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(Circulation Research. 1996;78:689-696.)
© 1996 American Heart Association, Inc.


Articles

Evidence for Two Components of Delayed Rectifier K+ Current in Human Ventricular Myocytes

Gui-Rong Li, Jianlin Feng, Lixia Yue, Michel Carrier, Stanley Nattel

From the Department of Medicine, Montreal Heart Institute (G.-R.L., J.F., S.N.) and University of Montreal (G.-R.L., S.N.), the Department of Surgery, Montreal Heart Institute and University of Montreal (M.C.), and the Department of Pharmacology and Therapeutics, McGill University (L.Y., S.N.), Montreal, Canada.

Correspondence to Dr Stanley Nattel, Research Center, Montreal Heart Institute, 5000 Belanger St E, Montreal, Quebec, Canada H1T 1C8.

Abstract Previous voltage-clamp studies have suggested that the delayed rectifier current (IK) is small or absent in the human ventricle and, when present, consists only of the rapid component (IKr); however, molecular studies suggest the presence of functionally important IK in the human heart, specific IKr blockers are known to delay ventricular repolarization and cause the long QT syndrome in humans, and we have shown that the expression of IK is strongly influenced by cell isolation techniques. The present experiments were designed to assess the expression of IK in myocytes obtained by arterial perfusion of right ventricular tissue from explanted human hearts. Of 35 cells from three hearts, 33 (94%) showed time-dependent currents typical of IK. The envelope-of-tails test was not satisfied under control conditions but became satisfied in the presence of the benzenesulfonamide E-4031 (5 µmol/L). E-4031 suppressed a portion of IK in 32 of 33 cells, with properties of the drug-sensitive and -resistant components consistent with previous descriptions of IKr and the slow component (IKs), respectively. Action potential duration to 95% repolarization at 1 Hz was prolonged by E-4031 from 336±16 (mean±SEM) to 421±19 ms (n=5, P<.01), indicating a functional role for IK. Indapamide, a diuretic agent previously shown to inhibit IKs selectively, suppressed E-4031–resistant current. The presence of a third type of delayed rectifier, the ultrarapid delayed rectifier current (IKur), was evaluated with the use of depolarizing prepulses and low concentrations (50 µmol/L) of 4-aminopyridine. Although these techniques revealed clear IKur in five of five human atrial cells, no corresponding component was observed in any of five human ventricular myocytes. We conclude that a functionally significant IK, with components corresponding to IKr and IKs, is present in human ventricular cells, whereas IKur appears to be absent. These findings are important for understanding the molecular, physiological, and pharmacological determinants of human ventricular repolarization and arrhythmias.


Key Words: repolarization • cardiac arrhythmias • ion channels • antiarrhythmic agents • class III drugs




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Circulation, December 14, 1999; 100(24): 2455 - 2461.
[Abstract] [Full Text] [PDF]


