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Cited by 262

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

Ranolazine improves diastolic dysfunction in isolated myocardium from failing human hearts — Role of late sodium current and intracellular ion accumulation

Open access
Sossalla, Samuel, Wagner, Stefan, Rasenack, Eva C.L., Ruff, Hanna, Weber, Sarah L., Schöndube, Friedrich A., Tirilomis, Theodor, Tenderich, Gero, Hasenfuss, Gerd, Belardinelli, Luiz, Maier, Lars S.·2008·Journal of Molecular and Cellular Cardiology

Abstract

The goal of this study was to test the hypothesis that the novel anti-ischemic drug ranolazine, which is known to inhibit late I(Na), could reduce intracellular [Na(+)](i) and diastolic [Ca(2+)](i) overload and improve diastolic function. Contractile dysfunction in human heart failure (HF) is associated with increased [Na(+)](i) and elevated diastolic [Ca(2+)](i). Increased Na(+) influx through voltage-gated Na(+) channels (late I(Na)) has been suggested to contribute to elevated [Na(+)](i) in HF. In isometrically contracting ventricular muscle strips from end-stage failing human hearts, ranolazine (10 micromol/L) did not exert negative inotropic effects on twitch force amplitude. However, ranolazine significantly reduced frequency-dependent increase in diastolic tension (i.e., diastolic dysfunction) by approximately 30% without significantly affecting sarcoplasmic reticulum (SR) Ca(2+) loading. To investigate the mechanism of action of this beneficial effect of ranolazine on diastolic tension, Anemonia sulcata toxin II (ATX-II, 40 nmol/L) was used to increase intracellular Na(+) loading in ventricular rabbit myocytes. ATX-II caused a significant rise in [Na(+)](i) typically seen in heart failure via increased late I(Na). In parallel, ATX-II significantly increased diastolic [Ca(2+)](i). In the presence of ranolazine the increases in late I(Na), as well as [Na(+)](i) and diastolic [Ca(2+)](i) were significantly blunted at all stimulation rates without significantly decreasing Ca(2+) transient amplitudes or SR Ca(2+) content. In summary, ranolazine reduced the frequency-dependent increase in diastolic tension without having negative inotropic effects on contractility of muscles from end-stage failing human hearts. Moreover, in rabbit myocytes the increases in late I(Na), [Na(+)](i) and [Ca(2+)](i) caused by ATX-II, were significantly blunted by ranolazine. These results suggest that ranolazine may be of therapeutic benefit in conditions of diastolic dysfunction due to elevated [Na(+)](i) and diastolic [Ca(2+)](i).

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Crossref · 10.1016/j.yjmcc.2008.03.006

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Metadata

Authors
Sossalla, S., Wagner, S., Rasenack, E. C. L., Ruff, H., Weber, S. L., Schöndube, F. A., Tirilomis, T., Tenderich, G., Hasenfuss, G., Belardinelli, L., & Maier, L. S.
Venue
Journal of Molecular and Cellular Cardiology
Publisher
Elsevier BV
Published
2008-07
Volume
45
Issue
1
Pages
32-43
ISSN
0022-2828 (ISSN-L)
OpenAlex
W2063954755
Cited by
262
References
38
FWCI
16.06
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Ranolazine improves diastolic dysfunction in isolated myocardium from failing human hearts — Role of late sodium current and intracellular ion accumulation. https://app.cochat.ai/papers/10.1016/j.yjmcc.2008.03.006
The paper
Sossalla, S., Wagner, S., Rasenack, E. C. L., Ruff, H., Weber, S. L., Schöndube, F. A., Tirilomis, T., Tenderich, G., Hasenfuss, G., Belardinelli, L., & Maier, L. S. (2008). Ranolazine improves diastolic dysfunction in isolated myocardium from failing human hearts — Role of late sodium current and intracellular ion accumulation. Journal of Molecular and Cellular Cardiology. https://doi.org/10.1016/j.yjmcc.2008.03.006

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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