J 2023

Sildenafil affects the human Kir2.1 and Kir2.2 channels at clinically relevant concentrations: Inhibition potentiated by low Ba2+

IIJIMA, Akimasa, Olga ŠVECOVÁ, Jan HOŠEK, Roman KULA, Markéta BÉBAROVÁ et. al.

Základní údaje

Originální název

Sildenafil affects the human Kir2.1 and Kir2.2 channels at clinically relevant concentrations: Inhibition potentiated by low Ba2+

Autoři

IIJIMA, Akimasa (392 Japonsko, domácí), Olga ŠVECOVÁ (203 Česká republika, domácí), Jan HOŠEK (203 Česká republika, domácí), Roman KULA (203 Česká republika, domácí) a Markéta BÉBAROVÁ (203 Česká republika, garant, domácí)

Vydání

FRONTIERS IN PHARMACOLOGY, LAUSANNE, FRONTIERS MEDIA SA, 2023, 1663-9812

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30104 Pharmacology and pharmacy

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 5.600 v roce 2022

Kód RIV

RIV/00216224:14110/23:00130279

Organizační jednotka

Lékařská fakulta

UT WoS

000935314200001

Klíčová slova anglicky

sildenafil; arrhythmia; barium; inward rectifier; Kir2.1; Kir2.2

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 27. 4. 2023 09:20, Mgr. Tereza Miškechová

Anotace

V originále

Sildenafil (Viagra), the first approved and widely used oral drug for the treatment of erectile dysfunction, was occasionally associated with life-threatening ventricular arrhythmias in patients. Since inward rectifier potassium current (IK1) may considerably contribute to this arrhythmogenesis, we investigated the effect of sildenafil on the human Kir2.1 and Kir2.2, the prevailing subunits forming the ventricular IK1 channels. Experiments were performed by the whole-cell patch clamp technique at 37°C using Chinese hamster ovary cells transiently expressing the human Kir2.1 and Kir2.2 channels. Changes of both the inward and outward current components (at −110 and −50 mV, respectively) were tested to be able to consider the physiological relevance of the sildenafil effect (changes at −110 and −50 mV did not significantly differ, results at −50 mV are listed below). A significant Kir2.1 inhibition was observed at all applied sildenafil concentrations (16.1% ± 3.7%, 20.0% ± 2.6%, and 15.0% ± 3.0% at 0.1, 1, and 10 μM, respectively). The inhibitory effect of 0.1 μM sildenafil was potentiated by the presence of a low concentration of Ba2+ (0.1 μM) which induced only a slight Kir2.1 inhibition by 5.95% ± 0.75% alone (the combined effect was 35.5% ± 3.4%). The subtherapeutic and therapeutic sildenafil concentrations (0.1 and 1 μM) caused a dual effect on Kir2.2 channels whereas a significant Kir2.2 activation was observed at the supratherapeutic sildenafil concentration (10 μM: 34.1% ± 5.6%). All effects were fully reversible. This is the first study demonstrating that sildenafil at clinically relevant concentrations inhibits both the inward and outward current components of the main human ventricular IK1 subunit Kir2.1. This inhibitory effect was significantly potentiated by a low concentration of environmental contaminant Ba2+ in agreement with recently reported data on rat ventricular IK1 which additionally showed a significant repolarization delay. Considering the similar subunit composition of the human and rat ventricular IK1 channels, the observed effects might contribute to sildenafil-associated arrhythmogenesis in clinical practice.

Návaznosti

MUNI/A/1133/2021, interní kód MU
Název: Od buňky k medicíně (Akronym: CELLVIEW)
Investor: Masarykova univerzita, Od buňky k medicíně
MUNI/A/1343/2022, interní kód MU
Název: Zátěže kardiovaskulárního systému od A po Z
Investor: Masarykova univerzita, Zátěže kardiovaskulárního systému od A po Z