Both contractility and electrical stability are controlled by cAMP/PKA signaling in human atrium. In human atrial myocytes from patients in sinus rhythm, both phosphodiesterases PDE3 and PDE4 have been shown to control cAMP signaling. While PDE4 prevented arrhythmias evoked by β-adrenoceptor (β-AR) activation without affecting force, PDE3 reduced both the sensitivity for β-AR activation-evoked inotropy and arrhythmias. Interestingly, overexpression of PDE4B in the mouse heart reduced harmful effects of norepinephrine on ventricular tissue. It is unknown if the same holds true for human atrium. To answer this question, we will use human induced stem cell-derived cardiomyocytes (hiPSC-CM), a promising tool to study human heart electrophysiology and cAMP/PKA-dependent regulation. We have refined atrial-like hiPSC-CM a model to study human atrium physiology. Atrial engineered heart tissue (aEHT) recapitulates key finding of repolarization in human adult atrium. In close collaboration with Dr. Justus Stenzig and Dr. Arne Hansen (RP4), we will use aEHT-based tachypacing model of atrial fibrillation.