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  1. Article: Antimalarial drugs inhibit the acetylcholine-receptor-operated potassium current in atrial myocytes.

    Hara, Yukio / Kizaki, Keiichiro

    Heart, lung & circulation

    2002  Volume 11, Issue 2, Page(s) 112–116

    Abstract: ... pyrimethamine, on the acetylcholine-receptor-operated potassium current (I(K.ACh)), a ligand-gated potassium ... current, were compared with the effect of quinidine in isolated guinea pig atrial myocytes using ... binding proteins, whereas primaquine and quinidine may mainly inhibit the current by the blockade ...

    Abstract Background: It has been reported that halofantrine, an antimalarial drug, was associated with electrocardiographic prolongation of the QT interval and ventricular arrhythmias. Inhibition of the delayed rectifier potassium channel, a voltage-gated potassium channel, by halofantrine was the likely underlying cellular mechanism for this cardiotoxicity. However, influences of anti-malarial drugs on the ligand-gated potassium channels have not been well-documented. The influences of three different antimalarial drugs, chloroquine, primaquine and pyrimethamine, on the acetylcholine-receptor-operated potassium current (I(K.ACh)), a ligand-gated potassium current, were compared with the effect of quinidine in isolated guinea pig atrial myocytes using patch-clamp techniques.
    Methods: The whole-cell patch-clamp method was used in the present studies he I(K.ACh) was induced by extracellular application of carbachol (1 micromol/L) or intracellular loading of guanosine 5'-O-(3-thiotriphosphate) GTPgammaS (100 micromol/L) in acutely isolated guinea pig atrial myocytes.
    Results: The I(K.ACh) induced by carbachol was inhibited by chloroquine, primaquine, pyrimethamine and quinidine in a concentration-dependent manner, and the concentrations required to produce 50% of the maximal inhibitory effect (IC(50) values) were 0.7, 2.5, 12 and 1.8 micromol/L, respectively. These drugs also inhibited the intracellular GTPgammaS-activated I(K.ACh), and the IC(50) values were 0.8,13,19 and 21 micromol/L, respectively.
    Conclusions: Chloroquine and pyrimethamine may inhibit I(K.ACh) by interacting with the muscarinic potassium channel itself and/or associated guanosine 5'-triphosphate-binding proteins, whereas primaquine and quinidine may mainly inhibit the current by the blockade of the muscarinic receptors. These results indicate that antimalarial drugs exert anticholinergic effects via different molecular mechanisms.
    Language English
    Publishing date 2002
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2020980-0
    ISSN 1443-9506
    ISSN 1443-9506
    DOI 10.1046/j.1443-9506.2002.00128.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Anticholinergic effects of artemisinin, an antimalarial drug, in isolated guinea pig heart preparations.

    Hara, Yukio / Yamawaki, Hideyuki / Shimada, Masami / Okada, Kiyohiro / Tanai, Toshiki / Ichikawa, Daiki / Miyake, Kimihito / Kizaki, Keiichiro

    The Journal of veterinary medical science

    2007  Volume 69, Issue 7, Page(s) 697–702

    Abstract: ... receptor-operated potassium current (IK.ACh), a ligand-gated potassium current, in guinea pig atrial ... but it has been reported to inhibit delayed rectifier potassium current, a voltage-gated potassium current ... currents. Therefore, in the present study, we examined the influence of artemisinin on the acetylcholine ...

    Abstract Concern has been growing about the cardiac toxicity of antimalarial drugs. Artemisinin, a unique type of antimalarial drug originating from a Chinese medicinal plant, has minimal adverse effects, but it has been reported to inhibit delayed rectifier potassium current, a voltage-gated potassium current. However, no studies have been published concerning the effect of artemisinin on ligand-gated potassium currents. Therefore, in the present study, we examined the influence of artemisinin on the acetylcholine receptor-operated potassium current (IK.ACh), a ligand-gated potassium current, in guinea pig atrial myocytes using a patch clamp technique. Artemisinin (1 to 300 microM) inhibited I(K.ACh) induced by extracellular application of both carbachol (1 microM) and adenosine (10 microM) and that induced by intracellular loading of GTPgammaS (100 microM) in a concentration-dependent manner. Artemisinin inhibited carbachol-induced, adenosine-induced, and GTPgammaS-activated IK.ACh within almost the same concentration range. In left atria, artemisinin (1 to 100 microM) partially reversed the shortening of action potential duration induced by carbachol in a concentration-dependent manner. Carbachol-induced negative inotropic action in left atria was also inhibited by artemisinin (10 to 300 microM). In conclusion, we suggest that the anticholinergic action of artemisinin is mediated through inhibition of IK.ACh via inhibition of the muscarinic potassium channel and/or associated GTP-binding proteins.
    MeSH term(s) Action Potentials/drug effects ; Action Potentials/physiology ; Animals ; Antimalarials/pharmacology ; Artemisinins/pharmacology ; Atrial Function, Left/drug effects ; Cholinergic Antagonists/pharmacology ; Guinea Pigs ; Heart/drug effects ; Heart/physiology ; In Vitro Techniques ; Inhibitory Concentration 50 ; Isometric Contraction/drug effects ; Isometric Contraction/physiology ; Male ; Myocytes, Cardiac/drug effects ; Myocytes, Cardiac/metabolism ; Myocytes, Cardiac/physiology ; Patch-Clamp Techniques ; Potassium/metabolism ; Receptors, Cholinergic/metabolism
    Chemical Substances Antimalarials ; Artemisinins ; Cholinergic Antagonists ; Receptors, Cholinergic ; Potassium (RWP5GA015D)
    Language English
    Publishing date 2007-08-02
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 1071753-5
    ISSN 1347-7439 ; 0916-7250
    ISSN (online) 1347-7439
    ISSN 0916-7250
    DOI 10.1292/jvms.69.697
    Database MEDical Literature Analysis and Retrieval System OnLINE

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