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Copyright © 2008 The Biophysical Society. All rights reserved.
Biophysical Journal, Volume 95, Issue 4, 1547-1563, 15 August 2008

doi:10.1529/biophysj.107.121921

Biophysical Theory and Modeling

Active Mechanisms Are Needed to Describe Cell Responses to Submicrosecond, Megavolt-per-Meter Pulses: Cell Models for Ultrashort Pulses

Kyle C. Smith* and James C. Weaver*Go To Corresponding Author 

* Harvard-Massachusetts Institute of Technology, Division of Health Sciences and Technology, Cambridge, Massachusetts
Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, Massachusetts

Address reprint requests to James C. Weaver.

Abstract

Intracellular effects of submicrosecond, megavolt-per-meter pulses imply changes in a cell's plasma membrane (PM) and organelle membranes. The maximum reported PM transmembrane voltage is only 1.6V and phosphatidylserine is translocated to the outer membrane leaflet of the PM. Passive membrane models involve only displacement currents and predict excessive PM voltages (∼25V). Here we use a cell system model with nonconcentric circular PM and organelle membranes to demonstrate fundamental differences between active (nonlinear) and passive (linear) models. We assign active or passive interactions to local membrane regions. The resulting cell system model involves a large number of interconnected local models that individually represent the 1), passive conductive and dielectric properties of aqueous electrolytes and membranes; 2), resting potential source; and 3), asymptotic membrane electroporation model. Systems with passive interactions cannot account for key experimental observations. Our active models exhibit supra-electroporation of the PM and organelle membranes, some key features of the transmembrane voltage, high densities of small pores in the PM and organelle membranes, and a global postpulse perturbation in which cell membranes are depolarized on the timescale of pore lifetimes.

Introduction

We present an argument for needing nonlinear interaction mechanisms to explain basic features of the response of living cells to submicrosecond, megavolt-per-meter electric fields, a growing research activity 1. The central interaction is electroporation, the formation of transient aqueous pores in phospholipid-based artificial and biological membranes in response to elevated transmembrane voltages due to the application of large pulsed electric fields 2,3. Electroporation can enhance or enable molecular delivery to cells by permeabilizing the plasma membrane (PM) and has been widely used as a tool for delivering DNA and other molecules into cells. Yet despite its widespread usage in biological research and numerous studies aimed at characterizing the membrane response to applied electric fields, much remains unknown about the basic mechanisms of electroporation 4,5.

Recently, there has been a renewed interest in electroporation because of reports that submicrosecond, megavolt-per-meter pulses can electroporate the membranes of the cell interior, opening the possibility for new biotechnological and therapeutic applications of electroporation 6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29. Experimentally observed cellular responses to such short duration, large magnitude pulses include cytochrome c release, caspase activation, apoptosis induction, phosphatidylserine (PS) translocation, changes in intracellular calcium concentration, and little or delayed uptake of membrane integrity dyes such as propidium iodide (PI). Apoptosis induction is of particular interest because of its potential uses for clinical applications.

Electroporation is difficult to study experimentally because the phenomenon occurs on short time and length scales. Except for reports of large, secondary pores after a large applied electrical pulse 30, electroporation experiments have not directly observed pores in cell membranes. Instead, most experiments have examined secondary effects of electroporation, such as the transmembrane transport of DNA and fluorescent dyes, and changes in transmembrane voltage. Because of the challenges in probing the basic mechanisms of electroporation experimentally, theoretical models have played an important role in elucidating the basic mechanisms that lead to the secondary effects observed experimentally. The recent push to study ever shorter, larger pulses that significantly perturb the cell interior provides further motivation for theoretical approaches. Unfortunately, some of these theoretical approaches have been overly simplistic and applied beyond a scope that is justified given their assumptions. Examples include the use of charging time constants and equations that are inadequate on the nanosecond timescale 6,7,11,12,15,18,19,23,25 and the use of electrical models that do not explicitly represent pore formation and resulting pore conduction 6,7,11,12,15,18,19,23,25,31,32, thereby predicting transmembrane voltages far in excess of what experiments and molecular dynamics (MD) simulations show biological membranes can sustain.

Models of the electrical response of cells to applied electric fields can broadly be classified as passive (linear) or active (nonlinear). In passive models, the electrical properties are fixed and the system is linear and time-invariant, whereas in active models, the electrical properties are not fixed and the system can be both nonlinear and hysteretic. More specifically, active models account for the tremendous increase in membrane conductance that accompanies electroporation, while passive models assume that the membrane conductance remains unaltered. The predictions of active and passive models should be identical in the limit of applied electrical pulses too small to cause electroporation. However, the predictions diverge dramatically for the large applied electrical pulses in submicrosecond, megavolt-per-meter experiments. Here we demonstrate the striking differences between the predictions of passive and active models and question the continued use of simplistic passive models in interpreting submicrosecond, megavolt-per-meter experiments. Furthermore, as in recent experimental articles 23,26,27, we challenge the suggestion that submicrosecond, megavolt-per-meter pulses can significantly electroporate intracellular membranes without electroporating the PM. Note that these two objectives are essentially equivalent because the suggestion that a passive model adequately represents the PM is equivalent to saying that the PM is not electroporated.

We employ two spatially distributed two-dimensional cell models constructed using the meshed transport network method (MTNM), a robust method for simulating nonlinear and coupled transport phenomena 1,33 that is a more general formulation of the transport lattice method (TLM) 34,35. The first model is a passive model similar to traditional spherical cell models with a concentric organelle 31,32, and insofar as it is passive, a much simpler model 15. The second model is an active model with local membrane models based on the asymptotic model of electroporation 35,36. To be specific, we compare the electrical responses of active and passive spatially distributed cell models to a nominally 60ns, 95kV/cm pulse similar to the pulse used in a recent experimental study 37.


