Cited by 50Cardiac electrophysiology and arrhythmiasAtrial Fibrillation Management and OutcomesIon channel regulation and function

Effects of IKur blocker MK-0448 on human right atrial action potentials from patients in sinus rhythm and in permanent atrial fibrillation

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Loose, Simone, Mueller, Judith, Wettwer, Erich, Knaut, Michael, Ford, John, Milnes, James, Ravens, Ursula·2014·Frontiers in Pharmacology

Abstract

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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Crossref · 10.3389/fphar.2014.00026

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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
Published
2014-03-04
Volume
5
Pages
26-26
ISSN
1663-9812 (ISSN-L)
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
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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