Entrainment of Na/K pumps by a synchronization modulation electric field

Mechanism on the microbial salt tolerance enhancement by electrical stimulation

The application of biological methods in industrial saline wastewater treatment is limited, since the activities of microorganisms are strongly inhibited by the highly concentrated salts. Acclimatized halotolerant and halophilic microorganisms are of high importance since they can resist the environmental stresses of high salinity. The acclimation to salinity can be passive or active based on whether external simulation is used. However, there is a need for development of economic, efficient and reliable active biological stimulation technologies to accelerate salinity acclimation. Recent studies have shown that electrical stimulation can effectively enhance microbial salt tolerance and pollutant removal ability. However, there have been no comprehensive reviews of the mechanisms involved. Therefore, this mini-review described the mechanisms of electrical stimulation that can significantly improve microbial bioactivity and biodiversity. These mechanisms include regulation of Na⁺ and K⁺ transporters by changing membranepotential and promoting ATP production, as well as regulation of extracellular polymer substances through enhanced release of low molecular weight EPS and quorum sensing molecules. The information provided herein will facilitate the application of biological high-salinity wastewater treatment.

Reducing ischemic kidney injury through application of a synchronization modulation electric field to maintain Na+/K+-ATPase functions

Renal ischemia-reperfusion injury is an important contributor to the development of delayed graft function after transplantation, which is associated with higher rejection rates and poorer long-term outcomes. One of the earliest impairments during ischemia is Na⁺/K⁺-ATPase (Na/K pump) dysfunction due to insufficient ATP supply, resulting in subsequent cellular damage. Therefore, strategies that preserve ATP or maintain Na/K pump function may limit the extent of renal injury during ischemia-reperfusion. Here, we applied a synchronization modulation electric field to activate Na/K pumps, thereby maintaining cellular functions under ATP-insufficient conditions. We tested the effectiveness of this technique in two models of ischemic renal injury: an in situ renal ischemia-reperfusion injury model (predominantly warm ischemia) and a kidney transplantation model (predominantly cold ischemia). Application of the synchronization modulation electric field to a renal ischemia-reperfusion injury mouse model preserved Na/K pump activity, thereby reducing kidney injury, as reflected by 40% lower plasma creatinine (1.17 ± 0.03 mg/dl) in the electric field-treated group as compared to the untreated control group (1.89 ± 0.06 mg/dl). In a mouse kidney transplantation model, renal graft function was improved by more than 50% with the application of the synchronization modulation electric field according to glomerular filtration rate measurements (85.40 ± 12.18 μl/min in the untreated group versus 142.80 ± 11.65 μl/min in the electric field-treated group). This technique for preserving Na/K pump function may have therapeutic potential not only for ischemic kidney injury but also for other diseases associated with Na/K pump dysfunction due to inadequate ATP supply.

Synchronization Modulation of Na/K Pumps Induced Membrane Potential Hyperpolarization in Both Physiological and Hyperkalemic Conditions

The capability of the synchronization modulation (SM) technique in enhancing the function of Na/K pumps has been demonstrated in various cells and tissues, including cardiomyocytes, a monolayer of cultured MDCK kidney cells, peripheral blood vessels, and frog skeletal muscles. This study characterized the membrane potential hyperpolarization induced by SM in both physiological and high [K⁺]_o conditions on single skeletal muscle fibers. The results showed that SM could consistently induce membrane potential hyperpolarization by a few millivolts, and this hyperpolarization was not possible in the presence of ouabain. In contrast, the same electrical pulses but with random frequencies, constant frequencies, or synchronization with backward-modulation could not hyperpolarize the membrane potential. Prolonged field application and higher field intensity enhanced the effects of SM-induced hyperpolarization. Finally, the effect of SM was tested on skeletal muscle fibers incubated in a solution with high external potassium. Results showed that the SM electric field could hyperpolarize the membrane potential even if the external K⁺ concentration was higher than the normal, which implied the therapeutic effects of the SM electric field on the hyperkalemic situation.