Methods

Model system

The cell system comprises a circular plasma membrane (PM) enclosing one circular large organelle membrane (LOM) (nucleus-sized) and one circular small organelle membrane (SOM) (mitochondrion-sized), a large region of extracellular electrolyte, and a pair of ideal planar electrodes (Figuer 1A). The membranes have thickness dm=5nm and radii rPM=8μm, rLOM=3μm, and rSOM=0.5μm. To emphasize the ability of the model to use asymmetric cell geometry, the LOM and SOM centers are purposefully offset from the PM center by (−2μm, 2μm) and (4μm, −4μm), respectively (Figuer 1B). The membranes have resting potentials Vrest, PM=−50mV, Vrest, LOM=0mV, and Vrest, SOM=−200mV, which are typical of a Jurkat cell PM, nucleus, and mitochondrion, respectively. Consistent with experimental observations and most traditional models 32,38, the cytosol conductivity, σi, was chosen initially to be a quarter of the extracellular conductivity, σe, because of the large intracellular volume fraction that is excluded from ionic transport in the crowded interior of a cell. Later we treat the case σi=σe. The electric field, Eapp, is applied by ideal (zero overvoltage) planar electrodes at y=40μm (anode) and y=−40μm (cathode) (Figuer 1A). Here Eapp is the voltage applied between the electrodes, Vapp, divided by the distance between the electrodes, 80μm. The bounding box for the system is 80μm×80μm, with the cell centered. The bounding box was made much larger than the cell so that boundary effects would be negligible. The electrical parameters (Table 1) of the cell system are a combination of those used by others 32,37.

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Figuer 1
Cell system model geometry. (A) The isolated cell is centered in a large (80μm×80μm) region. The upper (anode) and lower (cathode) boundaries are planar electrodes. (B) The radii of the plasma membrane (PM), large organelle membrane (LOM), and small organelle membrane (SOM) are rPM=8μm, rLOM=3μm, and rSOM=0.5μm. These idealized, single-layer membranes represent the plasma membrane, nuclear envelope, and mitochondrial membrane. The poles, or polar regions, discussed in the text refer to the regions of greatest |y| for each membrane. The polar regions of membrane are perpendicular to the applied electric field.

Mesh generation

A triangular mesh (Figuer 2A) was generated for the cell system using a modified version of an open-source algorithm 39. The algorithm produces high-quality meshes with elements that may vary widely in size 1, here by three orders of magnitude. The PM, LOM, and SOM have 600, 400, and 200 transmembrane node pairs, respectively, and the entire mesh has 19,061 nodes, 38,061 triangles, and 57,121 edges.

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Figuer 2
Cell system mesh and Voronoi cells. The cell system (A) mesh and (B) Voronoi cells are shown at four scales with black dots indicating membrane-surface nodes. The mesh has 19,061 nodes, 38,061 triangles, and 44,691 edges. For a sense of scale, the lengths of the subfigure sides are (left to right) 80, 24, 7, and 0.3μm.

A Voronoi cell (VC) is associated with each node in the triangular mesh (Figuer 2B). By definition, each VC encloses the region of the domain closer to its node than to any other node 40. As such, the sides of the VCs are perpendicular bisectors of the triangle edges, which simplifies the calculation of transport between adjacent nodes. The VCs are the small volumes into which the entire domain is discretized, with the behavior of each small volume being approximated by its associated node.


Meshed transport network method

The MTNM provides a robust framework for modeling complicated, spatially distributed, coupled transport phenomena. The method focuses on defining transport locally in terms of constitutive equations that can then be easily translated into equivalent circuits. The conservation principles imposed by Kirchhoff's Current Law join the locally specified constitutive equations into complete, spatially distributed models. Here Berkeley SPICE 3f5 is used to obtain the electrical response of cell equivalent circuit networks to pulsed electric fields.

The MTNM is a generalization of the TLM 34 to the use of unstructured meshes. While the results of comparative solutions of passive 41 and active 33 systems have shown that the two methods produce similar results, the MTNM is more accurate and computationally efficient because it uses unstructured meshes that respect the boundaries of all structures in the system and uses variably-sized elements that allow nodes to be optimally distributed throughout the system. For example, in the cell system mesh (Figuer 2A), the triangular elements resolve the 5-nm thickness of membranes but expand in size to have a triangle edge length of ∼5μm at the system boundary, a difference of three orders of magnitude. The use of 5nm rectangular elements in the TLM would require a prohibitively large number of elements.

Representing transport in physical systems using equivalent circuits is a powerful conceptual tool in thinking about how quantities, such as charge, heat, and molecules, move from place to place. This is not, however, the only reason to use this abstraction. Robust computer software exists for simulating circuit networks. Thus, the numerical difficulties ordinarily encountered in simulating nonlinear transport are handled by the circuit simulation software, which has powerful numerical routines for simulating nonlinear devices, thereby decoupling the problem of solving the system of nonlinear transport equations from the problem of understanding the transport mechanisms and setting up a model that adequately characterizes the transport processes. Here the equivalent circuit networks describing the response of a cell are simulated using SPICE, though alternative simulation methods could also be used.

Fig. 3 shows the relationship between the mesh and VCs (Figuer 3A) and the electrical transport between adjacent VCs j and k (Figuer 3B). There exists an electric field and current density at the interface of VCs j and k. These vectors may be separated into components normal and parallel to the interface, and clearly only the former contribute to transport between the VCs. VCs j and k have potential difference (Δϕ)j,k=ϕkϕj, a shared interface of area wj,kd, a nodal separation lj,k, and contain a medium with conductivity σ and permittivity ϵ. Thus, the total current flowing from VC j to VC k is

(1)
(2)
(3)
(4)
where Rj, klj, k/(σwj, kd) and Cj, kϵwj, kd/lj, k and is used as the first-order approximation to the normal electric field at the interface. Therefore, the transport between VCs j and k may be represented by a parallel resistor-capacitor pair between nodes j and k in the circuit representation of the system.

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Figuer 3
Two-dimensional transport system. (A) Triangular mesh and Voronoi cells (VCs). The two-dimensional system is discretized into a set of VCs (solid) associated with the nodes connected by triangulation (shaded). (B) Adjacent Voronoi cells. The VCs have depth d and an interface of length wj,k, and the distance between the VC nodes is lj,k. The VCs have electric potentials ϕj and ϕk and, at the VC interface, there is an electric field and current density which can be broken into components normal () and parallel () to the interface.

Conservation relations provide the additional basic constraint on the electrical transport by relating the currents flowing out of each VC. The total current flowing out of each VC must equal zero for timescales much greater than the charge relaxation time constant (ϵ/σ≈0.5ns for physiologic saline). This requirement is automatically imposed by Kirchhoff's Current Law in circuit space.

The complete circuit representation of a passive system is built by placing resistors and capacitors between all adjacent nodes with all values calculated according to local electrical parameters and mesh geometry, as described. To include active local mechanisms, sources and sinks can also be added with almost arbitrary dependencies. In this model, active subcircuits are used to calculate the local pore density and the associated transmembrane voltage and current.

