Key result
The response surface optimization-based approach successfully adjusted ionic current conductances in the Carro et al. human ventricular model to simulate intracellular potassium changes while retaining physiological accuracy.
A novel response surface optimization approach efficiently adjusts ionic current conductances in cardiac electrophysiological models, enabling the simulation of intracellular potassium dynamics.
Enables refined in silico potassium perturbation studies in ventricular models; leaves open clinical translation pending experimental validation.
Cardiac electrophysiological computational models are often developed from previously published models. The new models may incorporate additional features to adapt the model to a different species or may upgrade a specific ionic formulation based on newly available experimental data. A relevant challenge in the development of a new model is the estimation of certain ionic current conductances that cannot be reliably identified from experiments. A common strategy to estimate those conductances is by means of constrained non-linear least-squares optimization. In this work, a novel methodology is proposed for estimation of ionic current conductances of cardiac electrophysiological models by using a response surface approximation-based constrained optimization with trust region management. Polynomial response surfaces of a number of electrophysiological markers were built using statistical sampling methods. These markers included action potential duration (APD), triangulation, diastolic and systolic intracellular calcium concentration, and time constants of APD rate adaptation. The proposed methodology was applied to update the Carro et al. human ventricular action potential model after incorporation of intracellular potassium ([K+]i) dynamics. While the Carro et al. model was well suited for investigation of arrhythmogenesis, it did not allow simulation of [K+]i changes. With the methodology proposed in this study, the updated Carro et al. human ventricular model could be used to simulate [K+]i changes in response to varying extracellular potassium ([K+]o) levels. Additionally, it rendered values of evaluated electrophysiological markers within physiologically plausible ranges. The optimal values of ionic current conductances in the updated model were found in a notably shorter time than with previously proposed methodologies. As a conclusion, the response surface optimization-based approach proposed in this study allows estimating ionic current conductances of cardiac electrophysiological computational models while guaranteeing replication of key electrophysiological features and with an important reduction in computational cost with respect to previously published approaches. The updated Carro et al. model developed in this study is thus suitable for the investigation of arrhythmic risk-related conditions, including those involving large changes in potassium concentration.
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Carro et al. (2018) studied Cardiac electrophysiology modeling. Response surface optimization approach vs. Original CRLP model was evaluated on Estimation of ionic current conductances and replication of key electrophysiological features. The response surface optimization-based approach successfully adjusted ionic current conductances in the Carro et al. human ventricular model to simulate intracellular potassium changes while retaining physiological accuracy.
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