Conduction slowing by the gap junctional uncoupler carbenoxolone

Cellular electrical coupling is essential for normal propagation of the cardiac action potential, whereas reduced electrical coupling is associated with arrhythmias. Known cellular uncoupling agents have severe side effects on membrane ionic currents. We investigated the effect of carbenoxolone on c...

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Veröffentlicht in:Cardiovascular research 2003-11, Vol.60 (2), p.288-297
Hauptverfasser: DE GROOT, Joris R, VEENSTRA, Thijs, VERHEIJCK, E. Etienne, VERKERK, Arie O, WILDERS, Ronald, SMITS, Jeroen P. P, WILMS-SCHOPMAN, Francien J. G, WIEGERINCK, Rob F, BOURIER, Jan, BELTERMAN, Charly N. W, CORONEL, Ruben
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container_issue 2
container_start_page 288
container_title Cardiovascular research
container_volume 60
creator DE GROOT, Joris R
VEENSTRA, Thijs
VERHEIJCK, E. Etienne
VERKERK, Arie O
WILDERS, Ronald
SMITS, Jeroen P. P
WILMS-SCHOPMAN, Francien J. G
WIEGERINCK, Rob F
BOURIER, Jan
BELTERMAN, Charly N. W
CORONEL, Ruben
description Cellular electrical coupling is essential for normal propagation of the cardiac action potential, whereas reduced electrical coupling is associated with arrhythmias. Known cellular uncoupling agents have severe side effects on membrane ionic currents. We investigated the effect of carbenoxolone on cellular electrical coupling, membrane ionic currents, and atrial and ventricular conduction. In isolated rabbit left ventricular and right atrial myocytes, carbenoxolone (50 micromol/l) had no effect on action potential characteristics. Calcium, potassium, and sodium currents remained unchanged. Dual current clamp experiments on poorly coupled cell pairs revealed a 21+/-3% decrease in coupling conductance by carbenoxolone (mean+/-S.E.M., n=4, p
doi_str_mv 10.1016/j.cardiores.2003.07.004
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Etienne ; VERKERK, Arie O ; WILDERS, Ronald ; SMITS, Jeroen P. P ; WILMS-SCHOPMAN, Francien J. G ; WIEGERINCK, Rob F ; BOURIER, Jan ; BELTERMAN, Charly N. W ; CORONEL, Ruben</creator><creatorcontrib>DE GROOT, Joris R ; VEENSTRA, Thijs ; VERHEIJCK, E. Etienne ; VERKERK, Arie O ; WILDERS, Ronald ; SMITS, Jeroen P. P ; WILMS-SCHOPMAN, Francien J. G ; WIEGERINCK, Rob F ; BOURIER, Jan ; BELTERMAN, Charly N. W ; CORONEL, Ruben</creatorcontrib><description>Cellular electrical coupling is essential for normal propagation of the cardiac action potential, whereas reduced electrical coupling is associated with arrhythmias. Known cellular uncoupling agents have severe side effects on membrane ionic currents. We investigated the effect of carbenoxolone on cellular electrical coupling, membrane ionic currents, and atrial and ventricular conduction. In isolated rabbit left ventricular and right atrial myocytes, carbenoxolone (50 micromol/l) had no effect on action potential characteristics. Calcium, potassium, and sodium currents remained unchanged. Dual current clamp experiments on poorly coupled cell pairs revealed a 21+/-3% decrease in coupling conductance by carbenoxolone (mean+/-S.E.M., n=4, p&lt;0.05). High-density activation mapping was performed in intact rabbit atrium and ventricle during Langendorff perfusion of the heart. The amplitude of the Laplacian of the electrograms, a measure of coupling current in intact hearts, decreased from 1.45+/-0.66 to 0.75+/-0.51 microA/mm(3) (mean+/-SD, n=32, p&lt;0.05) after 15 min of carbenoxolone. Carbenoxolone reversibly decreased longitudinal and transversal conduction velocity from 66+/-15 to 49+/-16 cm/s and from 50+/-14 to 35+/-15 cm/s in ventricle, respectively (mean+/-SD, n=5, both p&lt;0.05). In atrium, longitudinal and transversal conduction velocity decreased from 80+/-29 to 60+/-16 cm/s and from 49+/-10 to 38+/-10 cm/s (mean+/-SD, n=8, both p&lt;0.05). 