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Submitted on October 22, 2002
Revised on January 15, 2003
Accepted on January 15, 2003
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
-adrenergic stimulation (
AS), as observed experimentally. Simulations of
AS demonstrate such responsiveness, which depends on INaCa expression. However, a simultaneous
AS-mediated increase in the slow delayed rectifier, IKs, limits
AS sensitivity.
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