甲基苯丙胺对豚鼠心室肌细胞动作电位及延迟整流钾电流的影响(英文)

目的研究甲基苯丙胺对心血管系统的毒性作用及其机制。方法分离豚鼠心室肌细胞,采用全细胞膜片钳技术获取并分析心室肌细胞延迟整流钾电流(IK)及动作电位(AP)水平。结果甲基苯丙胺0.5mmol·L-1使豚鼠心室肌细胞AP幅值从121.6mV降至106.0mV,能延长动作电位时程(APD),但不改变静息电位水平。其中动作电位复极10%,25%,50%,75%及90%时程(APD10,APD25,APD50,APD75,APD90)分别延长179.0%,88.7%,47.7%,43.4%和31.9%(P<0.05)。甲基苯丙胺0.5mmol·L-1使快速激活延迟整流钾电流(IKr)和缓慢激活延迟整流钾电流(IKs)的膜电位水平降低,电流-电压曲线下移,但曲线形状不变,冲洗后能部分恢复。用含甲基苯丙胺0.01,0.1,0.5,1.0和3.0mmol·L-1的细胞外液分别灌流细胞5min,甲基苯丙胺对IKr尾电流幅度呈浓度依赖性的阻断作用,冲洗后能部分恢复。甲基苯丙胺对IKs尾电流的影响也非常显著(P<0.05)。结论甲基苯丙胺对豚鼠心室肌细胞的IK及AP都有不同程度的影响,这可能是甲基苯丙胺造成心脏损伤的电生理机制之一。     

Modulation by histamine of the delayed outward potassium current in guinea-pig ventricular myocytes.

1. Histamine receptor-mediated modulation of the delayed outward potassium current (IK) was investigated in guinea-pig single ventricular cells by the whole-cell voltage clamp. 2. Histamine increased IK in a dose- dependent manner with a half-maximum dose of 3.8 x 10(-8) M. Histamine (10(-6) M) increased IK by a factor of 3.02 without a significant change in the current kinetics. The threshold dose of histamine for increasing IK was 10(-9) M and this value was similar to that for calcium current. 3. Cimetidine decreased IK in the presence of histamine, by shifting the dose-response curve to histamine to the right. The pA2 value of cimetidine against histamine was 6.38. 4. Forskolin did not increase IK after application of 10(-6) M histamine, and histamine scarcely increased IK in the presence of a heat-stable inhibitor of cyclic AMP-dependent protein kinase (PKI). 5. We conclude that stimulation by histamine of IK is mainly by way of the H2-receptor, and is mediated by cyclic AMP-dependent phosphorylation.     

Block of the delayed rectifier current (IK) by the 5-HT3 antagonists ondansetron and granisetron in feline ventricular myocytes.

1. We investigated the effects of two 5-HT3 antagonists, ondansetron and granisetron, on the action potential duration (APD) and the delayed rectifier current (IK) of feline isolated ventricular myocytes. Whole-cell current and action potential recordings were performed at 37 degrees C with the patch clamp technique. 2. Ondansetron and granisetron blocked IK with a KD of 1.7 +/- 1.0 and 4.3 +/- 1.7 microM, respectively. At a higher concentration (30 microM), both drugs blocked the inward rectifier (IKl). 3. The block of IK was dependent on channel activation. Both drugs slowed the decay of IK tail currents and produced a crossover with the pre-drug current trace. These results are consistent with block and unblock from the open state of the channel. 4. Granisetron showed an intrinsic voltage-dependence as the block increased with depolarization. The equivalent voltage-dependency of block (delta) was 0.10 +/- 0.04, suggesting that granisetron blocks from the intracellular side at a binding site located 10% across the transmembrane electrical field. 5. Ondansetron (1 microM) and granisetron (3 microM) prolonged APD by about 30% at 0.5 Hz. The prolongation of APD by ondansetron was abolished at faster frequencies (3 Hz) showing reverse rate dependence. 6. In conclusion, the 5-HT3 antagonists, ondansetron and granisetron, are open state blockers of the ventricular delayed rectifier and show a clear class III action.     

