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Updated: Sep 20, 2026

Isolation of Human Atrial Myocytes for Simultaneous Measurements of Ca2+ Transients and Membrane Currents
Published on: July 3, 2013
Adriamycin-induced alterations of the action potential in rat papillary muscle
Abstract:
The present study investigates the effects of adriamycin on the electrophysiological properties of the myocardium as monitored by intracellular recordings of the cardiac action potential. ADR was administered to rats at a dose of 20 mg . kg-1 given as a single intravenous injection or in four daily doses of 5 mg . kg-1 each. Twenty-four hours following the last injection, papillary muscles were removed and intracellular recordings of the action potential were sampled from the tissue. In another set of experiments, papillary muscles were removed from non-injected, control animals and superfused in vitro with adriamycin at a concentration of 200 mumol . litre-1. Several parameters of the action potential were measured and compared with control values in both in vivo and in vitro experiments. In all studies, the major effect of adriamycin on the cardiac action potential was shown to be a prolongation of the duration at 20%, 50% and 98% repolarisation. Adriamycin did not appear to exert its effect by depression of cell metabolism, as superfusion with NaCN or dinitrophenol reduced the action potential duration. The upstroke velocity, which is proportional to the sodium conductance, was unaltered by ADR; it appears that ADR alters conductance of calcium and/or potassium across the myocardial membrane by an as yet unknown mechanism.
Insights
Adriamycin (ADR) prolongs cardiac action potential duration by altering myocardial ion channel conductance, not by depressing cell metabolism. This study reveals ADR
Area of Science:
- Cardiology
- Pharmacology
- Electrophysiology
Background:
- Adriamycin (ADR) is a widely used chemotherapy agent.
- Cardiotoxicity is a significant side effect of ADR treatment.
- The precise electrophysiological mechanisms underlying ADR-induced cardiotoxicity require further elucidation.
Purpose of the Study:
- To investigate the effects of adriamycin on the electrophysiological properties of the myocardium.
- To determine the impact of ADR on cardiac action potential parameters.
- To explore the potential mechanisms responsible for ADR's electrophysiological effects.
Main Methods:
- Intracellular recordings of cardiac action potentials in rat papillary muscles.
- In vivo administration of ADR (20 mg/kg single dose or 5 mg/kg x 4 days).
- In vitro superfusion of papillary muscles with ADR (200 µmol/L).
Main Results:
- Adriamycin significantly prolonged the duration of the cardiac action potential at 20%, 50%, and 98% repolarization.
- ADR did not depress myocardial cell metabolism, as indicated by unchanged action potential duration with metabolic inhibitors (NaCN, dinitrophenol).
- Upstroke velocity, reflecting sodium conductance, remained unaltered, suggesting ADR affects calcium and/or potassium conductance.
Conclusions:
- Adriamycin alters myocardial electrophysiology primarily by prolonging action potential duration.
- The mechanism does not involve metabolic depression but likely affects ion channel function (calcium and/or potassium).
- Further research is needed to identify the specific ion channels and molecular pathways involved in ADR-induced electrophysiological changes.
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