Rapid inward current in ischemically-injured subepicardial myocytes bordering myocardial infarction

E Patterson1, B J Scherlag, R Lazzara

  • 1Department of Pharmacology, University of Oklahoma Health Sciences Center, Oklahoma City.

Insights

Enzymatically-dispersed myocytes accurately model electrophysiologic changes after myocardial infarction (MI). These changes, including altered membrane potential and Vmax, occur similarly in isolated cells and tissue, aiding MI research.

Area of Science:

  • Cardiovascular Electrophysiology
  • Myocardial Infarction Research
  • Cellular Biology

Background:

  • Investigating electrophysiological alterations in myocardial infarction (MI) is crucial for understanding cardiac dysfunction.
  • Previous studies focused on intact tissue, but isolated cell models offer potential advantages for mechanistic studies.

Purpose of the Study:

  • To determine if collagenase-dispersed epicardial myocytes overlying myocardial infarction (MI) reproduce the electrophysiological changes observed in intact epicardial tissue.
  • To compare cellular electrophysiology in isolated myocytes versus multicellular tissue preparations at 1 and 4 days post-MI.

Main Methods:

  • Utilized collagenase-dispersed epicardial myocytes and multicellular tissue preparations from canine subepicardium.
  • Examined electrophysiologic properties, including membrane potential and Vmax, at 1 and 4 days after inducing myocardial infarction (MI).
  • Assessed changes in response to varying extracellular potassium concentrations ([K0]+).

Main Results:

  • Electrophysiologic changes in dispersed myocytes mirrored those in intact tissue preparations post-MI.
  • Ischemically-injured myocytes exhibited depolarization and reduced membrane potentials compared to normal myocytes.
  • On day 1 post-MI, reduced Vmax and prolonged recovery of Vmax from inactivation correlated with reduced membrane potentials.
  • On day 4 post-MI, further alterations included a negative shift in Vmax inactivation, reduced maximal Vmax, and prolonged recovery from inactivation.

Conclusions:

  • Enzymatically-dispersed myocytes effectively replicate altered cellular electrophysiology observed in multicellular tissue preparations following MI.
  • Post-MI conduction and refractoriness changes are primarily driven by reduced membrane potential at day 1.
  • At day 4, slowed conduction and prolonged refractoriness are further influenced by reduced maximal Vmax and altered inactivation properties.
Abstract

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