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Artificial intelligence approaches to the volumetric quantification of glycogen granules in EM images of human tissue. 用人工智能方法对人体组织电磁图像中的糖原颗粒进行体积量化。
IF 3.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-09-02 Epub Date: 2024-07-09 DOI: 10.1085/jgp.202413595
Eduardo Ríos, Montserrat Samsó, Lourdes C Figueroa, Carlo Manno, Eshwar R Tammineni, Lucas Rios Giordano, Sheila Riazi

Skeletal muscle, the major processor of dietary glucose, stores it in myriad glycogen granules. Their numbers vary with cellular location and physiological and pathophysiological states. AI models were developed to derive granular glycogen content from electron-microscopic images of human muscle. Two UNet-type semantic segmentation models were built: "Locations" classified pixels as belonging to different regions in the cell; "Granules" identified pixels within granules. From their joint output, a pixel fraction pf was calculated for images from patients positive (MHS) or negative (MHN) to a test for malignant hyperthermia susceptibility. pf was used to derive vf, the volume fraction occupied by granules. The relationship vf (pf) was derived from a simulation of volumes ("baskets") containing virtual granules at realistic concentrations. The simulated granules had diameters matching the real ones, which were measured by adapting a utility devised for calcium sparks. Applying this relationship to the pf measured in images, vf was calculated for every region and patient, and from them a glycogen concentration. The intermyofibrillar spaces and the sarcomeric I band had the highest granular content. The measured glycogen concentration was low enough to allow for a substantial presence of non-granular glycogen. The MHS samples had an approximately threefold lower concentration (significant in a hierarchical test), consistent with earlier evidence of diminished glucose processing in MHS. The AI models and the approach to infer three-dimensional magnitudes from two-dimensional images should be adaptable to other tasks on a variety of images from patients and animal models and different disease conditions.

骨骼肌是膳食葡萄糖的主要处理者,它将葡萄糖储存在无数的糖原颗粒中。它们的数量随细胞位置、生理和病理生理状态而变化。我们开发了人工智能模型,以便从人体肌肉的电子显微镜图像中得出糖原颗粒的含量。建立了两个 UNet 类型的语义分割模型:"位置 "将像素划分为细胞中的不同区域;"颗粒 "识别颗粒内的像素。根据它们的联合输出,计算出恶性高热惊厥易感性测试阳性(MHS)或阴性(MHN)患者图像的像素分数 pf。vf (pf)的关系是通过模拟含有实际浓度的虚拟颗粒的体积("篮子")得出的。模拟颗粒的直径与真实颗粒的直径一致,而真实颗粒的直径是通过调整钙火花设计的实用程序测量的。将这种关系应用于图像中测量的 pf,就能计算出每个区域和患者的 vf,并从中计算出糖原浓度。肌纤维间隙和肉瘤 I 带的颗粒含量最高。测得的糖原浓度较低,足以说明存在大量非颗粒状糖原。MHS 样本中的糖原浓度大约低三倍(在分层检验中具有显著性),这与早先有证据表明 MHS 中葡萄糖处理能力减弱是一致的。人工智能模型和从二维图像推断三维大小的方法应能适用于病人、动物模型和不同疾病情况下各种图像的其他任务。
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引用次数: 0
Beyond homogenates: New tool available for estimating glycogen's numerical subcellular distribution. 超越匀浆:估算糖原亚细胞分布的新工具。
IF 3.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-09-02 Epub Date: 2024-07-09 DOI: 10.1085/jgp.202413607
Joachim Nielsen

This Commentary discusses the implications of a recent JGP study (Ríos et al. https://www.doi.org/10.1085/jgp.202413595) demonstrating an AI model to quantify glycogen granules.

