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Circulation Research. 2003
Published online before print January 23, 2003, doi: 10.1161/01.RES.0000057996.20414.C6
A more recent version of this article appeared on February 21, 2003
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Right arrow Pacemaker
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Submitted on October 22, 2002
Revised on January 15, 2003
Accepted on January 15, 2003

Mechanism of Pacemaking in IK1-Downregulated Myocytes

Jonathan Silva and Yoram Rudy *

From the Cardiac Bioelectricity Research and Training Center, Case Western Reserve University, Cleveland, Ohio.

* To whom correspondence should be addressed. E-mail: yxr{at}po.cwru.edu.

Biological pacemakers were recently created by genetic suppression of inward rectifier potassium current, IK1, in guinea pig ventricular cells. We simulated these cells by adjusting IK1 conductance in the Luo-Rudy model of the guinea pig ventricular myocyte. After 81% IK1 suppression, the simulated cell reached steady state with pacemaker period of 594 ms. Pacemaking current is carried by the Na+-Ca2+ exchanger, INaCa, which depends on the intracellular calcium concentration [Ca2+]i. This [Ca2+]i dependence suggests responsiveness (increase in rate) to {beta}-adrenergic stimulation ({beta}AS), as observed experimentally. Simulations of {beta}AS demonstrate such responsiveness, which depends on INaCa expression. However, a simultaneous {beta}AS-mediated increase in the slow delayed rectifier, IKs, limits {beta}AS sensitivity.


Key words: pacemaker • arrhythmias • ion channels • gene therapy




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