Key result
Modeling cardiac calcium cycling remains challenging due to complex release networks and multiscale dynamics.
Why the study?
Due to the complexities of the CRU network and spatiotemporal Ca dynamics, modeling cardiac Ca cycling dynamics remains challenging, particularly at tissue scales.
This review highlights the current state and future challenges of computational modeling of cardiac calcium cycling, which is crucial for understanding excitation-contraction coupling and arrhythmogenesis.
Persistent modeling challenges constrain arrhythmia mechanism insights; leaves open multiscale computational advances.
Intracellular calcium (Ca) cycling in the heart plays key roles in excitation-contraction coupling and arrhythmogenesis. In cardiac myocytes, the Ca release channels, i.e., the ryanodine receptors (RyRs), are clustered in the sarcoplasmic reticulum membrane, forming Ca release units (CRUs). The RyRs in a CRU act collectively to give rise to discrete Ca release events, called Ca sparks. A cell contains hundreds to thousands of CRUs, diffusively coupled via Ca to form a CRU network. A rich spectrum of spatiotemporal Ca dynamics is observed in cardiac myocytes, including Ca sparks, spark clusters, mini-waves, persistent whole-cell waves, and oscillations. Models of different temporal and spatial scales have been developed to investigate these dynamics. Due to the complexities of the CRU network and the spatiotemporal Ca dynamics, it is challenging to model the Ca cycling dynamics in the cardiac system, particularly at the tissue sales. In this article, we review the progress of modeling of Ca cycling in cardiac systems from single RyRs to the tissue scale, the pros and cons of the current models and different modeling approaches, and the challenges to be tackled in the future.
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Qu et al. (2022) conducted a review in Calcium cycling in the heart. Modeling of calcium cycling was evaluated. Modeling calcium cycling dynamics in cardiac systems remains challenging due to the complexities of the calcium release unit network and spatiotemporal dynamics across different scales.
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