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1 anesthesiology, ucla, los angeles, California, United States
2 physics, california state northridge, los angeles, California, United States
3 Division of Cardiology, University of California School of Medicine, Los Angeles, California, United States
* To whom correspondence should be addressed. E-mail: rolcese{at}ucla.edu.
Previous studies have demonstrated that the slope of the function relating the action potential duration (APD) and the diastolic interval (DI), known as the APD restitution curve, plays an important role in the initiation and maintenance of ventricular fibrillation (VF). Since the APD restitution slope critically depends on the kinetics of the L-type Ca2+ current, we hypothesized that manipulation of the subunit composition of these channels may represent a powerful strategy to control cardiac arrhythmias. We studied the kinetic properties of the L-type Ca2+ channel (Cav1.2) co-expressed with the
2
subunit alone (
1c+
2
) or in combination with
2a,
2b or
3 subunits (
1C+
2
+
) using Ca2+ as the charge carrier. We then incorporated the kinetic properties observed experimentally into the L-type Ca2+ current of a mathematical model of the cardiac action potential to demonstrate that the APD restitution slope can be selectively controlled by altering the subunit composition of the Ca2+ channel. Assuming that
2b most closely resembles the native cardiac L-type Ca current, the absence of
, as well as the co-expression of
2a, were found to flatten restitution slope and stabilize spiral waves. These results imply that subunit modification of L-type Ca2+ channels can potentially be used as an antifibrillatory strategy.
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