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(Circulation Research. 1995;77:140-152.)
© 1995 American Heart Association, Inc.


Articles

Two Components of the Delayed Rectifier K+ Current in Ventricular Myocytes of the Guinea Pig Type

Theoretical Formulation and Their Role in Repolarization

Presented in part in abstract form at the 39th meeting of the Biophysical Society, San Francisco, Calif, February 12-16, 1995.

Jinglin Zeng, Kenneth R. Laurita, David S. Rosenbaum, Yoram Rudy

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

Abstract Two distinct delayed rectifier K+ currents, IKr and IKs, were found recently in ventricular cells. We formulated these currents theoretically and investigated their roles in action potential repolarization and the restitution of action potential duration (APD). The Luo-Rudy (L-R) model of the ventricular action potential was used in the simulations. The single delayed rectifier K+ current in the model was replaced by IKr and IKs. Our results show that IKs is the major outward current during the plateau repolarization. A specific block of either IKr or IKs can effectively prolong APD to the same degree. Therefore, either channel provides a target for class III antiarrhythmic drugs. In the simulated guinea pig ventricular cell, complete block of IKr does not result in early afterdepolarizations (EADs). In contrast, >80% block of IKs results in abnormal repolarization and EADs. This behavior reflects the high IKs-to-IKr density ratio ({approx}8:1) in this cell and can be reversed (ie, IKr block can cause EADs) by reducing the ratio of Iks to IKr. The computed APD restitution curve is consistent with the experimental behavior, displaying fast APD variation at short diastolic intervals (DIs) and downward shift at longer DIs with the decrease of basic drive cycle length (BCL). Examining the ionic currents and their underlying kinetic processes, we found that activation of both IKr and IKs is the primary determinant of the APD restitution at shorter DIs, with Ca2+ current through L-type channels (ICa) playing a minor role. The rate of APD change depends on the relative densities of IKr and IKs; it increases when the IKr-to-IKs density ratio is large. The BCL-dependent shift of restitution at longer DIs is primarily attributed to long-lasting changes in [Ca2+]i. This in turn causes different degrees of Ca2+-dependent inactivation of ICa and different degrees of Ca2+-dependent conductance of IKs at very long DIs (>5 s) for different BCLs. This BCL dependence of ICa and IKs that is secondary to long-lasting changes in [Ca2+]i is responsible for APD changes at long DIs and can be viewed as a "memory property" of cardiac cells.


Key Words: K+ current • action potential duration • repolarization • simulation • optical mapping




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Electrophysiologic effects of acute myocardial ischemia: a theoretical study of altered cell excitability and action potential duration
Cardiovasc Res, August 1, 1997; 35(2): 256 - 272.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
R. M. Shaw and Y. Rudy
Electrophysiologic Effects of Acute Myocardial Ischemia: A Mechanistic Investigation of Action Potential Conduction and Conduction Failure
Circ. Res., January 1, 1997; 80(1): 124 - 138.
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CirculationHome page
D. M. Roden, R. Lazzara, M. Rosen, P. J. Schwartz, J. Towbin, and G. M. Vincent
Multiple Mechanisms in the Long-QT Syndrome: Current Knowledge, Gaps, and Future Directions
Circulation, October 15, 1996; 94(8): 1996 - 2012.
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Circ. Res.Home page
K. R. Laurita, S. D. Girouard, and D. S. Rosenbaum
Modulation of Ventricular Repolarization by a Premature Stimulus: Role of Epicardial Dispersion of Repolarization Kinetics Demonstrated by Optical Mapping of the Intact Guinea Pig Heart
Circ. Res., September 1, 1996; 79(3): 493 - 503.
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CirculationHome page
M.-L. Roy, R. Dumaine, and A. M. Brown
HERG, a Primary Human Ventricular Target of the Nonsedating Antihistamine Terfenadine
Circulation, August 15, 1996; 94(4): 817 - 823.
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Circ. Res.Home page
G.-R. Li, J. Feng, L. Yue, M. Carrier, and S. Nattel
Evidence for Two Components of Delayed Rectifier K+ Current in Human Ventricular Myocytes
Circ. Res., April 1, 1996; 78(4): 689 - 696.
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Circ. Res.Home page
G. A. Gintant
Two Components of Delayed Rectifier Current in Canine Atrium and Ventricle : Does IKs Play a Role in the Reverse Rate Dependence of ClassIII Agents?
Circ. Res., January 1, 1996; 78(1): 26 - 37.
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J. Biol. Chem.Home page
S. Kathofer, W. Zhang, C. Karle, D. Thomas, W. Schoels, and J. Kiehn
Functional Coupling of Human beta 3-Adrenoreceptors to the KvLQT1/MinK Potassium Channel
J. Biol. Chem., August 25, 2000; 275(35): 26743 - 26747.
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J. Physiol.Home page
M. Weerapura, S. Nattel, D. Chartier, R. Caballero, and T. E Hebert
A comparison of currents carried by HERG, with and without coexpression of MiRP1, and the native rapid delayed rectifier current. Is MiRP1 the missing link?
J. Physiol., April 1, 2002; 540(1): 15 - 27.
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CirculationHome page
C. E. Clancy and Y. Rudy
Na+ Channel Mutation That Causes Both Brugada and Long-QT Syndrome Phenotypes: A Simulation Study of Mechanism
Circulation, March 12, 2002; 105(10): 1208 - 1213.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
K. Gima and Y. Rudy
Ionic Current Basis of Electrocardiographic Waveforms: A Model Study
Circ. Res., May 3, 2002; 90(8): 889 - 896.
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