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Carbon Monoxide Effect on Human Cardiac Tissue. In Silico Study

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Applied Computer Sciences in Engineering (WEA 2021)

Abstract

The Exposure to atmospheric pollutants, such as carbon monoxide (CO), promotes the appearance of cardiovascular diseases. Studies have shown that CO blocks calcium channels, leading to a decrease of the ICaL current and to a shortening of the action potential duration (APD); favoring the generation of cardiac arrhythmias. The aim of this work is to study the CO effects, at different concentrations, on the atrial and ventricular tissues using computational simulations. An equation of the CO effect on ICaL was developed. It was included in two mathematical models of human atrial and ventricular cells, under normal physiological conditions. Atrial and ventricular 2D models were developed to evaluate the CO effect on the generation of reentries as an arrhythmogenic mechanism. The results show that CO blocks the ICaL current in a greater fraction as its concentration increases, causing APD shortening. Such effect is larger in atrial cardiomycytes. Arrhythmic events (rotors) were generated at the high CO concentration in atrial tissue. In ventricular tissue it was not possible to generate rotors. This study provides a first step in investigating the proarrhythmic effects of CO in healthy people.

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References

  1. OECD: The cost of air pollution. Health impacts of road transport. OECD Publishing (2014).

    Google Scholar 

  2. Sanchez, S., Castillo, J., Green, J., Klakamp, J.: Air pollution and health in Latin America and the Caribbean: an overview. In: Air Quality & Health Showcase. Clean Air Institute, Washington (2016)

    Google Scholar 

  3. OECD Environmental Outlook to 2050: The Consequences of Inaction.

    Google Scholar 

  4. European Environment Agency: Revealing the costs of air pollution from industrial facilities in Europe. (2011). https://doi.org/10.2800/84800

    Article  Google Scholar 

  5. Miller, K.A., et al.: Long-term exposure to air pollution and incidence of cardiovascular events in women. N. Engl. J. Med. 356, 447–458 (2007). https://doi.org/10.1056/NEJMoa054409

    Article  Google Scholar 

  6. Brook, R.D., et al.: Air pollution and cardiovascular disease: a statement for healthcare professionals from the expert panel on population and prevention science of the American Heart Association (2004). https://doi.org/10.1161/01.CIR.0000128587.30041.C8

    Article  Google Scholar 

  7. Finkelstein, M.: Pollution-related mortality and educational level. JAMA 288, 830 (2002). https://doi.org/10.1001/jama.288.7.828

    Article  Google Scholar 

  8. Pope, C.A., III.: Lung cancer, cardiopulmonary mortality, and long-term exposure to fine particulate air pollution. JAMA 287, 1132 (2002). https://doi.org/10.1001/jama.287.9.1132

    Article  Google Scholar 

  9. UNEP: UNEP Year Book 2014 emerging issues update. Air Pollution: World’s Worst Environmental Health Risk. United Nations Environment Programme, Environment for Development, Nairobi (2014)

    Google Scholar 

  10. Link, M.S., et al.: Acute exposure to air pollution triggers atrial fibrillation. J. Am. Coll. Cardiol. 62, 816–825 (2013). https://doi.org/10.1016/j.jacc.2013.05.043

    Article  Google Scholar 

  11. U.S. Environmental Protection Agency: Air Quality Planning & Standards (2015)

    Google Scholar 

  12. Henry, C.R., Satran, D., Lindgren, B., Adkinson, C., Nicholson, C.I., Henry, T.D.: Myocardial injury and long-term mortality following moderate to severe carbon monoxide poisoning. Am. Med. Assoc. 295, 398–402 (2006)

    Article  Google Scholar 

  13. Samoli, E., et al.: Short-term effects of carbon monoxide on mortality: an analysis within the APHEA project. Environ. Health Perspect. 115, 1578–1583 (2007). https://doi.org/10.1289/ehp.10375

    Article  Google Scholar 

  14. Abramochkin, D.V., Haertdinov, N.N., Porokhnya, M.V., Zefirov, A.L., Sitdikova, G.F.: Carbon monoxide affects electrical and contractile activity of rat myocardium. J. Biomed. Sci. 18, 40 (2011). https://doi.org/10.1186/1423-0127-18-40

    Article  Google Scholar 

  15. Scragg, J.L., Dallas, M.L., Wilkinson, J.A., Varadi, G., Peers, C.: Carbon monoxide inhibits L-type Ca 2+ channels via redox modulation of key cysteine residues by mitochondrial reactive oxygen species. J. Biol. Chem. 283, 24412–24419 (2008). https://doi.org/10.1074/jbc.M803037200

    Article  Google Scholar 

  16. Dinanian, S., et al.: Downregulation of the calcium current in human right atrial myocytes from patients in sinus rhythm but with a high risk of atrial fibrillation. Eur. Heart J. 29, 1190–1197 (2008). https://doi.org/10.1093/eurheartj/ehn140

    Article  Google Scholar 

  17. Tobon, C., Saiz, J.: Modelado y simulación 3D de la fibrilación auricular y su tratamiento quirúrgico. Sello Editorial Universidad de Medellín, Medellín (2018)

    Google Scholar 

  18. Courtemanche, M., Ramirez, R.J., Nattel, S.: Ionic targets for drug therapy and atrial fibrillation-induced electrical remodeling: Insights from a mathematical model. Cardiovasc. Res. 42, 477–489 (1999). https://doi.org/10.1016/S0008-6363(99)00034-6

