12 research outputs found

    LUF7244 plus Dofetilide Rescues Aberrant Kv11.1 Trafficking and Produces Functional IKv11.1

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    Kv11.1 (hERG) channels play a critical role in repolarization of cardiomyocytes during the cardiac action potential (AP). Drug mediated Kv11.1 blockade results in AP prolongation, which poses an increased risk of sudden cardiac death. Many drugs, like pentamidine, interfere with normal Kv11.1 forward trafficking and thus reduce functional Kv11.1 channel densities. Although class III antiarrhythmics, e.g. dofetilide, rescue congenital and acquired forward trafficking defects, this is of little use due to their simultaneous acute channel blocking effect. We aimed to test the ability of a combination of dofetilide plus LUF7244, a Kv11.1 allosteric modulator/activator, to rescue Kv11.1 trafficking and produce functional Kv11.1 current. LUF7244 treatment by itself did not disturb or rescue WT or G601S Kv11.1 trafficking as shown by western blot and immunofluorescence microcopy analysis. Pentamidine-decreased maturation of WT Kv11.1 levels was rescued by 10 Ī¼M dofetilide or 10 Ī¼M dofetilide + 5 Ī¼M LUF7244. In trafficking defective G601S Kv11.1 cells, dofetilide (10 Ī¼M) or dofetilide+LUF7244 (10+5 Ī¼M) restored Kv11.1 trafficking also, as demonstrated by western blot and immunofluorescence microscopy. LUF7244 (10 Ī¼M) increased IKv11.1 despite the presence of dofetilide (1 Ī¼M) in WT Kv11.1 cells. In G601S expressing cells, long-term treatment (24-48 h) with LUF7244 (10 Ī¼M) and dofetilide (1 Ī¼M) increased IKv11.1 compared to non-treated, or acutely treated cells. We conclude that dofetilide plus LUF7244 rescues Kv11.1 trafficking and produces functional IKv11.1. Thus, combined administration of LUF7244 and an IKV11.1 trafficking corrector could serve as a new pharmacological therapy of both congenital and drug-induced Kv11.1 trafficking defects.Toxicolog

    Stedelijk goederenvervoer nu en in de toekomst

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    OTB Research Institute for the Built Environmen

    LUF7244, an allosteric modulator/activator of K v

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    Background and PurposeKv11.1 (hERG) channel blockade is an adverse effect of many drugs and lead compounds, associated with lethal cardiac arrhythmias. LUF7244 is a negative allosteric modulator/activator of Kv11.1 channels that inhibits early afterdepolarizations in vitro. We tested LUF7244 for antiarrhythmic efficacy and potential proarrhythmia in a dog model.Experimental ApproachLUF7244 was tested in vitro for (a) increasing human IKv11.1Ā and canine IKrĀ and (b) decreasing dofetilideā€induced action potential lengthening and early afterdepolarizations in cardiomyocytes derived from human induced pluripotent stem cells and canine isolated ventricular cardiomyocytes. In vivo, LUF7244 was given intravenously to anaesthetized dogs in sinus rhythm or with chronic atrioventricular block.Key ResultsLUF7244 (0.5ā€“10Ā Ī¼M) concentration dependently increased IKv11.1Ā by inhibiting inactivation. In vitro, LUF7244 (10Ā Ī¼M) had no effects on IKIR2.1, INav1.5, ICaā€L, and IKs, doubled IKr, shortened human and canine action potential duration by approximately 50%, and inhibited dofetilideā€induced early afterdepolarizations. LUF7244 (2.5Ā mgĀ·kgāˆ’1Ā·15Ā mināˆ’1) in dogs with sinus rhythm was not proarrhythmic and shortened, nonā€significantly, repolarization parameters (QTc: āˆ’6.8%). In dogs with chronic atrioventricular block, LUF7244 prevented dofetilideā€induced torsades de pointes arrhythmias in 5/7 animals without normalization of the QTc. Peak LUF7244 plasma levels were 1.75Ā Ā±Ā 0.80 during sinus rhythm and 2.34Ā Ā±Ā 1.57Ā Ī¼M after chronic atrioventricular block.Conclusions and ImplicationsLUF7244 counteracted dofetilideā€induced early afterdepolarizations in vitro and torsades de pointes in vivo. Allosteric modulators/activators of Kv11.1 channels might neutralize adverse cardiac effects of existing drugs and newly developed compounds that display QTc lengthening.Pharmacolog

    LUF7244, an allosteric modulator/activator of Kv11.1 channels, counteracts dofetilideā€induced torsades de pointes arrhythmia in the chronic atrioventricular block dog model

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    Background and PurposeKv11.1 (hERG) channel blockade is an adverse effect of many drugs and lead compounds, associated with lethal cardiac arrhythmias. LUF7244 is a negative allosteric modulator/activator of Kv11.1 channels that inhibits early afterdepolarizations in vitro. We tested LUF7244 for antiarrhythmic efficacy and potential proarrhythmia in a dog model.Experimental ApproachLUF7244 was tested in vitro for (a) increasing human IKv11.1Ā and canine IKrĀ and (b) decreasing dofetilideā€induced action potential lengthening and early afterdepolarizations in cardiomyocytes derived from human induced pluripotent stem cells and canine isolated ventricular cardiomyocytes. In vivo, LUF7244 was given intravenously to anaesthetized dogs in sinus rhythm or with chronic atrioventricular block.Key ResultsLUF7244 (0.5ā€“10Ā Ī¼M) concentration dependently increased IKv11.1Ā by inhibiting inactivation. In vitro, LUF7244 (10Ā Ī¼M) had no effects on IKIR2.1, INav1.5, ICaā€L, and IKs, doubled IKr, shortened human and canine action potential duration by approximately 50%, and inhibited dofetilideā€induced early afterdepolarizations. LUF7244 (2.5Ā mgĀ·kgāˆ’1Ā·15Ā mināˆ’1) in dogs with sinus rhythm was not proarrhythmic and shortened, nonā€significantly, repolarization parameters (QTc: āˆ’6.8%). In dogs with chronic atrioventricular block, LUF7244 prevented dofetilideā€induced torsades de pointes arrhythmias in 5/7 animals without normalization of the QTc. Peak LUF7244 plasma levels were 1.75Ā Ā±Ā 0.80 during sinus rhythm and 2.34Ā Ā±Ā 1.57Ā Ī¼M after chronic atrioventricular block.Conclusions and ImplicationsLUF7244 counteracted dofetilideā€induced early afterdepolarizations in vitro and torsades de pointes in vivo. Allosteric modulators/activators of Kv11.1 channels might neutralize adverse cardiac effects of existing drugs and newly developed compounds that display QTc lengthening.Pharmacolog
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