Imipramine, mianserine and maprotiline block delayed rectifier potassium current in ventricular myocytes.

Imipramine, mianserine and maprotiline are three widely used antidepressant drugs with different chemical structure. In the present work we have studied the effects of these drugs on the delayed rectifier potassium current (I(K)) in myocytes isolated from rat ventricle. The delayed rectifier potassium current, responsible for action potential termination, is blocked by all of the three drugs I(K)studied in a state-independent manner. Imipramine and mianserine block I(K)in a 1 : 1 drug-receptor interaction, whereas maprotiline shows a negative cooperativity in the interaction between the channel complex and drug molecules.     

苄基四氢巴马汀对心室肌动作电位和延迟整流钾电流的频率依赖性作用

目的　研究BTHP对豚鼠乳头状肌动作电位及单个心室肌细胞延迟整流钾电流影响的频率依赖性。方法　用标准微电极方法在不同基础周长 (BCL)时测定动作电位 ;采用全细胞膜片钳技术测定延迟整流钾电流 (IK:IKr、IKs)。结果　 10 0 μmol·L-1BTHP在BCL为 :2 0 0 0、2 5 0ms时 ,使APD2 0 分别延长 11 35 %和 2 5 5 5 % ;使APD90 分别延长15 97%和 32 5 6 %。 30 μmol·L-1BTHP在刺激频率为 :0 2 5和 2 0Hz时分别使Ikr,tial从 (0 94± 0 .44 ) pA·pF-1和(0 92± 0 31) pA·pF-1降至 (0 6 0± 0 32 ) pA·pF-1和 (0 43± 0 18)pA·pF-1。在刺激频率为 :0 1和 2 0Hz时分别使Iks,tial从 (4 2 2± 0 5 6 ) pA·pF-1和 (5 14± 0 2 8)降至 (2 5 8±0 41)pA·pF-1和 (2 6 2± 0 37)pA·pF-1。结论　BTHP可频率依赖性地阻滞IKr、IKs,其延长动作电位也呈频率依赖性     

N-甲基小檗胺对人心房肌细胞瞬时外向钾电流和延迟整流钾电流的作用(英文)

目的　动物实验表明N 甲基小檗胺 (NMB)通过抑制豚鼠心室肌细胞ATP敏感性钾电流和钙电流来发挥抗心律失常和抗心肌缺血作用 ,故进一步研究NMB对人心肌细胞电流的作用。方法　膜片钳制技术全细胞记录模式研究NMB对人心房肌细胞瞬时外向钾电流 (Ito)和延迟整流钾电流 (IK)的作用。结果　指令电位为 +60mV时 ,NMB 0 .1 ,1 ,1 0 μmol·L-1 分别使Ito幅值下降 (1 6± 4) % ,(2 5±4) %和 (49± 3) % ,使IK 幅值下降 (42± 6) % ,(47±7) %和(65± 3) %。结论　NMB对人心房肌细胞Ito和IK 均有抑制作用。     

甲状腺素诱导的豚鼠肥厚心肌中延迟整流钾电流离子通道特征

目的在甲状腺素诱导的豚鼠心肌肥厚模型上,研究肥厚心肌细胞延迟整流钾电流（ＩＫ）中快激活成份（Ｉｋｒ）及慢激活成份（Ｉｋｓ）离子通道特征。方法采用全细胞膜片钳技术。结果在甲状腺素诱导的肥厚心肌细胞中,Ｉｋｒ及Ｉｋｓ的电流幅度随去极化电压的增加较正常心肌细胞明显增大,且Ｉｋｒ　ｔａｉｌ及Ｉｋｓ的增加程度分别大于Ｉｋｒ及Ｉｋｓｔａｉｌ°心肌肥厚使Ｉｋｓ激活曲线向负的电压方向偏移,对Ｉｋｒ激活曲线无明显影响。结论甲状腺素诱导的肥厚心肌使Ｉｋｒ及Ｉｋｓ明显增加。     