    Article  Google Scholar 

  19. Dutta, S., et al.: Optimization of an in silico cardiac cell model for proarrhythmia risk assessment. Front. Physiol. 8, 1–15 (2017). https://doi.org/10.3389/fphys.2017.00616

    Article  Google Scholar 

  20. Hansson, A.: Right atrial free wall conduction velocity and degree of anisotropy in patients with stable sinus rhythm studied during open heart surgery. Eur. Heart J. 19, 293–300 (1998). https://doi.org/10.1053/euhj.1997.0742

    Article  Google Scholar 

  21. Ugarte, J., Tobón, C., Orozco-Duque, A.: Entropy mapping approach for functional reentry detection in atrial fibrillation: an in-silico study. Entropy 21, 194 (2019). https://doi.org/10.3390/e21020194

    Article  MathSciNet  Google Scholar 

  22. Tobón, C.: Modelización y Evaluación de Factores que Favorecen las Arritmias Auriculares y su Tratamiento Mediante Técnicas Quirúrgicas. Estudio de Simulación (2010)

    Google Scholar 

  23. Bray, M.A., Lin, S.F., Aliev, R.R., Roth, B.J., Wikswo, J.P.: Experimental and theoretical analysis of phase singularity dynamics in cardiac tissue. J. Cardiovasc. Electrophysiol. 12, 716–722 (2001). https://doi.org/10.1046/j.1540-8167.2001.00716.x

    Article  Google Scholar 

  24. Bell, M.L., Peng, R.D., Dominici, F., Samet, J.M.: Emergency hospital admissions for cardiovascular diseases and ambient levels of carbon monoxide results for 126 united states urban counties, 1999–2005. Circulation 120, 949–955 (2009). https://doi.org/10.1161/CIRCULATIONAHA.109.851113

    Article  Google Scholar 

  25. Stieb, D.M., Szyszkowicz, M., Rowe, B.H., Leech, J.A.: Air pollution and emergency department visits for cardiac and respiratory conditions: a multi-city time-series analysis. Environ. Heal. 8, 25 (2009). https://doi.org/10.1186/1476-069X-8-25

    Article  Google Scholar 

  26. Burnett, R.T., Cakmak, S., Brook, J.R., Krewski, D.: The role of particulate size and chemistry in the association between summertime ambient air pollution and hospitalization for cardiorespiratory diseases. Environ. Health Perspect. 105, 614–620 (1997). https://doi.org/10.1289/ehp.97105614

    Article  Google Scholar 

  27. Andre, L., et al.: Carbon monoxide pollution promotes cardiac remodeling and ventricular arrhythmia in healthy rats. Am. J. Respir. Crit. Care Med. 181, 587–595 (2010). https://doi.org/10.1164/rccm.200905-0794OC

    Article  Google Scholar 

  28. Keurs, T., Henk, E.D.J., Boyden, P.A.: Calcium and arrhythmogenesis. Physiol. Rev. 87, 457–506 (2007). https://doi.org/10.1152/physrev.00011.2006

    Article  Google Scholar 

  29. Meyer, G., et al.: Simulated urban carbon monoxide air pollution exacerbates rat heart ischemia-reperfusion injury. Physiol. Hear. Circ. Physiol. 298, H1445–H1453 (2010)

    Article  Google Scholar 

  30. Meyer, G., et al.: Carbon monoxide increases inducible NOS expression that mediates CO-induced myocardial damage during ischemia-reperfusion. Am. J. Physiol. Hear. Circ. Physiol. 308, H759–H767 (2015). https://doi.org/10.1152/ajpheart.00702.2014

    Article  Google Scholar 

  31. Wilkinson, W.J., Kemp, P.J.: Carbon monoxide: an emerging regulator of ion channels. J. Physiol. 589, 3055–3062 (2011). https://doi.org/10.1113/jphysiol.2011.206706

    Article  Google Scholar 

  32. Antzelevitch, C., Burashnikov, A.: Overview of basic mechanisms of cardiac arrhythmia. Card. Electrophysiol. Clin. 3, 23–45 (2011). https://doi.org/10.1016/j.ccep.2010.10.012

    Article  Google Scholar 

  33. Vaquero, M., Calvo, D., Jalife, J.: Cardiac fibrillation: from ion channels to rotors in the human heart. Hear. Rhythm. 5, 872–879 (2008). https://doi.org/10.1016/j.hrthm.2008.02.034

    Article  Google Scholar 

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Acknowledgment

This work was supported by the Ministerio de Ciencia Tecnología e Innovación (MINCIENCIAS) from Colombia, through grant No. 120677757994. The work of Durango-Giraldo was supported by the “Convocatoria para el fortalecimiento de proyectos en ejecución de CTeI en ciencias de la salud con talento joven e impacto regional” of MINCIENCIAS.

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Correspondence to Catalina Tobón .

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Tobón, C., Durango-Giraldo, G., Ugarte, J.P. (2021). Carbon Monoxide Effect on Human Cardiac Tissue. In Silico Study. In: Figueroa-García, J.C., Díaz-Gutierrez, Y., Gaona-García, E.E., Orjuela-Cañón, A.D. (eds) Applied Computer Sciences in Engineering. WEA 2021. Communications in Computer and Information Science, vol 1431. Springer, Cham. https://doi.org/10.1007/978-3-030-86702-7_14

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  • DOI: https://doi.org/10.1007/978-3-030-86702-7_14

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