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CARDIOVASCULAR

Effects of Irbesartan on Cloned Potassium Channels Involved in Human Cardiac Repolarization

Ignacio Moreno, Ricardo Caballero1, Teresa González1, Isabel Iriepa, Enrique Gálvez, Cristina Arias, Carmen Valenzuela, Juan Tamargo, and Eva Delpón

Department of Pharmacology, School of Medicine, Universidad Complutense, Madrid, Spain (I.M., R.C., T.G., C.A., C.V., J.T., E.D.); and Department of Organic Chemistry, Universidad de Alcalá, Alcalá de Henares, Madrid, Spain (I.I., E.G.)

We studied the effects of irbesartan, a selective angiotensin II type 1 receptor antagonist, on human ether-a-go-go-related gene (HERG), KvLQT1+minK, hKv1.5, and Kv4.3 channels using the patch-clamp technique. Irbesartan exhibited a low affinity for HERG and KvLQT1+minK channels (IC50 = 193.0 ± 49.8 and 314.6 ± 85.4 µM, respectively). In hKv1.5 channels, irbesartan produced two types of block, depending on the concentration tested. At 0.1 µM, irbesartan inhibited the current in a time-dependent manner (22 ± 3.9% at +60 mV). The blockade increased steeply with channel activation increasing at more positive potentials. However, at 10 µM, irbesartan induced a time-independent blockade that occurred in the range of potentials of channel opening, reaching its maximum at {approx}0 mV, and remaining unchanged at more positive potentials (24.0 ± 1.0% at +60 mV). In Kv4.3 currents, irbesartan produced a concentration-dependent block, which resulted in two IC50 values (1.0 ± 0.1 nM and 7.2 ± 0.6 µM). At 1 µM, it inhibited the peak current and accelerated the time course of inactivation, decreasing the total charge crossing the membrane (36.6 ± 7.8% at +50 mV). Irbesartan shifted the inactivation curve of Kv4.3 channels, the blockade increasing as the amount of inactivated channels increased. Molecular modeling was used to define energy-minimized dockings of irbesartan to hKv1.5 and HERG channels. In conclusion, irbesartan blocks Kv4.3 and hKv1.5 channels at therapeutic concentrations, whereas the blockade of HERG and KvLQT1+minK channels occurred only at supratherapeutic levels. In hKv1.5, a receptor site is apparent on each {alpha}-subunit of the channel, whereas in HERG channels a common binding site is present at the pore.


Received July 30, 2002 ; accepted October 30, 2002.

Address correspondence to: Dr. Ricardo Caballero, Department of Pharmacology, School of Medicine, Universidad Complutense, 28040-Madrid, Spain. E-mail: rcaballero{at}ift.csic.es




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