Contribution of delayed rectifier and inward rectifier to repolarization of the action potential: pharmacologic separation

J Cardiovasc Pharmacol. 1992 May;19(5):830-7. doi: 10.1097/00005344-199205000-00022.

Abstract

Outward potassium (K) currents contribute to the repolarization process of cardiac action potentials. There are, however, multiple K currents. Recently, two putatively specific K channel blockers have been developed as potential class III antiarrhythmic agents. E-4031 appears to block specifically a fast component of the delayed rectifier (IK), and RP 58866 is a reported inward rectifier current (IK1) blocker. In the present experiments, we examined the effects of E-4031 and RP 58866 on action potentials recorded from guinea pig papillary muscles to determine whether the properties of IK and IK1 measured in whole-cell experiments would be manifested in distinct effects. Both compounds prolonged the APD50 (action potential duration at 50% repolarization) and APD90 (action potential duration at 90% repolarization). However, RP 58866 did not significantly prolong the action potential at voltages of 0 mV and above, while E-4031 did. The results suggest that preferential IK1 block results in a change in action potential waveform that is distinct from that resulting from block of other outward K currents. This could thus be used as a simple first-pass screening tool in determining a preliminary mechanism of action of class III antiarrhythmics prior to more time-consuming but necessary whole-cell voltage clamp experiments.

MeSH terms

  • Action Potentials / drug effects
  • Action Potentials / physiology
  • Animals
  • Anti-Arrhythmia Agents / pharmacology*
  • Benzopyrans
  • Chromans*
  • Chromones / administration & dosage
  • Chromones / pharmacology*
  • Dose-Response Relationship, Drug
  • Electric Stimulation
  • Guinea Pigs
  • Membrane Potentials / drug effects
  • Microelectrodes
  • Papillary Muscles / drug effects*
  • Papillary Muscles / physiology
  • Piperidines / administration & dosage
  • Piperidines / pharmacology*
  • Potassium Channels / drug effects*
  • Pyridines / pharmacology*

Substances

  • Anti-Arrhythmia Agents
  • Benzopyrans
  • Chromans
  • Chromones
  • Piperidines
  • Potassium Channels
  • Pyridines
  • E 4031
  • terikalant