After a myocardial infarction, the border zone is characterized by an oxygen (O 2 ) gradient located at the interface between the injured, hypoxic cardiac tissue and adjacent normoxic, viable tissue. Yet, the impact of an O 2 gradient on cardiac function is not well understood because there is a lack of in vitro experimental platforms for generating such biomimetic O 2 landscapes. This unmet need has prevented systematic investigation into how hypoxic-normoxic intercellular communication affects cardiac function. In this study, a microphysiological system was engineered to generate and expose engineered cardiac tissues to a stable O 2 gradient as a “Border-Zone-on-a-Chip” model. Briefly, a microfluidic gas supply channel network was overlaid with a thin, gas-permeable polydimethylsiloxane membrane on which engineered cardiac tissue composed of neonatal rat ventricular myocytes was cultured. Constant perfusion of compressed gases through separate microfluidic channels and rapid diffusion of the gas conditions across the thin membrane produced an O 2 gradient. Functional and transcriptomic analysis revealed biological responses were uniquely regulated by an O 2 gradient when compared to engineered tissues exposed to global, homogeneous O 2 levels. In the gradient, there was a significant increase in the calcium transient time to peak (85%, p=0.0007) and tau time constant of decay (49%, p=0.006). There was a significant decrease in the longitudinal calcium wave propagation velocity (35%, p=0.03), diastolic stress (47%, p=0.01), and peak systolic stress (47%, p=0.01). Overall, the gradient exhibited hallmarks of arrhythmogenesis, hypocontractility, and activation of inflammation after 4 h of O 2 modulation. Importantly, these changes were distinct from those observed in tissues exposed to uniform normoxia or hypoxia, demonstrating distinct regulation of cardiac tissue phenotypes by an O 2 gradient. Studies are ongoing to elucidate a possible paracrine mechanism involved in the observed effects. By gaining functional and mechanistic insight into intercellular communication activated in O 2 gradients, microphysiological systems can direct future therapeutic strategies aimed at minimizing or preventing cardiac hypoxic injury.
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