The MTNM/TLM is not confined to modeling electrical transport. Rather, it may also be used to model simple molecular transport phenomena, such as diffusion, as well as coupled, nonlinear transport phenomena, such as electrodiffusion 1. Heat transport by diffusion (heat conduction) and perfusion 34,42 and phenomena comprising sources and sinks (e.g., chemical partitioning and thermal release of intracellular chemicals) (43, A. T. Esser, K. C. Smith, T. R. Gowrishankar, Z. Vasilkoski, and J. C. Weaver, unpublished) can also be described. More details of the method may be found in the Appendix and Smith 1.


Electroporation model

Neu-Krassowska asymptotic model of electroporation

The dynamics of electroporation often are described by using the Smoluchowski equation with pore creation and destruction rates 2,45. In the limit of the pore creation/destruction dominating pore expansion/contraction, the Smoluchowski equation simplifies to the ordinary differential equation

(5)
where N is the local pore density, α is the pore creation rate coefficient, Vm is the transmembrane voltage, Vep is the characteristic electroporation voltage, No is the equilibrium pore density for Vm=0 V, and q is an electroporation coefficient 36.

The primary simplification of the asymptotic electroporation model is that pores are assumed not to expand. This assumption is reasonable for strong electric fields of short duration 46 but less so for intermediate to small electric fields of long duration. In response to elevated transmembrane voltage, pore creation and subsequent pore expansion contribute to increased membrane conductance and associated maintenance of a transmembrane voltage of ∼1V or less 47,48,49,50. Pore creation proceeds much more rapidly (insofar as it increases membrane conductance) than pore expansion. As such, pore creation dominates pore expansion when the applied electric field is very large while pore expansion is at least commensurate with pore creation when the applied electric field is smaller 51. Although the detailed pore population behavior is a function of the applied field, the electrical predictions of the model are quite robust. That is, whether pore creation or expansion dominates, the processes proceed toward a state in which the transmembrane voltage drops from a transient peak somewhat >1V down to ∼1V as a consequence of reversible electrical breakdown (REB) of the membrane. For longer pulses, a model with pore expansion predicts that the transmembrane voltage drops to a somewhat smaller ∼0.5V (A. T. Esser, K. C. Smith, T. R. Gowrishankar, Z. Vasilkoski, and J. C. Weaver, unpublished, 50). Pore expansion (A. T. Esser, K. C. Smith, T. R. Gowrishankar, Z. Vasilkoski, and J. C. Weaver, unpublished, 50) will become more important in future models that describe molecular uptake, which is expected to depend strongly on the pore size distribution.


Pore conductance

A cylindrical pore with electrolyte conductivity σe, radius rp, thickness dm, and steric hindrance H(rp) has conductance

(6)
where K is the transmembrane voltage-dependent partition coefficient
(7)

The value wo is the energy barrier inside a pore, η is the relative entrance length of a pore, and νm is the dimensionless transmembrane voltage νmVmqe/kT46,52. Here qe is the charge of the monovalent ions (Na+, K+, Cl) that dominate the electrical conductivity of typical electrolytes. Thus, the current im, p through pores in a small region of membrane with area Am and pore density N is

(8)


Cell model equivalent circuit

Fig. 4 shows the circuit representations and their expressions for each pair of adjacent nodes j and k in the system model equivalent circuit. Most of the nodes lie within electrolyte, and the transport between these nodes is simply described by the electrolyte resistance, and capacitance, associated with the transport between the Voronoi cells corresponding to the circuit nodes. The values and are calculated as described above in Meshed Transport Network Method, and are determined by the electrolyte conductivity, σel, and permittivity, ϵel, and the distance, lj,k, between nodes j and k and the width, wj,k, and depth, d, of their shared VC interface.

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Figuer 4
Local model equivalent subcircuits for cell system model (Figuer 1 and Figuer 2). An electrolyte or membrane subcircuit is placed between each pair of adjacent nodes in the cell system. The electrical transport is determined by the local mesh geometry, passive electrical properties of the electrolyte and membranes, and, at the membranes, by the instantaneous pore density and associated time-dependent conductance, which provide a rapidly changing (active) response mechanism. In the active model, each membrane subcircuit has an associated pore density (units: m−2) subcircuit 35 that is used to calculate the total current through pores. In the passive model, there are no pores, and the membrane conductance is constant.

In the active cell model, the equivalent membrane subcircuit is much more complex than the electrolyte subcircuit describing transport in the electrolyte because of the highly nonlinear change in electroporated membrane conductance (Fig. 4). The provision of the resting potential sources is a further complication. The passive membrane resistance, and capacitance, have conductivity σm, and permittivity ϵm, and the same length parameters as the electrolyte, lj,k, wj,k, and d. In this case, lj,k=dm. The current through pores, is determined by the conductance per pore, pore density, Nj,k(t), instantaneous transmembrane voltage, and local membrane area, is simply calculated by Eq. (6), but Nj,k(t) must be calculated by solving Eq. (5).

This is accomplished by a subcircuit that describes the creation and storage of pores, i.e., a pore creation rate that is mathematically analogous to a current and pore accumulation (storage) that is mathematically analogous to charging a capacitor. Specifically, this integration is performed by a small subcircuit with a capacitor, and a current source, that is a function of (Fig. 4) 35. The constitutive relation for the capacitor relates its voltage, Nj,k(t) (units: pore m−2), to its pore current, (units: dimensionless), by

(9)
where the expressions for are as shown in Fig. 4. This is the differential equation governing pore creation in Eq. (5). Therefore, the subcircuit solves Eq. (5):
(10)
The initial condition at time t0 is satisfied by assigning the initial (equilibrium) pore density, Nj,k(t0), to at the start of the simulation,
(11)
where is the resting potential of the membrane between nodes j and k.

The membrane resting potential between nodes j and k is provided by the constant current source (Fig. 4). The resting potential is normally represented by a constant voltage source in series with the membrane resistance 53. However, the Norton equivalent circuit is used here, in which the current source (the contribution of pores to the total membrane conductance is negligible at ) was placed in parallel with the total membrane resistance. This gave faster computation times.


