2010
DOI: 10.1161/circresaha.110.218875
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Competing Oscillators in Cardiac Pacemaking

Abstract: Key Words: cardiac pacemaker Ⅲ heart models Ⅲ calcium oscillator Ⅲ membrane oscillator T he earliest models of cardiac rhythm, beginning with that of Noble, 1 were restricted to interactions between surface membrane ion channels. The first cardiac cell model to incorporate the intracellular calcium signaling system involved in excitation-contraction coupling was that of DiFrancesco and Noble. 2 That model was developed for sheep Purkinje fibers, and it was the first to predict a large role for sodium/calcium e… Show more

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Cited by 33 publications
(32 citation statements)
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“…HCN4, a pore-forming subunit that is responsible for the pacemaker current I f , is commonly used to distinguish nodal from chamber myocardium (2). Pacemaking is accomplished by a network of ion channels (M-clock) that act together to generate the pacemaker potential and also involves intracellular Ca 2+ oscillations (Ca 2+ -clock) (5)(6)(7). Activation of the β-adrenergic receptor leads to the positive chronotropic effect of catecholamines on cardiac automaticity.…”
Section: Introductionmentioning
confidence: 99%
“…HCN4, a pore-forming subunit that is responsible for the pacemaker current I f , is commonly used to distinguish nodal from chamber myocardium (2). Pacemaking is accomplished by a network of ion channels (M-clock) that act together to generate the pacemaker potential and also involves intracellular Ca 2+ oscillations (Ca 2+ -clock) (5)(6)(7). Activation of the β-adrenergic receptor leads to the positive chronotropic effect of catecholamines on cardiac automaticity.…”
Section: Introductionmentioning
confidence: 99%
“…As we discussed above, in contrast to the asymmetric nature of the pacemaker’s coupled oscillators based upon 1984 model simulations detailed by Noble et al (94), recent numerical modeling (10) of experimental data points to the idea that the cardiac pacemaker cell is, in fact, a system of symmetrically entrained, inter-dependent oscillators. In other words, during spontaneous AP firing, on a cycle-to-cycle basis, the Ca 2+ oscillator entrains the membrane oscillator by generating spontaneous rhythmic NCX current, prompting the generation of the next AP; but in doing so, loses Ca 2+ (its “fuel”) via Ca 2+ efflux by NCX.…”
Section: Controversies Unsolved Problems and Their Possible Solutmentioning
confidence: 83%
“…In their recent article “Competing oscillators in cardiac pacemaking: historical background” (94), Noble et al, while accepting the idea that mutual entrainment of the intracellular Ca 2+ oscillator and surface membrane oscillator (Ca 2+ clock and M-clock in our terminology) controls normal automaticity of the heart’s pacemaker cells, attempted to make the case that these oscillators are asymmetric. Specifically, the authors claim that the surface membrane voltage oscillator operates independently of the intracellular SR Ca 2+ oscillator.…”
Section: Controversies Unsolved Problems and Their Possible Solutmentioning
confidence: 99%
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“…The reader interested in the studies of cardiac rhythms described in terms of competing membrane oscillators can consult a very recent review by Noble et al [51] in which this interaction is described in terms of voltagedependent ion channels and an intracellular calcium signal oscillator. In turn, Imtiaz et al [52] have reviewed the synchronization of Ca 2+ oscillations with respect to a long-range signaling mechanism in smooth muscle that results in global outcomes of local interactions; the long-range electrochemical coupling was found to be many orders of magnitude stronger than the coupling through diffusion of Ca 2+ or inositol 1,4,5-triphosphate (Ins(1,4,5)P 3 ).…”
Section: Biochemical Membrane Oscillatorsmentioning
confidence: 99%