Inhibition of HERG K+ Current and Prolongation of the Guinea-Pig Ventricular Action Potential by 4-Aminopyridine

4-Aminopyridine (4-AP) has been used extensively to study transient outward K⁺ current ( I _TO,1) in cardiac cells and tissues. We report here inhibition by 4-AP of HERG (the human ether-à-go-go -related gene) K⁺ channels expressed in a mammalian cell line, at concentrations relevant to those used to study I _TO,1. Under voltage clamp, whole cell HERG current ( I _HERG) tails following commands to +30 mV were blocked with an IC₅₀ of 4.4 ± 0.5 m m . Development of block was contingent upon HERG channel gating, with a preference for activated over inactivated channels. Treatment with 5 m m 4-AP inhibited peak I _HERG during an applied action potential clamp waveform by ∼59 %. It also significantly prolonged action potentials and inhibited resurgent I _K tails from guinea-pig isolated ventricular myocytes, which lack an I _TO,1. We conclude that by blocking the α-subunit of the I _Kr channel, millimolar concentrations of 4-AP can modulate ventricular repolarisation independently of any action on I _TO,1.