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多尺度建模研究线粒体起源性心脏折返性和纤维颤动性心律失常。

Multiscale Modeling of the Mitochondrial Origin of Cardiac Reentrant and Fibrillatory Arrhythmias.

机构信息

Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Department of Medicine, F. Edward Hébert School of Medicine, Bethesda, MD, USA.

出版信息

Methods Mol Biol. 2022;2399:247-259. doi: 10.1007/978-1-0716-1831-8_11.

DOI:10.1007/978-1-0716-1831-8_11
PMID:35604560
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10186263/
Abstract

While mitochondrial dysfunction has been implicated in the pathogenesis of cardiac arrhythmias, how the abnormality occurring at the organelle level escalates to influence the rhythm of the heart remains incompletely understood. This is due, in part, to the complexity of the interactions formed by cardiac electrical, mechanical, and metabolic subsystems at various spatiotemporal scales that is difficult to fully comprehend solely with experiments. Computational models have emerged as a powerful tool to explore complicated and highly dynamic biological systems such as the heart, alone or in combination with experimental measurements. Here, we describe a strategy of integrating computer simulations with optical mapping of cardiomyocyte monolayers to examine how regional mitochondrial dysfunction elicits abnormal electrical activity, such as rebound and spiral waves, leading to reentry and fibrillation in cardiac tissue. We anticipate that this advanced modeling technology will enable new insights into the mechanisms by which changes in subcellular organelles can impact organ function.

摘要

虽然线粒体功能障碍与心律失常的发病机制有关,但细胞器水平的异常如何逐渐影响心脏节律仍不完全清楚。部分原因在于,心脏电、机械和代谢子系统在不同时空尺度上形成的相互作用非常复杂,仅通过实验很难完全理解。计算模型已成为探索复杂且高度动态的生物系统(如心脏)的有力工具,可单独使用或与实验测量相结合。在这里,我们描述了一种将计算机模拟与心肌细胞单层的光学标测相结合的策略,以研究局部线粒体功能障碍如何引发异常电活动,如折返和螺旋波,从而导致心脏组织中的折返和纤颤。我们预计,这项先进的建模技术将使我们能够深入了解亚细胞细胞器的变化如何影响器官功能的机制。

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本文引用的文献

1
Heart Disease and Stroke Statistics-2020 Update: A Report From the American Heart Association.《心脏病与卒中统计-2020 更新:来自美国心脏协会的报告》。
Circulation. 2020 Mar 3;141(9):e139-e596. doi: 10.1161/CIR.0000000000000757. Epub 2020 Jan 29.
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Mitochondrial Dysfunction-Associated Arrhythmogenic Substrates in Diabetes Mellitus.糖尿病中与线粒体功能障碍相关的致心律失常底物
Front Physiol. 2018 Dec 6;9:1670. doi: 10.3389/fphys.2018.01670. eCollection 2018.
3
Mitochondrial-Mediated Oxidative Ca/Calmodulin-Dependent Kinase II Activation Induces Early Afterdepolarizations in Guinea Pig Cardiomyocytes: An In Silico Study.
线粒体介导的氧化钙/钙调蛋白依赖性激酶 II 激活诱导豚鼠心肌细胞早期后除极:一项计算机模拟研究。
J Am Heart Assoc. 2018 Aug 7;7(15):e008939. doi: 10.1161/JAHA.118.008939.
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Assessment of Left Atrial Fibrosis by Late Gadolinium Enhancement Magnetic Resonance Imaging: Methodology and Clinical Implications.心脏磁共振钆延迟增强评估左心房纤维化:方法学与临床意义。
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Source-Sink Mismatch Causing Functional Conduction Block in Re-Entrant Ventricular Tachycardia.源-汇失配对折返性室性心动过速功能性传导阻滞的影响
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6
Electrophysiological Properties and Viability of Neonatal Rat Ventricular Myocyte Cultures with Inducible ChR2 Expression.可诱导表达 ChR2 的新生大鼠心室肌细胞培养物的电生理特性和活力。
Sci Rep. 2017 May 8;7(1):1531. doi: 10.1038/s41598-017-01723-2.
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Mechanisms of cardiac arrhythmias.心律失常的机制。
J Arrhythm. 2016 Apr;32(2):75-81. doi: 10.1016/j.joa.2015.11.003. Epub 2015 Dec 17.
8
Mitochondria: hubs of cellular signaling, energetics and redox balance. A rich, vibrant, and diverse landscape of mitochondrial research.线粒体:细胞信号传导、能量代谢及氧化还原平衡的枢纽。线粒体研究领域丰富、活跃且多样。
Front Physiol. 2015 Mar 26;6:94. doi: 10.3389/fphys.2015.00094. eCollection 2015.
9
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J Mol Cell Cardiol. 2015 Jan;78:90-9. doi: 10.1016/j.yjmcc.2014.09.024. Epub 2014 Sep 28.
10
Effects of regional mitochondrial depolarization on electrical propagation: implications for arrhythmogenesis.区域线粒体去极化对电传播的影响:对心律失常发生机制的启示。
Circ Arrhythm Electrophysiol. 2014 Feb;7(1):143-51. doi: 10.1161/CIRCEP.113.000600. Epub 2014 Jan 1.