2015
DOI: 10.1111/bph.12996
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The virtual heart as a platform for screening drug cardiotoxicity

Abstract: To predict the safety of a drug at an early stage in its development is a major challenge as there is a lack of in vitro heart models that correlate data from preclinical toxicity screening assays with clinical results. A biophysically detailed computer model of the heart, the virtual heart, provides a powerful tool for simulating drug–ion channel interactions and cardiac functions during normal and disease conditions and, therefore, provides a powerful platform for drug cardiotoxicity screening. In this artic… Show more

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Cited by 39 publications
(26 citation statements)
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References 97 publications
(146 reference statements)
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“…The emergence of zebrafish as a model for assessing cardio-neuro-or geno-toxicity of drugs is reflective of its advantages over other animal models with respect to the principles of the 3Rs (replacement, reduction and refinement). On the other hand, the ease of genome editing, using new mutagenesis techniques such as CRISPR/Cas9 [79] (in the fish, will make suitable future studies to pair human genetic mutations with their molecular functions.…”
Section: Resultsmentioning
confidence: 99%
See 3 more Smart Citations
“…The emergence of zebrafish as a model for assessing cardio-neuro-or geno-toxicity of drugs is reflective of its advantages over other animal models with respect to the principles of the 3Rs (replacement, reduction and refinement). On the other hand, the ease of genome editing, using new mutagenesis techniques such as CRISPR/Cas9 [79] (in the fish, will make suitable future studies to pair human genetic mutations with their molecular functions.…”
Section: Resultsmentioning
confidence: 99%
“…Despite their usefulness, these strategies do not provide enough information about toxicity in the organism as an effect of the secondary metabolism derived from drugs, or the drug effects in other cellular lines present in the heart [76][77][78][79] . Primary cardiomyocytes derived from human embryonic stem cells [78] are used to evaluate cardiotoxicity; however the general consensus is that a reliable in vivo model is needed.…”
Section: Cardiotoxicity Of Small Molecules: Drug Screening Using the mentioning
confidence: 99%
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“…One possible approach is to design the trial using a Bayesian approach, and to treat the predictions from the virtual patients as an a priori probability. 48 A fourth somehow related use case refers to situations where the de-risking with conventional clinical trials is impossible, or unsustainable. Osteogenesis imperfecta (OI) has a prevalence of 1/20,000 new born, which makes roughly 200 children per year in the USA.…”
Section: In Silico Clinical Trials: Use Cases Current and Futurementioning
confidence: 99%