Circuit generation and simulation

MATLAB 7.3 and Berkeley SPICE 3f5 were the primary software packages used to generate and run the cell system model. MATLAB generated the meshes and determined all of the circuit element values based on the electrical and electroporation parameters and the mesh geometry. MATLAB output large circuit netlists, which are text files that list each circuit element and its parameters and connections 54. The netlists were then loaded by SPICE and the corresponding circuits were solved. SPICE then created a binary output file containing all of the circuit node voltages and currents through dependent sources. These SPICE output files were loaded by MATLAB and all of the important variables were extracted, analyzed, and plotted in traditional formats, e.g., equipotentials. The model solutions and analysis were performed on a computer with dual 2.4GHz Intel Xeon processors and 4 GB RAM running Red Hat Linux.




Results

To be specific and relevant to reported observations, we examined the responses of both a passive and an active cell model to an idealized version of the pulse used experimentally by Frey et al. 37. Their pulse was nominally 60ns duration and 95kV/cm magnitude. Here, 60ns is the approximate duration of the pulse plateau (peak value). We fit the pulse waveform measured at the electrodes of the experimental apparatus 37, which gave a 71ns, 95kV/cm trapezoidal pulse with a 6ns rise-time, 55ns plateau, and 10ns fall-time (Fig. 5). The models’ results are presented in several different ways to give a comprehensive sense of the differences between the active and passive model responses.

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Figuer 5
Electric field pulse. The pulse applied to the cell system model was an idealized trapezoidal version of the pulse used experimentally by Frey et al. 37 (95kV/cm; 6ns rise-time, 55ns plateau, and 10ns fall-time). Solid dots indicate the times at which the results are plotted in Figuer 6 and Figuer 7.

Spatial comparison of electric potentials

Fig. 6 shows the responses of the passive and active cell models to an idealized version of the pulse (Fig. 5) used experimentally by Frey et al. 37, and provides a general idea of the differences between the models. The electric potential is shown by the equipotential contour lines and grayscale, and, for the active model, thick open lines indicate membrane areas with significant electroporation (>1014m−2; mean pore spacing <100nm).

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Figuer 6
Passive and active cell responses. The electric potential and pore density are shown for the cell models (AD) during and (EG) after the electric pulse. For the active model, pore density is indicated by the white line thickness (1014, 1015, 1016 m−2). Twenty-one contour lines are uniformly spaced between the extreme values of their associated grayscale bars. Note that the intracellular and extracellular electric field magnitude are not equal, even early in the pulse, because σi=σe/4 (Table 1). See Fig. 10 for the case σi=σe.

The responses of the passive and active models are similar during the early phase of the pulse, before pores form in the membranes of the active model (Figuer 6A). The membrane impedance is initially largely determined by the membrane dielectric properties because of the extremely low conductivity of the membrane and high frequency content of the pulse rise. The equipotential lines are more closely spaced (i.e., the electric field magnitude is larger) inside the cell than outside because of the smaller conductivity of the cytosol (Table 1).

Shortly before the end of the 6ns pulse rise-time, the polar regions of the PM, LOM, and SOM reach transmembrane voltages of 1–1.4V and rapidly form pores in the active model (Figuer 6B) at a rate determined by Eq. (5). The tremendous increase in membrane conductance that accompanies pore formation causes a sudden shift at ∼4ns, from dielectric to conductive property-determined membrane impedance. The pore creation is self-limiting in that pore creation decreases the transmembrane voltage to a level (∼1V) at which the pore creation rate is much slower.

The passive model has no mechanism by which the membrane conductance can be altered. For that basic reason, the PM, LOM, and SOM continue to charge well beyond the 1.4V maximum transmembrane voltage of the active model, reaching 27V, 23V, and 11V for the 71ns, 95kV/cm pulse. The membrane impedance in the passive model continues to primarily be determined by membrane dielectric properties.

As the pulse continues, in the active model the regions farther from the poles charge to 1–1.4V and electroporate (Figuer 6BD). All membrane areas achieve significant pore densities except narrow equatorial bands around the PM, LOM, and SOM that do not charge beyond ∼1V on the timescale of the applied pulse. The high conductance state of the membrane results in continued penetration of the electric field into the intracellular and intraorganellar spaces (Figuer 6D), even as the highest frequency components decay.

In contrast, in the passive model, the electric field is increasingly excluded from the intracellular and intraorganellar spaces as the highest frequency components decay, and the fixed conductance of the membrane remains too small to permit such a significant electric field penetration (Figuer 6D).

The cell and organelle membranes discharge rapidly after the end of the pulse (Figuer 6EG). In the active model, the membranes discharge to ∼0V in ∼50ns because the greatly increased membrane conductances temporarily prevent the reestablishment of the cell and organelle resting potentials. As the pore densities exponentially decay with a time constant of No/α=3.3ms 46, the conductances of the membranes return to their original values and the cell resting potentials are reestablished, based on the simplifying assumption that the resting potential source is unaltered. Here, the resting potential recovery takes 70ms (∼20 times the 3.3ms time-constant for pore destruction).

Remarkably, the transmembrane voltages do not approach ∼0V in the passive model. Rather, they directly approach the membrane resting potentials at a rate slower than the rate of membrane discharge in the active model. Specifically, the resting potentials are reached after ∼3.5μs in the passive model.


Transmembrane voltage and pore density distribution

Fig. 7 shows the transmembrane voltage as a function of angle, Vm(Θ), at four times (4, 6, 25, 61 ns) for the passive and active cell models. For the passive model, the Vm(Θ) values have nearly cosine profiles that grow in amplitude throughout the pulse (Figuer 7AC). The profiles are vertically shifted by the membrane resting potentials and deviate from perfect cosine curves at angular values where the membranes are close to each other, particularly toward the end of the pulse when the electric field inside the cell becomes less uniform (Figuer 6D). The PM, LOM, and SOM reach peak anodic and cathodic transmembrane voltages of 26.8V and 27.4V, 22.7V and 22.8V, and 11.2V and 10.7V at the end of the pulse (61 ns), respectively.

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Figuer 7
Angular distributions of responses. The (AF) transmembrane voltage and (GI) pore density are shown as a function of angle for the plasma membrane (PM) and each organelle membrane (LOM, SOM) for the passive and active cell models. Times shown (from dark to light gray) are 4, 6, 25, and 61ns. Θ=90° is the anodic pole and Θ=270° is the cathodic pole. Note that there are few changes in Vm and N between 25ns and 61ns and, consequently, the 61ns traces obscure the 25ns traces in many of the plots.

