Effects of nine clinical drugs with different careiovascular risk on hERG potassium channels
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    Abstract:

    Objective:To assess the variability and reproducibility of patch clamp platforms/sites for defining clinical drug effects on human ether-à-go-go related gene(hERG) currents across and between platforms and sites and to investigate the blocking effect of nine clinical drugs that have high(bepridil,quinidine,sotalol),intermediate(ondansetron,cisapride,terfenadine)and low(ranolazine,verapamil and mexiletine)torsade de pointes risk(TdP)on hERG potassium channel. Methods:The whole-cell patch clamp technique was used to record the change in hERG potassium current(IKr)on HEK293 cells that stably expressed hERG potassium channel(hERG-HEK293 steady-state cells),which was treated with four test concentrations of bepridil,quinidine,sotalol,ondansetron,cisapride,terfenadine,ranolazine,verapamil and mexiletine,to study the concentration-dependence of the effects on IKr and the half maximal inhibitory concentration(IC50). Resuts:All of the nine clinical drugs tested produced a concentration-dependent reduction of hERG current. The IC50 values of bepridil and quinidine(high TdP risk clinical drugs) were about 98.32 nmol/L and 1.95 μmol/L,respectively,and the IC50 values of sotalol was >300 μmol/L. The IC50 values of ondansetron,cisapride,terfenadine(intermediate TdP risk clinical drugs)were 0.94 μmol/L,39.10 nmol/L,128.58 nmol/L,respectively. The IC50 values of ranolazine,verapamil and mexiletine(low TdP risk clinical drugs)were 9.94 μmol/L,235.49 nmol/L and 65.56 μmol/L,respectively. The IC50 values for the nine clinical drugs corresponded well to those published within the literature. Conclusion:The risk of drug-induced TdP is closely related to the block of the hERG channel,but the hERG channel block is lack of specificity as a predictor of TdP,which is also associated with multiple ion channel effects. Some clinical drugs also block Nav1.5-late and/or Cav1.2 currents,which can reduce the risk of TdP caused by hERG block. The data obtained by this method is reliable,which provides a reference for the hERG block test performed by domestic GLP laboratories and can be used for the safety evaluation of drug cardiac toxicity.

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Sun Hongyun, Xing Hongyan, Zhao Qi, Wang Shuyan, Song Zheng, Li Hua, Wang Xijie. Effects of nine clinical drugs with different careiovascular risk on hERG potassium channels[J].,2019,(1):1-9.

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  • Received:March 14,2018
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  • Online: February 21,2019
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