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CARDIOVASCULAR
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
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
-subunit of the channel, whereas in HERG channels a common binding
site is present at the pore.
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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