Pharmacological block of the slow component of the outward delayed rectifier current (I(Ks)) fails to lengthen rabbit ventricular muscle QT(c) and action potential duration

1. The effects of I(Ks) block by chromanol 293B and L-735,821 on rabbit QT-interval, action potential duration (APD), and membrane current were compared to those of E-4031, a recognized I(Kr) blocker. Measurements were made in rabbit Langendorff-perfused whole hearts, isolated papillary muscle, and single isolated ventricular myocytes. 2. Neither chromanol 293B (10 microM) nor L-735,821 (100 nM) had a significant effect on QTc interval in Langendorff-perfused hearts. E-4031 (100 nM), on the other hand, significantly increased QTc interval (35.6+/-3.9%, n=8, P<0.05). 3. Similarly both chromanol 293B (10 microM) and L-735,821 (100 nM) produced little increase in papillary muscle APD (less than 7%) while pacing at cycle lengths between 300 and 5000 ms. In contrast, E-4031 (100 nM) markedly increased (30 - 60%) APD in a reverse frequency-dependent manner. 4. In ventricular myocytes, the same concentrations of chromanol 293B (10 microM), L-735,821 (100 nM) and E-4031 (1 microM) markedly or totally blocked I(Ks) and I(Kr), respectively. 5. I(Ks) tail currents activated slowly (at +30 mV, tau=888.1+/-48.2 ms, n=21) and deactivated rapidly (at -40 mV, tau=157.1+/-4.7 ms, n=22), while I(Kr) tail currents activated rapidly (at +30 mV, tau=35.5+/-3.1 ms, n=26) and deactivated slowly (at -40 mV, tau(1)=641.5+/-29.0 ms, tau(2)=6531+/-343, n=35). I(Kr) was estimated to contribute substantially more to total current density during normal ventricular muscle action potentials (i.e., after a 150 ms square pulse to +30 mV) than does I(Ks). 6. These findings indicate that block of I(Ks) is not likely to provide antiarrhythmic benefit by lengthening normal ventricular muscle QTc, APD, and refractoriness over a wide range of frequencies.     

Transient outward current inhibition by propafenone and 5-hydroxypropafenone in cultured neonatal rat ventricular myocytes

The antiarrhythmic agent propafenone and its primary electropharmacologically active metabolite, 5-hydroxypropafenone, are known inhibitors of cardiac myocyte repolarizing currents. We recently documented potent propafenone inhibition of the transient outward potassium current (Ito) in human atrial myocytes from patients in the newborn and infant age range. In the current study we characterized ventricular Ito inhibition by propafenone and 5-hydroxypropafenone in neonatal myocytes enzymatically isolated from 2-day-old Sprague-Dawley rat pups. Using the whole-cell patch-clamp technique in ventricular myocytes kept in primary culture for 1-4 days, we observed comparably potent Ito inhibition by both agents, yielding 50% maximal inhibitory concentration (IC50) values of 2.1 +/- 0.5 and 1.5 +/- 0.2 microM for propafenone and 5-hydroxypropafenone, respectively. Ito blockade by both of these agents was time, concentration, and voltage dependent, but use independent. There was no drug effect on steady-state voltage dependence of Ito inactivation, or on the time course of Ito recovery from inactivation. These findings are consistent with an open channel-blocking mechanism as suggested by other models. We conclude that both propafenone and 5-hydroxypropafenone are potent Ito inhibitors in neonatal rat ventricular myocytes, with potencies exceeding those demonstrated for propafenone in adult rat ventricular myocytes or in human atrial myocytes from patients of all ages.     

