In:
Circulation: Arrhythmia and Electrophysiology, Ovid Technologies (Wolters Kluwer Health), Vol. 4, No. 1 ( 2011-02), p. 94-102
Abstract:
The acetylcholine-activated K + current ( I K,ACh ) is a novel candidate for atrial-specific antiarrhythmic therapy. The present study investigates the involvement of I K,ACh in atrial fibrillation (AF) using NTC-801, a novel potent and selective I K,ACh blocker. Methods and Results— The effects of NTC-801, substituted 4-(aralkylamino)-2,2-dimethyl-3,4-dihydro- 2H -benzopyran-3-ol, on I K,ACh and other cardiac ionic currents ( I Na , I CaL , I to , I Kur , I Kr , I Ks , I Kl , I KATP , and I f ) and on atrial and ventricular action potentials were examined in vitro. NTC-801 potently inhibited carbachol-induced I K,ACh in guinea pig atrial cells and the GIRK1/4 current in Xenopus oocytes with IC 50 values of 5.7 and 0.70 nmol/L, respectively. NTC-801 selectively inhibited I K,ACh 〉 1000-fold over other cardiac ionic currents. NTC-801 (10 to 100 nmol/L) reversed the action potential duration (APD 90 ) shortened by carbachol or adenosine in atrial cells, whereas it did not affect APD 90 at 100 nmol/L in ventricular cells. Antiarrhythmic effects of NTC-801 were evaluated in 3 AF models in vivo. NTC-801 significantly prolonged atrial effective refractory period without affecting ventricular effective refractory period under vagal nerve stimulation. NTC-801 dose-dependently converted AF to normal sinus rhythm in both vagal nerve stimulation–induced (0.3 to 3 μg · kg −1 · min −1 IV) and aconitine-induced (0.01 to 0.1 mg/kg IV) models. In a rapid atrial pacing model, NTC-801 (3 μg · kg −1 · min −1 IV) significantly decreased AF inducibility with a prolonged atrial effective refractory period that was frequency-independent. Conclusions— A selective I K,ACh blockade induced by NTC-801 exerted anti-AF effects mediated by atrial-selective effective refractory period prolongation. These findings suggest that I K,ACh may be important in the development and maintenance of AF.
Type of Medium:
Online Resource
ISSN:
1941-3149
,
1941-3084
DOI:
10.1161/CIRCEP.110.951608
Language:
English
Publisher:
Ovid Technologies (Wolters Kluwer Health)
Publication Date:
2011
detail.hit.zdb_id:
2425487-3
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