Markovian model for cardiac sodium channel (Clancy, Rudy 2002)

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Complex physiological interactions determine the functional consequences of gene abnormalities and make mechanistic interpretation of phenotypes extremely difficult. A recent example is a single mutation in the C terminus of the cardiac Na(+) channel, 1795insD. The mutation causes two distinct clinical syndromes, long QT (LQT) and Brugada, leading to life-threatening cardiac arrhythmias. Coexistence of these syndromes is seemingly paradoxical; LQT is associated with enhanced Na(+) channel function, and Brugada with reduced function. Using a computational approach, we demonstrate that the 1795insD mutation exerts variable effects depending on the myocardial substrate. We develop Markov models of the wild-type and 1795insD cardiac Na(+) channels. See reference for more and details. The model files were submitted by: Dr. Jiun-Shian Wu, Dr. Sheng-Nan Wu, Dr. Ruey J. Sung, Han-Dong Chang.
1 . Clancy CE, Rudy Y (2002) Na(+) channel mutation that causes both Brugada and long-QT syndrome phenotypes: a simulation study of mechanism. Circulation 105:1208-13 [PubMed]
Model Information (Click on a link to find other models with that property)
Model Type: Channel/Receptor;
Brain Region(s)/Organism:
Cell Type(s):
Channel(s): I Sodium;
Gap Junctions:
Simulation Environment: XPP;
Model Concept(s): Ion Channel Kinetics; Pathophysiology; Heart disease; Brugada; Long-QT; Markov-type model;
Implementer(s): Wu, Sheng-Nan [snwu at]; Chang, Han-Dong; Wu, Jiun-Shian [coolneon at]; Sung, Ruey J ;
Search NeuronDB for information about:  I Sodium;
# Markov model for cardiac Na(+) channel implemented by Dr. Jiun-Shian Wu, Dr. Sheng-Nan Wu, 
# and Dr. Ruey J. Sung, Han-Dong Chang.
# Clancy CE and Rudy Y. Na(+) channel mutation that causes both Brugada and long-QT 
# syndrome phenotypes: a simulation study of mechanism. Circulation 2002;105:1208-13.
# This simulation makes traces similar to fig 3A of the paper by Makita et al (2002).
# Makita N et al. Drug-induced long-QT syndrome associated with a subclinical SCN5A mutation. 
# Circulation 2002;106:1269-74.

# Constant:

# Initial values
init C3=1, C2=0, C1=0
init IC3=0, IC2=0, iif=0, IM1=0, IM2=0
init O=0

# Values of the model parameters
par ko=4.5, ki=136.89149
par nao=140, nai=15
par vhold=-80, vtest_1=30, vtest_2=-50
par cai=7.9e-5
par scale=1000

# voltage-clamp protocols
par ton=5, toff=20, toff_r=5000

# Expressions:
a11 = 3.802/(0.1027*exp(-v/17.0)+0.20*exp(-v/150))
a12 = 3.802/(0.1027*exp(-v/15.0)+0.23*exp(-v/150))
a13 = 3.802/(0.1027*exp(-v/12.0)+0.25*exp(-v/150))

b11 = 0.1917*exp(-v/20.3)
b12 = 0.20*exp(-(v-5)/20.3)
b13 = 0.22*exp(-(v-10)/20.3)

a2 = (9.178*exp(v/29.68))
b2 = (a13*a2*a3)/( b13*b3)

a3 = (3.7933*0.00000001)*exp(-v/7.7)
b3 = (0.0084+0.00002*v)

a4 = a2/100
b4 = a3

a5 = a2/(9.5*10000)
b5 = a3/50

# Gating functions
C1' = C2*a12-C1*b12+O*b13-C1*a13+iif*a3-C1*b3
C2' = C3*a11-C2*b11-C2*a12+C1*b12+IC2*a3-C2*b3
C3' = C2*b11-C3*a11+IC3*a3-C3*b3
O'  = C1*a13-O*b13+iif*b2-O*a2 

IC3' = C3*b3-IC3*a3+IC2*b11-IC3*a11
IC2' = IC3*a11-IC2*b11+iif*b12-IC2*a12+C2*b3-IC2*a3
iif' = IC2*a12-iif*b12+IM1*b4-iif*a4+C1*b3-iif*a3+O*a2-iif*b2
IM1'= IM2*b5-IM1*a5+iif*a4-IM1*b4
IM2'= IM1*a5-IM2*b5

aux ina=Gna*(O/(IC3+IC2+iif+IM1+IM2+C3+C2+C1+O))*(v-Ena)/scale

@ meth=Euler, dt=.005, total=20
@ yp=ina, yhi=0.1, ylo=-0.5, xlo=0, xhi=20


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