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Functional Impact of BeKm-1, a High-Affinity hERG Blocker, on Cardiomyocytes Derived from Human-Induced Pluripotent
Stephan De Waard1,2, Jérôme Montnach1, Barbara Ribeiro1
1L'institut du thorax, INSERM, CNRS, UNIV NANTES, F-44007 Nantes, France.
Insights
BeKm-1 peptide blocks cardiac hERG channels, altering cardiomyocyte function and mimicking drug-induced long QT syndrome. This scorpion venom peptide offers a new tool for studying hERG channel blockers and developing novel therapeutics.
Area of Science:
- Cardiology
- Pharmacology
- Molecular Biology
Background:
- Cardiac repolarization is crucial for heart rhythm, primarily mediated by the IKr current through human Ether-à-go-go-Related Gene (hERG) potassium channels.
- Blockage of hERG channels can lead to drug-induced long QT syndrome (LQTS), a dangerous condition causing ventricular arrhythmias.
- Human-induced pluripotent stem cell-derived cardiomyocytes (hiPS-CMs) provide a model to study cardiac electrophysiology and drug effects.
Purpose of the Study:
- To investigate the effects of BeKm-1, a scorpion venom peptide, on hiPS-CMs excitability and contractile properties.
- To compare BeKm-1's interaction with hERG channels to reference compounds acting on the intracellular face.
- To evaluate BeKm-1 as a potential molecular platform for designing new hERG modulators.
Main Methods:
- Utilized an automated patch-clamp system to compare BeKm-1 affinity for hERG channels with reference compounds.
- Assessed BeKm-1's impact on hiPS-CMs electrophysiological properties, calcium handling, and beating characteristics.
- Investigated BeKm-1's selective interaction with the extracellular face of hERG channels.
Main Results:
- BeKm-1 delayed cardiomyocyte repolarization, inducing early afterdepolarizations.
- The peptide reduced spontaneous action potentials, calcium transients, and contraction frequencies in hiPS-CMs.
- BeKm-1 recapitulated key phenotypic features of arrhythmic risk observed in drug-induced LQTS.
Conclusions:
- BeKm-1 effectively modulates hiPS-CMs function, mimicking aspects of drug-induced LQTS.
- BeKm-1 serves as a valuable extracellular-acting reference compound for hERG channel research using hiPS-CMs.
- The peptide's modifiable nature makes it an ideal scaffold for developing novel hERG channel modulators.
Abstract:
IKr current, a major component of cardiac repolarization, is mediated by human Ether-à-go-go-Related Gene (hERG, Kv11.1) potassium channels. The blockage of these channels by pharmacological compounds is associated to drug-induced long QT syndrome (LQTS), which is a life-threatening disorder characterized by ventricular arrhythmias and defects in cardiac repolarization that can be illustrated using cardiomyocytes derived from human-induced pluripotent stem cells (hiPS-CMs). This study was meant to assess the modification in hiPS-CMs excitability and contractile properties by BeKm-1, a natural scorpion venom peptide that selectively interacts with the extracellular face of hERG, by opposition to reference compounds that act onto the intracellular face. Using an automated patch-clamp system, we compared the affinity of BeKm-1 for hERG channels with some reference compounds. We fully assessed its effects on the electrophysiological, calcium handling, and beating properties of hiPS-CMs. By delaying cardiomyocyte repolarization, the peptide induces early afterdepolarizations and reduces spontaneous action potentials, calcium transients, and contraction frequencies, therefore recapitulating several of the critical phenotype features associated with arrhythmic risk in drug-induced LQTS. BeKm-1 exemplifies an interesting reference compound in the integrated hiPS-CMs cell model for all drugs that may block the hERG channel from the outer face. Being a peptide that is easily modifiable, it will serve as an ideal molecular platform for the design of new hERG modulators displaying additional functionalities.
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