Different mechanisms of the inhibition of the transient outward current in rat ventricular myocytes

The mechanism of drug-induced inhibition of the transient outward current, I_to, has been investigated in rat ventricular myocytes using the whole cell patch clamp technique. I_to was activated by 300 ms depolarizing voltage clamp steps in 10 mV increments from –50 mV up to +40 mV. At +40 mV, I_to peaked after about 3 ms, and the time course of inactivation was appropriately described by two time constants, _fast = 17 ms and _slow = 203 ms. Verapamil, quinidine sulfate and nifedipine preferentially depressed I_to at the end of the 300 ms depolarizing voltage clamp step; the inactivation of I_to was accelerated by all drugs, whereas peak I_to was less affected. The time course of drug action at +40 mV was calculated by the fractional changes of I_to. Verapamil, quinidine sulfate and nifedipine exerted a block of I_to. increasing during the depolarizing voltage clamp step. The onset of block in response to verapamil, quinidine sulfate and nifedipine (30 mol/each) was appropriately described by monoexponential functions with time constants _on = 9.3, 1.7 and 1.1 ms, respectively. Relief from block by verapamil, quinidine sulfate and nifedipine at –50 mV was assessed by comparison of the recovery process of peak I_to from inactivation with or without drugs. _off amounted to 695 ms in the case of quinidine sulfate; verapamil and nifedipine did not significantly affect the recovery process so that the determination of the time course of relief from block was not possible. 4-Aminopyridine preferentially depressed peak I_to in a concentration-dependent manner, whereas I_to at the end of the 300 ms depolarizing voltage step remained unaffected. The block of I_to by 4-aminopyridine (3 mmol/l) decreased during the voltage step from –50 mV to +40 mV. Relief from block was described by _off = 30.4 ms. The efficacy of 4-aminopyridine was diminished at short and enhanced at long pulse intervals (reverse use-dependence). The time course of 4-aminopyridine-induced block of Ito was described by _on = 1561 ms. Phenylephrine (30 mol/l),papaverine (30 mol/I) and tetraethylammonium chloride (5 mmol/l) reduced I_to at the peak and at the end of the 300 ms depolarizing voltage step in a time-independent manner. It is concluded that verapamil, quinidine sulfate and nifedipine bind to the I_to channel in the open state at positive membrane potentials. In contrast, 4-aminopyridine obviously binds to the channel in the closed state at negative membrane potentials. Phenylephrine, papaverine and tetraethylammonium chloride seem to block I_to independent of the channel state. Correspondence to: H. Nawrath at the above address     

异丙肾上腺素对豚鼠离体心室肌细胞延迟整流钾电流的影响(英文)

观察异丙肾上腺素对豚鼠离体心室肌细胞延迟整流钾电流(I_K)的作用.方法:分离单个离体豚鼠心室肌细胞,采用电压钳技术观察I_K.结果:在用不同去极化时程脉冲(40—300ms)激活I_K的条件下,异丙肾上腺素(1 μmol·L~(-1))仅增加长时程脉冲(150—300 ms)激活的I_k,这一作用在预先用BAPTA缓冲细胞内钙的条件下仍然存在,而细胞内注射BAPTA则降低长时程脉冲激活的I_K.结论:豚鼠离体心室肌细胞I_K有二个成分,其中一个成分受异丙肾上腺素和细胞内钙的调控.     

