“…Rapid development of in vitro modeling systems that incorporate human induced pluripotent stem cells (iPSC)-derived cardiomyocytes, smooth muscle and endothelial cells offer opportunities to assess Tier 1 bioactivities for their cell, tissue or organ effects (i.e., Tier II assessment) ( Dick et al, 2010 ; Rana et al, 2012 ; Doherty et al, 2013 ; Pointon et al, 2013 ; Grimm et al, 2018 ; Gintant et al, 2019 ). Some of these systems are rapidly becoming more physiologically-relevant incorporating important elements of 3D architecture, multiple cell types, contractile function, rhythmicity and microfluidic shear ( Ogunrinade et al, 2002 ; Fernandez et al, 2016 ; Huebsch et al, 2016 ; Truskey, 2016 ; Atchison et al, 2017 ; Hoang et al, 2018 ; Zhang et al, 2020 ). An expanding portfolio of endpoints like contractile rate, action potential generation, rhythm and force; ATP generation, markers of oxidative stress, smooth muscle contraction or relaxation; as well as cell morphology and viability provide direct lines of sight to recognized responses to cardiac or vascular injury.…”