Key result
Validation of dynamical models of the IKr ion-channel current revealed heterogeneity between parameter estimates from different cells, indicating latent effects not yet accounted for.
Why the study?
Mathematical models of cardiac electrophysiology are increasingly relied upon for quantitative predictions, but the predictive accuracy of I Kr models under diverse dynamics required validation using multiple experimental designs.
Heterogeneity in parameter estimates from different cells highlights the need to account for latent effects to improve the predictive accuracy of cardiac ion-channel models.
Model discrepancy consideration refines IKr and action potential calibrations; leaves open prospective clinical validation before practice impact.
Mathematical models are increasingly being relied upon to provide quantitatively accurate predictions of cardiac electrophysiology. Many such models concern the behaviour of particular subcellular components (namely, ion channels) which, together, allow the propagation of electrical signals through heart-muscle tissue; that is, the firing of action potentials. In particular, I Kr , a voltage-sensitive potassium ion-channel current, is of interest owing to the central pore of its primary protein having a propensity to blockage by various small molecules. We use newly collected data obtained from an ensemble of voltage-clamp experiment designs (protocols) to validate the predictive accuracy of various dynamical models of I Kr . To do this, we fit models to each protocol individually and quantify the error in the resultant model predictions for other protocols. This allows the comparison of predictive accuracy for I Kr models under a diverse collection of previously unexplored dynamics. Our results highlight heterogeneity between parameter estimates obtained from different cells, suggesting the presence of latent effects not yet accounted for in our models. This heterogeneity has a significant effect on our parameter estimates and suggests routes for model improvement. This article is part of the theme issue ‘Uncertainty quantification for healthcare and biological systems (Part 1)’.
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Shuttleworth et al. (2025) studied Cardiac electrophysiology. Dynamical models of IKr was evaluated on Predictive accuracy of IKr models. Validation of dynamical models of the IKr ion-channel current revealed heterogeneity between parameter estimates from different cells, indicating latent effects not yet accounted for.
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