论文标题

具有光遗传学修饰的心脏组织电湍流的机制

A mechanism for electric turbulence in cardiac tissue with optogenetic modification

论文作者

Majumder, Rupamanjari, Hussaini, Sayedeh, Zykov, Vladimir S., Luther, Stefan, Bodenschatz, Eberhard

论文摘要

非线性波传播中的中断(通常称为波浪断裂)是许多复杂的激发系统的典型特征。在内心,它们导致致命的节奏疾病,即所谓的心律不齐,这是工业化世界中突然死亡的主要原因之一。心律不齐的治疗和治疗的进展需要详细了解这些波浪破裂的触发因素和动力学。特别是,两个非常重要的问题是:1)是什么决定了波浪中断重新进入的潜力? 2)这些断裂如何发展使系统能够维持时空混乱的电活动?在这里,我们在人类心房组织的硅模型中使用光遗传学以数值为单位,该问题经历了慢性心房颤动(CAF)重塑。在鲜为人知的子阈值照明中,我们发现了一种新的心脏组织中波浪破裂开始机理,这是针对恢复原状的轻柔斜率而发生的。该机制涉及“调理”或重塑​​从前到背面的波轮廓,以使外部光源的去除会导致波回来处的细胞快速恢复,从而导致在空间扩展系统中创建易受伤害的窗户以持续重新进入。

Interruptions in nonlinear wave propagation, commonly referred to as wave breaks, are typical of many complex excitable systems. In the heart they lead to fatal rhythm disorders, the so-called arrhythmias, which are one of the main causes of sudden death in the industrialized world. Progress in the treatment and therapy of cardiac arrhythmias requires a detailed understanding of the triggers and dynamics of these wave breaks. In particular, two very important questions are: 1) What determines the potential of a wave break to initiate re-entry? and 2) How do these breaks evolve such that the system is able to maintain spatiotemporally chaotic electrical activity? Here we approach these questions numerically using optogenetics in an in silico model of human atrial tissue that has undergone chronic atrial fibrillation (cAF) remodelling. In the lesser known sub-threshold illumination régime, we discover a new mechanism of wave break initiation in cardiac tissue that occurs for gentle slopes of the restitution characteristics. This mechanism involves "conditioning" or reshaping the wave profile from front to back, such that, removal of the external light source causes rapid recovery of cells at the waveback, leading to the creation of vulnerable windows for sustained re-entry in spatially extended systems.

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