Title : Cardiac glycosides as novel inhibitors of human ether-a-go-go-related gene channel trafficking.

Pub. Date : 2007 Feb

PMID : 17095614






4 Functional Relationships(s)
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1 Further investigation of digitoxin, ouabain, and digoxin revealed that all three cardiac glycosides reduced expression of the fully glycosylated cell surface form of hERG on Western blots, indicating that channel exit from the endoplasmic reticulum is blocked. Digitoxin ETS transcription factor ERG Homo sapiens
2 In isolated guinea pig myocytes, long-term exposure to 30 nM of the clinically used drugs digoxin or digitoxin reduced hERG/rapidly activating delayed rectifier K(+) current (I(Kr)) currents by approximately 50%, whereas three other cardiac membrane currents--inward rectifier current, slowly activating delayed rectifier K(+) current, and calcium current--were not affected. Digitoxin ETS transcription factor ERG Homo sapiens
3 Importantly, 100 nM digitoxin prolonged action potential duration on long-term exposure consistent with a reduction in hERG/I(Kr) channel number. Digitoxin ETS transcription factor ERG Homo sapiens
4 Thus, cardiac glycosides are able to delay cardiac repolarization at nanomolar concentrations via hERG trafficking inhibition, and this may contribute to the complex electrocardiographic changes seen with compounds such as digitoxin. Digitoxin ETS transcription factor ERG Homo sapiens