201. Regulation of ion gradients across myocardial ischemic border zones: a biophysical modelling analysis
- Author
-
Steven A. Niederer
- Subjects
Anatomy and Physiology ,Potassium ,Intracellular Space ,Myocardial Ischemia ,lcsh:Medicine ,030204 cardiovascular system & hematology ,Arrhythmias ,Cardiovascular ,Biophysics Simulations ,Membrane Potentials ,Biophysics Theory ,Diffusion ,chemistry.chemical_compound ,Mice ,0302 clinical medicine ,Integrative Physiology ,lcsh:Science ,Membrane potential ,0303 health sciences ,Multidisciplinary ,Chemistry ,Potassium channel ,Electrophysiology ,Biochemistry ,Medicine ,Biophysic Al Simulations ,Rabbits ,Intracellular ,Research Article ,Sodium ,Bicarbonate ,Biophysics ,chemistry.chemical_element ,Calcium ,Models, Biological ,Biophysical Phenomena ,03 medical and health sciences ,Spatio-Temporal Analysis ,Extracellular ,Animals ,Humans ,Biology ,030304 developmental biology ,Myocardium ,Cell Membrane ,lcsh:R ,Computational Biology ,Reproducibility of Results ,Electrophysiological Phenomena ,Rats ,Regional Blood Flow ,lcsh:Q ,Extracellular Space - Abstract
The myocardial ischemic border zone is associated with the initiation and sustenance of arrhythmias. The profile of ionic concentrations across the border zone play a significant role in determining cellular electrophysiology and conductivity, yet their spatial-temporal evolution and regulation are not well understood. To investigate the changes in ion concentrations that regulate cellular electrophysiology, a mathematical model of ion movement in the intra and extracellular space in the presence of ionic, potential and material property heterogeneities was developed. The model simulates the spatial and temporal evolution of concentrations of potassium, sodium, chloride, calcium, hydrogen and bicarbonate ions and carbon dioxide across an ischemic border zone. Ischemia was simulated by sodium-potassium pump inhibition, potassium channel activation and respiratory and metabolic acidosis. The model predicted significant disparities in the width of the border zone for each ionic species, with intracellular sodium and extracellular potassium having discordant gradients, facilitating multiple gradients in cellular properties across the border zone. Extracellular potassium was found to have the largest border zone and this was attributed to the voltage dependence of the potassium channels. The model also predicted the efflux of [Formula: see text] from the ischemic region due to electrogenic drift and diffusion within the intra and extracellular space, respectively, which contributed to [Formula: see text] depletion in the ischemic region.
- Published
- 2013