Class I/B antiarrhythmic property of ranolazine, a novel antianginal agent, in dog and human cardiac preparations
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The aim of this study was to investigate the cellular electrophysiological effects of ranolazine on action potential characteristics. The experiments were carried out in dog and human cardiac preparations using the conventional microelectrode technique. In dog Purkinje fibres ranolazine produced a concentration- and frequency-dependent depression of the maximum rate of depolarization (V(max)) while action potential duration (APD) was shortened. In dog and human right ventricular papillary muscle ranolazine exerted no significant effect on APD, while it produced, like mexiletine, use-dependent depression of V(max) with relatively fast onset and offset kinetics. In dog midmyocardial preparations the drug did not exert statistically significant effect on repolarization at 10 μM, although a tendency toward prolongation was observed at 20 μM. A moderate lengthening of APD(90) by ranolazine was noticed in canine atrial preparations obtained from dogs in sinus rhythm and in tachypacing induced remodelled preparations. Use-dependent depression of V(max) was more pronounced in atria from dogs in sinus rhythm than those in remodelled atria or in the ventricle. These findings indicate that ranolazine, in addition to its known late sodium current blocking effect, also depresses peak I(Na) with class I/B antiarrhythmic characteristics. Although peak I(Na) inhibition by ranolazine is stronger in the atria, it is also substantial (at fast stimulation frequencies) in ventricular preparations. Ranolazine also decreased the dispersion of ventricular repolarization (the difference in APD(90) values between Purkinje fibres and papillary muscles), which can contribute to the antiarrhythmic property of the drug.
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Canine action potential duration is only slightly shorter than human action potential duration and is more comparable than previously discussed animal models (canine APD90 ~219 ms vs human ~290 ms in right ventricular papillary muscles at 1000 ms cycle length and 37 degrees C).
“The action potential duration of canine is only a little bit shorter than that of humans, much more comparable than the animal models discussed previously (canine APD90: ~ 219 ms, human APD90: ~290 ms both measured in right ventricular papillary muscles at cycle length of 1000 ms and 37 °C) (Szel et al. 2011).”
From Small and large animal models in cardiac contraction research: advantages and disadvantages (2014) · cites this paper as Szel et al. 2011
Cites
Atrial Remodeling and Atrial Fibrillation: Mechanisms and Implications
Nattel, S., Burstein, B., & Dobrev, D. (2008) · Circulation: Arrhythmia and Electrophysiology · doi:10.1161/circep.107.754564 · Cited by 1,124 · see citing works
Cardiac electrophysiology and arrhythmias
Zipes, D. P., Jalife, J., & Moe, G. K. (1985) · Grune & Stratton eBooks · Cited by 944 · see citing works
Electrophysiological Effects of Ranolazine, a Novel Antianginal Agent With Antiarrhythmic Properties
Antzelevitch, C. N., Belardinelli, L., Zygmunt, A. C., Burashnikov, A., Diego, J. M. D., Fish, J. M., Cordeiro, J. M., & Thomas, G. (2004) · Circulation · doi:10.1161/01.cir.0000139333.83620.5d · Cited by 674 · see citing works
CHAITMAN, B. R., Skettino, S. L., Parker, J. O., Hanley, P. C., Meluzı́n, J., Kuch, J., Pepine, C. J., Wang, W., Nelson, J. J., Hebert, D. A., et al. (2004) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2003.11.045 · Cited by 567 · see citing works
Hondeghem, L. M., & Katzung, B. G. (1984) · The Annual Review of Pharmacology and Toxicology · doi:10.1146/annurev.pa.24.040184.002131 · Cited by 554 · see citing works
Scirica, B. M., Morrow, D. A., Hod, H., Murphy, S. A., Belardinelli, L., Hedgepeth, C. M., Molhoek, P. G., Verheugt, F. W. A., Gersh, B. J., McCabe, C. H., et al. (2007) · Circulation · doi:10.1161/circulationaha.107.724880 · Cited by 444 · see citing works
Atrium-Selective Sodium Channel Block as a Strategy for Suppression of Atrial Fibrillation
Burashnikov, A., Diego, J. M. D., Zygmunt, A. C., Belardinelli, L., & Antzelevitch, C. N. (2007) · Circulation · doi:10.1161/circulationaha.107.704890 · Cited by 399 · see citing works
Altered Na+Currents in Atrial Fibrillation
Sossalla, S. T., Kallmeyer, B., Wagner, S., Mazur, M. J., Maurer, U., Toischer, K., Schmitto, J. D., Seipelt, R. G., Schöndube, F. A., Hasenfuss, G. P., et al. (2010) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2009.12.055 · Cited by 272 · see citing works