本评论讨论了最近一项 JGP 研究(Ríos 等人,https://www.doi.org/10.1085/jgp.202413595)的意义,该研究展示了一种量化糖原颗粒的人工智能模型。
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引用次数: 0
The C-terminus of Rad is required for membrane localization and L-type calcium channel regulation. Rad 的 C 端是膜定位和 L 型钙通道调节所必需的。
IF 3.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-09-02 Epub Date: 2024-07-11 DOI: 10.1085/jgp.202313518
Garrett Elmore, Brooke M Ahern, Nicholas M McVay, Kyle W Barker, Sarisha S Lohano, Nemat Ali, Andrea Sebastian, Douglas A Andres, Jonathan Satin, Bryana M Levitan

L-type CaV1.2 current (ICa,L) links electrical excitation to contraction in cardiac myocytes. ICa,L is tightly regulated to control cardiac output. Rad is a Ras-related, monomeric protein that binds to L-type calcium channel β subunits (CaVβ) to promote inhibition of ICa,L. In addition to CaVβ interaction conferred by the Rad core motif, the highly conserved Rad C-terminus can direct membrane association in vitro and inhibition of ICa,L in immortalized cell lines. In this work, we test the hypothesis that in cardiomyocytes the polybasic C-terminus of Rad confers t-tubular localization, and that membrane targeting is required for Rad-dependent ICa,L regulation. We introduced a 3xFlag epitope to the N-terminus of the endogenous mouse Rrad gene to facilitate analysis of subcellular localization. Full-length 3xFlag-Rad (Flag-Rad) mice were compared with a second transgenic mouse model, in which the extended polybasic C-termini of 3xFlag-Rad was truncated at alanine 277 (Flag-RadΔCT). Ventricular cardiomyocytes were isolated for anti-Flag-Rad immunocytochemistry and ex vivo electrophysiology. Full-length Flag-Rad showed a repeating t-tubular pattern whereas Flag-RadΔCT failed to display membrane association. ICa,L in Flag-RadΔCT cardiomyocytes showed a hyperpolarized activation midpoint and an increase in maximal conductance. Additionally, current decay was faster in Flag-RadΔCT cells. Myocardial ICa,L in a Rad C-terminal deletion model phenocopies ICa,L modulated in response to β-AR stimulation. Mechanistically, the polybasic Rad C-terminus confers CaV1.2 regulation via membrane association. Interfering with Rad membrane association constitutes a specific target for boosting heart function as a treatment for heart failure with reduced ejection fraction.

L 型 CaV1.2 电流(ICa,L)将心肌细胞的电兴奋与收缩联系在一起。ICa,L 受到严格调控,以控制心输出量。Rad 是一种与 Ras 相关的单体蛋白,可与 L 型钙通道 β 亚基(CaVβ)结合,促进对 ICa,L 的抑制。除了 Rad 核心基序赋予的 CaVβ 相互作用外,高度保守的 Rad C 端还能在体外引导膜结合,并在永生细胞系中抑制 ICa,L。在这项研究中,我们验证了一个假设,即在心肌细胞中,Rad 的多基态 C 端赋予了 t 管定位,而膜靶向是 Rad 依赖性 ICa,L 调节所必需的。我们在内源性小鼠 Rrad 基因的 N 端引入了 3xFlag 表位,以方便亚细胞定位分析。我们将全长 3xFlag-Rad (Flag-Rad)小鼠与第二种转基因小鼠模型进行了比较,在第二种转基因小鼠模型中,3xFlag-Rad 的延长多基 C 端被截断在丙氨酸 277(Flag-RadΔCT)处。分离出的心室心肌细胞用于抗 Flag-Rad 免疫细胞化学和体内外电生理学研究。全长 Flag-Rad 显示出重复的 t 管模式,而 Flag-RadΔCT 则未能显示出膜关联。Flag-RadΔCT心肌细胞中的ICa,L表现出激活中点超极化和最大电导增加。此外,Flag-RadΔCT 细胞的电流衰减更快。Rad C端缺失模型中的心肌ICa,L表征了ICa,L对β-AR刺激的调制反应。从机理上讲,多基 Rad C 端通过膜关联赋予 CaV1.2 调节功能。干扰 Rad 的膜结合是提高心脏功能的一个特定靶点,可用于治疗射血分数降低的心力衰竭。
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引用次数: 0
Epilepsy-associated Kv1.1 channel subunits regulate intrinsic cardiac pacemaking in mice. 癫痫相关 Kv1.1 通道亚基调节小鼠固有的心脏起搏。
IF 3.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-09-02 Epub Date: 2024-07-22 DOI: 10.1085/jgp.202413578
Man Si, Ahmad Darvish, Kelsey Paulhus, Praveen Kumar, Kathryn A Hamilton, Edward Glasscock

