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Updated: Sep 28, 2026

Isolation of Human Atrial Myocytes for Simultaneous Measurements of Ca2+ Transients and Membrane Currents
Published on: July 3, 2013
Selectivity of different calcium antagonists on T- and L-type calcium currents in guinea-pig ventricular myocytes
Petra De Paoli1, Elisabetta Cerbai, Bernd Koidl
1Department of Preclinical and Clinical Pharmacology, Centre of Molecular Medicine, University of Firenze, Viale G. Pieraccini 6, 50139 Firenze, Italy.
Abstract:
Both L- and T-type calcium channels are present in the heart. In cardiac myocytes L-type calcium channels are blocked by the classical calcium channel blockers, while T-type calcium channels are thought to be insensitive to these drugs and to be selectively blocked by mibefradil. We aimed to compare the T/L calcium channel blocking selectivity of several calcium channel blockers by evaluating their effects on both components evoked in the same cell from a holding potential corresponding to the normal physiological value (-90mV). Currents were recorded in single patch-clamped guinea-pig ventricular myocytes, superfused with a Na(+)- and K(+)-free solution to abolish overlapping currents. Two dihydropyridines (amlodipine and lacidipine), verapamil diltiazem and mibefradil were tested; for each compound concentrations equieffective on L-type Ca(2+) current were used. All calcium channel blockers, at concentrations blocking less than 30% of L-type Ca(2+) current, inhibited a significant amount of T-type Ca(2+) current, varying from 0.8% (diltiazem) to 28% (mibefradil). We calculated for each compound the T/L ratio. As expected, mibefradil showed the highest T selectivity; lacidipine and diltiazem resulted to be L selective. Verapamil and amlodipine were not selective. Thus, the calcium channel blockers can be differentiated on the basis of their T/L selectivity.
Insights
Calcium channel blockers exhibit varying selectivity for cardiac T-type and L-type calcium channels. Mibefradil selectively blocks T-type channels, while others show different T/L selectivity profiles.
Area of Science:
- Cardiovascular Pharmacology
- Ion Channel Physiology
Background:
- Cardiac myocytes possess both L-type and T-type calcium channels.
- L-type channels are targeted by traditional blockers, while T-type channels are less sensitive.
- Mibefradil is known for selective T-type calcium channel blockade.
Purpose of the Study:
- To compare the T/L calcium channel blocking selectivity of various calcium channel blockers.
- To evaluate the effects of amlodipine, lacidipine, verapamil, diltiazem, and mibefradil on both channel types in single cardiac cells.
Main Methods:
- Patch-clamp recordings were performed on single guinea-pig ventricular myocytes.
- Superfusion with a Na(+)- and K(+)-free solution minimized overlapping currents.
- Equieffective concentrations for L-type current blockade were used for each tested compound.
Main Results:
- All tested blockers inhibited T-type calcium current at concentrations blocking <30% of L-type current.
- Inhibition of T-type current ranged from 0.8% (diltiazem) to 28% (mibefradil).
- Mibefradil demonstrated the highest T-selectivity; lacidipine and diltiazem were L-selective; verapamil and amlodipine showed no selectivity.
Conclusions:
- Calcium channel blockers can be differentiated based on their T/L selectivity.
- The findings highlight distinct pharmacological profiles for different calcium channel blockers.
- This differentiation is crucial for understanding their cardiac effects and therapeutic applications.
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