Nanopore occlusion: A biophysical mechanism for bipolar cancellation in cell membranes
Thiruvallur R. Gowrishankar, Julie V. Stern, Kyle C. Smith, James, C. Weaver

TL;DR
This paper proposes a biophysical mechanism called nanopore occlusion to explain bipolar cancellation in cell membranes, extending the standard electroporation model to account for experimental observations of tracer influx reduction.
Contribution
It introduces a novel extension to the standard electroporation model by incorporating nanopore occlusion, explaining bipolar cancellation phenomena in cell membranes.
Findings
The extended model explains how tracer influx decreases with bipolar pulses.
It accounts for recovery of bipolar cancellation with increased pulse spacing.
The mechanism involves molecules blocking pores, affecting tracer transport.
Abstract
Extraordinarily large but short electric field pulses are reported by many experiments to cause bipolar cancellation (BPC). This unusual cell response occurs if a first pulse is followed by a second pulse with opposite polarity. Possibly universal, BPC presently lacks a mechanistic explanation. Multiple versions of the "standard model" of cell electroporation (EP) fail to account for BPC. Here we show, for the first time, how an extension of the standard model can account for a key experimental observation that essentially defines BPC: the amount of a tracer that enters a cell, and how tracer influx can be decreased by the second part of a bipolar pulse. The extended model can also account for the recovery of BPC wherein the extent of BPC is diminished if the spacing between the first and second pulses is increased. Our approach is reverse engineering, meaning that we identify and…
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