Sb. Knisley et Ao. Grant, ASYMMETRICAL ELECTRICALLY-INDUCED INJURY OF RABBIT VENTRICULAR MYOCYTES, Journal of Molecular and Cellular Cardiology, 27(5), 1995, pp. 1111-1122
Strong defibrillation-type electric field stimulation may injure myocy
tes when transmembrane potentials during the pulse exceed the threshol
d for membrane permeabilization. The location of injury may depend on
intrinsic transmembrane potential or influx of calcium by ''electro-os
mosis'' during the stimulation pulse in addition to the transmembrane
potential changes induced by the pulse, We have studied injury by exam
ining contracture and changes in transmembrane potential-sensitive dye
fluorescence induced by electric field stimulation (St) with a durati
on of 20 ms and strength of 16-400 V/cm in isolated rabbit ventricular
myocytes. St of 100-150 V/cm produced injury in myocytes oriented par
allel to the St field frequently without injuring myocytes oriented pe
rpendicular to the field, Injury required calcium in the solution and
was asymmetric, occurring first at the myocyte end facing the St anode
in 100% of injured myocytes in normal Tyrode's solution. Injury depen
ded significantly on whether the product of the electric field strengt
h and myocyte length exceeded a threshold of 1.1V (P<0.05). Asymmetric
injury at the end facing the anode was still present in 96% of injure
d myocytes for stimulation after depolarization by an action potential
or 20 mM or 125 mM potassium, suggesting that intrinsic transmembrane
potential is not responsible for asymmetry. In 125 mM potassium, elim
inating calcium from the bathing solution during the St pulse and intr
oducing calcium after the pulse decreased the fraction of injured myoc
ytes in which injury occurred at the end facing the anode to 62%, sugg
esting that calcium influx by ''electro-osmosis'' at the myocyte end f
acing the anode contributes to asymmetry. Asymmetric injury at the end
facing the anode was still present in 100% of injured myocytes after
adding 1 mM tetraethylammonium chloride, indicating that asymmetry is
not sensitive to the potassium channel blockade. For stimulation pulse
s stronger than 50 V/cm given after depolarization by an action potent
ial, transmembrane potentials at both myocyte ends decayed after the i
nitial deflection indicating that permeabilization occurred at both en
ds. In conclusion, injury depends on myocyte orientation and is asymme
tric occurring first at the myocyte end facing the anode. Asymmetric i
njury is not explained by asymmetric permeabilization, is independent
of the intrinsic transmembrane potential and may result from ''electro
-osmosis'' during the stimulation pulse.