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CirculationHome page
J. J. Lynch Jr, M. S. Houle, G. L. Stump, A. A. Wallace, D. B. Gilberto, H. Jahansouz, G. R. Smith, A. J. Tebben, N. J. Liverton, H. G. Selnick, et al.
Antiarrhythmic Efficacy of Selective Blockade of the Cardiac Slowly Activating Delayed Rectifier Current, IKs, in Canine Models of Malignant Ischemic Ventricular Arrhythmia
Circulation, November 2, 1999; 100(18): 1917 - 1922.
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Am. J. Physiol. Heart Circ. Physiol.Home page
M. Jiang, W. Dun, and G.-N. Tseng
Mechanism for the effects of extracellular acidification on HERG-channel function
Am J Physiol Heart Circ Physiol, October 1, 1999; 277(4): H1283 - H1292.
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Cardiovasc ResHome page
P. Schaffer, B. Pelzmann, E. Bernhart, P. Lang, H. Machler, B. Rigler, and B. Koidl
Repolarizing currents in ventricular myocytes from young patients with tetralogy of Fallot
Cardiovasc Res, August 1, 1999; 43(2): 332 - 343.
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Am. J. Physiol. Heart Circ. Physiol.Home page
R. F. Bosch, Z. Wang, G.-R. Li, and S. Nattel
Electrophysiological mechanisms by which hypothyroidism delays repolarization in guinea pig hearts
Am J Physiol Heart Circ Physiol, July 1, 1999; 277(1): H211 - H220.
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Cardiovasc ResHome page
J. Cheng, K. Kamiya, W. Liu, Y. Tsuji, J. Toyama, and I. Kodama
Heterogeneous distribution of the two components of delayed rectifier K+ current: a potential mechanism of the proarrhythmic effects of methanesulfonanilideclass III agents
Cardiovasc Res, July 1, 1999; 43(1): 135 - 147.
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M. Courtemanche, R. J Ramirez, and S. Nattel
Ionic targets for drug therapy and atrial fibrillation-induced electrical remodeling: insights from a mathematical model
Cardiovasc Res, May 1, 1999; 42(2): 477 - 489.
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B. Drolet, F. Vincent, J. Rail, M. Chahine, D. Deschênes, S. Nadeau, M. Khalifa, B. A. Hamelin, and J. Turgeon
Thioridazine Lengthens Repolarization of Cardiac Ventricular Myocytes by Blocking the Delayed Rectifier Potassium Current
J. Pharmacol. Exp. Ther., March 1, 1999; 288(3): 1261 - 1268.
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S. Kupershmidt, T. Yang, M. E. Anderson, A. Wessels, K. D. Niswender, M. A. Magnuson, and D. M. Roden
Replacement by Homologous Recombination of the minK Gene With lacZ Reveals Restriction of minK Expression to the Mouse Cardiac Conduction System
Circ. Res., February 5, 1999; 84(2): 146 - 152.
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J Am Coll CardiolHome page
A. A. M. Wilde, R. J. E. Jongbloed, P. A. Doevendans, D. R. Duren, R. N. W. Hauer, I. M. van Langen, J. P. van Tintelen, H. J. M. Smeets, H. Meyer, and J. L. M. C. Geelen
Auditory stimuli as a trigger for arrhythmic events differentiate HERG-related (LQTS2) patients from KVLQT1-related patients (LQTS1)
J. Am. Coll. Cardiol., February 1, 1999; 33(2): 327 - 332.
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CirculationHome page
P. G. A. Volders, K. R. Sipido, E. Carmeliet, R. L. H. M. G. Spatjens, H. J. J. Wellens, and M. A. Vos
Repolarizing K+ Currents ITO1 and IKs Are Larger in Right Than Left Canine Ventricular Midmyocardium
Circulation, January 19, 1999; 99(2): 206 - 210.
[Abstract] [Full Text] [PDF]