The heartbeat originates from spontaneous action potentials in specialized pacemaker cells within the sinoatrial node (SAN) of the right atrium. Voltage-gated potassium channels in SAN myocytes mediate outward K+ currents that regulate cardiac pacemaking by controlling action potential repolarization, influencing the time between heartbeats. Gene expression studies have identified transcripts for many types of voltage-gated potassium channels in the SAN, but most remain of unknown functional significance. One such gene is Kcna1, which encodes epilepsy-associated voltage-gated Kv1.1 K+ channel α-subunits that are important for regulating action potential firing in neurons and cardiomyocytes. Here, we investigated the functional contribution of Kv1.1 to cardiac pacemaking at the whole heart, SAN, and SAN myocyte levels by performing Langendorff-perfused isolated heart preparations, multielectrode array recordings, patch clamp electrophysiology, and immunocytochemistry using Kcna1 knockout (KO) and wild-type (WT) mice. Our results showed that either genetic or pharmacological ablation of Kv1.1 significantly decreased the SAN firing rate, primarily by impairing SAN myocyte action potential repolarization. Voltage-clamp electrophysiology and immunocytochemistry revealed that Kv1.1 exerts its effects despite contributing only a small outward K+ current component, which we term IKv1.1, and despite apparently being present in low abundance at the protein level in SAN myocytes. These findings establish Kv1.1 as the first identified member of the Kv1 channel family to play a role in sinoatrial function, thereby rendering it a potential candidate and therapeutic targeting of sinus node dysfunction. Furthermore, our results demonstrate that small currents generated via low-abundance channels can still have significant impacts on cardiac pacemaking.

心跳源于右心房中庭结(SAN)内特化起搏细胞的自发动作电位。SAN 肌细胞中的电压门控钾通道介导外向 K+ 电流,通过控制动作电位复极来调节心脏起搏,从而影响两次心跳之间的间隔时间。基因表达研究发现了 SAN 中多种类型的电压门控钾通道转录本,但大多数转录本的功能意义尚不清楚。其中一个基因是 Kcna1,它编码癫痫相关的电压门控 Kv1.1 K+ 通道 α-亚基,对调节神经元和心肌细胞的动作电位发射非常重要。在这里,我们使用 Kcna1 基因敲除(KO)小鼠和野生型(WT)小鼠,通过朗根多夫灌注离体心脏制备、多电极阵列记录、膜片钳电生理学和免疫细胞化学,研究了 Kv1.1 在整个心脏、SAN 和 SAN 心肌细胞水平上对心脏起搏的功能性贡献。我们的研究结果表明,基因或药物消融 Kv1.1 都会显著降低 SAN 的发射率,主要是通过损害 SAN 肌细胞动作电位的复极化。电压钳电生理学和免疫细胞化学显示,尽管 Kv1.1 只贡献了很小的外向 K+ 电流成分(我们称之为 IKv1.1),尽管它在 SAN 肌细胞蛋白水平上的丰度显然很低,但它还是发挥了作用。这些发现使 Kv1.1 成为第一个在窦房功能中发挥作用的 Kv1 通道家族成员,从而使其成为窦房结功能障碍的潜在候选靶点和治疗靶点。此外,我们的研究结果表明,通过低丰度通道产生的小电流仍能对心脏起搏产生重大影响。
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引用次数: 0
Kv1.1 channels help set the pace. Kv1.1 通道有助于确定节奏。
IF 3.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-09-02 Epub Date: 2024-08-07 DOI: 10.1085/jgp.202413649
Ben Short

JGP study (Si et al. https://doi.org/10.1085/jgp.202413578) reveals that, although they are present at low levels and only generate small currents in the sinoatrial node, Kv1.1 channels have a significant impact on cardiac pacemaking.

