Differences in Functional Expression of Connexin43 and NaV1.5 by Pan- and Class-Selective Histone Deacetylase

Xian Zhang1, Dakshesh Patel2, Qin Xu3

  • 1Department of Pharmacology, State University of New York (SUNY) Upstate Medical University, Syracuse, NY 13210, USA. ZhangXi@upstate.edu.

Insights

Class-selective histone deacetylase (HDAC) inhibitors show improved cardiac safety. Entinostat and ricolinostat minimally impacted cardiac sodium currents and gap junction conductance, unlike panobinostat.

Area of Science:

  • Cardiovascular Pharmacology
  • Cancer Therapeutics
  • Molecular Cardiology

Background:

  • Histone deacetylase (HDAC) inhibitors are investigated for cancer treatment, with class-selective agents aiming for better safety than pan-HDAC inhibitors.
  • The mechanisms underlying the therapeutic and cardiotoxic effects of class-selective HDAC inhibitors are not fully understood.
  • Cardiac electrophysiology, specifically sodium currents (INa) and gap junction conductance (gj), are critical for heart function and potential drug toxicity.

Purpose of the Study:

  • To investigate the effects of class-selective HDAC inhibitors (entinostat, ricolinostat) and a pan-HDAC inhibitor (panobinostat) on cardiac electrophysiological properties and protein expression.
  • To compare the cardiotoxic potential of class-selective HDAC inhibitors with panobinostat at the cellular level.
  • To elucidate the impact of these inhibitors on NaV1.5 sodium channels and connexin43 (Cx43) gap junctions.

Main Methods:

  • Whole-cell patch clamp electrophysiology was used to measure INa and gj in primary neonatal rat cardiomyocyte cultures.
  • Western blot analysis was employed to quantify NaV1.5 and Cx43 protein expression levels.
  • Concentration-dependent and specific dose (1 μM) effects of the inhibitors were assessed.

Main Results:

  • Panobinostat caused concentration-dependent decreases in gj, peak INa density, and NaV1.5 protein, along with a positive shift in INa activation.
  • Entinostat (1 μM) did not affect gj or peak INa density but caused a negative shift in INa inactivation (V½).
  • Ricolinostat showed minor effects on gj and INa, with a negative shift in INa activation; neither entinostat nor ricolinostat altered NaV1.5 or Cx43 protein levels.

Conclusions:

  • Class-selective HDAC inhibitors like entinostat and ricolinostat exhibit a more favorable cardiac electrophysiological profile compared to panobinostat.
  • The minimal impact of entinostat and ricolinostat on ventricular gj and INa properties may contribute to their improved cardiac safety.
  • These findings highlight the importance of evaluating drug-specific effects on cardiac ion channels and proteins to predict cardiotoxicity.

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