TY - JOUR KW - Heart KW - Liver KW - MicroRNAs KW - Skin AU - Kacey Ronaldson-Bouchard AU - Diogo Teles AU - Keith Yeager AU - Daniel Naveed Tavakol AU - Yimu Zhao AU - Alan Chramiec AU - Somnath Tagore AU - Max Summers AU - Sophia Stylianos AU - Manuel Tamargo AU - Busub Marcus Lee AU - Susan P. Halligan AU - Erbil Hasan Abaci AU - Zongyou Guo AU - Joanna Jacków AU - Alberto Pappalardo AU - Jerry Shih AU - Rajesh K. Soni AU - Shivam Sonar AU - Carrie German AU - Angela M. Christiano AU - Andrea Califano AU - Karen K. Hirschi AU - Christopher S. Chen AU - Andrzej Przekwas AU - Gordana Vunjak-Novakovic AB - Engineered tissues can be used to model human pathophysiology and test the efficacy and safety of drugs. Yet, to model whole-body physiology and systemic diseases, engineered tissues with preserved phenotypes need to physiologically communicate. Here we report the development and applicability of a tissue-chip system in which matured human heart, liver, bone and skin tissue niches are linked by recirculating vascular flow to allow for the recapitulation of interdependent organ functions. Each tissue is cultured in its own optimized environment and is separated from the common vascular flow by a selectively permeable endothelial barrier. The interlinked tissues maintained their molecular, structural and functional phenotypes over 4 weeks of culture, recapitulated the pharmacokinetic and pharmacodynamic profiles of doxorubicin in humans, allowed for the identification of early miRNA biomarkers of cardiotoxicity, and increased the predictive values of clinically observed miRNA responses relative to tissues cultured in isolation and to fluidically interlinked tissues in the absence of endothelial barriers. Vascularly linked and phenotypically stable matured human tissues may facilitate the clinical applicability of tissue chips. BT - Nature Biomedical Engineering DA - 2022-04 DO - 10.1038/s41551-022-00882-6 IS - 4 LA - eng N2 - Engineered tissues can be used to model human pathophysiology and test the efficacy and safety of drugs. Yet, to model whole-body physiology and systemic diseases, engineered tissues with preserved phenotypes need to physiologically communicate. Here we report the development and applicability of a tissue-chip system in which matured human heart, liver, bone and skin tissue niches are linked by recirculating vascular flow to allow for the recapitulation of interdependent organ functions. Each tissue is cultured in its own optimized environment and is separated from the common vascular flow by a selectively permeable endothelial barrier. The interlinked tissues maintained their molecular, structural and functional phenotypes over 4 weeks of culture, recapitulated the pharmacokinetic and pharmacodynamic profiles of doxorubicin in humans, allowed for the identification of early miRNA biomarkers of cardiotoxicity, and increased the predictive values of clinically observed miRNA responses relative to tissues cultured in isolation and to fluidically interlinked tissues in the absence of endothelial barriers. Vascularly linked and phenotypically stable matured human tissues may facilitate the clinical applicability of tissue chips. PY - 2022 SP - 351 EP - 371 T2 - Nature Biomedical Engineering TI - A multi-organ chip with matured tissue niches linked by vascular flow VL - 6 SN - 2157-846X ER -