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Updated: Sep 30, 2026

Isolation of Human Atrial Myocytes for Simultaneous Measurements of Ca2+ Transients and Membrane Currents
Published on: July 3, 2013
Amiloride and KB-R7943 in outward Na+ /Ca2+ exchange current in guinea pig ventricular myocytes
Jing Lu1, Yong Liang, Xiaoliang Wang
1Department of Pharmacology, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Abstract:
The reverse mode of Na+/Ca2+ exchange represents an important pathway in inducing Ca2+ overload during ischemia and reperfusion. The inhibitory effects of amiloride and KB-R7943 on Na+/Ca2+ exchange current (INa/Ca) were investigated in guinea pig ventricular myocytes. Whole-cell patch clamp techniques were used under bidirectional ionic conditions and 25 mM of Na+ in pipette solution. At +50 mV, amiloride 10, 30, and 100 microM inhibited the outward INa/Ca by 15, 23, and 41%, respectively; at -80 mV, it inhibited inward INa/Ca by 6, 15, and 23%, respectively. Its inhibitory effect on outward INa/Ca was greater than that on inward INa/Ca. At +50 mV, KB-R7943 1 and 10 microM inhibited the outward INa/Ca by 29 and 61%, respectively; at -80 mV, it inhibited inward INa/Ca by 22 and 57%, respectively. KB-R7943 inhibited both directions of the exchange current with an equal potency. The data suggest that KB-R7943 is not a selective inhibitor on reverse mode of Na+/Ca2+ exchange.
Insights
Amiloride and KB-R7943 were tested for their effects on sodium-calcium exchanger (NCX) activity in heart cells. KB-R7943 inhibited both forward and reverse NCX modes equally, suggesting it is not a selective inhibitor for the reverse mode.
Area of Science:
- Cardiology
- Molecular Physiology
- Pharmacology
Background:
- The reverse mode of the sodium-calcium exchanger (NCX) plays a critical role in calcium overload during cardiac ischemia and reperfusion.
- Understanding the modulators of NCX activity is crucial for developing therapeutic strategies against heart damage.
Purpose of the Study:
- To investigate the inhibitory effects of amiloride and KB-R7943 on the Na+/Ca2+ exchange current (INa/Ca) in guinea pig ventricular myocytes.
- To determine the selectivity of KB-R7943 on the reverse mode of NCX.
Main Methods:
- Whole-cell patch clamp techniques were employed to measure INa/Ca.
- Experiments were conducted under bidirectional ionic conditions with a specific pipette solution (25 mM Na+).
- The effects of varying concentrations of amiloride and KB-R7943 on both outward and inward INa/Ca were assessed at different membrane potentials (+50 mV and -80 mV).
Main Results:
- Amiloride demonstrated a dose-dependent inhibition of both outward and inward INa/Ca, with a greater effect on the outward current.
- KB-R7943 also inhibited outward and inward INa/Ca in a dose-dependent manner.
- KB-R7943 exhibited similar potency in inhibiting both directions of the Na+/Ca2+ exchange current.
Conclusions:
- Amiloride inhibits both modes of Na+/Ca2+ exchange, but with greater efficacy on the outward current.
- KB-R7943 is not a selective inhibitor of the reverse mode of Na+/Ca2+ exchange, as it affects both forward and reverse modes equally.
- These findings have implications for the use of these agents in conditions involving altered NCX activity, such as ischemia-reperfusion injury.
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