JGP 研究(Si 等人,https://doi.org/10.1085/jgp.202413578)显示,尽管 Kv1.1 通道在中房结中的存在水平很低,而且只产生很小的电流,但它们对心脏起搏有重大影响。
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引用次数: 0
ON and OFF starburst amacrine cells are controlled by distinct cholinergic pathways. 星爆肾上腺素细胞的 ON 和 OFF 受控于不同的胆碱能通路。
IF 3.8 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-08-05 Epub Date: 2024-06-05 DOI: 10.1085/jgp.202413550
Mie Gangi, Takuma Maruyama, Toshiyuki Ishii, Makoto Kaneda

Cholinergic signaling in the retina is mediated by acetylcholine (ACh) released from starburst amacrine cells (SACs), which are key neurons for motion detection. SACs comprise ON and OFF subtypes, which morphologically show mirror symmetry to each other. Although many physiological studies on SACs have targeted ON cells only, the synaptic computation of ON and OFF SACs is assumed to be similar. Recent studies demonstrated that gene expression patterns and receptor types differed between ON and OFF SACs, suggesting differences in their functions. Here, we compared cholinergic signaling pathways between ON and OFF SACs in the mouse retina using the patch clamp technique. The application of ACh increased GABAergic feedback, observed as postsynaptic currents to SACs, in both ON and OFF SACs; however, the mode of GABAergic feedback differed. Nicotinic receptors mediated GABAergic feedback in both ON and OFF SACs, while muscarinic receptors mediated GABAergic feedback in ON SACs only in adults. Neither tetrodotoxin, which blocked action potentials, nor LY354740, which blocked neurotransmitter release from SACs, eliminated ACh-induced GABAergic feedback in SACs. These results suggest that ACh-induced GABAergic feedback in ON and OFF SACs is regulated by different feedback mechanisms in adults and mediated by non-spiking amacrine cells other than SACs.

视网膜中的胆碱能信号是由星爆肾上腺素细胞(SAC)释放的乙酰胆碱(ACh)介导的,而星爆肾上腺素细胞是运动检测的关键神经元。SACs 由 ON 和 OFF 两种亚型组成,它们在形态上呈镜像对称。尽管许多有关 SAC 的生理学研究仅针对 ON 细胞,但人们认为 ON 和 OFF SAC 的突触计算是相似的。最近的研究表明,ON和OFF SACs的基因表达模式和受体类型不同,这表明它们的功能存在差异。在这里,我们利用膜片钳技术比较了小鼠视网膜中ON和OFF SAC的胆碱能信号通路。ACh 的应用增加了 GABA 能反馈,在 ON 和 OFF SAC 中均可观察到通向 SAC 的突触后电流;但是,GABA 能反馈的模式不同。烟碱受体介导导通和关断SAC的GABA能反馈,而毒蕈碱受体只介导成人导通SAC的GABA能反馈。无论是阻断动作电位的河豚毒素,还是阻断SAC神经递质释放的LY354740,都不能消除ACh诱导的SAC GABA能反馈。这些结果表明,ACh诱导的GABA能反馈在成人SACs的ON和OFF是由不同的反馈机制调节的,并且是由SACs以外的非尖峰肾上腺素细胞介导的。
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引用次数: 0
Different fluorescent labels report distinct components of spHCN channel voltage sensor movement. 不同的荧光标签报告了 spHCN 通道电压传感器运动的不同组成部分。
IF 3.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-08-05 Epub Date: 2024-07-05 DOI: 10.1085/jgp.202413559
Magdalena N Wojciechowski, Chaseley E McKenzie, Andrew Hung, Alibek Kuanyshbek, Ming S Soh, Christopher A Reid, Ian C Forster

We used voltage clamp fluorometry to probe the movement of the S4 helix in the voltage-sensing domain of the sea urchin HCN channel (spHCN) expressed in Xenopus oocytes. We obtained markedly different fluorescence responses with either ALEXA-488 or MTS-TAMRA covalently linked to N-terminal Cys332 of the S4 helix. With hyperpolarizing steps, ALEXA-488 fluorescence increased rapidly, consistent with it reporting the initial inward movement of S4, as previously described. In contrast, MTS-TAMRA fluorescence increased more slowly and its early phase correlated with that of channel opening. Additionally, a slow fluorescence component that tracked the development of the mode shift, or channel hysteresis, could be resolved with both labels. We quantitated this component as an increased deactivation tail current delay with concomitantly longer activation periods and found it to depend strongly on the presence of K+ ions in the pore. Using collisional quenching experiments and structural predictions, we established that ALEXA-488 was more exposed to solvent than MTS-TAMRA. We propose that components of S4 movement during channel activation can be kinetically resolved using different fluorescent probes to reveal distinct biophysical properties. Our findings underscore the need to apply caution when interpreting voltage clamp fluorometry data and demonstrate the potential utility of different labels to interrogate distinct biophysical properties of voltage-gated membrane proteins.