For the active model, the Vm(Θ) values initially (while Vm is still small) exhibit cosine profiles identical to those of the passive model (Figuer 7AF). The amplitudes of the Vm(Θ) curves increase until they exceed ∼1–1.4V at ∼3ns, and REB occurs (Figuer 7GI). Pores form first at the hyperpolarized anodic poles of the PM and SOM and slightly later at the depolarized cathodic poles (Figuer 7GI). Pores form simultaneously at both the anodic and cathodic poles of the LOM, which does not have a resting potential (Figuer 7H). As pores form, the conductances of the membranes increase, and Vm is driven down because of voltage division with the fixed conductance of the aqueous media. This dynamic behavior results in waves of elevated Vm and pore creation traveling from the membrane poles toward the membrane equators as the pulse progresses, leaving in their wakes Vm≈1V and N≈5×1016m−2 (mean pore spacing ∼5nm) (Figuer 7DI).

The Vm values of the polar regions of the membranes peak during the 6ns pulse rise-time, which then leads to somewhat higher N and lesser resultant Vm. The pulse rise has the highest frequency components of the pulse. Therefore, in comparison to the lower frequency content of the pulse plateau, during the rise more pores must be created for the membrane conductive properties to dominate the dielectric properties and drive Vm down to a level at which pore creation is lessened. Additionally, the post-peak decrease in Vm is slightly slowed by the continued increase of Vapp during the rise-time (Figuer 8B). Therefore, Vm and N reach higher values than they tend to during a pulse plateau. This rise-time effect, as it will be called hereafter, is manifest in Figuer 7DI, by the relatively sharp transitions in Vm(Θ) and N(Θ) profiles at the interfaces between regions of membrane that do and do not electroporate during the rise-time. This is apparent in the Vm(Θ) profiles by looking at the maxima and minima of Vm(Θ) at the end of the 6ns rise-time and noting that they align exactly with the sharp transitions in Vm(Θ) that are apparent at the next time point (25 ns).

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Figuer 8
Temporal responses. (A and B) Transmembrane voltage and (C) pore density at the anodic (solid lines) and cathodic (dashed lines) poles of the plasma membrane (PM) and organelle membranes (LOM, SOM) for the (A) passive and (B and C) active cell models. Each plot is shown for 10ns (top with dotted-line indicating end of pulse rise-time) and 100ns (bottom) timescales. Note the significant differences in the voltage scales for passive and active models. The initial, pre-electroporation Vm are the same for both models, but the post-electroporation Vm differ greatly. For the passive model, the Vm increase throughout the pulse and peak at the end of the applied pulse plateau (61 ns). For the active model, the maximum Vm occur at ∼4ns because the accompanying burst in pore creation and REB cause a large increase the membrane conductance and concomitant decrease in Vm.

The N(Θ) profiles are quite broad for all three membranes at the end of the pulse, with nearly all regions electroporating except the narrow bands near the membrane equators (Figuer 7GI).

After the pulse, Vm values quickly fall to ∼0V for all of the membranes, with the Vm falling fastest in the highly electroporated polar regions (not shown), for which the largest conductance most quickly discharges the fixed capacitance of the membranes.


Transmembrane voltage and pore density at the membrane poles

Fig. 8 shows the temporal responses at the poles of the PM, LOM, and SOM for the passive and active models. Two timescales are shown to give a sense of the changes both over the duration of the entire pulse and during the early phase of the pulse.

In the passive model, the poles of the membranes initially charge at rates that are independent of their size (Figuer 8A) 41. However, as the pulse proceeds into the plateau phase, the charging rates of the LOM and SOM decrease more substantially than that of the PM. By the end of the pulse plateau, the PM, LOM, and SOM anodic and cathodic poles reach 26.8V and 27.4V, 22.7V and 22.8V, and 11.2V and 10.7V, respectively (Figuer 8A). The relative differences in Vm between the anodic and cathodic membrane poles are small. After the pulse, the Vm decay toward the membrane resting potentials (not shown), reaching resting values after ∼3.5μs.

In the active model, the applied electric field is sufficiently large to drive all of the Vm of the cell and organelle membrane poles into REB and electroporate them during the 6ns pulse rise-time (Figuer 8B). As in the passive case, the initial charging rates are largely independent of the membrane radii because of the high frequency content of the pulse rise (Figuer 8B). Additionally, the Vm are identical to the Vm of the passive model until ∼3ns (4% of the pulse duration), when the poles electroporate (Figuer 8C).

The polar Vm peaks first at the PM and SOM anodic poles at 4.3ns, and then is closely followed by the PM cathodic pole and both LOM poles at 4.5ns and the SOM cathodic pole at 5.2ns. All poles reach a peak Vm of 1.4V. Accordingly, all of the poles reach N of ∼5×1016m−2 (mean pore spacing ∼5nm). For each membrane pole, essentially all pore creation starts after ∼3ns, lasts ∼1ns, and coincides with the peak in Vm (REB) (Figuer 8BC). Because pore creation occurs at the beginning of the pulse and with such rapidity, the membrane poles have high pore density, and therefore high conductance, for nearly the entire duration of the applied pulse (Figuer 8C). The dramatically increased conductance drives down the polar Vm (Figuer 8B). Because of the rise-time effect, the increase in the membrane conductance that accompanies electroporation is sufficient to drive the Vm down to ∼0.9V for the remainder of the pulse plateau.

During the pulse fall-time and after the pulse, the polar Vm of the membranes decrease and quickly reach 0V (Figuer 8B). This extensive depolarization lasts much longer than the pulse. The polar Vm drop quickly during the fall-time because the Vm are primarily determined by the conduction-dominated voltage division between the electrolyte and the membranes. Thus, the polar Vm(t) profiles mirror the Eapp(t) profile. The polar Vm quickly approach ∼0V. The pore population then decays exponentially with a time constant of 3.3 ms (not shown), much longer than the ∼60ns pulse.


Dominance of conduction over displacement membrane current

The essential difference between the passive and active models is that pores form in the active model membranes in response to elevated transmembrane voltages, dramatically increasing the membrane conductance and depressing the transmembrane voltage. This tremendous change in local membrane conductance results in major differences in the electrical responses of the passive and active models. The total current through the membrane is the sum of conduction and displacement current contributions. For frequencies f<σm/2πϵm, the conduction current dominates the displacement current. For frequencies f>σm/2πϵm, the displacement current dominates the conduction current. Here σm is the membrane conductivity (or, in the presence of pores, the effective membrane conductivity) and ϵm is the membrane permittivity. For the passive membranes, σm/2πϵm=34Hz. For the active membranes, σm/2πϵm=34Hz in the absence of pores, as in passive membranes, but σm/2πϵm=86MHz at a pore density of N=5×1016m−2.