Moss, A. J., Zaręba, W., Schwarz, K. Q., Rosero, S. Z., McNitt, S. A., & Robinson, J. L. (2008) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2008.01246.x · Cited by 267 · see citing works
Varró, A., Baláti, B., Iost, N., Takács, J., Virág, L., Lathrop, D. A., Csaba, L., Tálosi, L., & Papp, J. G. (2000) · The Journal of Physiology · doi:10.1111/j.1469-7793.2000.00067.x · Cited by 237 · see citing works
Self-citationSong, Y., Shryock, J. C., Wu, L., & Belardinelli, L. (2004) · Journal of Cardiovascular Pharmacology · doi:10.1097/00005344-200408000-00008 · Cited by 211 · see citing works
Antiarrhythmic Effects of Ranolazine in a Guinea Pig in Vitro Model of Long-QT Syndrome
Wu, L., Shryock, J. C., Song, Y., Li, Y., Antzelevitch, C. N., & Belardinelli, L. (2004) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1124/jpet.104.066100 · Cited by 193 · see citing works
Molecular basis of ranolazine block of LQT‐3 mutant sodium channels: evidence for site of action
Fredj, S., Sampson, K. J., Liu, H., et al. (2006) · British Journal of Pharmacology · doi:10.1038/sj.bjp.0706709 · Cited by 169 · see citing works
Pepine, C. J., & Wolff, A. A. (1999) · The American Journal of Cardiology · doi:10.1016/s0002-9149(99)00190-3 · Cited by 157 · see citing works
Cohen, C. J., Bean, B. P., & Tsien, R. W. (1984) · Circulation Research · doi:10.1161/01.res.54.6.636 · Cited by 152 · see citing works
Electrophysiologic Properties and Antiarrhythmic Actions of a Novel Antianginal Agent
Antzelevitch, C., Belardinelli, L., Wu, L., et al. (2004) · Journal of Cardiovascular Pharmacology and Therapeutics · doi:10.1177/107424840400900106 · Cited by 123 · see citing works
Antiarrhythmic effects of ranolazine in canine pulmonary vein sleeve preparations
Sicouri, S., Glass, A. M., Belardinelli, L., & Antzelevitch, C. N. (2008) · Heart Rhythm · doi:10.1016/j.hrthm.2008.03.018 · Cited by 120 · see citing works
Nonlinear relation between Vmax and INa in canine cardiac Purkinje cells.
Sheets, M. F., Hanck, D. A., & Fozzard, H. A. (1988) · Circulation Research · doi:10.1161/01.res.63.2.386 · Cited by 105 · see citing works
Kumar, K., Nearing, B. D., Carvas, M., Nascimento, B., Acar, M., Belardinelli, L., & Verrier, R. L. (2009) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2009.01437.x · Cited by 105 · see citing works
Ranolazine: Ion‐channel‐blocking actions and <i>in vivo</i> electrophysiological effects
Schram, G., Zhang, L., Derakhchan, K., Ehrlich, J. R., Belardinelli, L., & Nattel, S. (2004) · British Journal of Pharmacology · doi:10.1038/sj.bjp.0705879 · Cited by 101 · see citing works
Wu, L., Shryock, J. C., Song, Y., & Belardinelli, L. (2006) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1124/jpet.105.094862 · Cited by 100 · see citing works
Antoons, G., Oros, A., Beekman, J. D. M., et al. (2010) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2009.10.033 · Cited by 97 · see citing works
Sicouri, S., Timothy, K. W., Zygmunt, A. C., Glass, A. M., Goodrow, R. J., Belardinelli, L., & Antzelevitch, C. N. (2007) · Heart Rhythm · doi:10.1016/j.hrthm.2006.12.046 · Cited by 85 · see citing works
Use-dependent block of cardiac late Na+ current by ranolazine
Rajamani, S., El‐Bizri, N., Shryock, J. C., Makielski, J. C., & Belardinelli, L. (2009) · Heart Rhythm · doi:10.1016/j.hrthm.2009.07.042 · Cited by 82 · see citing works
BALÁTI, Varró, V., & Papp (1998) · Acta Physiologica Scandinavica · doi:10.1046/j.1365-201x.1998.00416.x · Cited by 64 · see citing works
Louis, A. A., Manousos, I. R., Coletta, A. P., Clark, A. L., & Cleland, J. G. F. (2002) · European Journal of Heart Failure · doi:10.1016/s1388-9842(01)00240-9 · Cited by 63 · see citing works
Wu, L., Rajamani, S., Li, H., et al. (2009) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00467.2009 · Cited by 63 · see citing works
Pu, J., Balser, J. R., & Boyden, P. A. (1998) · Circulation Research · doi:10.1161/01.res.83.4.431 · Cited by 63 · see citing works
Atrial-selective sodium channel block as a novel strategy for the management of atrial fibrillation
Antzelevitch, C. N., & Burashnikov, A. (2009) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2009.07.007 · Cited by 58 · see citing works
Shryock, J. C., & Belardinelli, L. (2007) · British Journal of Pharmacology · doi:10.1038/sj.bjp.0707522 · Cited by 52 · see citing works
Atrial-Selective Sodium Channel Blockers: Do They Exist?
