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Tortuous Cardiac Intercalated Discs Modulate Ephaptic Coupling.

Ena Ivanovic1, Jan P Kucera1

  • 1Department of Physiology, University of Bern, CH-3012 Bern, Switzerland.

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|November 11, 2022
PubMed
Summary

Cardiac ephaptic coupling, influenced by intercalated disc structure, affects action potential propagation. Concentric folds enhance coupling, while radial folds attenuate it, showing folding patterns modulate electrical signaling in the heart.

Keywords:
cardiac electrophysiologycomputer modelingephaptic couplingintercalated discssodium channels

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Area of Science:

  • Cardiology
  • Biophysics
  • Computational Biology

Background:

  • Cardiac ephaptic coupling influences action potential propagation via intercellular clefts.
  • Intercalated discs exhibit complex, tortuous geometries due to plicate and interplicate regions.

Purpose of the Study:

  • To investigate how the convoluted structure of intercalated discs affects cardiac ephaptic coupling.
  • To model the impact of folding patterns on electrical potential and sodium current.

Main Methods:

  • Refinement of a computational model for intercalated discs.
  • Testing predefined folded geometries parametrized by orientation, amplitude, and fold number.
  • Assessment of ephaptic interactions via minimal cleft potential and sodium current amplitude.

Main Results:

  • Concentric folds reinforced ephaptic interactions, leading to more negative cleft potentials with increased fold amplitude and number.
  • Radial folds attenuated ephaptic interactions, resulting in less negative cleft potentials.
  • Increased resistance in concentric folds and decreased net resistance in radial folds explained the observed effects.

Conclusions:

  • The folding pattern of cardiac intercalated discs significantly modulates ephaptic coupling.
  • Geometric variations influence the electrical communication between cardiomyocytes.
  • Findings highlight the role of cardiac structure in electrical signal propagation.