Fig. 9 shows the ratio of the PM conduction current to the PM displacement current for the active and passive models. The total currents are obtained by integrating over the entire anodic and cathodic sides of the PM.

Display large version of this figure
Figuer 9
Membrane current. The ratio of the conduction current to the displacement current for the anodic (solid) and cathodic (dashed) PM sides for the active (solid) and passive (shaded) models. After ∼4ns, the conduction current is ∼3 orders-of-magnitude larger than the displacement current for the active model. In contrast, the conduction current remains ∼5 orders-of-magnitude smaller than the displacement current for the passive model.

The applied pulse has high frequency content because of its short duration, and the conductivity, σm, of the passive (fixed) membrane is very small (Table 1). Therefore, in the passive model, the membrane current is dominated by the displacement current for the entire duration of the pulse (Fig. 9). In the active model, however, the membrane current is briefly dominated by the displacement current (∼4 ns), but thereafter rapid creation of pores dramatically increases σm and then results in the dominance of the conduction current by several orders of magnitude (Fig. 9).

In addition to dominating the electrical conduction after ∼4ns, the pores provide aqueous pathways for transport of small charged and neutral molecules (e.g., calcium), but not large molecules, and may thereby provide a mechanism for secondary effects.



Discussion

Supra-electroporation

The term supra-electroporation was introduced to emphasize the hypothesis that an extraordinary number of small pores are created by 60ns, 60kV/cm pulses 35. At that time, and often continuing today, many experimental studies have instead hypothesized that ultrashort pulses perturb subcellular structures without perturbing the PM because the measured intracellular fluorescence of PI and ethidium homodimer (membrane-integrity dyes) is minimal after submicrosecond, megavolt-per-meter pulses but not after conventional pulses 6,8,9,10,11,12,14,17,19. Intracellular effects are often explained by arguments based on membrane charging time constants in which the charging time constants are claimed to be shorter for organelle membranes than the PM because of their smaller sizes. However, because of the importance of membrane dielectric properties on short timescales, this assumption is incorrect. On short timescales, the initial rate of membrane charging is independent of the size of the membrane-enclosed region 31,32,35,41. Moreover, aside from whatever parameter adjustments one may propose to make organelle membranes charge faster, the electrical properties of the PM are well established, and passive model simulations show that transmembrane voltages greatly exceeding values for REB (∼1V) on these timescales would be produced in the absence of PM pores in response to the megavolt-per-meter pulses applied in experiments 32,33,35,41,55, which are generally on the order of 50–150kV/cm. Furthermore, there is no mechanistic hypothesis for why similar transmembrane voltages would have dramatically different effects on the PM and the organelle membranes.

Significantly, experimentalists have used very different metrics for assessing perturbations of the PM and organelle membranes. The PM integrity has generally been assessed by the transmembrane transport of PI and ethidium homodimer, while the integrity of subcellular structures has usually been more indirectly assessed by detecting intracellular calcium concentration changes and other nonmembrane quantities and events (e.g., caspase activation) and then inferring that subcellular structures have been electroporated or otherwise perturbed. However, membrane integrity dyes are only a reasonable method of assessing PM electroporation if the pores created are large enough and numerous enough to transport sufficient dye molecules to exceed the optical measurement detection threshold of the particular experimental system. In response to submicrosecond, megavolt-per-meter pulses, however, pore creation dominates pore expansion and pores remain ∼0.8nm in radius 46, thereby admitting but hindering transport of larger, highly charged dyes while leaving transport of smaller species, like calcium and monovalent ions, relatively unhindered. As such, assertions that the PM remains unperturbed while the intracellular organelles are significantly perturbed are unwarranted because of the differences in the methods of the detection of the perturbations.

An alternative hypothesis, supported by the results presented here and elsewhere 1,33,35,55,56, is that submicrosecond, megavolt-per-meter pulses lead to supra-electroporation, in which minimum-sized (∼0.8nm) pores form in essentially all cell membranes. According to this hypothesis, the size and charge selectivity of the small pores limits uptake of membrane integrity dyes and limits loss of essential intracellular molecules, which is thought to also reduce the likelihood of necrotic cell death.

Recent experimental and MD studies are consistent with the supra-electroporation hypothesis. Experimental observations of PS externalization 18,19,21,23,29 are consistent with the supra-electroporation hypothesis. PS is a negatively-charged phospholipid normally located only on the intracellular leaflet of the PM. In a typical set of experiments, 30ns pulses of up to 35kV/cm magnitude were applied to cells in suspension. Asymmetric externalization of PS was observed, with significantly more PS externalization on the anodic side of the cell 19. Such asymmetric PS externalization is consistent with electrophoretic transport of negatively-charged PS through pores [21,29,57].

Vernier et al. 23 demonstrated that exposure of cells in vitro to repeated pulses can result in measurable uptake of the fluorescent dyes YO-PRO-1 and PI. They applied 4ns and 30ns pulses with repetition frequencies up to 10kHz and magnitudes up to 80kV/cm. YO-PRO-1 uptake was observed for 4ns, 60kV/cm pulses applied 30 or more times at 1kHz, and PI uptake was observed for 4ns, 80kV/cm pulses applied 100 or more times at 10kHz 25. These results suggest that submicrosecond, megavolt-per-meter pulses do electroporate the PM and contribute to transmembrane transport of fluorescent dyes, but that the number of dye molecules transported per pulse is small, as evidenced by the need to apply many pulses in quick succession to achieve detectible levels of intracellular dye 25. This is consistent with the supra-electroporation hypothesis, which predicts the presence of minimum-sized PM pores, limiting transmembrane transport of small molecules.

Very recent experiments reported changes in whole-cell PM conductance in response to 60ns, 12kV/cm pulses using patch-clamp measurements 26,27. They found significant increases in the PM conductance after the pulses. While the increased PM conductance lasted minutes, uptake of the membrane integrity dye PI was below the detection threshold in the 30–60min after the pulse, suggesting that the pores that result in the increased PM conductance remain too small to permit significant uptake of PI 27. These findings are also consistent with the supra-electroporation hypothesis 1,33,35,55,56.

