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Effect of chloride channel blockers on the cardiac CFTR chloride and L-type calcium currents

K B Walsh1, C Wang

  • 1Department of Pharmacology, University of South Carolina, School of Medicine, Columbia 29208, USA.

Abstract

Insights

Certain channel blockers inhibit cardiac cystic fibrosis transmembrane conductance regulator (CFTR) chloride currents and affect calcium currents. Clofibric acid analogs may selectively block CFTR, aiding research into cardiac excitation.

Area of Science:

  • Cardiovascular Physiology
  • Ion Channel Pharmacology
  • Molecular Cardiology

Background:

  • The cardiac cystic fibrosis transmembrane conductance regulator (CFTR) chloride channel plays a role in cardiac electrophysiology.
  • Protein kinase A (PKA) regulates L-type calcium channels (ICa) in the heart.

Purpose of the Study:

  • To investigate the effects of various chloride (Cl-) channel blockers on cardiac CFTR Cl- current (ICl) and PKA-regulated L-type calcium current (PKA-ICa).
  • To differentiate the actions of specific blockers on distinct ion currents.

Main Methods:

  • Whole-cell patch clamp recordings were performed on isolated guinea pig ventricular myocytes.
  • Forskolin was used to stimulate PKA and modulate ion currents.
  • The effects of clofibric acid, p-chlorophenoxy propionic acid, gemfibrozil, diphenylamine-2-carboxylate (DPC), and anthracene-9-carboxylate were assessed.

Main Results:

  • Clofibric acid, p-chlorophenoxy propionic acid, and gemfibrozil reduced ICl by approximately 50% without affecting PKA-ICa.
  • Diphenylamine-2-carboxylate (DPC) and anthracene-9-carboxylate significantly reduced both ICl and PKA-ICa.
  • External solution pH modulation and experiments on mouse atrial myocytes distinguished DPC's effects on Cl- versus Ca2+ channels.

Conclusions:

  • Drugs like DPC and anthracene-9-carboxylate inhibit both cardiac CFTR Cl- channels and L-type ICa regulation.
  • These blockers influence cardiac action potential duration during beta-adrenergic stimulation by affecting both Cl- and Ca2+ currents.
  • Analogues of clofibric acid show potential as selective CFTR blockers for studying ICl's physiological role in cardiac excitation.

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