Identification of Na+/K+-ATPase inhibition-independent proarrhythmic ionic mechanisms of cardiac glycosides
Abstract The current study explored the Na+/K+-ATPase (NKA) inhibition-independent proarrhythmic mechanisms of cardiac glycosides (CGs) which are well-known NKA inhibitors. With the cytosolic Ca2+ chelated by EGTA and BAPTA or extracellular Ca2+ replaced by Ba2+, effects of bufadienolides (bufalin (...
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2017
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oai:doaj.org-article:264c50ca7b3246abb2da30023aced5652021-12-02T11:53:09ZIdentification of Na+/K+-ATPase inhibition-independent proarrhythmic ionic mechanisms of cardiac glycosides10.1038/s41598-017-02496-42045-2322https://doaj.org/article/264c50ca7b3246abb2da30023aced5652017-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-02496-4https://doaj.org/toc/2045-2322Abstract The current study explored the Na+/K+-ATPase (NKA) inhibition-independent proarrhythmic mechanisms of cardiac glycosides (CGs) which are well-known NKA inhibitors. With the cytosolic Ca2+ chelated by EGTA and BAPTA or extracellular Ca2+ replaced by Ba2+, effects of bufadienolides (bufalin (BF) and cinobufagin (CBG)) and cardenolides (ouabain (Oua) and pecilocerin A (PEA)) on the L-type calcium current (I Ca,L) were recorded in heterologous expression Cav1.2-CHO cells and human embryonic stem cell-derived cardiomyocytes (hESC-CMs). BF and CBG demonstrated a concentration-dependent (0.1 to 100 µM) I Ca,L inhibition (maximal ≥50%) without and with the NKA activity blocked by 10 µM Oua. BF significantly shortened the action potential duration at 1.0 µM and shortened the extracellular field potential duration at 0.01~1.0 µM. On the other hand, BF and CBG at 100 µM demonstrated a strong inhibition (≥40%) of the rapidly activating component of the delayed rectifier K+ current (I Kr) in heterologous expression HEK293 cells and prolonged the APD of the heart of day-3 Zebrafish larva with disrupted rhythmic contractions. Moreover, hESC-CMs treated with BF (10 nM) for 24 hours showed moderate yet significant prolongation in APD90. In conclusion, our data indicate that CGs particularly bufadienolides possess cytosolic [Ca2+]i- and NKA inhibition- independent proarrhythmic potential through I Ca,L and I Kr inhibitions.Cai Hong KohJianjun WuYing Ying ChungZhenfeng LiuRong-Rong ZhangKetpin ChongVladimir KorzhSherwin TingSteve OhWinston ShimHai-Yan TianHeming WeiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-14 (2017) |
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Medicine R Science Q Cai Hong Koh Jianjun Wu Ying Ying Chung Zhenfeng Liu Rong-Rong Zhang Ketpin Chong Vladimir Korzh Sherwin Ting Steve Oh Winston Shim Hai-Yan Tian Heming Wei Identification of Na+/K+-ATPase inhibition-independent proarrhythmic ionic mechanisms of cardiac glycosides |
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Abstract The current study explored the Na+/K+-ATPase (NKA) inhibition-independent proarrhythmic mechanisms of cardiac glycosides (CGs) which are well-known NKA inhibitors. With the cytosolic Ca2+ chelated by EGTA and BAPTA or extracellular Ca2+ replaced by Ba2+, effects of bufadienolides (bufalin (BF) and cinobufagin (CBG)) and cardenolides (ouabain (Oua) and pecilocerin A (PEA)) on the L-type calcium current (I Ca,L) were recorded in heterologous expression Cav1.2-CHO cells and human embryonic stem cell-derived cardiomyocytes (hESC-CMs). BF and CBG demonstrated a concentration-dependent (0.1 to 100 µM) I Ca,L inhibition (maximal ≥50%) without and with the NKA activity blocked by 10 µM Oua. BF significantly shortened the action potential duration at 1.0 µM and shortened the extracellular field potential duration at 0.01~1.0 µM. On the other hand, BF and CBG at 100 µM demonstrated a strong inhibition (≥40%) of the rapidly activating component of the delayed rectifier K+ current (I Kr) in heterologous expression HEK293 cells and prolonged the APD of the heart of day-3 Zebrafish larva with disrupted rhythmic contractions. Moreover, hESC-CMs treated with BF (10 nM) for 24 hours showed moderate yet significant prolongation in APD90. In conclusion, our data indicate that CGs particularly bufadienolides possess cytosolic [Ca2+]i- and NKA inhibition- independent proarrhythmic potential through I Ca,L and I Kr inhibitions. |
format |
article |
author |
Cai Hong Koh Jianjun Wu Ying Ying Chung Zhenfeng Liu Rong-Rong Zhang Ketpin Chong Vladimir Korzh Sherwin Ting Steve Oh Winston Shim Hai-Yan Tian Heming Wei |
author_facet |
Cai Hong Koh Jianjun Wu Ying Ying Chung Zhenfeng Liu Rong-Rong Zhang Ketpin Chong Vladimir Korzh Sherwin Ting Steve Oh Winston Shim Hai-Yan Tian Heming Wei |
author_sort |
Cai Hong Koh |
title |
Identification of Na+/K+-ATPase inhibition-independent proarrhythmic ionic mechanisms of cardiac glycosides |
title_short |
Identification of Na+/K+-ATPase inhibition-independent proarrhythmic ionic mechanisms of cardiac glycosides |
title_full |
Identification of Na+/K+-ATPase inhibition-independent proarrhythmic ionic mechanisms of cardiac glycosides |
title_fullStr |
Identification of Na+/K+-ATPase inhibition-independent proarrhythmic ionic mechanisms of cardiac glycosides |
title_full_unstemmed |
Identification of Na+/K+-ATPase inhibition-independent proarrhythmic ionic mechanisms of cardiac glycosides |
title_sort |
identification of na+/k+-atpase inhibition-independent proarrhythmic ionic mechanisms of cardiac glycosides |
publisher |
Nature Portfolio |
publishDate |
2017 |
url |
https://doaj.org/article/264c50ca7b3246abb2da30023aced565 |
work_keys_str_mv |
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