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J CARDIOVASC PHARMACOL THERHome page
P. Geelen, B. Drolet, E. Lessard, P. Gilbert, G. E. O'Hara, and J. Turgeon
Concomitant Block of the Rapid (IKr) and Slow (IKs) Components of the Delayed Rectifier Potassium Current is Associated With Additional Drug Effects on Lengthening of Cardiac Repolarization
Journal of Cardiovascular Pharmacology and Therapeutics, January 1, 1999; 4(3): 143 - 150.
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Am. J. Physiol. Heart Circ. Physiol.Home page
G.-R. Li, B. Yang, J. Feng, R. F. Bosch, M. Carrier, and S. Nattel
Transmembrane ICa contributes to rate-dependent changes of action potentials in human ventricular myocytes
Am J Physiol Heart Circ Physiol, January 1, 1999; 276(1): H98 - H106.
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J. Pharmacol. Exp. Ther.Home page
X.-K. Liu, A. Katchman, S. N. Ebert, and R. L. Woosley
The Antiestrogen Tamoxifen Blocks the Delayed Rectifier Potassium Current, IKr, in Rabbit Ventricular Myocytes
J. Pharmacol. Exp. Ther., December 1, 1998; 287(3): 877 - 883.
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Cardiovasc ResHome page
N. Iost, L. Virag, M. Opincariu, J. Szecsi, Andras Varro, and J. Gy. Papp
Delayed rectifier potassium current in undiseased human ventricular myocytes
Cardiovasc Res, December 1, 1998; 40(3): 508 - 515.
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Am. J. Physiol. Heart Circ. Physiol.Home page
J. Feng, D. Xu, Z. Wang, and S. Nattel
Ultrarapid delayed rectifier current inactivation in human atrial myocytes: properties and consequences
Am J Physiol Heart Circ Physiol, November 1, 1998; 275(5): H1717 - H1725.
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S. Kupershmidt, D. J. Snyders, A. Raes, and D. M. Roden
A K+ Channel Splice Variant Common in Human Heart Lacks a C-terminal Domain Required for Expression of Rapidly Activating Delayed Rectifier Current
J. Biol. Chem., October 16, 1998; 273(42): 27231 - 27235.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. Kaab, J. Dixon, J. Duc, D. Ashen, M. Nabauer, D. J. Beuckelmann, G. Steinbeck, D. McKinnon, and G. F. Tomaselli
Molecular Basis of Transient Outward Potassium Current Downregulation in Human Heart Failure : A Decrease in Kv4.3 mRNA Correlates With a Reduction in Current Density
Circulation, October 6, 1998; 98(14): 1383 - 1393.
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Mol. Pharmacol.Home page
C. Chouabe, M.-D. Drici, G. Romey, J. Barhanin, and M. Lazdunski
HERG and KvLQT1/IsK, the Cardiac K+ Channels Involved in Long QT Syndromes, Are Targets for Calcium Channel Blockers
Mol. Pharmacol., October 1, 1998; 54(4): 695 - 703.
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P. Babij, G. R. Askew, B. Nieuwenhuijsen, C.-M. Su, T. R. Bridal, B. Jow, T. M. Argentieri, J. Kulik, L. J. DeGennaro, W. Spinelli, et al.
Inhibition of Cardiac Delayed Rectifier K+ Current by Overexpression of the Long-QT Syndrome HERG G628S Mutation in Transgenic Mice
Circ. Res., September 21, 1998; 83(6): 668 - 678.
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Am. J. Physiol. Heart Circ. Physiol.Home page
G.-R. Li, J. Feng, L. Yue, and M. Carrier
Transmural heterogeneity of action potentials and Ito1 in myocytes isolated from the human right ventricle
Am J Physiol Heart Circ Physiol, August 1, 1998; 275(2): H369 - H377.
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Y. Lu, L. Yue, Z. Wang, and S. Nattel
Effects of the Diuretic Agent Indapamide on Na+, Transient Outward, and Delayed Rectifier Currents in Canine Atrial Myocytes
Circ. Res., July 27, 1998; 83(2): 158 - 166.
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J. Pharmacol. Exp. Ther.Home page
K. S. Lee and E. W. Lee
Ionic Mechanism of Ibutilide in Human Atrium: Evidence for a Drug-Induced Na+ Current Through a Nifedipine Inhibited Inward Channel
J. Pharmacol. Exp. Ther., July 1, 1998; 286(1): 9 - 22.
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M. Tristani-Firouzi and M. C Sanguinetti
Voltage-dependent inactivation of the human K+ channel KvLQT1 is eliminated by association with minimal K+ channel (minK) subunits
J. Physiol., July 1, 1998; 510(1): 37 - 45.
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L. Priebe and D. J. Beuckelmann
Simulation Study of Cellular Electric Properties in Heart Failure
Circ. Res., June 15, 1998; 82(11): 1206 - 1223.
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B. London, D. W Wang, J. A Hill, and P. B Bennett
The transient outward current in mice lacking the potassium channel gene Kv1.4
J. Physiol., May 15, 1998; 509(1): 171 - 182.
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X.-K. Liu, A. Katchman, M.-D. Drici, S. N. Ebert, I. Ducic, M. Morad, and R. L. Woosley
Gender Difference in the Cycle Length-Dependent QT and Potassium Currents in Rabbits
J. Pharmacol. Exp. Ther., May 1, 1998; 285(2): 672 - 679.
[Abstract] [Full Text]


