Genetic vulnerability and dynamic mechanical stress synergistically drive sarcomere failure in human iPSC-derived cardiomyocytes.

Mechanical stress plays a critical role in regulating cardiomyocyte structure and physiology. However, mechanobiology studies still rely on static systems that failed to capture the progressive nature of native cardiac remodeling. Building on our prior shape memory polymer (SMP)-based platform, the present study integrates microcontact printing onto SMP substrates to achieve single-cell geometric control and on-demand dynamic mechanical modulation. Using CRISPR/Cas9-engineered MYBPC3- and BAG3-mutant hiPSC-CMs along with isogenic wild-type (WT) control, we systematically assessed sarcomere organization and contractile behavior under static and dynamic mechanical conditions. WT hiPSC-CMs displayed robust morphological adaptability and coordinated sarcomere remodeling in response to dynamic mechanical cues, whereas MYBPC3- and BAG3-deficient hiPSC-CMs exhibited mutation-specific defects in sarcomere integrity and contractile behavior that were exacerbated by dynamic mechanical stress. These results demonstrate that this SMP-based platform enables us to systematically compare genotype-based mechanical sensitivity to develop more severe cardiomyopathy phenotypes.