Page 43 - F. Cell biology
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Regulation of hERG current and cardiac action potential










                                                                                                                                                                                                                                                     by pindolol
















                                                                                                                                                                                                                                                                    Su-Hyun Jo












                                                             Department of Physiology, Institute of Bioscience and Biotechnology, BK21 plus Graduate Program, Kangwon National University




                                                                                                                                                                                                       College of Medicine, Chuncheon 200-701, Korea









































                      ABSTRACT                                                                                                                                                             A                                                                     B





                      Pindolol is a beta blocker which is used in the treatment of


                      hypertension and angina pectoris. We studied the effects of



                      pindolol on a human K channel, human ether-a-go-go-
                                                                             +

                      related gene (hERG), expressed in Xenopus oocytes and on


                      action potential of guinea pig ventricular myocytes. The


                      hERG encodes the pore-forming subunits of the rapidly-



                      activating delayed rectifier K channel, which has an
                                                                                            +

                      important role in regulation of action potential duration of                                                                                                         C                                                                     D


                      cardiac ventricle, resulting in changes in ECG wave.


                      Pindolol decreased hERG current amplitude at the end of


                      the voltage steps and hERG tail currents only at 1000 µM,


                      the highest concentration we tested. Pindolol did not



                      change the value of V                              1/2   for activation curve of hERG tail


                      current, indicating the drug did not affect activation gating.


                      In guinea pig ventricular myocytes, pindolol did not


                      change the resting membrane potential, however, the drug



                      increased the action potential amplitude, action potential                                                                                                           E


                      duration (APD , APD , APD ), suggesting that pindolol
                                                                                             20
                                                          90
                                                                           50
                      could affect cardiac electrophysiology, particularly in

                      overdose condition.







                                                                                                                                                                                                                                                                                                                                                                  FIG 4: The effect of pindolol on human ether-a-go-go-related


                                                                                                                                                                                                                                                                                                                                                           gene (hERG) currents elicited by depolarizing voltage. A: Plot of the


                                                                                                                                                                                                                                                                                                                                                           normalized hERG current measured at the end of depolarizing pulses


                       KEYWORDS                                                                                                                                                                                                                                                                                                                            (IhERG) against the pulse potential in the control and pindolol

                                                                                                                                                                                                                                                                                                                                                           conditions (n = 5). B : Plot of the normalized tail current measured at


                       hERG channel; LQT; pindolol; action potential                                                                                                                        FIG 2: Effects of pindolol exposure on action potential of guinea                                                                                              its peak just after repolarization. The peak amplitude of the tail current



                                                                                                                                                                                          pig ventricular myocytes. A: Time course of the effects of pindolol on                                                                                           in the absence of the pindolol was set as 1. Control data were fitted to

                                                                                                                                                                                          action potential duration at 90% of repolarization (APD ). B: Time                                                                                               the Boltzmann Equation, y = 1/ 1 + exp[(-V + V1/2)/dx] /, with V                                                                    1/2  of -
                                                                                                                                                                                                                                                                                                          90
                                                                                                                                                                                          course of the effects of pindolol on action potential duration at 50% of                                                                                         20.3 mV (n = 5).


                                                                                                                                                                                          repolarization (APD ). C:Time course of the effects of pindolol on
                                                                                                                                                                                                                                   50
                                                                                                                                                                                          action potential duration at 20% of repolarization (APD ). D: Time
                                                                                                                                                                                                                                                                                                          20
                                                                                                                                                                                                                                                                                                                                                                                                                                                    (mV)
                                                                                                                                                                                          course of the effects of pindolol on action potential amplitude (APA).                                                                                                                                       [Drug] (µM)                              V -17.333
                                                                                                                                                                                                                                                                                                                                                                                                                                                 1/2
                                                                                                                                                                                                                                                                                                                                                                                                        control (0)
                                                                                                                                                                                          E: Time course of the effects of pindolol on the resting membrane                                                                                                                                                30                                   -18.491


                                                                                                                                                                                          potential. Symbols with error bars represent mean ± S.E.M. (n = 3 - 5).                                                                                                                                          100                                  -18.191

                                                                                                                                                                                                                                                                                                                                                                                                                                                -17.895
                                                                                                                                                                                                                                                                                                                                                                                                           300
                                                                                                                                                                                          *P < 0.05.                                                                                                                                                                                                      1000                                  -17.029




                                                                                                                                                                                                                                                                                                                                                                TABLE 1: The effect of pindolol on the voltage for half-maximal

                                                                                                                                                                                                                                                                                                                                                          activation of human-ether-a-go-go-related gene (hERG) currents.


                                                                                                                                                                                                                                                                                                                                                          V   1/2  of the Boltzmann Equation, y = 1/ 1 + exp[(-V + V1/2)/dx] in the


                                                                                                                                                                                                                                                                                                                                                          absence and the presence of various concentrations of pindolol (n = 5).













                                                                                                                                                                                                                                                                                                                                                             SUMMARY






                          FIG 1: Structure of pindolol.                                                                                                                                                                                                                                                                                                      1. Pindolol, non-selective beta blocker, induced the

                                                                                                                                                                                                                                                                                                                                                             prolongation of APD , APD , and APD , however the drug
                                                                                                                                                                                                                                                                                                                                                                                                                                                        20
                                                                                                                                                                                                                                                                                                                                                                                                                             50
                                                                                                                                                                                                                                                                                                                                                                                                            90
                                                                                                                                                                                                                                                                                                                                                             did not change APA and resting membrane potential.




                                                                                                                                                                                                                                                                                                                                                             2. The hERG current, which is overexpressed in Xenopus


                                                                                                                                                                                                                                                                                                                                                             oocytes, were not affected by pindolol at the relatively high


                                                                                                                                                                                                                                                                                                                                                             concentrations of the drug.




                                                                                                                                                                                                                                                                                                                                                              3. These results could indicate that pindolol can change



                                                                                                                                                                                                                                                                                                                                                             ventricular action potential possibly by changing other currents


                                                                                                                                                                                                                                                                                                                                                             through such as L-type Ca channel than hERG channel.
                                                                                                                                                                                                                                                                                                                                                                                                                        2+





















                                                                                                                                                                                             FIG 3: The effect of pindolol on human-ether-a-go-go-related


                                                                                                                                                                                         gene (hERG) currents elicited by depolarizing voltage. A:


                                                                                                                                                                                         Superimposed current traces elicited by depolarizing voltage pulses (4

                                                                                                                                                                                         s) in 10 mV steps from a holding potential of -70 mV in the absence


                                                                                                                                                                                         of pindolol and in the presence of 1 mM pindolol for 15 min.
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