Indapamide blocks the rapid component of the delayed rectifier current in atrial tumor cells (AT-1 cells)

S M Kabir1, M L Bhattacharyya, T R Robinson

  • 1Department of Anatomy and Physiology, Meharry Medical College, Nashville, TN 37208, USA.

Insights

Indapamide, a known blocker of the slow component of the delayed rectifier potassium current (I(ks)), also inhibits the rapid component (I(kr)) in atrial tumor myocytes. This diuretic agent demonstrates a dose-dependent blockade of these crucial cardiac currents.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Pharmacology

Background:

  • Atrial tumor myocytes (AT-1 cells) from transgenic mice express cardiac K(+) channel mRNAs and exhibit electrophysiological properties.
  • The primary potassium current in these cells is the rapid component of the delayed rectifier (I(kr)).

Purpose of the Study:

  • To investigate the effects of indapamide, a selective blocker of the slow component of the delayed rectifier (I(ks)), on cardiac K(+) currents.
  • To determine if indapamide also blocks the rapid component of the delayed rectifier (I(kr)) in a dose-dependent manner.

Main Methods:

  • Utilized the one-electrode voltage clamp technique to record K(+) currents.
  • Employed AT-1 cells derived from transgenic mice to study electrophysiological phenotypes.
  • Administered varying concentrations of indapamide to assess its blocking effects.

Main Results:

  • Indapamide significantly reduced steady-state currents (I(1s)) and tail currents (I(tail)) in a dose-dependent manner.
  • At 750 microM, indapamide decreased I(1s) from 1070.4+/-202.2 pA to 254.5+/-62.3 pA and I(tail) from 416.3+/-112.9 pA to 42.2+/-37.7 pA.
  • The observed blockade by indapamide showed partial reversibility at higher concentrations (≥750 microM).

Conclusions:

  • Indapamide acts as a blocker for both the slow (I(ks)) and rapid (I(kr)) components of the delayed rectifier potassium current in atrial tumor myocytes.
  • The diuretic agent indapamide exhibits a dose-dependent inhibitory effect on cardiac K(+) currents, specifically targeting I(kr).
  • These findings highlight indapamide's broader impact on cardiac electrophysiology beyond its known action on I(ks).

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