All issues

The study of the physiological and pathophysiological processes in the cardiovascular system is one of the important contemporary issues, which is addressed in many works. In this work, several approaches to the mathematical modelling of the blood flow are considered. They are based on the spatial order reduction and/or use a steady-state approach. Attention is paid to the discussion of the assumptions and suggestions, which are limiting the scope of such models. Some typical mathematical formulations are considered together with the brief review of their numerical implementation. In the first part, we discuss the models, which are based on the full spatial order reduction and/or use a steady-state approach. One of the most popular approaches exploits the analogy between the flow of the viscous fluid in the elastic tubes and the current in the electrical circuit. Such models can be used as an individual tool. They also used for the formulation of the boundary conditions in the models using one dimensional (1D) and three dimensional (3D) spatial coordinates. The use of the dynamical compartment models allows describing haemodynamics over an extended period (by order of tens of cardiac cycles and more). Then, the steady-state models are considered. They may use either total spatial reduction or two dimensional (2D) spatial coordinates. This approach is used for simulation the blood flow in the region of microcirculation. In the second part, we discuss the models, which are based on the spatial order reduction to the 1D coordinate. The models of this type require relatively small computational power relative to the 3D models. Within the scope of this approach, it is also possible to include all large vessels of the organism. The 1D models allow simulation of the haemodynamic parameters in every vessel, which is included in the model network. The structure and the parameters of such a network can be set according to the literature data. It also exists methods of medical data segmentation. The 1D models may be derived from the 3D Navier – Stokes equations either by asymptotic analysis or by integrating them over a volume. The major assumptions are symmetric flow and constant shape of the velocity profile over a cross-section. These assumptions are somewhat restrictive and arguable. Some of the current works paying attention to the 1D model’s validation, to the comparing different 1D models and the comparing 1D models with clinical data. The obtained results reveal acceptable accuracy. It allows concluding, that the 1D approach can be used in medical applications. 1D models allow describing several dynamical processes, such as pulse wave propagation, Korotkov’s tones. Some physiological conditions may be included in the 1D models: gravity force, muscles contraction force, regulation and autoregulation.

Muscle contraction is controlled by Ca2+ ions via regulatory proteins, troponin and tropomyosin, associated with thin actin filaments in sarcomeres. Depending on the Ca2+ concentration, the thin filament rearranges so that tropomyosin moves along its surface, opening or closing access to actin for the motor domains of myosin molecules, and causing contraction or relaxation, respectively. Numerous point amino acid substitutions in tropomyosin are known, leading to genetic pathologies — myo- and cardiomyopathies caused by changes in the structural and functional properties of the thin filament. The results of molecular dynamics modeling of a fragment of a thin filament of cardiac muscle sarcomeres formed by fibrillar actin and wildtype tropomyosin or with amino acid substitutions: the double stabilizing substitution D137L/G126R and the cardiomyopathic substitution S215L are presented. For numerical calculations, we used a new model of a thin filament fragment containing 26 actin monomers and 4 tropomyosin dimers, with a refined structure of the region of overlap of neighboring tropomyosin molecules in each of the two tropomyosin strands. The simulation results showed that tropomyosin significantly increases the bending stiffness of the thin filament, as previously found experimentally. The double stabilizing replacement D137L/G126R leads to a further increase in this rigidity, and the replacement S215L, on the contrary, leads to its decrease, which also corresponds to experimental data. At the same time, these substitutions have different effects on the angular mobility of the actin helix and only slightly modulate the angular mobility of tropomyosin cables relative to the actin helix and the population of hydrogen bonds between negatively charged tropomyosin residues and positively charged actin residues. The results of the verification of the new model demonstrate that its quality is sufficient for the numerical study of the effect of single amino acid substitutions on the structure and dynamics of thin filaments and study the effects leading to dysregulation of muscle contraction. This model can be used as a useful tool for elucidating the molecular mechanisms of some genetic diseases and assessing the pathogenicity of newly discovered genetic variants.