Inhibition of ultra-rapid delayed rectifier K+ current by verapamil in human atrial myocytes

Zhan Gao1, Chu-Pak Lau, Shui-Wah Chiu

  • 1Department of Medicine, and Institute of Cardiovascular Science and Medicine, Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, China.

Insights

Verapamil, a calcium channel blocker, inhibits the ultra-rapid delayed rectifier potassium current (I(Kur)) in human atrial cells. This drug does not affect the transient outward potassium current (I(to1)), potentially explaining its atrial effects.

Area of Science:

  • Cardiovascular pharmacology
  • Electrophysiology
  • Ion channel research

Background:

  • Verapamil is a common calcium channel antagonist for cardiovascular disorders.
  • Its effects on human atrial repolarization currents, specifically I(to1) and I(Kur), are not well understood.

Purpose of the Study:

  • To investigate the impact of verapamil on transient outward potassium current (I(to1)) and ultra-rapid delayed rectifier potassium current (I(Kur)) in human atrial myocytes.
  • To elucidate the mechanism of verapamil's action on these currents.

Main Methods:

  • Whole-cell patch-clamp electrophysiology was used to record ionic currents in isolated human atrial myocytes.
  • Verapamil's effects were assessed at varying concentrations (1-50 microM).

Main Results:

  • Verapamil did not inhibit I(to1) at concentrations up to 50 microM.
  • Verapamil demonstrated a reversible, concentration-dependent inhibition of I(Kur) with an IC(50) of 3.2 microM.
  • A concentration of 5 microM verapamil reduced I(Kur) by 61.3 +/- 7.5% and accelerated its inactivation, suggesting open channel block.

Conclusions:

  • Verapamil significantly blocks the I(Kur) repolarization current in human atrial cells.
  • Verapamil does not inhibit I(to1) in the human atrium.
  • The blockade of I(Kur) by verapamil may contribute to its therapeutic effects in atrial arrhythmias.

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