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In isolated rabbit left ventricular and right atrial myocytes, carbenoxolone (50 micromol/l) had no effect on action potential characteristics. Calcium, potassium, and sodium currents remained unchanged. Dual current clamp experiments on poorly coupled cell pairs revealed a 21+/-3% decrease in coupling conductance by carbenoxolone (mean+/-S.E.M., n=4, p&lt;0.05). High-density activation mapping was performed in intact rabbit atrium and ventricle during Langendorff perfusion of the heart. The amplitude of the Laplacian of the electrograms, a measure of coupling current in intact hearts, decreased from 1.45+/-0.66 to 0.75+/-0.51 microA/mm(3) (mean+/-SD, n=32, p&lt;0.05) after 15 min of carbenoxolone. Carbenoxolone reversibly decreased longitudinal and transversal conduction velocity from 66+/-15 to 49+/-16 cm/s and from 50+/-14 to 35+/-15 cm/s in ventricle, respectively (mean+/-SD, n=5, both p&lt;0.05). In atrium, longitudinal and transversal conduction velocity decreased from 80+/-29 to 60+/-16 cm/s and from 49+/-10 to 38+/-10 cm/s (mean+/-SD, n=8, both p&lt;0.05). Carbenoxolone-induced uncoupling causes atrial and ventricular conduction slowing without affecting cardiac membrane currents. Activation delay is larger in poorly coupled cells.</description><subject>Action Potentials - drug effects</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Carbenoxolone - pharmacology</subject><subject>Cell Separation - methods</subject><subject>Cells, Cultured</subject><subject>Drug toxicity and drugs side effects treatment</subject><subject>Female</subject><subject>Gap Junctions - drug effects</subject><subject>Heart Conduction System - drug effects</subject><subject>Ion Channels - genetics</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Perfusion</subject><subject>Pharmacology. 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W</au><au>CORONEL, Ruben</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Conduction slowing by the gap junctional uncoupler carbenoxolone</atitle><jtitle>Cardiovascular research</jtitle><addtitle>Cardiovasc Res</addtitle><date>2003-11-01</date><risdate>2003</risdate><volume>60</volume><issue>2</issue><spage>288</spage><epage>297</epage><pages>288-297</pages><issn>0008-6363</issn><eissn>1755-3245</eissn><coden>CVREAU</coden><abstract>Cellular electrical coupling is essential for normal propagation of the cardiac action potential, whereas reduced electrical coupling is associated with arrhythmias. Known cellular uncoupling agents have severe side effects on membrane ionic currents. We investigated the effect of carbenoxolone on cellular electrical coupling, membrane ionic currents, and atrial and ventricular conduction. In isolated rabbit left ventricular and right atrial myocytes, carbenoxolone (50 micromol/l) had no effect on action potential characteristics. Calcium, potassium, and sodium currents remained unchanged. Dual current clamp experiments on poorly coupled cell pairs revealed a 21+/-3% decrease in coupling conductance by carbenoxolone (mean+/-S.E.M., n=4, p&lt;0.05). High-density activation mapping was performed in intact rabbit atrium and ventricle during Langendorff perfusion of the heart. The amplitude of the Laplacian of the electrograms, a measure of coupling current in intact hearts, decreased from 1.45+/-0.66 to 0.75+/-0.51 microA/mm(3) (mean+/-SD, n=32, p&lt;0.05) after 15 min of carbenoxolone. Carbenoxolone reversibly decreased longitudinal and transversal conduction velocity from 66+/-15 to 49+/-16 cm/s and from 50+/-14 to 35+/-15 cm/s in ventricle, respectively (mean+/-SD, n=5, both p&lt;0.05). In atrium, longitudinal and transversal conduction velocity decreased from 80+/-29 to 60+/-16 cm/s and from 49+/-10 to 38+/-10 cm/s (mean+/-SD, n=8, both p&lt;0.05). Carbenoxolone-induced uncoupling causes atrial and ventricular conduction slowing without affecting cardiac membrane currents. Activation delay is larger in poorly coupled cells.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>14613858</pmid><doi>10.1016/j.cardiores.2003.07.004</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Action Potentials - drug effects
Animals
Biological and medical sciences
Carbenoxolone - pharmacology
Cell Separation - methods
Cells, Cultured
Drug toxicity and drugs side effects treatment
Female
Gap Junctions - drug effects
Heart Conduction System - drug effects
Ion Channels - genetics
Male
Medical sciences
Perfusion
Pharmacology. Drug treatments
Rabbits
Toxicity: cardiovascular system
Uncoupling Agents - pharmacology
title Conduction slowing by the gap junctional uncoupler carbenoxolone
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