Kotnik · Annual review of biophysics 2019 · narrative review · n=?

Membrane Electroporation and Electropermeabilization: Mechanisms and Models.

Cited 786 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of biophysical mechanisms, theoretical models, and simulations (Level 5 by design analogy).

PubMed 30786231 · doi:10.1146/annurev-biophys-052118-115451 · record verified 2026-08-26

What was done

This narrative review synthesized experimental findings, continuum physical models, and atomistic simulations concerning how high-voltage, short-duration electric pulses alter cell membrane permeability. It examined aqueous pore formation in lipid bilayers, correlation with transmembrane voltage, chemical modifications of lipids, and functional modulation of membrane proteins.

What was found

The abstract reports no quantitative metrics or effect sizes. It details that while lipid bilayer aqueous pore formation is established, electric pulses also cause chemical modifications to membrane lipids and functional modulation of membrane proteins, highlighting a mechanistic distinction between electroporation and broader electropermeabilization.

Why it matters

Distinguishing between structural pore formation and broader chemical or protein-mediated permeabilization improves molecular and continuum models, informing bioelectric applications like electrochemotherapy, gene electrotransfer, and pulsed-field ablation.

Limits

The abstract describes a narrative review without systematic search criteria, quantitative data, or sample sizes. The summarized findings derive largely from theoretical continuum modeling, in vitro experiments, and atomistic simulations rather than clinical or in vivo tissue measurements.

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