In vivo study of transepithelial potential difference (TEPD) in proximal convoluted tubules of rat kidney by synchronization modulation electric field

Synchronization modulation (SM) electric field has been shown to effectively activate function of Na(+)/K(+) pumps in various cells and tissues, including skeletal muscle cells, cardiomyocyte, monolayer of cultured cell line, and peripheral blood vessels. We are now reporting the in vivo studies in application of the SM electric field to kidney of living rats. The field-induced changes in the transepithelial potential difference (TEPD) or the lumen potential from the proximal convoluted tubules were monitored. The results showed that a short time (20 s) application of the SM electric field can significantly increase the magnitude of TEPD from 1-2 mV to about 20 mV. The TEPD is an active potential representing the transport current of the Na/K pumps in epithelial wall of renal tubules. This study showed that SM electric field can increase TEPD by activation of the pump molecules. Considering renal tubules, many active transporters are driven by the Na(+) concentration gradient built by the Na(+)/K(+) pumps, activation of the pump functions and increase in the magnitude of TEPD imply that the SM electric field may improve reabsorption functions of the renal tubules.

Synchronization modulation increases transepithelial potentials in MDCK monolayers through Na/K pumps

Transepithelial potential (TEP) is the voltage across a polarized epithelium. In epithelia that have active transport functions, the force for transmembrane flux of an ion is dictated by the electrochemical gradient in which TEP plays an essential role. In epithelial injury, disruption of the epithelial barrier collapses the TEP at the wound edge, resulting in the establishment of an endogenous wound electric field (∼100 mV/mm) that is directed towards the center of the wound. This endogenous electric field is implicated to enhance wound healing by guiding cell migration. We thus seek techniques to enhance the TEP, which may increase the wound electric fields and enhance wound healing. We report a novel technique, termed synchronization modulation (SM) using a train of electric pulses to synchronize the Na/K pump activity, and then modulating the pumping cycles to increase the efficiency of the Na/K pumps. Kidney epithelial monolayers (MDCK cells) maintain a stable TEP and transepithelial resistance (TER). SM significantly increased TEP over four fold. Either ouabain or digoxin, which block Na/K pump, abolished SM-induced TEP increases. In addition to the pump activity, basolateral distribution of Na/K pumps is essential for an increase in TEP. Our study for the first time developed an electrical approach to significantly increase the TEP. This technique targeting the Na/K pump may be used to modulate TEP, and may have implication in wound healing and in diseases where TEP needs to be modulated.

Quick and effective hyperpolarization of the membrane potential in intact smooth muscle cells of blood vessels by synchronization modulation electric field

Blood vessel dilation starts from activation of the Na/K pumps and inward rectifier K channels in the vessel smooth muscle cells, which hyperpolarizes the cell membrane potential and closes the Ca channels. As a result, the intracellular Ca concentration reduces, and the smooth muscle cells relax and the blood vessel dilates. Activation of the Na/K pumps and the membrane potential hyperpolarization plays a critical role in blood vessel functions. Previously, we developed a new technique, synchronization modulation, to control the pump functions by electrically entraining the pump molecules. We have applied the synchronization modulation electric field noninvasively to various intact cells and demonstrated the field-induced membrane potential hyperpolarization. We further applied the electric field to blood vessels and investigated the field induced functional changes of the vessels. In this paper, we report the results in a study of the membrane potential change in the smooth muscle cells of mesenteric blood vessels in response to the oscillating electric field. We found that the synchronization modulation electric field can effectively hyperpolarize the muscle membrane potential quickly in seconds under physiological conditions.

Hyperpolarization of the membrane potential in cardiomyocyte tissue slices by the synchronization modulation electric field

Our previous studies have shown that a specially designed, so-called synchronization modulation electric field can entrain active transporter Na/K pumps in the cell membrane. This approach was previously developed in a study of single cells using a voltage clamp to monitor the pump currents. We are now expanding our study from isolated single cells to aggregated cells in a 3-dimensional cell matrix, through the use of a tissue slice from the rat heart. The slice is about 150 μm in thickness, meaning the slices contain many cell layers, resulting in a simplified 3-dimensional system. A fluorescent probe was used to identify the membrane potential and the ionic concentration gradients across the cell membrane. In spite of intrinsic cell-to-cell interactions and the difficulty in stimulating cell aggregation in the tissue slice, the oscillating electric field increased the intracellular fluorescent intensity, indicating elevation of the cell ionic concentration and hyperpolarization of the cell membrane. Blockage of these changes by ouabain confirmed that the results are directly related to Na/K pumps. These results along with the backward modulation indicate that the synchronization modulation electric field can influence the Na/K pumps in tissue cells of a 3-dimensional matrix and therefore hyperpolarize the cell membrane.