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Cardiovasc ResHome page
R. F. Bosch, R. Gaspo, A. E. Busch, H. J. Lang, G.-R. Li, and S. Nattel
Effects of the chromanol 293B, a selective blocker of the slow, component of the delayed rectifier K+ current, on repolarization in human and guinea pig ventricular myocytes
Cardiovasc Res, May 1, 1998; 38(2): 441 - 450.
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J. Pharmacol. Exp. Ther.Home page
E. P. Baskin and J. J. Lynch Jr.
Differential Atrial versus Ventricular Activities of Class III Potassium Channel Blockers
J. Pharmacol. Exp. Ther., April 1, 1998; 285(1): 135 - 142.
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Cardiovasc ResHome page
S. Nattel
Experimental evidence for proarrhythmic mechanisms of antiarrhythmic drugs
Cardiovasc Res, March 1, 1998; 37(3): 567 - 577.
[Abstract] [Full Text] [PDF]


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CirculationHome page
B. Drolet, M. Khalifa, P. Daleau, B. A. Hamelin, and J. Turgeon
Block of the Rapid Component of the Delayed Rectifier Potassium Current by the Prokinetic Agent Cisapride Underlies Drug-Related Lengthening of the QT Interval
Circulation, January 20, 1998; 97(2): 204 - 210.
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B. London, M. C. Trudeau, K. P. Newton, A. K. Beyer, N. G. Copeland, D. J. Gilbert, N. A. J enkins, C. A. Satler, and G. A. Robertson
Two Isoforms of the Mouse Ether-a-go-go–Related Gene Coassemble to Form Channels With Properties Similar to the Rapidly Activating Component of the Cardiac Delayed Rectifier K+ Current
Circ. Res., November 19, 1997; 81(5): 870 - 878.
[Abstract] [Full Text]


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CirculationHome page
J. Toyama, K. Kamiya, J. Cheng, J.-K. Lee, R. Suzuki, and I. Kodama
Vesnarinone Prolongs Action Potential Duration Without Reverse Frequency Dependence in Rabbit Ventricular Muscle by Blocking the Delayed Rectifier K+ Current
Circulation, November 18, 1997; 96(10): 3696 - 3703.
[Abstract] [Full Text]


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J. Pharmacol. Exp. Ther.Home page
C. Fiset, B. Drolet, B. A. Hamelin, and J. Turgeon
Block of IKs by the Diuretic Agent Indapamide Modulates Cardiac Electrophysiological Effects of the Class III Antiarrhythmic Drug dl-Sotalol
J. Pharmacol. Exp. Ther., October 1, 1997; 283(1): 148 - 156.
[Abstract] [Full Text]


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CirculationHome page
F. Y. Shalaby, P. C. Levesque, W.-P. Yang, W. A. Little, M. L. Conder, T. Jenkins-West, and M. A. Blanar
Dominant-Negative KvLQT1 Mutations Underlie the LQT1 Form of Long QT Syndrome
Circulation, September 16, 1997; 96(6): 1733 - 1736.
[Abstract] [Full Text]


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Cardiovasc ResHome page
E. Delpon, C. Valenzuela, P. Gay, L. Franqueza, D. J Snyders, and J. Tamargo
Block of human cardiac Kv1.5 channels by loratadine: voltage-, time- and use-dependent block at concentrations above therapeutic levels
Cardiovasc Res, August 1, 1997; 35(2): 341 - 350.
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M. V. Brahmajothi, M. J. Morales, K. A. Reimer, and H. C. Strauss
Regional Localization of ERG, the Channel Protein Responsible for the Rapid Component of the Delayed Rectifier, K+ Current in the Ferret Heart
Circ. Res., July 19, 1997; 81(1): 128 - 135.
[Abstract] [Full Text]