# 3D Bioprinting of a Bioelectric Cell Bridge for Re-engineering Cardiac Conduction

> **NIH NIH R21** · BROWN UNIVERSITY · 2024 · $200,514

## Abstract

Project Summary/Abstract
Multiple arrhythmia conditions manifest in the heart due to conduction disorder, a failure of conduction between
local islands of cardiomyocytes that are separated physically by millimeter (mm) to centimeter (cm) distances
of non- or poorly conductive tissue. While electronic devices such as implantable cardioverter-defibrillators
provide life-saving support for patients, their complications and lack of biological integration for long-term
conduction restoration limit their success. A novel therapeutic approach is to provide cell-based physical
connections between electrically active cardiomyocytes that could resynchronize cardiac electrophysiology to
reduce arrhythmia risk and promote efficient cardiac pumping. Our long-term goal is to re-engineer
electromechanical function of diseased hearts and specifically to address the critical need in clinical cardiac
electrophysiology practice for long-lasting, anatomical electrical connections with biological responsiveness
between disparate islands of cardiomyocytes in the heart. The objective of this proposal is to explore efficacy
of a novel “bioelectric thread” we are developing that is made of natural biomaterials and hiPSC-derived
cardiomyocytes (hiPSC-CMs). This technology is intended for cardiomyocyte-based coupling across mm to cm
distances via formation of a continuous bridge of hiPSC-CMs. Our central hypotheses are that delivery of a
confluent layer of cardiomyocytes along microthreads will create an electrical bridge via cellular gap junctions
with known conduction velocity, and that this bioelectric cell bridge will be established within one week to
enable electrophysiological synchronization and ameliorate conduction problems. Our preliminary data show
that hiPSC-CM conduction along microthreads transmits action potential signals and calcium transients across
at least 1.5 cm at 2.7 cm/s conduction velocity between two engineered cardiac tissues within 1 day in vitro.
We propose to advance the biomanufacturing of bioelectric threads using 3D bioprinting and develop an
injection-based device for precise implantation in the heart in Aim 1. We will assess our hypotheses in Aim 2
by evaluating electrical coupling and efficacy of cardiac synchrony in two different models of conduction
anomalies after implantation of bioelectric threads. The parallel aims develop critically important technologies
in tissue engineering to advance regeneration of cardiac conduction. The development of novel therapies for
durable, biologically responsive conduction is significant because failure of current approaches in patients are
associated with increased arrhythmia and mortality risk, necessitating novel solutions. This project is innovative
in its use of 3D bioprinting for biomanufacturing of bioelectric threads, development of a delivery system for
precise local implant in the heart, and evaluation of efficacy in diverse models of conduction disorder. The
successful development of this ...

## Key facts

- **NIH application ID:** 10883643
- **Project number:** 5R21EB035030-02
- **Recipient organization:** BROWN UNIVERSITY
- **Principal Investigator:** Kareen LK Coulombe
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $200,514
- **Award type:** 5
- **Project period:** 2023-07-15 → 2025-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10883643

## Citation

> US National Institutes of Health, RePORTER application 10883643, 3D Bioprinting of a Bioelectric Cell Bridge for Re-engineering Cardiac Conduction (5R21EB035030-02). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10883643. Licensed CC0.

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