我们使用电压钳荧光测定法探测了在爪蟾卵母细胞中表达的海胆 HCN 通道(spHCN)电压感应结构域中 S4 螺旋的运动。我们利用与 S4 螺旋 N 端 Cys332 共价连接的 ALEXA-488 或 MTS-TAMRA 获得了明显不同的荧光反应。随着超极化步骤的进行,ALEXA-488 的荧光迅速增加,这与之前描述的报告 S4 初始内向运动的情况一致。相比之下,MTS-TAMRA 的荧光增加较慢,其早期阶段与通道打开的阶段相关。此外,两种标签都能分辨出追踪模式转变或通道滞后发展的缓慢荧光成分。我们将这一成分量化为失活尾流延迟的增加以及随之而来的激活期的延长,并发现它在很大程度上取决于孔道中 K+ 离子的存在。通过碰撞淬灭实验和结构预测,我们确定 ALEXA-488 比 MTS-TAMRA 更容易暴露于溶剂中。我们建议使用不同的荧光探针对通道激活过程中的 S4 运动成分进行动力学解析,以揭示不同的生物物理特性。我们的发现强调了在解释电压钳荧光测定数据时需要谨慎,并证明了不同标签在探究电压门控膜蛋白不同生物物理特性方面的潜在作用。
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引用次数: 0
Fusion pore flux controls the rise-times of quantal synaptic responses. 融合孔通量控制着量子突触反应的上升时间。
IF 3.8 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-08-05 Epub Date: 2024-06-11 DOI: 10.1085/jgp.202313484
Meyer B Jackson, Chung-Wei Chiang, Jinbo Cheng

The release of neurotransmitter from a single synaptic vesicle generates a quantal response, which at excitatory synapses in voltage-clamped neurons is referred to as a miniature excitatory postsynaptic current (mEPSC). We analyzed mEPSCs in cultured mouse hippocampal neurons and in HEK cells expressing postsynaptic proteins enabling them to receive synaptic inputs from cocultured neurons. mEPSC amplitudes and rise-times varied widely within and between cells. In neurons, mEPSCs with larger amplitudes had longer rise-times, and this correlation was stronger in neurons with longer mean rise-times. In HEK cells, this correlation was weak and unclear. Standard mechanisms thought to govern mEPSCs cannot account for these results. We therefore developed models to simulate mEPSCs and assess their dependence on different factors. Modeling indicated that longer diffusion times for transmitters released by larger vesicles to reach more distal receptors cannot account for the correlation between rise-time and amplitude. By contrast, incorporating the vesicle size dependence of fusion pore expulsion time recapitulated experimental results well. Larger vesicles produce mEPSCs with larger amplitudes and also take more time to lose their content. Thus, fusion pore flux directly contributes to mEPSC rise-time. Variations in fusion pores account for differences among neurons, between neurons and HEK cells, and the correlation between rise-time and the slope of rise-time versus amplitude plots. Plots of mEPSC amplitude versus rise-time are sensitive to otherwise inaccessible properties of a synapse and offer investigators a means of assessing the role of fusion pores in synaptic release.