未成年人心房肌细胞瞬间外向钾电流和内向整流钾电流的特性

AIM: To study the properties of transient outward K+ current (Ito) and inward rectifier K+ current (IKl) in immature human heart. METHODS: Ito and IKl were recorded using whole-cell patch-clamp technique in atrial myocytes isolated from 12 immature (aged from 6 months to 5 a) human hearts. RESULTS: Ito was voltage-dependent, activated and inactivated rapidly. The IC50 (95% confidence limits) of 4-AP on Ito was 0.64 (0.48-0.87) mmol.L-1. 4-AP 1 mmol.L-1 shifted V1/2 of activation from (6.6 +/- 2.0) mV to (19.8 +/- 3.0) mV (n = 4-10, P < 0.01). 4-AP 0.3 mmol.L-1 changed V1/2 of inactivation from (-49 +/- 4) mV to (-61.4 +/- 2.1) mV (n = 3, P < 0.01), but there were no obvious influence on voltage-dependent activation of Ito (P > 0.05). At the same concentration, the recovery time constant (tau value) was prolonged from (108 +/- 16) ms to (220 +/- 67) ms (n = 3-12, P < 0.01). IKl was also voltage-dependent. Its reverse potential was -40 mV. CONCLUSION: Both Ito and IKl are important K+ channel currents in immature human atrial myocytes. 4-AP can affect the inactivation and recovery of Ito at low concentration (0.3 mmol.L-1) and affect its activation at high concentration (1 mmol.L-1).     

苦参碱对缺血性心室肌细胞快速延迟整流钾电流的作用

目的观察苦参碱对病理条件下(缺血、酸中毒)单个心室肌细胞快速延迟整流钾电流(rapid component of delayed rectifier potassium current,IKr)的作用,初步探讨苦参碱治疗缺血性心律失常的作用机制。方法冠状动脉左前降支结扎建立家兔心肌梗死模型,应用全细胞膜片钳技术记录酶解法分离的心肌梗死模型家兔苦参碱灌胃1mon后右心室心肌细胞IKr的变化。在pH=7·4和pH=6·5的条件下,应用全细胞膜片钳技术记录苦参碱对酶解法分离的豚鼠心室肌细胞IKr的作用。结果在正常细胞外液(pH=7·4)的条件下苦参碱(50μmol·L-1)降低IKr,在刺激电压为+60mV时,IKr电流密度由(12·15±0·70)pA/pF降低至(9·22±0·65)pA/pF(n=8,P<0·05)。在细胞外液酸化(pH=6·5)的条件下苦参碱(50μmol·L-1)仍表现抑制IKr电流的作用,在刺激电压为+60mV时,IKr电流密度由(7·05±0·41)pA/pF降低至(5·76±0·28)pA/pF(n=8,P<0·05)。家兔冠状动脉结扎1mon后,在刺激电压为+60mV时,心肌梗死组家兔心室肌细胞IKr电流密度为(1·17±0·12)pA/pF较正常组(1·70±0·11)pA/pF降低(n=12,P<0·05)。苦参碱组(8mg·kg-1·d-1)家兔心室肌细胞IKr电流密度为(0·86±0·25)pA/pF较心梗组降低(n=12,P<0·05)。结论苦参碱阻断心室肌细胞IKr,可能是其延长有效不应期,降低异位节律的发生率,治疗心律失常的机制之一。苦参碱对酸化条件及长期心肌缺血后心室肌细胞IKr仍表现出明显的抑制作用,表明其对心肌梗死后心律失常有效。     

丙咪嗪对大鼠心室细胞瞬间外向钾电流的抑制作用

目的：研究丙咪嗪大鼠心室细胞瞬间外向钾电流（Ｉｗ）的抑制作用,方法：膜片箝全细胞记录法。结果：丙咪嗪对Ｉｔｏ有浓度依赖性抑制作用,ＩＣ５０为６．０μｍｏｌ．Ｌ＾－１并明显加速该电流的灭活里程,在不同的测试电位下,丙咪嗪对该电流的抑制百分率没有差别,丙咪嗪对Ｉｔｏ的稳态激活和灭活苗曲线的半数膜电位都无明显影响,对Ｉｔｏ灭活后的再复活时程有延长趋势,但不显（τｃｏｎｔｒｏｌ＝３７±１１ｍｓ,τｄｒｕ     

