteria for tissue morphology, signal quality and baseline contractile activity. Ring-level measurements are then normalized to their corresponding baseline values to support quantitative concentration-response analysis.

This approach enables detailed and traceable assessment of cardiac microtissue responses across experimental conditions.

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Recommended SmartX input: brightfield videos of at least 500 × 500 pixels, recorded at a minimum of 35 frames per second for at least 10 seconds.

For the fit-for-purpose qualification study, videos were acquired at 40 frames per second for 12 seconds, using 5× magnification at 37°C. The reported assay performance applies to the evaluated acquisition conditions.

How SmartX calculates mechanical parameters

SmartX 3.0 quantifies cardiac tissue contraction by tracking changes in the radius of ring-shaped microtissues over time.

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Contraction strain is calculated as the relative change in tissue radius from its fully relaxed state: ε(t) = [Rmax − R(t)] / Rmax

Contraction and relaxation speeds are derived from the temporal evolution of the strain signal.

Contractile stress is estimated by multiplying contraction strain by the Young's modulus of the central hydrogel pillar, measured during plate production: σ(t) = E × ε(t)​

Contraction strain is dimensionless, while derived contractile stress is reported in mN/mm². The method provides a quantitative estimate of tissue-level mechanical stress rather than a direct measurement of absolute force in mN.

FREQUENTLY ASKED QUESTIONS

2.5 Hz

ACCESS SMARTHEART THROUGH A TAILORED CARDIAC STUDY

Use SmartHeart® in your laboratory or work with 4Dcell scientists to design and perform a study tailored to your research question. Our cardiac testing services combine contractility, electrophysiology and calcium-transient measurements for drug efficacy, cardiotoxicity and mechanistic investigations.

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