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.

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