Cardiac LEAP

Cardiac LEAP

What is LEAP?

LEAP technology enables noninvasive, label-free monitoring of the cardiac action potential in a high-throughput, real-time format. LEAP can be used for quantification of action potential morphology, repolarization irregularities such early after depolarizations (EADs), and arrhythmic risk factors such as triangulation.

Why LEAP matters?​

The LEAP signal accurately reflects the shape and duration of the underlying action potential. The large signal allows for automated detection and classification of arrhythmic events, such as notched EADs, rolling EADs, or ectopic beats. LEAP also provides metrics not available from the field potential, such as rise time and triangulation.​

Unique Capabilities of LEAP Technology

Automated APD and EAD detection for high-throughput drug screening

Predicting arrhythmic risk for cardiac safety and cardiotoxicity testing

Characterization of action potential morphology in hiPSC-cardiomyocytes

Studying the effects of genetic manipulation in cardiac electrophysiology

Comparing cardiac biology in healthy and diseased states

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Cardiac Electrophysiology

The LEAP assay addresses an important gap in the field, namely providing a non-invasive solution in recording high quality action potentials from cardiac cells using a high throughput format. The LEAP assay may be a game changer.

Scientific Principles Underlying LEAP Technology

 

LEAP stands for local extracellular action potential. The theory behind LEAP is similar to that of patch clamp, where the recorded signal amplitude is proportional to the sealing resistance between the electrode and the cell.

In contrast to a field potential signal, LEAP induction increases the coupling between the cells and electrode, enabling the measurement of a much larger action potential signal. The increased cell-electrode coupling is stable for 10-20 minutes or longer, allowing extracellular monitoring of the cardiac action potential without disrupting the underlying biology with dyes or invasive electrodes.

 

scientific-principles

Key Components of LEAP Technology

Due to the larger features of the signal, the LEAP assay is robust against pharmacological manipulations that can render field potential features difficult to detect. As LEAP operates on each electrode independently, field potential and LEAP signals can be recorded from the same well simultaneously, providing a direct mapping between features of the field potential and the action potential. In this way, LEAP enables confirmation and automation of feature detection.

Noninvasive, label-free action potential waveforms

Captures action potential-like waveforms extracellularly without dyes, preserving native cardiomyocyte physiology.

Automated morphological metrics and arrhythmia detection

With real-time data recording, Maestro MEA detects key parameters of cardiac activity including AP duration, rise time, triangulation, and repolarization irregularities.

Concurrent field potential and action potential recording

Records both traditional field potentials and LEAP action potentials in the same well for direct comparison.

High-throughput screening

Supports multiwell experiments with stable AP-like signals suitable for large-scale compound screening.

What can you measure? LEAP case studies in pharmacology

How to perform a Cardiac LEAP assay

Plate Electrodes
Step 1

Coat MEA plate with fibronectin, following by plating of cardiomyocytes.

Maestro MEA Workflow
Step 2

Dock the plate in your Maestro Pro.

Cardiac Research
Step 3

Create your plate map, add any required compounds and start LEAP induction.

Maestro MEA Workflow Data
Step 4

Review LEAP endpoints in the Axion’s analysis software.

Interpreting LEAP data

 

Sodium channel blockers cause a detectable change in spike amplitude. At higher doses though, the spike amplitude can become too small to detect. However, rise time prolongation in the LEAP signal can still be easily measured even at high doses. Similar effects can be seen at high doses of hERG blockers when hERG block begins to impact the resting membrane potential.

Similarly, compounds, such as terodiline, that induce triangulation can flatten the field potential repolarization feature, referred to as the “T wave”. The resulting broad, small amplitude T wave is difficult to detect and quantify. In contrast, triangulation is readily detectable and quantifiable in the LEAP signal.

 

Interpreting LEAP data

How LEAP compares to other methods

 

What are the competing technologies?MEAPatch-clampVoltage Dyes
How do they compare in sensitivity?Medium-High, captures AP morphology, but measures only extracellular membrane voltageHigh, direct intracellular membrane voltage measurementHigh, but signals are changes in relative fluorescence, not absolute voltages)
How do they compare in reproducibility?Good, label-free and noninvasiveVariable, dependent on operator skillModerate, dependent on dye loading uniformity
How do they compare in throughput?High, can measure up to 96 wellsVery Low, performed on once cell at a timeMedium, limited by microscope capabilities
How do they integrate/multiplex with other assays?High, can measure LEAP, FP, conduction velocity, and contractilityLow, targeted primary at electrophysiologyMedium, can be combined with Ca2+ imaging

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