MD simulations provide still more support for the supra-electroporation hypothesis 21,29,57,58,59,60,61. These models simulate the movement and interaction of membrane and electrolyte molecules in the presence of an externally applied electric field 23,57,58,59,60 or an imbalance of sodium ions 29,61. These simulations generally apply or create relatively large transmembrane voltages of 2–3V to increase the probability of pore formation within a few nanoseconds because of the tremendous computational resources required for the simulations. In the small spatial regions simulated, the membranes form defects that become small pores within nanoseconds. It is not yet clear if this forcing results in behavior that is consistent with experimental conditions. Nevertheless, the MD simulations have the potential to greatly enhance the as yet poorly understood dynamics of pore formation and transmembrane transport of small ions and molecules, and may provide better estimates of parameters used in continuum models, such as pore lifetime.

Recently, Frey et al. 37 studied the response of Jurkat cells in vitro to a 60ns, 95kV/cm (nominal) pulse using a fast, voltage-sensitive dye. The study used very technically difficult methods and represents the only study thus far, to our knowledge, on the transmembrane voltage of cells in suspension during a submicrosecond, megavolt-per-meter pulse 37. The pulse used in this study (Fig. 5) is an idealized version of the pulse used in the experimental study of Frey et al., which found that the transmembrane voltage at the anode and cathode quickly rose to 1.6V and 0.6V, peaking at 15ns, decreased to 1.2V and 0.4V at the end of the pulse plateau, and then both decreased to ∼0V within 40ns of the end of the pulse 37. The results of the active model anodic pole presented here (Figuer 8B) compare quite favorably with the results of Frey et al., with the maximum transmembrane voltage peaking at 1.4V, decreasing to 0.9V by the end of the pulse plateau, and then decreasing to ∼0V within 40ns of the end of the pulse.

The transmembrane voltage peak is somewhat later and broader (in time) in the experiment of Frey et al. 37 than in the active model presented here (Figuer 8B). The difference between the times at which the transmembrane voltage peaks, could result from differences in membrane and electrolyte parameters. The broader transmembrane voltage peak measured by Frey et al. may be attributed, at least in part, to the spatial and temporal averaging inherent in their method. The transmembrane voltage of Frey et al. is calculated from the fluorescence of a voltage-sensitive dye over an extended region of each pole with a temporal resolution of 5ns 37, whereas the transmembrane voltage at the poles shown here (Figuer 8B) is not spatially or temporally averaged. Given the narrowness of the transmembrane voltage peak in both space (Figuer 7DF) and time (Figuer 8B), the methods of Frey et al. would cause a broadening of the measured transmembrane voltage peak (by the time response of the measurement, 5ns) in comparison to the theoretical methods used here.

Notably, the transmembrane voltage at the cathodic pole in the study of Frey et al. is a factor of ∼2.5 smaller than the transmembrane voltage at the anodic pole 37 and the transmembrane voltage at both poles in this study (Figuer 8B). Asymmetry in transmembrane voltage and molecular transport has been noted in previous studies of conventional electroporation, with the polarity of the asymmetry depending on cell type 62,63,64. The resting potential may play a role 50, particularly for smaller applied fields, and differing lipid compositions of the inner and outer leaflets of the lipid bilayer may also be important. However, electroporation experiments on vesicles 65, which lack resting a potential and have identical inner and outer leaflet composition, suggest that there must be more a fundamental causes of asymmetry, perhaps related to permanent lipid dipoles 65. Such biophysical features have not been included in the electroporation model used here, and therefore any asymmetry that results from such features cannot be described by this model.


Passive and active cell models

A recent passive cell model with two concentric, spherical membranes with identical electrical properties was used to examine the transmembrane voltages of the membranes in response to pulses ranging from 20ns to 20μs. The transmembrane voltage of the inner membrane was found to never exceed that of the outer membrane 31.

More recently, a very similar passive model was developed and used to thoroughly examine the transmembrane voltages of concentric, spherical PM and organelle membrane in response to submicrosecond, megavolt-per-meter trapezoidal pulses 32. The authors rigorously derived analytical expressions for the transmembrane voltage as functions of frequency and position on the membranes. For the plasma (10μm radius) and organelle membranes (3μm radius) with the same electrical parameters, the organelle transmembrane voltage is much less than the cell transmembrane voltage for low frequencies (<∼0.1MHz) but approaches the cell transmembrane voltage for higher frequencies (>∼1MHz). The transition occurs as the membrane impedance is increasingly determined by the membrane dielectric properties, which increases the intracellular electric field magnitude to almost as large as the extracellular field magnitude 32.

The article 32 then explored the intracellular membrane electrical parameter space to demonstrate that for certain membrane parameters the organelle transmembrane voltage can exceed the cell transmembrane voltage by a factor of ∼2 at particular frequencies. It also examined the temporal cell and organelle transmembrane voltages in response to a trapezoidal 150kV/cm pulse with 1ns rise- and fall-times and a 10ns plateau. Note that the applied electric field magnitude is not particularly important for passive models because the results scale linearly with the electric field magnitude. However, because of the high frequency content of the short pulse, the transmembrane voltages of the cell and organelle are very similar for the duration of the pulse, actually reaching 8V by the end of the pulse 32. Similarly, in the active model presented here, the cell and organelle responses are very similar (Fig. 8), but because of electroporation, the transmembrane voltages do not exceed 1.4V, a much smaller value. By adjusting the organelle parameters, the authors were able to make the organelle transmembrane voltage exceed the cell transmembrane voltages such that the organelle transmembrane voltage reaches 26V by the end of the pulse while the cell transmembrane voltage reaches 8V. This is offered as evidence that it may be possible to perturb the intracellular membranes without perturbing the PM. Indeed, this may be true for very special pulses if the organelle membranes do in fact have electrical properties that allow them to charge faster than the PM in response to pulses with high frequency content. However, there is no reason to think that this is a general, robust effect of submicrosecond, megavolt-per-meter pulses. There is no evidence that a PM can withstand 8V without perturbation (consistent with all MD results to date). A more reasonable explanation for the apparent intracellular effects without measured changes in the PM is that the experimental methods are indirect, limited by the measurement signal/noise ratio, and fundamentally different for the PM and organelle membranes.

