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Updated: Jul 29, 2025

Voltage-Dependent Potassium Current Recording on H9c2 Cardiomyocytes via the Whole-Cell Patch-Clamp Technique
Published on: November 11, 2022
Slowly activating voltage-gated potassium current potentiation by ML277 is a novel cardioprotective intervention
Sean Brennan1, Abrar I M Alnaimi1, Lauren R McGuinness1
1Department of Cardiovascular and Metabolic Medicine & Liverpool Centre for Cardiovascular Sciences, Institute of Life Course and Medical Sciences, University of Liverpool, L69 3GE, L7 8TX, UK.
Insights
ML277, a slowly activating potassium current (IKs) potentiator, offers cardioprotection against ischemia. This compound improved cell survival and reduced infarct size, suggesting therapeutic potential for acute coronary syndromes.
Area of Science:
- Cardiology
- Pharmacology
- Molecular Biology
Background:
- Cardiovascular diseases cause a third of global deaths.
- Ischemic heart disease, including myocardial infarction, results in 1.7 million deaths annually.
- Effective cardioprotective interventions against ischemia are urgently needed.
Purpose of the Study:
- To investigate the cardioprotective effects of ML277, a novel IKs potentiator.
- To determine if ML277 can mitigate ischemia-reperfusion injury in cardiac models.
Main Methods:
- Utilized cellular and whole-heart models of metabolic inhibition and reperfusion.
- Assessed contractile recovery and cell survival.
- Evaluated infarct size reduction using an ex vivo Langendorff model.
Main Results:
- ML277 demonstrated significant cardioprotection across multiple models.
- Increased contractile recovery and cell survival were observed with ML277 treatment.
- ML277 reduced infarct size, even when administered during reperfusion.
Conclusions:
- Potentiation of the slowly activating potassium current (IKs) with ML277 confers significant cardioprotection.
- The protective effects of ML277 are comparable to ischemic preconditioning.
- IKs potentiation represents a promising therapeutic strategy for acute coronary syndromes.
Abstract:
Cardiovascular disease is thought to account for nearly a third of deaths worldwide, with ischemic heart disease, including acute coronary syndromes such as myocardial infarction, accounting for 1.7 million deaths per year. There is a clear need for interventions to impart cardioprotection against ischemia. Here, we show that the slowly activating voltage-gated potassium current (IKs) potentiator ML277 imparts cardioprotection against ischemia in cellular and whole-heart models by modulating the action potential duration. In three different metabolic inhibition and reperfusion models, an increased contractile recovery and cell survival was observed with ML277, indicative of protection. Finally, ML277 reduced infarct size in an ex vivo Langendorff coronary ligation model, including if only applied on reperfusion. In conclusion, potentiation of the IKs with ML277 imparted a cardioprotection that was equivalent to the protection reported previously by ischemic preconditioning. These data suggest that IKs potentiation may be therapeutically useful in acute coronary syndromes.
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