Mechanism of pacemaking in IK1-downregulated myocytes

被引:55
作者
Silva, J [1 ]
Rudy, Y [1 ]
机构
[1] Case Western Reserve Univ, Cardiac Bioelect Res & Training Ctr, Cleveland, OH 44106 USA
关键词
pacemaker; arrhythmias; ion channels; gene therapy;
D O I
10.1161/01.RES.0000057996.20414.C6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Biological pacemakers were recently created by genetic suppression of inward rectifier potassium current, I-K1,in guinea pig ventricular cells. We simulated these cells by adjusting I-K1 conductance in the Luo-Rudy model of the guinea pig ventricular myocyte. After 81% I-K1 suppression, the simulated cell reached steady state with pacemaker period of 594 ms. Pacemaking current is carried by the Na+-Ca2+ exchanger, I-NaCa, which depends on the intracellular calcium concentration [Ca2+](i). This [Ca2+](i) dependence suggests responsiveness (increase in rate) to beta-adrenergic stimulation (betaAS), as observed experimentally. Simulations of betaAS demonstrate such responsiveness, which depends on I-NaCa expression. However, a simultaneous betaAS-mediated increase in the slow delayed rectifier, I-Ks, limits betaAS sensitivity.
引用
收藏
页码:261 / 263
页数:3
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