Effects of IKur blocker MK-0448 on human right atrial action potentials from patients in sinus rhythm and in permanent atrial fibrillation
Open accessAbstract
Selective blockers of the Kv1.5 channel have been developed for the treatment of atrial fibrillation (AF), but little is known how these atrial-selective drugs affect human action potentials (APs). Therefore we have investigated the Kv1.5 blocker MK-0448 (N-{6-[(1S)-1-(4-fluorophenyl)-2,2-di(pyridin-3-yl)ethyl]pyridin-2-yl}methanesulfonamide) in right atrial trabeculae from patients in sinus rhythm (SR), permanent AF (> 6 months), and intermittent AF. MK-0448 blocked Kv1.5 current in an expression system and concentration-dependently elevated the plateau phase of atrial APs. In SR preparations stimulated at 1 Hz, MK-0448 (3 µM) shortened action potential duration at 90% of repolarization (APD90) and effective refractory period (ERP), but in permanent AF preparations, MK-0448 prolonged APD90 and ERP. The effects of MK-0448 in intermittent AF resembled those in SR preparations. The APD-prolonging effect in AF preparations was more pronounced than with other IKur blockers, most likely due to the additional blocking effect of MK-0448 on IKs, a current that is present both in the atrium and ventricle. Block of IKs is probably more prominent in AF because of reduced repolarization reserve due to AF-induced remodeling.
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Several compounds that inhibit the ultrarapid potassium current (IKur) and other inhibitors of atypical ion channels are in clinical development.
“Several compounds that inhibit the ultrarapid potassium current (I Kur ) and other inhibitors of atypical ion channels are in clinical development.[673][674][675]”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [675]
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- Authors
- Loose, S., Mueller, J., Wettwer, E., Knaut, M., Ford, J., Milnes, J., & Ravens, U.
- Affiliations
- Technische Universität Dresden (DE)
- Herzzentrum Dresden Universitätsklinik (DE)
- Xention (United Kingdom) (GB)
- Corresponding author
- Ravens, Ursula
- Venue
- Frontiers in Pharmacology
- Publisher
- Frontiers Media SA
- Published
- 2014-03-04
- Volume
- 5
- Pages
- 26-26
- ISSN
- 1663-9812 (ISSN-L)
- PMC
- PMC3940943
- OpenAlex
- W2106739281
- Cited by
- 49
- References
- 23
- Citations by year
- 2026: 6 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 7 · 2018: 2 · 2017: 7 · 2016: 6 · 2015: 6 · 2014: 1
- FWCI
- 4.58
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Pharmacology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- European Commission (261057)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion channel regulation and function
- Keywords
- IKur, atrial fibrillation, action potential duration, effective refractory period, atrial remodeling, repolarization reserve, sinus rhythm
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