红花黄素对豚鼠单个心室肌细胞动作电位和钙电流的影响

目的　观察红花黄素对豚鼠单个心室肌细胞动作电位和钙电流的影响。方法　采用膜片钳全细胞式记录技术。结果　红花黄素（３３ μｇ· Ｌ－ １） 能延长单个心室肌细胞动作电位时程,由（３５９３３ ±２７１８） ｍｓ 延长至（４１３３３ ±６１８８）ｍｓ（ Ｐ＜ ００５ ,ｎ ＝ ６） 。同时增加内向 Ｌ 型钙电流的峰值,由（ － １０２１ ±７４） ｐ Ａ 至（ － １４３６ ±２１２） ｐ Ａ（ Ｐ＜ ００５ ,ｎ ＝ ７） 。结论　由于红花黄素具有上述电生理作用,可用于心力衰竭和快速性心律失常的治疗     

Raloxifene inhibits transient outward and ultra-rapid delayed rectifier potassium currents in human atrial myocytes

The selective estrogen receptor modulator raloxifene is widely used in the treatment of postmenopausal osteoporosis, and has cardioprotective properties. However, effects of raloxifene on cardiac ion channels are unclear. The present study was designed to investigate the effects of raloxifene and beta-estradiol on transient outward and ultra-rapid delayed rectifier potassium currents (Ito1 and IKur) in human atrial myocytes with a whole cell patch-clamp technique. Ito1 was inhibited by raloxifene in a concentration-dependent manner with an IC50 of 0.9 microM. Raloxifene at 1 microM decreased Ito1 by 40.2+/-1.9% (at +50 mV, n=14, P<0.01 vs control). Time-dependent recovery from inactivation was slowed, and time to peak and time-dependent inactivation of Ito1 were significantly accelerated, while steady-state voltage dependent activation and inactivation of Ito1 were not affected by raloxifene. In addition, raloxifene remarkably suppressed IKur (IC50=0.7 microM). Raloxifene at 1 microM decreased IKur by 57.3+/-3.3% (at +50 mV, n=10, P<0.01 vs control). However, beta-estradiol inhibited Ito1 (IC50=10.3 microM) without affecting IKur. The inhibitory effects of raloxifene and beta-estradiol on Ito1 and/or IKur were unaffected by the estrogen receptor antagonist ICI 182,780. Our results indicate that raloxifene directly inhibits the human atrial repolarization potassium currents Ito1 and IKur. Whether raloxifene is beneficial for supraventricular arrhythmias remains to be studied.     

Trapidil enhances the slowly activating delayed rectifier potassium current and suppresses the transient inward current induced by catecholamine in Guinea pig ventricular myocytes

We examined the electrophysiological effects of trapidil on the ionic currents influencing the repolarization and on the transient inward current (ITi) that can cause triggered arrhythmia using the whole-cell patch-clamp technique in guinea pig ventricular myocytes. Trapidil shortened the action potential duration (APD) and increased the delayed rectifier potassium current (IK) in a concentration-dependent manner. The effect of trapidil on the rapidly and slowly activating components of IK (IKr and IKs, respectively) was studied by the envelope of tails test. Trapidil failed to affect IKr and selectively enhanced IKs. Trapidil increased the amplitude of the L-type Ca2+ current (ICa,L), with an acceleration of its inactivation, whereas isoproterenol, a beta-adrenoceptor agonist, increased the amplitude of the ICa,L in a different manner. Isoproterenol activated ITi; however, trapidil not only failed to facilitate ITi but also suppressed isoproterenol-induced ITi. The inhibitory effect of trapidil on isoproterenol-induced ITi is at least partly via a reduction of Ca2+ overload through an acceleration of ICa,L inactivation and/or a sarcoplasmic reticulum (SR) Ca channel modulation. These results suggest that trapidil does not prolong the QT interval and has an antiarrhythmic effect on arrhythmias elicited by triggered activity secondary to Ca2+ overload at much higher concentrations than clinical concentration.     