Distribution of the NA/K pumps' turnover rates as a function of membrane potential, temperature, and ion concentration gradients and effect of fluctuations

Because of structural independence of the Na/K pump molecules, the pumping rates of individual pumps may not be the same, instead showing some sort of distribution. Detailed information about the distribution has not previously been reported. The pumping rate of Na/K pumps depends on many parameters, such as membrane potential, temperature, and ion concentration gradients across the cell membrane. Fluctuation of any of the variables will change the pumping rate, resulting in a distribution. On the basis of a simplified six-state model, a steady-state pumping flux and therefore the pumping rate were obtained. Parameters were determined based on previous experimental results on amphibian skeletal muscle and theoretical work. Gaussian fluctuations of all the variables were considered to determine the changes in the pumping rate. These variable fluctuations may be totally independent or correlated to each other. The results showed that the pumping rates of the Na/K pumps are distributed in an asymmetric profile, which has a higher probability at the lower pumping rate. We present a model distribution of pumping rates as a function of temperature, membrane potential, and ion concentration.

Cellular recovery from electroporation using synchronisation modulation as a rescue model for electrically injured cells

Electroporation of the plasma membrane resulting in a decrement in transmembrane potential is offered as a model in the study of the rescuing effects of the synchronisation modulation technique by electrically activating sodium potassium adenosine triphosphatase. Living cells were first electrically damaged by a pulsed intensive electric field, resulting in cell membrane electroporation, ion leakages and membrane potential depolarisation. Their recovery rate in natural conditions was compared with that of cells in a synchronisation modulation electric field. Fluorescence readings were taken using confocal microscopy and a potentiometric dye. Significantly more rapid recovery was observed after synchronisation modulation, with cell membranes actually polarised to levels higher than the original resting potential, a feature never seen in naturally recovering cells.

Membrane potential hyperpolarization in Mammalian cardiac cells by synchronization modulation of Na/K pumps

In previously reported work, we developed a new technique, synchronization modulation, to electrically activate Na/K pump molecules. The fundamental mechanism involved in this technique is a dynamic entrainment procedure of the pump molecules, carried out in a stepwise pattern. The entrainment procedure consists of two steps: synchronization and modulation. We theoretically predicted that the pump functions can be activated exponentially as a function of the membrane potential. We have experimentally demonstrated synchronization of the Na/K pump molecules and acceleration of their pumping rates by many fold through use of voltage-clamp techniques, directly monitoring the pump currents. We further applied this technique to intact skeletal muscle fibers from amphibians and found significant effects on the membrane resting potential. Here, we extend our study to intact mammalian cardiomyocytes. We employed a noninvasive confocal microscopic fluorescent imaging technique to monitor electric field-induced changes in ionic concentration gradient and membrane resting potential. Our results further confirm that the well-designed synchronization modulation electric field can effectively accelerate the Na/K pumping rate, increasing the ionic concentration gradient across the cell membrane and hyperpolarizing the membrane resting potential.

Electrical Activation of Na/K Pumps Can Increase Ionic Concentration Gradient and Membrane Resting Potential

It has been previously demonstrated by our group that our specifically designed synchronization modulation electric field can dynamically entrain the Na/K ATPase molecules, effectively accelerating the pumping action of these molecules. The ATPase molecules are first synchronized by the field, and subsequently their pumping rates are gradually modulated in a stepwise pattern to progressively higher and higher levels. Here, we present results obtained on application of the field to intact twitch skeletal muscle fibers. The ionic concentration gradient across the cell membrane was monitored, with the membrane potential extrapolated using a slow fluorescent probe with a confocal microimaging technique. The applied synchronization-modulation electric field is able to slowly but consistently increase the ionic concentration gradient across the membrane and, hence, hyperpolarize the membrane potential. All of these results were fully eliminated if ouabain was applied to the bathing solution, indicating a correlation with the action of the Na/K pump molecules. These results in combination with our previous results into the entrainment of the pump molecules show that the synchronization-modulation electric field-induced activation of the Na/K pump functions can effectively increase the ionic concentration gradient and the membrane potential.