Key result
Novel Bayesian model accurately captures experimental variability in human atrial Nav1.5 channels and upstroke velocity.
Why the study?
There is a growing appreciation for the importance of incorporating physiological heterogeneity observed even in a healthy population into mathematical models of the cardiac action potential.
Applying Bayesian statistical modeling to cardiac ion channel data enables computational models to accurately reflect natural physiological and experimental variability rather than just average behavior.
Hypothesis-generating for variability-aware atrial models; leaves open validation before any clinical translation.
The voltage-gated Na+ channel Nav1.5 is critical for normal cardiac myocyte excitability. Mathematical models have been widely used to study Nav1.5 function and link to a range of cardiac arrhythmias. There is growing appreciation for the importance of incorporating physiological heterogeneity observed even in a healthy population into mathematical models of the cardiac action potential. Here, we apply methods from Bayesian statistics to capture the variability in experimental measurements on human atrial Nav1.5 across experimental protocols and labs. This variability was used to define a physiological distribution for model parameters in a novel model formulation of Nav1.5, which was then incorporated into an existing human atrial action potential model. Model validation was performed by comparing the simulated distribution of action potential upstroke velocity measurements to experimental measurements from several different sources. Going forward, we hope to apply this approach to other major atrial ion channels to create a comprehensive model of the human atrial AP. We anticipate that such a model will be useful for understanding excitability at the population level, including variable drug response and penetrance of variants linked to inherited cardiac arrhythmia syndromes.
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Gratz et al. (2021) studied Normal (non-diseased) human atrial myocytes (Computational Model). Bayesian statistical modeling (Markov chain Monte Carlo) of Nav1.5 was evaluated on Simulated distribution of action potential upstroke velocity measurements. The novel Bayesian statistical model accurately reproduced experimental variability in human atrial Nav1.5 channels and action potential upstroke velocity measurements across different protocols.
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