Optimization of feedback pacing for defibrillation

Selection of multiarmed spiral waves in a regular network of neurons

Formation and selection of multiarmed spiral wave due to spontaneous symmetry breaking are investigated in a regular network of Hodgkin-Huxley neuron by changing the excitability and imposing spatial forcing currents on the neurons in the network. The arm number of the multiarmed spiral wave is dependent on the distribution of spatial forcing currents and excitability diversity in the network, and the selection criterion for supporting multiarmed spiral waves is discussed. A broken spiral segment is measured by a short polygonal line connected by three adjacent points (controlled nodes), and a double-spiral wave can be developed from the spiral segment. Multiarmed spiral wave is formed when a group of double-spiral waves rotate in the same direction in the network. In the numerical studies, a group of controlled nodes are selected and spatial forcing currents are imposed on these nodes, and our results show that l-arm stable spiral wave (l = 2, 3, 4,...8) can be induced to occupy the network completely. It is also confirmed that low excitability is critical to induce multiarmed spiral waves while high excitability is important to propagate the multiarmed spiral wave outside so that distinct multiarmed spiral wave can occupy the network completely. Our results confirm that symmetry breaking of target wave in the media accounts for emergence of multiarmed spiral wave, which can be developed from a group of spiral waves with single arm under appropriate condition, thus the potential formation mechanism of multiarmed spiral wave in the media is explained.

The formation mechanism of defects, spiral wave in the network of neurons

A regular network of neurons is constructed by using the Morris-Lecar (ML) neuron with the ion channels being considered, and the potential mechnism of the formation of a spiral wave is investigated in detail. Several spiral waves are initiated by blocking the target wave with artificial defects and/or partial blocking (poisoning) in ion channels. Furthermore, possible conditions for spiral wave formation and the effect of partial channel blocking are discussed completely. Our results are summarized as follows. 1) The emergence of a target wave depends on the transmembrane currents with diversity, which mapped from the external forcing current and this kind of diversity is associated with spatial heterogeneity in the media. 2) Distinct spiral wave could be induced to occupy the network when the target wave is broken by partially blocking the ion channels of a fraction of neurons (local poisoned area), and these generated spiral waves are similar with the spiral waves induced by artificial defects. It is confirmed that partial channel blocking of some neurons in the network could play a similar role in breaking a target wave as do artificial defects; 3) Channel noise and additive Gaussian white noise are also considered, and it is confirmed that spiral waves are also induced in the network in the presence of noise. According to the results mentioned above, we conclude that appropriate poisoning in ion channels of neurons in the network acts as ‘defects’ on the evolution of the spatiotemporal pattern, and accounts for the emergence of a spiral wave in the network of neurons. These results could be helpful to understand the potential cause of the formation and development of spiral waves in the cortex of a neuronal system.

Computational Optogenetics: A Novel Continuum Framework for the Photoelectrochemistry of Living Systems

Electrical stimulation is currently the gold standard treatment for heart rhythm disorders. However, electrical pacing is associated with technical limitations and unavoidable potential complications. Recent developments now enable the stimulation of mammalian cells with light using a novel technology known as optogenetics. The optical stimulation of genetically engineered cells has significantly changed our understanding of electrically excitable tissues, paving the way towards controlling heart rhythm disorders by means of photostimulation. Controlling these disorders, in turn, restores coordinated force generation to avoid sudden cardiac death. Here, we report a novel continuum framework for the photoelectrochemistry of living systems that allows us to decipher the mechanisms by which this technology regulates the electrical and mechanical function of the heart. Using a modular multiscale approach, we introduce a non-selective cation channel, channelrhodopsin-2, into a conventional cardiac muscle cell model via an additional photocurrent governed by a light-sensitive gating variable. Upon optical stimulation, this channel opens and allows sodium ions to enter the cell, inducing electrical activation. In side-by-side comparisons with conventional heart muscle cells, we show that photostimulation directly increases the sodium concentration, which indirectly decreases the potassium concentration in the cell, while all other characteristics of the cell remain virtually unchanged. We integrate our model cells into a continuum model for excitable tissue using a nonlinear parabolic second order partial differential equation, which we discretize in time using finite differences and in space using finite elements. To illustrate the potential of this computational model, we virtually inject our photosensitive cells into different locations of a human heart, and explore its activation sequences upon photostimulation. Our computational optogenetics tool box allows us to virtually probe landscapes of process parameters, and to identify optimal photostimulation sequences with the goal to pace human hearts with light and, ultimately, to restore mechanical function.

Multiscale computational models for optogenetic control of cardiac function

The ability to stimulate mammalian cells with light has significantly changed our understanding of electrically excitable tissues in health and disease, paving the way toward various novel therapeutic applications. Here, we demonstrate the potential of optogenetic control in cardiac cells using a hybrid experimental/computational technique. Experimentally, we introduced channelrhodopsin-2 into undifferentiated human embryonic stem cells via a lentiviral vector, and sorted and expanded the genetically engineered cells. Via directed differentiation, we created channelrhodopsin-expressing cardiomyocytes, which we subjected to optical stimulation. To quantify the impact of photostimulation, we assessed electrical, biochemical, and mechanical signals using patch-clamping, multielectrode array recordings, and video microscopy. Computationally, we introduced channelrhodopsin-2 into a classic autorhythmic cardiac cell model via an additional photocurrent governed by a light-sensitive gating variable. Upon optical stimulation, the channel opens and allows sodium ions to enter the cell, inducing a fast upstroke of the transmembrane potential. We calibrated the channelrhodopsin-expressing cell model using single action potential readings for different photostimulation amplitudes, pulse widths, and frequencies. To illustrate the potential of the proposed approach, we virtually injected channelrhodopsin-expressing cells into different locations of a human heart, and explored its activation sequences upon optical stimulation. Our experimentally calibrated computational toolbox allows us to virtually probe landscapes of process parameters, and identify optimal photostimulation sequences toward pacing hearts with light.

Spherical topology in cardiac simulations

Computational simulations of the electrodynamics of cardiac fibrillation yield a great deal of useful data and provide a framework for theoretical explanations of heart behavior. Extending the application of these mathematical models to defibrillation studies requires that a simulation should sustain fibrillation without defibrillation intervention. In accordance with the critical mass hypothesis, the simulated tissue should be of a large enough size. The choice of biperiodic boundary conditions sustains fibrillation for a longer duration than no-flux boundary conditions for a given area, and so is commonly invoked. Here, we show how this leads to a boundary condition artifact that may complicate the analysis of defibrillation efficacy; we implement an alternative coordinate scheme that utilizes spherical shell topology and mitigates singularities in the Laplacian found with the usual spherical curvilinear coordinate system.