Several articles 1,33,35,55 preceding this one have presented active cell models based on the TLM 33,35,55 and the MTNM 1,33, and these models exhibited supra-electroporation in response to short duration, large magnitude pulses. The TLM cell model with several organelles 55 provides the most biologically realistic cell model system to date. The organelle membranes were electroporated along with the PM in response to submicrosecond, megavolt-per-meter pulses. Subsequent TLM and MTNM models 33 used the same cell system as that used here but without resting potentials. As in the passive TLM and MTNM comparison 41, the MTNM produces more accurate results with much greater efficiency than the TLM, though the results of both models are quite similar generally, showing electroporation of the PM and organelle membranes 33.

Passive models are convenient insofar as they are straightforward to implement and allow frequency-domain analysis of cell systems. However, electroporation is a complicated, highly nonlinear, hysteretic process that dramatically alters the subsequent response of a cell to a pulsed electric field, and passive models quite simply lack the appropriate interaction mechanisms to describe this response. Passive models can only make reasonable predictions before the cell membranes electroporate, which the active model predicts occurs after only ∼3ns for a 71ns, 95kV/cm pulse (Figuer 8BC). Passive models predict that the cell interior is essentially only accessed by displacement currents (Fig. 9) and therefore predict that the intracellular electric field peaks and then decreases as the pulse progresses (during the plateau phase) and the PM increasingly shields the cell interior. However, the active model exhibits very different behavior and is consistent with experiments and MD simulations. PM electroporation causes the conduction current to dominate the displacement current, resulting in a large and relatively constant intracellular electric field for most of the pulse examined here (Fig. 9).

Moreover, the electrical perturbation of the cell is predicted to be long-lived, lasting until the pore density sufficiently decreases for the cell and organelles to reestablish resting potentials, which takes ∼20 times the assumed pore lifetime (No/α=3.3 ms), here 70 ms. The passive model fails to describe this predicted perturbation, which may significantly effect cell behavior by gating membrane channels 66. Not only do passive models fail to accurately capture the fundamental electrical response of a cell to a pulsed electric field, they also fail to make any predictions about secondary effects of the pulse because they cannot illustrate the spatial distribution or degree of electroporation and associated permeabilization of cell membranes.

Some passive models in the literature have been rigorously derived 32, but because they are based on the assumption that membranes do not electroporate, they are intrinsically limited in their ability to make useful predictions about the behavior of cells and organelles in response to pulsed electric fields.

Other electrical models in the literature are fundamentally incorrect, based on simple equations for charging of spherical dielectric shells that are erroneous on the very short timescales of ultrashort pulses 6,7,11,12,15,18,19,23,25. In Schoenbach et al. 15, for example, the authors obtain expressions for the transmembrane voltages of the PM and an organelle membrane (with identical electrical properties), and these expressions indicate that the transmembrane voltage of the organelle transiently exceeds that of the PM. However, this result is in error. The authors incorrectly assume that the voltage drop across an entire cell, Vcell, in an applied electric field, Eapp, is the steady-state value Vcell=fEappD, where f is a geometric coefficient (f=1.5 for sphere and f=2 for cylinder) and D is the cell diameter. In fact, Vcell is a time-dependent quantity, and the steady-state expression used in Schoenbach et al. 15 is inappropriate during a rapidly rising pulse. This error then propagates, leading to the prediction that the intracellular electric field initially exceeds Eapp by factor f, which results in initially faster charging of the organelle membrane. In fact, for a passive model with the assumptions made by the authors, the intracellular electric field is initially almost identical to Eapp (due to membrane displacement current) and then drops off as the PM shields the cell interior, and the transmembrane voltage of the organelle never exceeds that of the PM. This has been explicitly shown by others in the frequency domain 32,67 and time domain 31,32.

Many electrical cell models, both active and passive, use an effective intracellular conductivity that is approximately four-times smaller than the extracellular conductivity because of the large volume of organelles that exclude intracellular current flow. For consistency with previous models 32, we used σi=σe/4=0.3 S/m in the primary cell model here. However, the tremendous increase in the conductance of the PM and organelle membranes suggests that this intracellular conductivity representation is not reasonable for pulses causing supra-electroporation because the organelle membrane electroporation allows significant conduction current flow through organelles. That is, the organelles cannot be considered excluded volumes.

For this reason, Fig. 10 shows the passive and active responses to the 71ns, 95kV/cm pulse in a model for which σi=σe=1.2 S/m. In contrast to the primary model examined with σi=σe/4=0.3 S/m, in which the intracellular electric field exceeds the extracellular electric field (Fig. 6), in this version of the cell model the electric field is initially uniform throughout the intracellular and extracellular spaces of the active and passive models due to the low membrane impedance and identical intracellular and extracellular conductivities (Figuer 10A). For the passive model, the electric field becomes considerably less uniform at the end of the pulse plateau as the electric field is excluded from the interior of the cell and organelles. In contrast, for the active model, the electric field remains uniform at the end of the pulse plateau as the electroporated membranes allow continued electric field penetration of the cell and membrane interiors. This is consistent with an earlier models in which the cell becomes “electrically invisible” by supra-electroporation 33,55. The spatial patterns of electroporation are very similar for both active models (Figuer 6 and Figuer 10), though the time courses of electroporation vary slightly.

Display large version of this figure
Figuer 10
Passive and active cell responses for σi=σe=1.2 S/m. The electric potential and pore density are shown for the passive and active models at (A) 6ns and (B) 61ns for σi=σe=1.2 S/m. For the active model, pore density is indicated by the white line thickness (1014, 1015, 1016 m−2). Twenty-one contour lines are uniformly spaced between the extreme values of their associated grayscale bars. (A) Initially, the electric field magnitude in the intracellular and extracellular regions is approximately equal. (B) For the passive model, at the end of the pulse plateau the intracellular electric field magnitude is significantly smaller than the extracellular electric field magnitude. For the active model, the electric field magnitude in the intracellular and extracellular regions remains approximately equal because of the high conductance of the electroporated membranes.

Because the actual, as opposed to effective, conductivity of the intracellular space of a cell is ∼1.2 S/m and the cell supra-electroporation effectively eliminates the intracellular excluded volume that has traditionally motivated the use of decreased effective intracellular conductivity, we suggest the use of σi=1.2 S/m in future models used to study supra-electroporation.

The active model presented here, while containing approximations, is consistent with experimental results and MD simulations to date and shows the primary features of an electroporation-based model's response of a cell to a submicrosecond, megavolt-per-meter pulse.


Perspect