Alternans in Mouse Atrial Cardiomyocytes: A Computational Study on the Influence of Cell-Cell Coupling and β-Adrenergic Stimulation
Autor: | Shanzhuo Zhang, Wei Wang, Kuanquan Wang, Weijian Shen, Henggui Zhang |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: | |
Zdroj: | IEEE Access, Vol 8, Pp 84806-84820 (2020) |
Druh dokumentu: | article |
ISSN: | 2169-3536 89888561 |
DOI: | 10.1109/ACCESS.2020.2992102 |
Popis: | Cardiac alternans is a dynamical phenomenon in cardiomyocytes, which is linked to the genesis of cardiac mechanical dysfunction and lethal arrhythmias. The beat-to-beat alteration may occur in the amplitude of Ca2+ transients (CaT) or the action potential duration (APD). Typically, APD alternans is a secondary consequence of the CaT alternans and the generation of CaT alternans is relevant to the imbalance of the sarcoplasmic reticulum (SR) Ca2+ release and uptake. However, the effect of cell-cell coupling and $\beta $ -adrenergic receptor ($\beta $ -AdR) stimulation on the initiation and inhibition of CaT alternans is not fully understood. Here, we used a biophysically detailed mathematical model of the mouse atrial myocyte to study the mechanism underlying alternans and the effects of $\beta $ -AdR stimulation. The cell exhibited obvious CaT alternans under fast pacing due to sarcolemmal Ca2+ flux imbalance leaded SR Ca2+ flux imbalance, while no noticeable APD alternans was seen. The $\beta $ -AdR agonist isoproterenol (ISO) inhibited CaT alternans by its regulatory role on amplifying the L-type Ca2+ current. On a one-dimensional strand, cell-cell coupling indirectly alleviated CaT alternans by affecting the overshoot and APD, reducing the triggered SR Ca2+ release. Variation in the cell-cell coupling did not change the pattern of CaT alternans or interfere with the alternans inhibitory effect of $\beta $ -AdR stimulation. Taken together, our results imply a potentially anti-arrhythmic effect of $\beta $ -AdR stimulation and shed new light on the mechanisms behind the cardiac alternans. |
Databáze: | Directory of Open Access Journals |
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