<p>Human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) are a powerful platform for modeling inherited arrhythmias, yet current <i>in silico</i> representations face limitations in Ca<sup>2+</sup> handling. Here, we present a novel ventricular hiPSC-CM ionic model incorporating a Markovian formulation of the L-type Ca<sup>2+</sup> current (I<InlineEquation ID="IEq1"> <EquationSource Format="TEX">\(_\text {CaL}\)</EquationSource> </InlineEquation>), tailored to better recapitulate Ca<InlineEquation ID="IEq2"> <EquationSource Format="TEX">\(^{2+}\)</EquationSource> </InlineEquation> dynamics and voltage-dependent inactivation. The model was calibrated against experimental data from hiPSC-CMs derived from a healthy individual and validated through a series of simulations relevant to both physiological and pathological conditions. These included pharmacological inhibition of I<InlineEquation ID="IEq3"> <EquationSource Format="TEX">\(_\text {CaL}\)</EquationSource> </InlineEquation> with nifedipine, Ca<InlineEquation ID="IEq4"> <EquationSource Format="TEX">\(^{2+}\)</EquationSource> </InlineEquation> overload and DAD-mediated triggered activity, and the interplay between intracellular Ca<InlineEquation ID="IEq5"> <EquationSource Format="TEX">\(^{2+}\)</EquationSource> </InlineEquation> cycling and membrane mechanisms in driving automaticity. Sensitivity analysis was used to generate a population of models capturing intercellular variability. In addition, the model was able to reproduce the effects of genetic mutations in the L-type Ca<InlineEquation ID="IEq6"> <EquationSource Format="TEX">\(^{2+}\)</EquationSource> </InlineEquation> channel, including those associated with Timothy Syndrome, providing an additional layer of validation. Overall, this computational framework offers a flexible and physiologically grounded tool for investigating the mechanisms of arrhythmogenesis in hiPSC-CMs and for supporting personalized medicine applications.</p>

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A novel computational model of human iPSC-derived ventricular myocytes with improved L-type calcium current for application to Timothy syndrome

  • Francesca Simone,
  • Alessandro Trancuccio,
  • Jaroslaw Karol Sochacki,
  • Celia Martínez Prieto,
  • Silvia G. Priori,
  • Luca F. Pavarino,
  • Demetrio J. Santiago

摘要

Human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) are a powerful platform for modeling inherited arrhythmias, yet current in silico representations face limitations in Ca2+ handling. Here, we present a novel ventricular hiPSC-CM ionic model incorporating a Markovian formulation of the L-type Ca2+ current (I \(_\text {CaL}\) ), tailored to better recapitulate Ca \(^{2+}\) dynamics and voltage-dependent inactivation. The model was calibrated against experimental data from hiPSC-CMs derived from a healthy individual and validated through a series of simulations relevant to both physiological and pathological conditions. These included pharmacological inhibition of I \(_\text {CaL}\) with nifedipine, Ca \(^{2+}\) overload and DAD-mediated triggered activity, and the interplay between intracellular Ca \(^{2+}\) cycling and membrane mechanisms in driving automaticity. Sensitivity analysis was used to generate a population of models capturing intercellular variability. In addition, the model was able to reproduce the effects of genetic mutations in the L-type Ca \(^{2+}\) channel, including those associated with Timothy Syndrome, providing an additional layer of validation. Overall, this computational framework offers a flexible and physiologically grounded tool for investigating the mechanisms of arrhythmogenesis in hiPSC-CMs and for supporting personalized medicine applications.