单个突触小泡释放神经递质会产生量子响应,在电压钳神经元的兴奋性突触中,这种量子响应被称为微型兴奋性突触后电流(mEPSC)。我们分析了培养小鼠海马神经元和表达突触后蛋白的 HEK 细胞中的 mEPSC。在神经元中,振幅较大的 mEPSC 上升时间较长,平均上升时间较长的神经元中这种相关性更强。在 HEK 细胞中,这种相关性很弱,而且不明确。人们认为支配 mEPSC 的标准机制无法解释这些结果。因此,我们开发了模型来模拟 mEPSCs,并评估它们对不同因素的依赖性。模型显示,较大囊泡释放的递质到达较远受体的扩散时间较长,但这并不能解释上升时间与振幅之间的相关性。相比之下,融合孔排出时间与囊泡大小的关系则很好地再现了实验结果。较大的囊泡会产生振幅较大的 mEPSCs,同时也需要更多的时间来失去其内容物。因此,融合孔通量直接决定了 mEPSC 的上升时间。融合孔的变化解释了神经元之间、神经元与 HEK 细胞之间的差异,以及上升时间与上升时间与振幅曲线图斜率之间的相关性。mEPSC 振幅与上升时间的曲线图对突触的其他不可触及的特性非常敏感,为研究人员提供了一种评估融合孔在突触释放中的作用的方法。
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引用次数: 0
Mathematical modeling of intracellular osmolarity and cell volume stabilization: The Donnan effect and ion transport. 细胞内渗透压和细胞体积稳定的数学建模:唐南效应和离子传输
IF 3.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-08-05 Epub Date: 2024-07-12 DOI: 10.1085/jgp.202413554
Zahra Aminzare, Alan R Kay

The presence of impermeant molecules within a cell can lead to an increase in cell volume through the influx of water driven by osmosis. This phenomenon is known as the Donnan (or Gibbs-Donnan) effect. Animal cells actively transport ions to counteract the Donnan effect and regulate their volume, actively pumping Na+ out and K+ into their cytosol using the Na+/K+ ATPase (NKA) pump. The pump-leak equations (PLEs) are a system of algebraic-differential equations to model the membrane potential, ion (Na+, K+, and Cl-), and water flux across the cell membrane, which provide insight into how the combination of passive ions fluxes and active transport contribute to stabilizing cell volume. Our broad objective is to provide analytical insight into the PLEs through three lines of investigation: (1) we show that the provision of impermeant extracellular molecules can stabilize the volume of a passive cell; (2) we demonstrate that the mathematical form of the NKA pump is not as important as the stoichiometry for cell stabilization; and (3) we investigate the interaction between the NKA pump and cation-chloride co-transporters (CCCs) on cell stabilization, showing that NCC can destabilize a cell while NKCC and KCC can stabilize it. We incorporate extracellular impermeant molecules, NKA pump, and CCCs into the PLEs and derive the exact formula for the steady states in terms of all the parameters. This analytical expression enables us to easily explore the effect of each of the system parameters on the existence and stability of the steady states.

细胞内存在不透水分子会通过渗透作用使水分流入细胞,从而导致细胞体积增大。这种现象被称为唐南效应(或吉布斯-唐南效应)。动物细胞会利用 Na+/K+ ATP 酶(NKA)泵,主动将 Na+ 泵出细胞膜,将 K+ 泵入细胞膜,从而主动转运离子以抵消唐南效应并调节细胞体积。泵泄漏方程(PLEs)是一个代数微分方程系统,用于模拟膜电位、离子(Na+、K+和Cl-)和水在细胞膜上的通量。我们的总体目标是通过三方面的研究对 PLEs 提供分析性的见解:(1) 我们证明了提供不透水的细胞外分子可以稳定被动细胞的体积;(2) 我们证明了 NKA 泵的数学形式与细胞稳定的化学计量一样重要;(3) 我们研究了 NKA 泵与阳离子-氯化物协同转运体(CCC)之间在细胞稳定方面的相互作用,结果表明 NCC 可以破坏细胞的稳定,而 NKCC 和 KCC 则可以稳定细胞。我们将细胞外防渗分子、NKA 泵和 CCC 纳入 PLEs,并根据所有参数推导出稳态的精确公式。这种分析表达式使我们能够轻松地探索每个系统参数对稳态的存在和稳定性的影响。
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引用次数: 0
Correction: A dual-clock-driven model of lymphatic muscle cell pacemaking to emulate knock-out of Ano1 or IP3R. 更正:双时钟驱动的淋巴肌细胞起搏模型,以模拟敲除 Ano1 或 IP3R。
IF 3.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2024-08-05 Epub Date: 2024-07-01 DOI: 10.1085/jgp.20231335506112024c
Edward J Hancock, Scott D Zawieja, Charlie Macaskill, Michael J Davis, Christopher D Bertram
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引用次数: 0
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