Evidence map›Paper›PMID 25362173›Full record

ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2014

Optogenetics-enabled dynamic modulation of action potential duration in atrial tissue: feasibility of a novel therapeutic approach.

Thomas V Karathanos, Patrick M Boyle, Natalia A Trayanova

Open access · bronzeAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
1.8field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Optical mapping and optogenetics in cardiac electrophysiology research and therapy: a state-of-the-art review.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Optogenetics for light control of biological systems.Nature reviews. Methods primers · 2022
    Article
  12. Article
  13. Cardiac optogenetics: a decade of enlightenment.Nature reviews. Cardiology · 2021
    Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Cardiac Optogenetics: 2018.JACC. Clinical electrophysiology · 2018
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Thomas V KarathanosDepartment of Biomedical Engineering, Institute for Computational Medicine and Johns Hopkins University, 3400 N. Charles St., Hackerman Hall Room 316, Baltimore, MD 21218, USA.
Patrick M BoyleDepartment of Biomedical Engineering, Institute for Computational Medicine and Johns Hopkins University, 3400 N. Charles St., Hackerman Hall Room 316, Baltimore, MD 21218, USA pmjboyle@jhu.edu.
Natalia A TrayanovaDepartment of Biomedical Engineering, Institute for Computational Medicine and Johns Hopkins University, 3400 N. Charles St., Hackerman Hall Room 316, Baltimore, MD 21218, USA.
Johns Hopkins University · US

Funding

BIOMEDICAL ENGINEERING TRAINING PROGRAMT32GM007057 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI KANOLD, PATRICK O, KARCHIN, RACHEL · 1985 to 2023
$10.4M
Virtual Electrophysiology LaboratoryDP1HL123271 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI TRAYANOVA, NATALIA A. · 2013 to 2017
$4.0M
6 · The paper itself

Abstract

aimsDiseases that abbreviate the cardiac action potential (AP) by increasing the strength of repolarizing transmembrane currents are highly arrhythmogenic. It has been proposed that optogenetic tools could be used to restore normal AP duration (APD) in the heart under such disease conditions. This study aims to evaluate the efficacy of an optogenetic treatment modality for prolonging pathologically shortened APs in a detailed computational model of short QT syndrome (SQTS) in the human atria, and compare it to drug treatment. METHODS AND

resultsWe used a human atrial myocyte model with faster repolarization caused by SQTS; light sensitivity was inscribed via the presence of channelrhodopsin-2 (ChR2). We conducted simulations in single cells and in a magnetic resonance imaging-based model of the human left atrium (LA). Application of an appropriate optical stimulus to a diseased cell dynamically increased APD, producing an excellent match to control AP (<1.5 mV deviation); treatment of a diseased cell with an AP-prolonging drug (chloroquine) also increased APD, but the match to control AP was worse (>5 mV deviation). Under idealized conditions in the LA (uniform ChR2-expressing cell distribution, no light attenuation), optogenetics-based therapy outperformed chloroquine treatment (APD increased to 87% and 81% of control). However, when non-uniform ChR2-expressing cell distribution and light attenuation were incorporated, optogenetics-based treatment was less effective (APD only increased to 55%).

conclusionThis study demonstrates proof of concept for optogenetics-based treatment of diseases that alter atrial AP shape. We identified key practical obstacles intrinsic to the optogenetic approach that must be overcome before such treatments can be realized.

Indexed as

OptogeneticsAction PotentialsAnti-Arrhythmia AgentsArrhythmias, CardiacChloroquineComputer SimulationElectrophysiologic Techniques, CardiacFeasibility StudiesHeart AtriaHumansMagnetic Resonance ImagingModels, CardiovascularRhodopsinTime FactorsAnti-Arrhythmia AgentsChloroquineRhodopsinAtrial arrhythmiaCardiac optogeneticsComputational modellingShort QT syndrome

Identifiers

PMID25362173
PMCPMC4565556
OpenAlexW2316596557

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.