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Circulation Research. 1995;77:1151-1155

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(Circulation Research. 1995;77:1151-1155.)
© 1995 American Heart Association, Inc.


Articles

Cloned Human Inward Rectifier K+ Channel as a Target for Class III Methanesulfonanilides

J. Kiehn, B. Wible, E. Ficker, M. Taglialatela, A.M. Brown

From the Rammelkamp Center for Research, MetroHealth Campus, Case Western Reserve University, Cleveland, Ohio; the Department of Physiology, Baylor College of Medicine, Houston, Tex; and the Department of Neuroscience Section of Pharmacology (M.T.), Second School of Medicine, University of Naples, Italy.

Correspondence to A.M. Brown, Rammelkamp Center, 2500 MetroHealth Drive, Cleveland, OH 44109-1998.

Abstract Methanesulfonanilide derivatives such as dofetilide are members of the widely used Class III group of cardiac antiarrhythmic drugs. A methanesulfonanilide-sensitive cardiac current has been identified as IKr, the rapidly activating component of the repolarizing outward cardiac K+ current, IK. IKr may be encoded by the human ether-related gene (hERG), which belongs to the family of voltage-dependent K+ (Kv) channels having six putative transmembrane segments. The hERG also expresses an inwardly rectifying, methanesulfonanilide-sensitive K+ current. Here we show that hIRK, a member of the two-transmembrane-segment family of inward K+ rectifiers that we have cloned from human heart, is a target for dofetilide. hIRK currents, expressed heterologously in Xenopus oocytes, are blocked by dofetilide at submicromolar concentrations (IC50=533 nmol/L at 40 mV and 20°C). The drug has no significant blocking effect on the human cardiac Kv channels hKv1.2, hKv1.4, hKv1.5, or hKv2.1. The block is voltage dependent, use dependent, and shortens open times in a manner consistent with open-channel block. While steady state block is strongest at depolarized potentials, recovery from block is very slow even at hyperpolarized potentials (tau=1.17 seconds at -80 mV). Thus, block of hIRK may persist during diastole and might thereby affect cardiac excitability.


Key Words: human inward rectifier K+ channel • Class III antiarrhythmic drugs • dofetilide • IKr




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