未成年人心房肌细胞瞬间外向钾电流和内向整流钾电流的特性(英文)

目的:研究未成年人心房肌细胞瞬间外向钾电流(I_(to))和内向整流钾电流(I_(Kl))的特性。方法:膜片箝全细胞技术。结果:I_(to)是电压依赖性电流,快速激活,快速失活,被I_(to)的选择性阻断剂4-AP阻断。IC_(50)=0.64mmol·L~(-1)。4-AP1mmol·L~(-1)使I_(to)的半数激活电位增加;4-AP0.3mmol·L~(-1)使I_(to)的半数失活电位减少,对激活曲线没有明显影响并使I_(to)的恢复时间延长。I_(Kl)也表现出电压依赖的特性,其反转电位在-40mV。结论:在未成年人心房肌细胞上,I_(to)和I_(Kl)是两种重要的K~ 通道电流。4-AP0.3mmol·L~(-1)时对I_(to)的失活和失活后的恢复有明显影响,1mmol·L~(-1)时影响I_(to)的激活。     

充血性心衰病人心房肌细胞瞬间外向钾电流和超快延迟整流钾电流的特征

目的:研究充血性心衰病人心房肌细胞瞬间外向钾电流(I_(to))和超快延迟整流钾电流(I_(Kur))的特征.方法:全细胞膜片箝技术.结果:心衰病人心房肌细胞上的I_(to)的激活和失活具有电压依赖性及时间依赖性.其半数最大激活电位(V_(1/2))和半数最大失活电位(V_(1/2))分别为(15±12)mV和(-45±4)mV.当膜电位从-40mV升至 60mV时,激活时间常数均值从(6.9±2.3)ms降至(1.40±0.20)ms,失活时间常数均值从(69±17)ms降至(21±14)ms,两者均随着膜电位的增加而减小.此外,该通道从失活状态下的恢复也很快.当保持电位为-80mV时,其恢复时间常数为(125±65)ms,但在此条件下通道的恢复不完全.当测试脉冲频率为0.2-2 Hz时,此通道电流未表现出明显的频率依赖性.与I_(to)相比,I_(Kur)的激活只具有电压依赖性但无时间依赖性.当测试电位为 60mV时,其电流密度平均为(3.4±0.7)pA/pF.半数最大激活电位(V_(1/2))为(23±14)mV.在测试脉冲频率为0.2-2Hz的范围内,通道电流也无明显的频率依赖性.结论:I_(to)和I_(Kur)是充血性心衰病人心房肌细胞上主要的外向电流,其大小和动力学特征可显著地影响心房肌细胞的电生理特性.     

Imipramine blocks the transient outward potassium current in rat ventricular myocytes

目的：研究丙咪嗪对大鼠心室细胞瞬间外向钾电流（Ｉｔｏ）的抑制作用．方法：膜片箝全细胞记录法．结果：丙咪嗪对Ｉｔｏ有浓度依赖性抑制作用，ＩＣ５０为６０μｍｏｌ·Ｌ－１，并明显加速该电流的灭活时程．在不同的测试电位下，丙咪嗪对该电流的抑制百分率没有差别．丙咪嗪对Ｉｔｏ的稳态激活和灭活曲线的半数膜电位都无明显影响，对Ｉｔｏ灭活后的再复活时程有延长趋势，但不显著（τｃｏｎｔｒｏｌ＝３７±１１ｍｓ，τｄｒｕｇ＝５８±１７ｍｓ，Ｐ＞００５），但可明显加速条件刺激时程对Ｉｔｏ的灭活（τｃｏｎｔｒｏｌ＝２２±８ｍｓ，τｄｒｕｇ＝１４±５ｍｓ，Ｐ＜００５）．结论：丙咪嗪对大鼠心室细胞瞬间外向钾电流有浓度依赖性和电压非依赖性抑制作用，作用特点属于开放通道阻断．