INDUCTION OF AUTORHYTHMICITY IN VIRTUAL VENTRICULAR MYOCYTES AND TISSUE

University of Oxford (2004) J Physiol 561P, PC22

Communications: INDUCTION OF AUTORHYTHMICITY IN VIRTUAL VENTRICULAR MYOCYTES AND TISSUE

Benson,Alan Philip; Tong,Wing Chiu; Holden,Arun V; Clayton,Richard H;

1. Computational Biology Laboratory, School of Biomedical Sciences, University of Leeds, Leeds, United Kingdom. 2. Department of Computer Science, University of Sheffield, Sheffield, United Kingdom.

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Autorhythmicity was initiated in modified virtual ventricular cells and tissues of the Luo-Rudy (LRd00) family (Faber, 2000) by (1) [Ca2+]i oscillations due to [Na+]i overload and (2) block of the time-independent potassium current IK1. The voltage-clamped (dV/dt = 0, V = -80 mV) calcium subsystem at low levels of [Na+]i has stable, steady-state [Ca2+]i (Fig. 1). For [Na+]i just above 14 mM, very low rate [Ca2+]i oscillations emerge. As [Na+]i is further increased to 16 mM, the period of the oscillations decreases to 0.65 s. In a modified LRd00 endocardial cell (100% inhibition of INa-K, two-fold increase of Ins(Ca) conductance, CSQNth = 7 mM, initial [Na+]i = 20 mM and [K+]i = 125 mM), these [Ca2+]i oscillations drive sub-threshold voltage oscillations that lead to spontaneous action potentials. Down-regulation of gK1, the maximum conductance of IK1, can induce autorhythmicity in ventricular cells (Miake et al., 2002). Reducing fractional gK1 to about 0.3 in LRd00 induced low-rate membrane potential oscillations. With complete block of IK1 the cells oscillate with periods ranging from 308-369 ms (Fig. 1). Qualitatively similar results are found with the model of ten Tusscher et al. (2004) for human virtual ventricular cells, with oscillations emerging at fractional gK1 = 0.078 and a period of 0.8 s with complete IK1 block. The large decrease in the period of the [Ca2+]i and voltage oscillations close to their emergence at a bifurcation suggests homoclinic rather than Hopf bifurcations. For all cell types, the minimal length of [Na+]i overloaded tissue required for the initiation of propagating autorhythmic activity in 1-D homogeneous tissue strands was 1.6 mm. For reduced IK1, the minimal length was 5.2 mm in 1-D homogeneous strands and the minimal radius was 3.8 mm in 2-D homogeneous tissues.


Figure 1: Bifurcation diagrams (top) showing steady states and oscillation amplitudes of (A) [Ca2+]i in the LRd00 calcium subsystem with [Na+]i as the bifurcation parameter and (B) membrane potential in epicardial (solid line) M (dotted line) and endocardial (dashed line) LRd00 cells with fractional gK1 as the bifurcation parameter. The corresponding periods of the oscillations are also shown (bottom).


Where applicable, experiments conform with Society ethical requirements.

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