Human Cardiogenesis and Disease

Cardiovascular disease is the leading cause of death worldwide, yet breakthroughs in cardiac therapies are lacking due to limited physiological relevance and poor predictive power of current models. To address this, the Mendjan lab develops cardiac organoid (cardioid) technology to understand human heart development and disease. Our research focuses on three main questions:

  • How does the human heart grow while maintaining contraction? 
  • How do vascularization and circulation contribute to heart growth and proliferation?
  • How does cardiac mechanobiology coordinate cardiomyocyte proliferation with function? 

We aim to understand how specific molecules instruct distinct cardiac progenitors to form a growing functional heart, and how this process fails in disease.

Vision

Lacking human cardiac models that predict patient responses is the most significant bottleneck to the development of much-needed therapies for cardiovascular disease. Our vision is to address this key problem by further developing our cardioid platform to recapitulate the key stages of embryonic and fetal heart growth, including trabeculation, compaction, coronary vascularization & circulation, fetal and postnatal hypertrophy. By achieving physiologically-like maturation in vitro, we aim to discover how signaling crosstalk, extracellular matrix, metabolites, and cellular mechanosensing drive gene expression to stimulate heart growth and development. We hypothesize that organoids need to recapitulate development as faithfully as possible to serve as predictive disease models.

 

Mission

To establish the next generation of physiologically relevant human cardioid models, we combine principles of in vivo organ development with bioengineering and the derivation and differentiation of organoids. Our lab's mission is to holistically understand the processes of cardiac development and disease across biological scales from the subcellular to the organoid level, combining state-of-the-art imaging (electron, confocal, light sheet, two-photon microscopy), multi-omics (single cell/spatial transcriptomics/proteomics, phospho-proteomics, ATACseq, metabolomics), and whole organoid level analysis (morphometry, Ca2+ transients, voltage, contraction). To integrate our findings and generate new predictions and hypotheses, we aim to use multimodal deep learning and new systems analysis frameworks.

Research Projects

Heart Growth and Regeneration

The adult heart has little capacity to regenerate after injury, such as a heart attack, forming scar tissue instead of new cardiac muscle. In contrast, the growing fetal heart can repair itself. To better understand fetal growth and regeneration, the Mendjan lab is advancing cardioid models to include immune cells, epicardium, fibroblasts, and other key components to recreate cardiac growth and repair in the lab for the first time. Using this model, the team will investigate the molecular mechanisms guiding fetal cardiac proliferation and regeneration and inform new potential therapies to enhance recovery after a heart attack.

Cardioid Vascularization and Circulation

The heart’s nonstop activity requires a constant nutrient supply from coronary circulation. However, how the heart’s blood vessels form during embryonic development and how they sustain the heart’s growth is still unclear. The Mendjan lab is advancing their cardioid models to induce blood vessels to form, an important step towards a comprehensive view of the heart’s development and how circulation sustains it.

Balancing Growth and Contraction

The human heart begins to form during the first days of development and starts beating as early as day twenty-three. From that moment on, it faces a remarkable challenge: continuously pumping blood while billions of new cardiomyocytes are produced and seamlessly integrated into the contracting heart muscle. By investigating how heart function and growth are coordinated, the Mendjan lab aims to reveal the mechanisms that allow the fetal heart to expand and strengthen without interrupting its essential, life-sustaining beat.

Core Support Team

To support our research project teams, our core support team ensures that daily workflows run smoothly by improving procedures, maintaining shared resources, and providing timely assistance whenever challenges arise. Beyond day-to-day support, we serve as a point of guidance for new lab members, offering training, onboarding, and hands-on help.

Affiliations, funding, and spin-off

Our lab includes a congenital defects branch located at the Center for Anatomy and Cell Biology of the Medical University of Vienna.

The lab filed several patents, leading to the founding of an IMBA spin-off - HeartBeat.bio, a drug discovery start-up.

Funding

ERC Advanced Grant 2025 - CardioGROWTH more information

FWF Stand-alone Grant 2023 - Lateral Plate Mesoderm

ERA4Health 2023 - RECREATE

Additional Ventures 2021 - Single Ventricle Research Fund

Selected Publications