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Received for publication March 18, 2005.
Revised July 7, 2005.
Accepted for publication July 7, 2005.
Haloperidol is known as an antagonist of dopamine D2 receptors. It also blocks a variety of ion channels, however, at concentrations above the therapeutic range. Reduced-haloperidol, one of the main metabolites of haloperidol, has been reported to accumulate in certain tissues, particularly in brain cortex and it might produce the pharmacological effects associated with haloperidol treatment. In this study we assessed the effect of reduced-haloperidol and other related compounds on native delayed-rectifier potassium channels (KDR) in mouse cortical neurons by using the whole-cell patch-clamp technique. Although reduced-haloperidol has much lower affinity to D2 receptors than haloperidol, the IC50 of reduced-haloperidol to block KDR currents was 4.4 µM, similar to its parent compound. The binding site of reduced-haloperidol is on the cytoplasmic side of the channel, as its quaternary derivative preferentially inhibited the currents from intracellular side. 4-Chlorophenyl-4-hydroxypiperidine (4C4HP) is the active fragment of haloperidol since other compounds containing this moiety, including L741-626 and loperamide, also blocked KDR channels. The potency of the 4C4HP fragment positively correlated with the hydrophobicity index (clogP) of the compounds tested. We conclude that reduced-haloperidol is a KDR channel blocker, although it does not interfere with the normal channel function at a clinically relevant concentration.
Key words:
clogP, haloperidol, loperamide, metabolites, open-channel block, voltage-activated potassium channels
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