Key result
Theoretical model maps cardiomyocyte calcium oscillations to the Van-der-Pol equation to predict spontaneous beating.
A minimal theoretical model based on physics principles can accurately predict the complex calcium oscillation dynamics and pacing responses of cardiomyocytes.
May guide computational studies of cardiac calcium dynamics; leaves open validation and translation to human arrhythmia mechanisms.
We review a theoretical, coarse-grained description for cardiomyocytes calcium dynamics that is motivated by experiments on RyR channel dynamics and provides an analogy to other spontaneously oscillating systems. We show how a minimal model, that focuses on calcium channel and pump dynamics and kinetics, results in a single, easily understood equation for spontaneous calcium oscillations (the Van-der-Pol equation). We analyze experiments on isolated RyR channels to quantify how the channel dynamics depends both on the local calcium concentration, as well as its temporal behavior ("adaptation"). Our oscillator model analytically predicts the conditions for spontaneous oscillations, their frequency and amplitude, and how each of those scale with the small number of relevant parameters related to calcium channel and pump activity. The minimal model is easily extended to include the effects of noise and external pacing (electrical or mechanical). We show how our simple oscillator predicts and explains the experimental observations of synchronization, "bursting" and reduction of apparent noise in the beating dynamics of paced cells. Thus, our analogy and theoretical approach provides robust predictions for the beating dynamics, and their biochemical and mechanical modulation.
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Cohen et al. (2020) conducted a review in Cardiomyocyte Calcium Ion Oscillations. Theoretical coarse-grained oscillator model was evaluated. A minimal theoretical model focusing on calcium channel and pump dynamics maps cardiomyocyte calcium oscillations to the Van-der-Pol equation, predicting spontaneous beating, entrainment, and noise reduction.
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