ISSN:
1432-1912
Keywords:
Key words: Cibenzoline – Ventricular myocytes – Membrane currents – Action potential duration
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract. We examined the effects of cibenzoline, a new class Ia antiarrhythmic drug, on various membrane ionic currents and action potentials of guinea-pig single ventricular cells, using patch clamp techniques in whole-cell configuration. Action potentials and the membrane currents were evoked at a clamping rate of 0.2 Hz, and all experiments were performed at 32–33°C. 1) Cibenzoline (5, 10 and 30 μM) decreased the Na+ current (INa), in a concentration-dependent manner. The concentration of the half-maximal inhibition (Kd) for INa was estimated to be 7.8 μM. 2) In addition to the inhibition of INa, this drug (5, 10, and 30 μM) decreased, in a concentration-dependent manner, all other membrane currents examined, such as L-type Ca2+ current (ICa), delayed rectifier K+ current (IK), and inward rectifier K+ current (IK1). The Kd (apparent dissociation constant) values were 14.4 μM for ICa, 23.0 μM for IK, and 33.7 μM for IK1 respectively. 3) Cibenzoline (5, 10, and 30 μm) significantly shortended the action potential duration measured at both 30% and 90% repolarization without altering the resting membrane potential. From these findings, we conclude that apart from potent inhibitory effects on INa, cibenzoline possesses multiple blocking effects on other currents, e.g., ICa, IK and IK1, with a different potency (INa〈ICa〈IK〈IK1) and with essentially the same efficacy. These effects may explain, at least in part, the alleged, potent antiarrhythmic effects of this drug.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00241092
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