Development of a pro-arrhythmic ex vivo intact human and porcine model: cardiac electrophysiological changes associated with cellular uncoupling

We describe a human and large animal Langendorff experimental apparatus for live electrophysiological studies and measure the electrophysiological changes due to gap junction uncoupling in human and porcine hearts. The resultant ex vivo intact human and porcine model can bridge the translational gap between smaller simple laboratory models and clinical research. In particular, electrophysiological models would benefit from the greater myocardial mass of a large heart due to its effects on far-field signal, electrode contact issues and motion artefacts, consequently more closely mimicking the clinical setting. Porcine (n = 9) and human (n = 4) donor hearts were perfused on a custom-designed Langendorff apparatus. Epicardial electrograms were collected at 16 sites across the left atrium and left ventricle. A total of 1 mM of carbenoxolone was administered at 5 ml/min to induce cellular uncoupling, and then recordings were repeated at the same sites. Changes in electrogram characteristics were analysed. We demonstrate the viability of a controlled ex vivo model of intact porcine and human hearts for electrophysiology with pharmacological modulation. Carbenoxolone reduces cellular coupling and changes contact electrogram features. The time from stimulus artefact to (-dV/dt)max increased between baseline and carbenoxolone (47.9 ± 4.1–67.2 ± 2.7 ms) indicating conduction slowing. The features with the largest percentage change between baseline and carbenoxolone were fractionation + 185.3%, endpoint amplitude − 106.9%, S-endpoint gradient + 54.9%, S point − 39.4%, RS ratio + 38.6% and (-dV/dt)max − 20.9%. The physiological relevance of this methodological tool is that it provides a model to further investigate pharmacologically induced pro-arrhythmic substrates.

A stimulus artefact undermines the evidence for independent ON and OFF channels in stereopsis

Early vision proceeds through distinct ON and OFF channels, which encode luminance increments and decrements respectively. It has been argued that these channels also contribute separately to stereoscopic vision. This is based on the fact that observers perform better on a noisy disparity discrimination task when the stimulus is a random-dot pattern consisting of equal numbers of black and white dots (a “mixed-polarity stimulus”, argued to activate both ON and OFF stereo channels), than when it consists of all-white or all-black dots (“same-polarity”, argued to activate only one). However, it is not clear how this theory can be reconciled with our current understanding of disparity encoding. Recently, a binocular convolutional neural network was able to replicate the mixed-polarity advantage shown by human observers, even though it was based on linear filters and contained no mechanisms which would respond separately to black or white dots. Here, we show that the stimuli used in all these experiments contain a subtle artefact. The interocular correlation between left and right images is actually lower for the same-polarity stimuli than for mixed-polarity stimuli with the same amount of disparity noise applied to the dots. Since our current theories suggest stereopsis is based on a correlation-like computation in primary visual cortex, it is then unsurprising that performance was better for the mixed-polarity stimuli. We conclude that there is currently no evidence supporting separate ON and OFF channels in stereopsis.