Key result
Sodium channel opening generates intercellular electrochemical waves that support ephaptic coupling in nanoscale simulations.
Why the study?
Strong electrical and chemical gradients close to cardiomyocyte ion channels extend only a few nanometers and are commonly ignored in mathematical models.
Answers are grounded in this paper and cite their sources.
Nano-scale computational modeling reveals that strong electrochemical waves in the extracellular space can mediate ephaptic coupling between cardiomyocytes, offering an alternative explanation for cardiac conduction.
The basic building blocks of the electrophysiology of cardiomyocytes are ion channels integrated in the cell membranes. Close to the ion channels there are very strong electrical and chemical gradients. However, these gradients extend for only a few nano-meters and are therefore commonly ignored in mathematical models. The full complexity of the dynamics is modelled by the Poisson-Nernst-Planck (PNP) equations but these equations must be solved using temporal and spatial scales of nano-seconds and nano-meters. Here we report solutions of the PNP equations in a fraction of two abuttal cells separated by a tiny extracellular space. We show that when only the potassium channels of the two cells are open, a stationary solution is reached with the well-known Debye layer close to the membranes. When the sodium channels of one of the cells are opened, a very strong and brief electrochemical wave emanates from the channels. If the extracellular space is sufficiently small and the number of sodium channels is sufficiently high, the wave extends all the way over to the neighboring cell and may therefore explain cardiac conduction even at very low levels of gap junctional coupling.
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Jæger et al. (2023) studied Cardiac conduction (Ephaptic coupling). Computational simulation of Poisson-Nernst-Planck (PNP) equations was evaluated. Nano-scale solutions of the Poisson-Nernst-Planck equations reveal that opening sodium channels generates a strong electrochemical wave capable of reaching neighboring cells, supporting ephaptic coupling.
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