Abstract

Dilated cardiomyopathy (DCM) is the third most common cause of heart failure and the primary reason for heart transplantation; upward of 70% of DCM cases are considered idiopathic. Our in-vitro experiments showed that reduced hybrid/complex N-glycosylation in mouse cardiomyocytes is linked with DCM. Further, we observed direct effects of reduced N-glycosylation on Kv gating. However, it is difficult to rigorously determine the effects of glycosylation on Kv activity, because there are multiple Kv isoforms in cardiomyocytes contributing to the cardiac excitation. Due to complex functions of Kv isoforms, only the sum of K+ currents (IKsum) can be recorded experimentally and decomposed later using exponential fitting to estimate component currents, such as IKto, IKslow, and IKss. However, such estimation cannot adequately describe glycosylation effects and Kv mechanisms. Here, we propose a framework of simulation modeling of Kv kinetics in mouse ventricular myocytes and model calibration using the in-vitro data under normal and reduced glycosylation conditions through ablation of the Mgat1 gene (i.e., Mgat1KO). Calibrated models facilitate the prediction of Kv characteristics at different voltages that are not directly observed in the in-vitro experiments. A model calibration procedure is developed based on the genetic algorithm. Experimental results show that, in the Mgat1KO group, both IKto and IKslow densities are shown to be significantly reduced and the rate of IKslow inactivation is much slower. The proposed approach has strong potential to couple simulation models with experimental data for gaining a better understanding of glycosylation effects on Kv kinetics.

Highlights

  • Heart disease is the leading cause of death globally, accounting for 23% of deaths in the U.S in 2017 (Heron, 2019)

  • Dilated cardiomyopathy (DCM) is characterized by enlarged and weakened ventricular chambers, and it is associated with systolic and contractile dysfunction that has a high risk to heart failure, with approximately 70% of DCM cases regarded as idiopathic (Hershberger and Siegfried, 2011; Lakdawala et al, 2013; Weintraub et al, 2017)

  • This article has developed a self-breeding genetic algorithm (GA) method to calibrate simulation models of K+ channel of mouse ventricular apex myocytes based on key statistics and raw data obtained from in-vitro voltage-clamp experiments (Ednie et al, 2019b)

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Summary

Introduction

Heart disease is the leading cause of death globally, accounting for 23% of deaths in the U.S in 2017 (Heron, 2019). Dilated cardiomyopathy (DCM) is the third most common cause of heart failure and the most frequent reason for heart transplantation (Weintraub et al, 2017). We showed that reduction of hybrid/complex N-glycosylation in mouse cardiomyocytes, Modeling Glycosylation Effects on Potassium Channels through ablation of the Mgat gene that encodes a critical glycosyltransferase (GlcNAcT12) (Mgat1KO model), is sufficient to cause DCM (Ednie et al, 2019a,b). Mgat1KO mice develop DCM, heart failure, and 100% die early, likely from ventricular arrhythmias resulting in sudden cardiac death. Mgat1KO ventricular myocytes demonstrated altered electromechanical functions, including excitation-contraction (EC) coupling, are consistent with observed changes in electrical signaling caused by acute and downstream (disease-related) effects on voltage-gated ion channel (VGIC) gating and activity (Ednie et al, 2019b)

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