Key result
Modified Leeds model accurately captures rate-dependent repolarization changes and key ionic currents during physiological pacing.
Why the study?
The study aimed to simulate ventricular responses to elevations in pacing and adrenergic stimulation using a novel electrophysiological rat model and investigate the ion channel responses underlying action potential modulations.
Do physiological pacing and adrenergic stimulation alter action potential repolarization and peak ion currents in adult rat ventricular myocytes?
Do physiological pacing and adrenergic stimulation alter action potential repolarization and peak ion currents in adult rat ventricular myocytes?
This electrophysiological model improves the simulation of rat ventricular action potentials under physiological stress, highlighting the dominant roles of ICa, Ito, IK1, and IKs.
May refine rat models for physiological repolarization studies; leaves open translation to human arrhythmia mechanisms.
This study aimed to simulate ventricular responses to elevations in myocyte pacing and adrenergic stimulation using a novel electrophysiological rat model and investigate ion channel responses underlying action potential (AP) modulations. Peak ion currents and AP repolarization to 50% and 90% of full repolarization (APD 50‐90 ) were recorded during simulations at 1–10 Hz pacing under control and adrenergic stimulation conditions. Further simulations were performed with incremental ion current block (L‐type calcium current, I Ca ; transient outward current, I to ; slow delayed rectifier potassium current, I Ks ; rapid delayed rectifier potassium current, I Kr ; inward rectifier potassium current, I K1 ) to identify current influence on AP response to exercise. Simulated APD 50‐90 closely resembled experimental findings. Rate‐dependent increases in I Ks (6%–101%), I Kr (141%–1339%), and I Ca (0%–15%) and reductions in I to (11%–57%) and I K1 (1%–9%) were observed. Meanwhile, adrenergic stimulation triggered moderate increases in all currents (23%–67%) except I K1 . Further analyses suggest AP plateau is most sensitive to modulations in I to and I Ca while late repolarization is most sensitive to I K1 , I Ca , and I Ks , with alterations in I Ks predominantly stimulating the greatest magnitude of influence on late repolarization (35%–846% APD 90 prolongation). The modified Leeds rat model (mLR) is capable of accurately modeling APs during physiological stress. This study highlights the importance of I Ca , I to , I K1, and I Ks in controlling electrophysiological responses to exercise. This work will benefit the study of cardiac dysfunction, arrythmia, and disease, though future physiologically relevant experimental studies and model development are required.
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Howlett et al. (2023) studied Ventricular myocyte electrophysiology. Physiological pacing and adrenergic stimulation vs. Control conditions (1 Hz pacing, no isoproterenol) and original LR model was evaluated on Action potential repolarization to 50% and 90% (APD50-90). The modified Leeds rat model accurately simulated action potential repolarization, showing rate-dependent increases in IKs, IKr, and ICa and reductions in Ito and IK1 during physiological pacing.
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