Amiodarone inhibits apamin-sensitive potassium currents.

Amiodarone inhibits apamin-sensitive potassium currents.
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DOI:
10.1371/journal.pone.0070450
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发表时间:
2013
期刊:
影响因子:
3.7
通讯作者:
Ai T
Ai T
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Turker I;Yu CC;Chang PC;Chen Z;Sohma Y;Lin SF;Chen PS;Ai T

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Apamin敏感性钾电流(IKAS)是由2型小电导钙激活钾(SK 2)通道携带的,在衰竭心室的电击后动作电位时程(APD)缩短和自发性心室颤动(VF)复发中起重要作用。验证胺碘酮抑制人胚肾293(HEK-293)细胞中IKAS的假设。我们使用膜片钳技术研究胺碘酮给药前后瞬时表达人SK 2的HEK-293细胞中的IKAS。胺碘酮以剂量依赖性方式抑制IKAS(IC 50,2.67±0.25 µM,1 µM移液管内Ca 2+)。在50 µM胺碘酮中观察到最大抑制作用,可抑制1 µM移液管内Ca 2+诱导的IKAS的85.6±3.1%(n = 3)。  胺碘酮对IKAS的抑制作用不具有电压依赖性,但具有Ca 2+依赖性:30 µM胺碘酮对1 µM Ca 2+诱导的IKAS抑制率为81.5±1.9%(n = 4),对250 nM Ca 2+诱导的IKAS抑制率为16.4±4.9%(n = 5)。    去乙基胺碘酮是胺碘酮的主要代谢产物,也对IKAS产生电压非依赖性但Ca 2+依赖性抑制。胺碘酮和去乙基胺碘酮在治疗浓度下都能抑制IKAS。这种抑制作用不依赖于时间和电压,而依赖于细胞内Ca ~(2+)浓度。SK2电流抑制可能是胺碘酮预防衰竭心室电风暴作用的部分基础。
Apamin sensitive potassium current (I KAS), carried by the type 2 small conductance Ca2+-activated potassium (SK2) channels, plays an important role in post-shock action potential duration (APD) shortening and recurrent spontaneous ventricular fibrillation (VF) in failing ventricles. To test the hypothesis that amiodarone inhibits I KAS in human embryonic kidney 293 (HEK-293) cells. We used the patch-clamp technique to study I KAS in HEK-293 cells transiently expressing human SK2 before and after amiodarone administration. Amiodarone inhibited IKAS in a dose-dependent manner (IC50, 2.67±0.25 µM with 1 µM intrapipette Ca2+). Maximal inhibition was observed with 50 µM amiodarone which inhibited 85.6±3.1% of IKAS induced with 1 µM intrapipette Ca2+ (n = 3). IKAS inhibition by amiodarone was not voltage-dependent, but was Ca2+-dependent: 30 µM amiodarone inhibited 81.5±1.9% of I KAS induced with 1 µM Ca2+ (n = 4), and 16.4±4.9% with 250 nM Ca2+ (n = 5). Desethylamiodarone, a major metabolite of amiodarone, also exerts voltage-independent but Ca2+ dependent inhibition of I KAS. Both amiodarone and desethylamiodarone inhibit I KAS at therapeutic concentrations. The inhibition is independent of time and voltage, but is dependent on the intracellular Ca2+ concentration. SK2 current inhibition may in part underlie amiodarone's effects in preventing electrical storm in failing ventricles.
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