RT Journal Article SR Electronic T1 Modification of Cardiac Na+ Current by RWJ 24517 and Its Enantiomers in Guinea Pig Ventricular Myocytes JF Journal of Pharmacology and Experimental Therapeutics JO J Pharmacol Exp Ther FD American Society for Pharmacology and Experimental Therapeutics SP 845 OP 855 VO 291 IS 2 A1 Robert G. Tsushima A1 James E. Kelly A1 Joseph J. Salata A1 Kristine N. Liberty A1 J. Andrew Wasserstrom YR 1999 UL http://jpet.aspetjournals.org/content/291/2/845.abstract AB We examined the effects of the cardiotonic agent RWJ 24517 (Carsatrin, racemate) and its (S)- and (R)-enantiomers on action potential duration, Na+ current (INa), and delayed rectifier K+ current (IK) of guinea pig ventricular myocytes. RWJ 24517 (0.1 and 1 μM) prolongation of action potential duration could not be accounted for by suppression of either the rapid (IKr) or slow (IKs,) component of IK, although RWJ 24517 did reduce IKr at concentrations of 1 μM. A more dramatic effect of RWJ 24517 (0.1–1 μM) and the (S)-enantiomer of RWJ 24517 (0.1–3 μM) was an increase in peak INa and slowing of the rate of INa decay, eliciting a large steady-state current. Neither RWJ 24517 nor the (S)-enantiomer affected the fast time constant for INa decay, but both significantly increased the slow time constant, in addition to increasing the proportion of INa decaying at the slow rate. Both agents elicited a use-dependent decrease of peak INa (3–10 μM), which probably resulted from a slowing of both fast and slow rates of recovery from inactivation. In contrast, the (R)-enantiomer of RWJ 24517 did not induce a steady-state component INa or increase peak INaup to 10 μM, but it decreased peak INa at 30 μM. The (R)-enantiomer displayed little use-dependent reduction of INa during trains of repetitive pulses and had no effect on rates of inactivation or recovery from inactivation. These actions of the racemate and the (S)-stereoisomer to slow inactivation and to prolong both Na+ influx and action potential duration may contribute to the positive inotropic actions of these agents because the resulting accumulation of intracellular Na+ would increase intracellular Ca2+ via Na+/Ca2+ exchange. The American Society for Pharmacology and Experimental Therapeutics