Burashnikov, A., & Antzelevitch, C. N. (2008) · Journal of Cardiovascular Pharmacology · doi:10.1097/fjc.0b013e31817618eb · Cited by 50 · see citing works
Rajamani, S., Shryock, J. C., & Belardinelli, L. (2008) · Channels · doi:10.4161/chan.2.6.7362 · Cited by 49 · see citing works
Abdallah, H. Y., & Jerling, M. (2005) · The Journal of Clinical Pharmacology · doi:10.1177/0091270005276739 · Cited by 48 · see citing works
Rajamani, S., Shryock, J. C., & Belardinelli, L. (2009) · Biophysical Journal · doi:10.1016/j.bpj.2008.12.965 · Cited by 44 · see citing works
Cardiac Electrophysiology and Arrhythmias
Krikler, D. M. (1992) · Heart · doi:10.1136/hrt.67.5.422-b · Cited by 32 · see citing works
Effects of ranolazine on L‐type calcium channel currents in guinea‐pig single ventricular myocytes
Allen, T. J. A., & Chapman, R. (1996) · British Journal of Pharmacology · doi:10.1111/j.1476-5381.1996.tb15395.x · Cited by 27 · see citing works
Wu, J., Cheng, L., Lammers, W. J. E. P., et al. (2008) · Progress in Biophysics and Molecular Biology · doi:10.1016/j.pbiomolbio.2009.01.003 · Cited by 18 · see citing works
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Small and large animal models in cardiac contraction research: advantages and disadvantages
Milani-Nejad, N., & Janssen, P. M. L. (2014) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2013.10.007 · Cited by 484 · see citing works
- Authors
- Szél, T., Koncz, I., Jost, N., Baczkó, I., Husti, Z., Virág, L., Bussek, A., Wettwer, E., Ravens, U., Papp, J. G., & Varró, A.
- Affiliations
- University of Szeged (HU)
- Hungarian Academy of Sciences (HU)
- Technische Universität Dresden (DE)
- Corresponding author
- Varró, András
- Venue
- European Journal of Pharmacology
- Publisher
- Elsevier BV
- Published
- 2011-07
- Volume
- 662
- Issue
- 1-3
- Pages
- 31-39
- ISSN
- 0014-2999 (ISSN-L)
- OpenAlex
- W2001197934
- Cited by
- 34
- References
- 38
- Citations by year
- 2023: 2 · 2021: 4 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 5 · 2015: 4 · 2014: 1 · 2013: 4 · 2012: 4
- FWCI
- 2.63
- Type
- journal article
- Language
- en
- Open access
- green
- zenodo.org
- Licence
- Locations
- European Journal of Pharmacology (publishedVersion)
- PubMed (publishedVersion)
- SZTE Publicatio Repozitórium (University of Szeged) (acceptedVersion)
- Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
- Zenodo (CERN European Organization for Nuclear Research) (submittedVersion, other-oa)
- Funders
- Hungarian Scientific Research Fund (OTKA CNK-77855, OTKA K-82079)
- Hungarian Ministry of Health (ETT 302-03/2009, ETT 306-03/2009)
- Hungarian National Office for Research and Technology — Hungarian National Technology Programme (TECH_08_A1_CARDIO08)
- National Development Agency (TÁMOP-4.2.2-08/1-2008-0013)
- European Community (ICT-2008-224381)
- Hungarian Academy of Sciences
- János Bolyai Research Scholarship
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion channel regulation and function
- Keywords
- ranolazine, sodium channel blockade, action potential duration, Purkinje fibers, papillary muscle, atrial remodeling, tachypacing, dispersion of repolarization, mexiletine, antianginal drugs, cardiac electrophysiology
- MeSH terms
- Ranolazine, Acetanilides, Angina Pectoris, Animals, Anti-Arrhythmia Agents, Dogs, Female, Heart, Heart Atria, Humans, Kinetics, Male, Membrane Potentials, Papillary Muscles, Piperazines, Purkinje Fibers, Atrial Function, Electrophysiological Phenomena, In Vitro Techniques
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