Thermogenetics for cardiac pacing

Author:

Balatskiy Alexander V.ORCID,Nesterenko Alexey M.ORCID,Lanin Aleksandr A.ORCID,Ovechkina Vera S.ORCID,Sabinin Semyon S.ORCID,Fetisova Elena S.ORCID,Moshchenko Alexander A.,Jappy DavidORCID,Sokolov Rostislav A.ORCID,Biglova Diana Z.,Solius Georgy M.,Solyus Ekaterina M.,Korolev Sergei V.,Podgorny Oleg V.ORCID,Kelmanson Ilya V.ORCID,Rozov Andrei V.ORCID,Fedotov Andrei B.,Bruegmann TobiasORCID,Zheltikov Alexei M.,Mozhaev Andrey A.ORCID,Belousov Vsevolod V.ORCID

Abstract

AbstractCardiac arrhythmias are common disorders that can be fatal. Modern methods of treating bradyarrhythmias include the implantation of pacemakers and cardioverters – defibrillators. However, the implantable devices can cause various complications including infectious ones, related to the electrodes installed inside the heart. Less invasive heart rhythm modulation could be beneficial for some cohorts of patients. We present an alternative approach to heart pacing based on thermogenetics. We used adeno-associated viruses to deliver genetic human transient receptor potential subfamily V member 1 (TRPV1), a heat-sensitive cation channel, into isolated cardiomyocytes and the mouse heart. This allowed us to induce action potentials and control contractility using short heat pulses delivered by infrared laser illumination. Using this approach, we demonstrated the thermogenetic pacing of isolated cardiomyocytesin vitroand in the mouse heartin vivo. Our results demonstrate the unique potential of thermogenetics for developing novel therapeutic strategies for heart rhythm modulation.

Publisher

Cold Spring Harbor Laboratory

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