Drug-induced cardiac toxicities remain a leading cause of drug attrition and FDA black box warnings, highlighting the need for early, predictive assessment strategies. Advances in in vitro models, particularly human iPSC-derived cardiomyocytes (hiPSC-CMs), have improved physiological relevance, but comprehensive evaluation requires a multidimensional approach that captures electrophysiological and contractile function alongside underlying metabolic changes that often precede decline.
In this issue of TekTalk, we highlight cell analysis solutions for cardiotoxicity assessment. The Agilent xCELLigence RTCA CardioECR system enables real-time, label-free monitoring of cardiomyocyte contractility, electrophysiology, and viability in a single experiment, supporting dynamic evaluation of drug effects. Complementing this system, Agilent Seahorse XF technology quantifies mitochondrial respiration and glycolysis in live cells, revealing early bioenergetic disruption. Agilent BioTek microplate readers and automated microscopy systems extend this workflow with scalable biochemical and high-content imaging assays that provide critical phenotypic context.
Together, these platforms form a uniquely complementary portfolio, enabling a cohesive, multidimensional view of cardiotoxicity across functional, electrophysiological, metabolic, and phenotypic domains.
This application note describes the use of the Agilent xCELLigence RTCA CardioECR system in conjunction with hiPSC-CMs for the assessment of preclinical cardiac risks. The CardioECR system enables the comprehensive evaluation of hiPSC-CMs in terms of both acute effects on cardiac function, such as electrophysiology and contractility, and chronic effects on cardiac structure and viability.
This application note used the Agilent xCELLigence RTCA CardioECR system to compare functional profiles of contractility and electrophysiology between a iPSC CM disease model and its isogenic control. After identifying baseline phenotypes at the cellular level, this study investigated pharmacological responses of diseased and isogenic cardiomyocytes to compounds with established mechanisms.
Variability in cell plating density and culture conditions—such as plate coating, maintenance medium, and incubator CO₂ levels—can lead to inconsistent results.
Perform a titration to identify the optimal seeding density that supports stable and consistent functional activity of cardiomyocytes during long-term culture.
Select appropriate plate coating conditions: Proper surface coating enhances cell attachment to the assay plate and promotes consistent cellular performance.
Minimize treatment time: Cardiomyocytes are highly sensitive to temperature fluctuations, and prolonged handling can alter baseline behavior. To mitigate this:
Optimal compound dose range: Select an appropriate dose range based on the intended assay readouts. Functional parameters should generally be assessed within a subcytotoxic range, while considering both acute and chronic treatment effects.
Variability in cardiomyocyte maturity and health is a major source of inconsistency in cardiotoxicity data.
The Agilent xCELLigence RTCA CardioECR instrument bundle enables the simultaneous measurement of field potential signals through extracellular recording (ECR) electrodes, in addition to assessing contractility and cell viability through impedance electrodes. This integrated platform allows for real-time, multiplexed evaluation of the functional activity of beating cardiomyocytes. As a result, it provides a robust and predictive approach for assessing drug-induced proarrhythmic risk, contractile liability, and potential chronic toxicity during the drug development process.


Cardiomyocytes are highly ATP-dependent cells that rely predominantly on oxidative phosphorylation to sustain their contractile function, making them particularly vulnerable to mitochondrial dysfunction. As a result, cardiotoxicity is often driven by impairments in mitochondrial function rather than immediate cell death. The Agilent Seahorse XF Pro analyzer enables real-time assessment of metabolic activity in live cells by measuring oxygen consumption rate (OCR) and proton efflux rate (PER), providing insights into mitochondrial respiration and glycolytic function. This platform allows for the early detection of sublethal metabolic perturbations, facilitating the screening of compounds with mitochondrial liabilities and supporting mechanistic characterization of cardiotoxic effects.
This webinar shows a connected workflow using human iPSC-derived cardiomyocytes (hiPSC-CMs) for microelectrode-based measurements (including viability and contraction, live-cell imaging, mitochondrial toxicity, and cell metabolism) as a frontline screening assay for safety assessment of pharmaceutical drug compounds.