“…162, 163 The gene expression profiles, especially those of contractile proteins, simulate fetal cardiomyocytes. 164 Furthermore, the hiPSC-CMs have poorly developed SR and altered calcium handling at early stages of differentiation, 165 nonexistent t-tubules, 166 automaticity, 167 and preference for glucose metabolism over fatty acid metabolism, 168 which are all consistent with immature phenotypes. Although various maturation techniques (e.g., electromechanical stimulation, 153, 169 overexpression of cardiac genes 101 or miR-499, 170 exposure to fatty acid supplementation, 90 and incorporation of cardiomyocytes into 3D tissue constructs 105 ) have all been tried with varying degrees of success, it is unclear whether the most mature hiPSC-CMs developed in an artificial cell culture environment can achieve the same level of maturity as adult cardiomyocytes in vivo .…”