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Updated: May 22, 2026

Isolation and Kv Channel Recordings in Murine Atrial and Ventricular Cardiomyocytes
Published on: March 12, 2013
Tetrodotoxin blocks L-type Ca2+ channels in canine ventricular cardiomyocytes
Bence Hegyi1, László Bárándi, István Komáromi
1Department of Physiology, University of Debrecen, P.O. Box 22, 4012, Debrecen, Hungary.
Abstract:
Tetrodotoxin (TTX) is believed to be the most selective inhibitor of voltage-gated fast Na(+) channels in excitable tissues, including nerve, skeletal muscle, and heart, although TTX sensitivity of the latter is lower than the former by at least three orders of magnitude. In the present study, the TTX sensitivity of L-type Ca(2+) current (I (Ca)) was studied in isolated canine ventricular cells using conventional voltage clamp and action potential voltage clamp techniques. TTX was found to block I (Ca) in a reversible manner without altering inactivation kinetics of I (Ca). Fitting results to the Hill equation, an IC(50) value of 55 ± 2 μM was obtained with a Hill coefficient of unity (1.0 ± s0.04). The current was fully abolished by 1 μM nisoldipine, indicating that it was really I (Ca). Under action potential voltage clamp conditions, the TTX-sensitive current displayed the typical fingerprint of I (Ca), which was absent in the presence of nisoldipine. Stick-and-ball models for Cav1.2 and Nav1.5 channel proteins were constructed to explain the differences observed between action of TTX on cardiac I (Ca) and I (Na). This is the first report demonstrating TTX to interact with L-type calcium current in the heart.
Insights
Tetrodotoxin (TTX) interacts with cardiac L-type calcium channels, contrary to its known effect on sodium channels. This study reveals TTX
Area of Science:
- Cardiovascular Physiology
- Molecular Pharmacology
- Ion Channel Biology
Background:
- Tetrodotoxin (TTX) is a well-established selective blocker of voltage-gated sodium channels (Nav) in excitable tissues.
- Cardiac sodium currents (I(Na)) exhibit significantly lower TTX sensitivity compared to neuronal or skeletal muscle channels.
- The interaction of TTX with cardiac calcium currents (I(Ca)) has not been previously investigated.
Purpose of the Study:
- To investigate the sensitivity of cardiac L-type calcium current (I(Ca)) to Tetrodotoxin (TTX).
- To characterize the blocking kinetics and mechanism of TTX on cardiac I(Ca).
- To compare the effects of TTX on cardiac I(Ca) and I(Na) using computational models.
Main Methods:
- Conventional and action potential voltage clamp techniques were employed on isolated canine ventricular cells.
- The effects of TTX on L-type calcium current were analyzed, including reversibility and inactivation kinetics.
- Dose-response relationships were determined using the Hill equation, and nisoldipine was used to confirm the current as I(Ca).
- Stick-and-ball models of Cav1.2 and Nav1.5 channels were constructed.
Main Results:
- TTX reversibly blocked cardiac L-type calcium current (I(Ca)) with an IC(50) of 55 ± 2 μM and a Hill coefficient of 1.0 ± 0.04.
- TTX did not alter the inactivation kinetics of I(Ca).
- The TTX-sensitive current exhibited characteristics of I(Ca) under action potential voltage clamp, distinct from I(Na).
Conclusions:
- This study provides the first evidence that Tetrodotoxin (TTX) interacts with and blocks cardiac L-type calcium current (I(Ca)).
- The findings suggest distinct binding sites or mechanisms for TTX on cardiac calcium channels compared to sodium channels.
- Computational modeling may help elucidate the structural basis for the differential effects of TTX on cardiac ion channels.
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