Optogenetic approaches for termination of ventricular tachyarrhythmias after myocardial infarction in rats in vivo

Cardiac optogenetics facilitates the painless manipulation of the heart with optical energy and was recently shown to terminate ventricular tachycardia (VT) in explanted mice heart. This study aimed to evaluate the optogenetic‐based termination of induced VT under ischemia in an open‐chest rat model...

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Veröffentlicht in:Journal of biophotonics 2020-07, Vol.13 (7), p.e202000003-n/a
Hauptverfasser: Cheng, Yue, Li, Haitao, Wang, Long, Li, Jianyi, Kang, Wen, Rao, Panpan, Zhou, Fang, Wang, Xi, Huang, Congxin
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container_issue 7
container_start_page e202000003
container_title Journal of biophotonics
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creator Cheng, Yue
Li, Haitao
Wang, Long
Li, Jianyi
Kang, Wen
Rao, Panpan
Zhou, Fang
Wang, Xi
Huang, Congxin
description Cardiac optogenetics facilitates the painless manipulation of the heart with optical energy and was recently shown to terminate ventricular tachycardia (VT) in explanted mice heart. This study aimed to evaluate the optogenetic‐based termination of induced VT under ischemia in an open‐chest rat model and to develop an optimal, optical‐manipulation procedure. VT was induced by burst stimulation after ligation of the left anterior descending coronary artery, and the termination effects of the optical manipulation, including electrical anti‐tachycardia pacing (ATP) and spontaneous recovery, were tested. Among different multisegment optical modes, four repeated illuminations of 1000 ms in duration with 1‐second interval at a 20‐times intensity threshold on the right ventricle achieved the highest termination rate of 86.14% ± 4.145%, higher than that achieved by ATP and spontaneous termination. We demonstrated that optogenetic‐based cardioversion is feasible and effective in vivo, with the underlying mechanism involving the light‐triggered, ChR2‐induced depolarization of the illuminated myocardium, in turn generating an excitation that disrupts the preexisting reentrant wave front. Cardiac optogenetics facilitates the painless manipulation of the heart with optical energy and was recently shown to terminate ventricular tachycardia (VT) in explanted mice heart. This study aimed to evaluate the optogenetic‐based termination of induced VT under ischemia in an open‐chest rat model and to develop an optimal, optical‐manipulation procedure. VT was induced by burst stimulation after ligation of the left anterior descending coronary artery, and the termination effects of the optical manipulation, including electrical anti‐tachycardia pacing and spontaneous recovery, were tested.
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This study aimed to evaluate the optogenetic‐based termination of induced VT under ischemia in an open‐chest rat model and to develop an optimal, optical‐manipulation procedure. VT was induced by burst stimulation after ligation of the left anterior descending coronary artery, and the termination effects of the optical manipulation, including electrical anti‐tachycardia pacing (ATP) and spontaneous recovery, were tested. Among different multisegment optical modes, four repeated illuminations of 1000 ms in duration with 1‐second interval at a 20‐times intensity threshold on the right ventricle achieved the highest termination rate of 86.14% ± 4.145%, higher than that achieved by ATP and spontaneous termination. We demonstrated that optogenetic‐based cardioversion is feasible and effective in vivo, with the underlying mechanism involving the light‐triggered, ChR2‐induced depolarization of the illuminated myocardium, in turn generating an excitation that disrupts the preexisting reentrant wave front. Cardiac optogenetics facilitates the painless manipulation of the heart with optical energy and was recently shown to terminate ventricular tachycardia (VT) in explanted mice heart. This study aimed to evaluate the optogenetic‐based termination of induced VT under ischemia in an open‐chest rat model and to develop an optimal, optical‐manipulation procedure. VT was induced by burst stimulation after ligation of the left anterior descending coronary artery, and the termination effects of the optical manipulation, including electrical anti‐tachycardia pacing and spontaneous recovery, were tested.</description><identifier>ISSN: 1864-063X</identifier><identifier>EISSN: 1864-0648</identifier><identifier>DOI: 10.1002/jbio.202000003</identifier><identifier>PMID: 32246523</identifier><language>eng</language><publisher>Weinheim: WILEY‐VCH Verlag GmbH &amp; Co. KGaA</publisher><subject>Cardiac arrhythmia ; channelrhodopsin‐2 ; Coronary artery ; defibrillation ; Depolarization ; Genetics ; Information processing ; Ischemia ; Myocardial infarction ; Myocardium ; Optics ; optogenetics ; Spontaneous recovery ; Tachycardia ; Ventricle ; ventricular tachyarrhythmia ; Wave fronts</subject><ispartof>Journal of biophotonics, 2020-07, Vol.13 (7), p.e202000003-n/a</ispartof><rights>2020 WILEY‐VCH Verlag GmbH &amp; Co. 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We demonstrated that optogenetic‐based cardioversion is feasible and effective in vivo, with the underlying mechanism involving the light‐triggered, ChR2‐induced depolarization of the illuminated myocardium, in turn generating an excitation that disrupts the preexisting reentrant wave front. Cardiac optogenetics facilitates the painless manipulation of the heart with optical energy and was recently shown to terminate ventricular tachycardia (VT) in explanted mice heart. This study aimed to evaluate the optogenetic‐based termination of induced VT under ischemia in an open‐chest rat model and to develop an optimal, optical‐manipulation procedure. VT was induced by burst stimulation after ligation of the left anterior descending coronary artery, and the termination effects of the optical manipulation, including electrical anti‐tachycardia pacing and spontaneous recovery, were tested.</abstract><cop>Weinheim</cop><pub>WILEY‐VCH Verlag GmbH &amp; Co. 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source Wiley Online Library Journals Frontfile Complete
subjects Cardiac arrhythmia
channelrhodopsin‐2
Coronary artery
defibrillation
Depolarization
Genetics
Information processing
Ischemia
Myocardial infarction
Myocardium
Optics
optogenetics
Spontaneous recovery
Tachycardia
Ventricle
ventricular tachyarrhythmia
Wave fronts
title Optogenetic approaches for termination of ventricular tachyarrhythmias after myocardial infarction in rats in vivo
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