Shedding Light on Cardiac Excitation: In Vitro and In Silico Analysis of Native Ca<sup>2+</sup> Channel Activation in Guinea Pig Cardiomyocytes Using Organic Photovoltaic Devices.

Rienmuller, Theresa; Shrestha, Niroj; Polz, Mathias; Stoppacher, Sara; Ziesel, Daniel; Migliaccio, Ludovico; Pelzmann, Brigitte; Lang, Petra et al. · IEEE Trans Biomed Eng · 2024

basic_science · Level V

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Abstract

This study aims to explore the potential of organic electrolytic photocapacitors (OEPCs), an innovative photovoltaic device, in mediating the activation of native voltage-gated Cav1.2 channels (I<sub>Ca,L</sub>) in Guinea pig ventricular cardiomyocytes. Whole-cell patch-clamp recordings were employed to examine light-triggered OEPC mediated I<sub>Ca,L</sub> activation, integrating the channel's kinetic properties into a multicompartment cell model to take intracellular ion concentrations into account. A multidomain model was additionally incorporated to evaluate effects of OEPC-mediated stimulation. The final model combines external stimulation, multicompartmental cell simulation, and a patch-clamp amplifier equivalent circuit to assess the impact on achievable intracellular voltage changes. Light pulses activated I<sub>Ca,L</sub>, with amplitudes similar to voltage-clamp activation and high sensitivity to the L-type Ca<sup>2+</sup> channel blocker, nifedipine. Light-triggered I<sub>Ca,L</sub> inactivation exhibited kinetic parameters comparable to voltage-induced inactivation. OEPC-mediated activation of I<sub>Ca,L</sub> demonstrates their potential for nongenetic optical modulation of cellular physiology potentially paving the way for the development of innovative therapies in cardiovascular health. The integrated model proves the light-mediated activation of I<sub>Ca,L</sub> and advances the understanding of the interplay between the patch-clamp amplifier and external stimulation devices. Treating cardiac conduction disorders by minimal-invasive means without genetic modifications could advance therapeutic approaches increasing patients' quality of life compared with conventional methods employing electronic devices.

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