# 3D Cardiac Constructs in Drug Discovery: Current Advances and Future Challenges

**Authors:** Chang Liu, Jing Guo, Gunash Mirzayeva, Michail Spanos, Ruoting Teng, Guoping Li, Dragos Cretoiu, Zhaoyang Chen, Junjie Xiao

PMC · DOI: 10.34133/research.1165 · Research · 2026-03-03

## TL;DR

This review discusses how 3D cardiac models are improving preclinical drug discovery and highlights their potential and challenges.

## Contribution

The paper provides a comprehensive overview of recent advancements and future directions in 3D cardiac constructs for drug development.

## Key findings

- 3D cardiac constructs are effective for modeling human cardiovascular diseases and testing drug efficacy.
- Novel biomaterials and AI are transforming the use of 3D cardiac constructs in drug screening.
- Technical limitations remain, requiring further innovation to enhance model accuracy and scalability.

## Abstract

Advances in 3-dimensional (3D) cardiac constructs have provided powerful preclinical models for investigating the pathological mechanisms underlying human cardiovascular diseases and facilitating drug discovery. In this review, we focused on recent advancements in 3D cardiac constructs technology and explored its potential applications in drug development. We summarized the main types of disease models built on 3D cardiac constructs, the key parameters used for assessing pathology and drug efficacy, and their role in drug discovery. We also discussed the application of novel biomaterials in 3D cardiac constructs, the latest research progress in 3D cardiac constructs-based drug screening, and the transformative potential of artificial intelligence-assisted research on 3D cardiac constructs. Finally, we addressed the existing technical limitations and outline future directions for the development of 3D cardiac constructs.

## Full-text entities

- **Genes:** NKX2-5 (NK2 homeobox 5) [NCBI Gene 1482] {aka CHNG5, CSX, CSX1, HLHS2, NKX2.5, NKX2E}, C10orf71 (chromosome 10 open reading frame 71) [NCBI Gene 118461] {aka CEFIP, CMD1QQ}, DNER (delta/notch like EGF repeat containing) [NCBI Gene 92737] {aka UNQ26, bet}, ITGB1 (integrin subunit beta 1) [NCBI Gene 3688] {aka CD29, FNRB, GPIIA, MDF2, MSK12, VLA-BETA}, IL1B (interleukin 1 beta) [NCBI Gene 3553] {aka IL-1, IL1-BETA, IL1F2, IL1beta}, INS (insulin) [NCBI Gene 3630] {aka IDDM, IDDM1, IDDM2, ILPR, IRDN, MODY10}, BMP1 (bone morphogenetic protein 1) [NCBI Gene 649] {aka OI13, PCOLC, PCP, TLD}, HAND1 (heart and neural crest derivatives expressed 1) [NCBI Gene 9421] {aka Hxt, Thing1, bHLHa27, eHand}, ACTN2 (actinin alpha 2) [NCBI Gene 88] {aka CMD1AA, CMH23, CMYO8, CMYP8, MPD6, MYOCOZ}, BMP4 (bone morphogenetic protein 4) [NCBI Gene 652] {aka BMP2B, BMP2B1, MCOPS6, OFC11, ZYME}, IFNG (interferon gamma) [NCBI Gene 3458] {aka IFG, IFI, IMD69}
- **Diseases:** leukemia (MESH:D007938), hypertension (MESH:D006973), cardiac fibrosis (MESH:D005355), contractility defects (MESH:D000013), chronic inflammation (MESH:D007249), congenital heart defects (MESH:D006330), cytotoxicity (MESH:D064420), COVID-19 (MESH:D000086382), Hypertrophy (MESH:D006984), cardiac insufficiency (MESH:D000309), MI (MESH:D009203), lung cancer (MESH:D008175), CVDs (MESH:D002318), cardiac infection (MESH:D007239), DCM (MESH:D002311), cardiac diseases (MESH:D006331), cardiomyopathies (MESH:D009202), DILI (MESH:D056486), conduction blocks (MESH:D006327), HCM (MESH:D002312), infarct (MESH:D007238), arrhythmia (MESH:D001145), heart failure (MESH:D006333), ACM (MESH:D019571), breast cancer (MESH:D001943), diastolic dysfunction (MESH:D018487), drug (MESH:D000081015), AI (MESH:C538142), arrhythmic (OMIM:212500), cardiotoxic (MESH:D066126)
- **Chemicals:** OHA (MESH:D010136), oxygen (MESH:D010100), poly(I) (MESH:D011069), diltiazem (MESH:D004110), doxorubicin (MESH:D004317), proton (MESH:D011522), cisplatin (MESH:D002945), graphene (MESH:D006108), silicon (MESH:D012825), Col-CDH (-), pemetrexed (MESH:D000068437), carbon (MESH:D002244), quinidine (MESH:D011802), fatty acid (MESH:D005227), oil (MESH:D009821), nifedipine (MESH:D009543), captopril (MESH:D002216), dexamethasone (MESH:D003907), lactate (MESH:D019344), Apabetalone (MESH:C000628794), metformin (MESH:D008687), Ivabradine (MESH:D000077550), dofetilide (MESH:C063533), cisapride (MESH:D020117), ATP (MESH:D000255), cyclophosphamide (MESH:D003520), Calcium (MESH:D002118), docetaxel (MESH:D000077143), glucose (MESH:D005947), T3 (MESH:D014284), mibefradil (MESH:D020748), norepinephrine (MESH:D009638), astemizole (MESH:D016589), silver (MESH:D012834)
- **Species:** Macaca mulatta (rhesus macaque, species) [taxon 9544], Homo sapiens (human, species) [taxon 9606], Mus musculus (house mouse, species) [taxon 10090], Rattus norvegicus (brown rat, species) [taxon 10116], Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049]
- **Mutations:** I in 2002, c.2013delC, c.673C>A, R413X
- **Cell lines:** HL60 — Homo sapiens (Human), Adult acute myeloid leukemia with maturation, Cancer cell line (CVCL_0002), hESCs — Homo sapiens (Human), Embryonic stem cell (CVCL_UI95), H9C2 — Rattus norvegicus (Rat), Spontaneously immortalized cell line (CVCL_0286)

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12953928/full.md

## References

143 references — full list in the complete paper: https://tomesphere.com/paper/PMC12953928/full.md

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Source: https://tomesphere.com/paper/PMC12953928