Page 74 - Cardiac Electrophysiology | A Modeling and Imaging Approach
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        Figure 3.1. Gap junctions and cell-to-cell propagation. AP upstrokes from the edge elements of
        neighboring cells are shown (see inset). A. gap junction conductance g =2.5μS (normal coupling).
                                                                                      j
        B. g =0.25μS (reduced coupling). For normal coupling (A) the conduction delay across the gap
             j
        junction (shaded) is approximately equal to the intracellular (myoplasmic) conduction time.
        In B, 10-fold decrease of gap junction conductance increases the cell-to-cell delay and decreases
        dramatically the intracellular conduction time, such that the entire cell is excited almost
        simultaneously and macroscopic velocity (over many cells) is determined by the gap-junction
        delays. A segment of the model fiber used in the simulations is shown at the bottom. Adapted
        from Shaw and Rudy [174], with permission from Wolters Kluwer Health, Inc.




               Figure 3.2 shows an experimental counterpart        178  to the simulation of Figure 3.1B. In this

        experiment, conducted in a cultured synthetic strand of neonatal rat myocytes, arachidonic acid
        (10 mM) was administered to reduce intercellular coupling. Without arachidonic acid (normal
        coupling), conduction velocity in these strands was normal at 30-40 cm/s (not shown) and
        conduction times (measured optically with voltage sensitive dye) were about equal across the

        cell cytoplasm and across the intercellular gap junctions (consistent with the simulation in Figure
        3.1A). Under reduced gap junction coupling, clusters of action potentials (Figure 3.2B) which
        localize to one to three cells (Figure 3.2C) were recorded. Between these clusters, across cell
        borders, long conduction delays were observed, similar to the simulation in Figure 3.1B.
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