# Effect ofα-Allocryptopine on Delayed Afterdepolarizations and Triggered Activities in Mice Cardiomyocytes Treated with Isoproterenol

Authors: Bin Xu; Yicheng Fu; Li Liu; Kun Lin; Xiaojing Zhao; Yu Zhang; Xi Chen; Zhongqi Cai; Yun Huang; Yang Li
Journal: Evidence-Based Complementary and Alternative Medicine
 (2015)

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## Abstract

Objective. To investigate the effect of α-allocryptopine (ALL) on delayed afterdepolarization (DAD) incidence and triggered activity (TA) in mice administered isoproterenol (ISO). Methods. Mouse ventricular myocytes were isolated. And the cellular electrophysiological properties of ventricular myocytes were investigated. Results. We found that the incidences of DADs and TA in mouse myocytes were increased by ISO treatment. In sharp contrast, triggered arrhythmia events were rarely observed in myocytes with 10 μM ALL treatment. Transient inward current (Iti) was reduced significantly with ALL treatment, which contributed to DAD-related triggered arrhythmia. Compared to Iso-treated group, the L-type calcium current (ICa,L) densities were decreased after exposure to ALL, along with slower activation, quicker inactivation, and longer time constant of recovery from inactivation kinetics. Conclusion. There is less triggered arrhythmia events in ventricular myocytes treated with ALL. This effect may be associated with the inhibition of Iti and ICa,L.


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## Body

## 1. Introduction

It is widely believed that the incidences of delayed afterdepolarizations (DADs) and triggered activities (TAs) have dramatically increased in heart failure patients [1, 2]. DAD-mediated TA is believed to play an important role in abnormal autorhythmicity, which causes the majority of sudden cardiac death during nonischemic heart failure by contributing to intracellular Ca2+ overload. DAD-mediated TA leads to activation of sodium-calcium exchanger (NCX) that extrudes Ca2+ in exchange for Na+ and generates a net inward current (Iti) [3, 4]. The larger ICa,L plays a vital role in producing Iti. Iti induces DADs that may reach threshold and trigger premature beats [5]. Currently, there is no effective strategy for the treatment of triggered arrhythmias. Available clinical antiarrhythmic drugs have a narrow therapeutic index, which identifies the need for researchers to explore the safety profile and effectiveness of alternative drugs.α-Allocryptopine (ALL), a derivative of tetrahydropalmatine, is extracted fromCorydalis decumbens (Thunb.) Pers. Papaveraceae [6]. Previous studies have indicated that ALL has antiarrhythmic effects in various animal models, which could be accounted for by the electrophysiological effects of ALL in prolonging the action potential duration [7]. However, it is not clear whether ALL reduces DADs and TAs in ventricular myocardium to resist the development of triggered arrhythmias. The present study aimed to characterize the action and mechanism of ALL on DADs and TAs in mouse ventricular myocytes by using the whole cell patch-clamp technique.


## 2. Materials and Methods

All experimental procedures and protocols were carried out according to the Chinese law on animal experimentation and approved by the Animal Experimental Committee of Chinese PLA General Hospital. This study conforms to the Guide for the Care and Use of Laboratory Animals published by the US National Institutes of Health (NIH Publication number 85-23, revised 1996).


### 2.1. Alpha-Allocryptopine Preparation and Treatment

Alpha-allocryptopine (ALL, formula is shown in Figure1) was supplied by the Pharmaceutical Department of Lanzhou University (molecular weight: 365), melting point 168°C, as a white crystal powder, and 99.0% purity. ALL was dissolved in dimethyl sulfoxide (DMSO) to obtain a stock solution of 1.0 M. The effect of ALL was investigated at a maximum concentration of 0.5 mM. Based on the highest employed drug concentrations, DMSO was added to the media to produce a final concentration of 0.1%. The drug stock solution was added to the culture media or bath solution to produce the final concentration as reported in Section 3.Figure 1
Chemical formula of ALL, an alkaloid extracted fromCorydalis decumbens (Thunb.) Pers. Papaveraceae.


### 2.2. Patch-Clamp Experiments

Mouse cardiac myocytes were isolated using an established enzymatic digestion protocol. Cell pellets were resuspended and plated on laminin-coated 35 mm dishes. Only quiescent, Ca2+-tolerant, and rod-shaped cells were used. Transmembrane action potentials and currents were recorded in whole cell configuration as previously described using a MultiClamp 700B amplifier (Axon Instruments) [7]. Correction for liquid junction potentials (which averaged −10 mV) was applied only for resting potential and reversal potential values.Action potentials and current were recorded using the whole cell patch-clamp technique with a MultiClamp 700B amplifier (Axon Instruments). Data were sampled at 10 kHz and subsequently filtered at 5 kHz for analysis (Digidata 1440A, Axon Instruments). Patch pipettes were pulled from borosilicate glass on a P-97 horizontal puller (Sutter Instruments). The resistance electrodes of 2 MΩ~5.5 MΩ were used to record action potentials and currents. A routine series resistance compensation was performed for values >80% to minimize voltage clamp errors. Thus, the uncompensatedRseries was < 2 MΩ. The membrane capacitance was measured on each of the cells and was compensated by approximately 80%~90% of their initial value.


### 2.3. Stimulation Parameters of Cardiac Myocytes

Myocytes were electrically stimulated for 3 ms with a 1.5 nA depolarizing pulse. Action potentials were induced in cardiac myocytes by 30 trains of suprathreshold current pulses at frequencies of 1.0, 2.0, 3.0, 4.0, and 5.0 Hz while the cells were under current clamp. DAD is defined as a depolarization >5 mV for >10 ms occurring during diastole (phase 4) immediately after an action potential. TA is defined as a spontaneous action potential arising from DADs.To record transient inward current (Iti), serial voltage steps were preceded by 20 conditioning pulses with each pulse lasting 150 ms from −80 mV to +50 mV at intervals of 100 ms. Following conditioning, serial voltage steps were applied for 2 s from −100 mV to +30 mV at 10 mV increments. Successive trains were 6 seconds apart. Iti amplitude was measured as the difference between the peak and the base of the transient current with the first peak taken for analysis.Using an extracellular solution with 0.05 mM TTX to inhibit Na+ current and 5.0 mM CsCl to inhibit K+ current, L-type calcium current (ICa,L) was recorded with 200 ms depolarizing pulses from a holding potential of −40 mV, with 10 mV steps from −40 mV to +60 mV. Current-voltage (I-V) curves were obtained with 10 mV voltage steps (−40 mV to +60 mV) from a holding potential of −40 mV.


### 2.4. Statistical Analysis

Statistical analyses were performed using SPSS version 17.0. One-way ANOVA with a Bonferroni post hoc test or Student’st-test was used. Chi-square tests (Fisher exact tests) were used to compare differences in the occurrence of DADs and TAs. Data were expressed as mean ± SEM. p<0.05 was considered statistically significant.


## 2.1. Alpha-Allocryptopine Preparation and Treatment

Alpha-allocryptopine (ALL, formula is shown in Figure1) was supplied by the Pharmaceutical Department of Lanzhou University (molecular weight: 365), melting point 168°C, as a white crystal powder, and 99.0% purity. ALL was dissolved in dimethyl sulfoxide (DMSO) to obtain a stock solution of 1.0 M. The effect of ALL was investigated at a maximum concentration of 0.5 mM. Based on the highest employed drug concentrations, DMSO was added to the media to produce a final concentration of 0.1%. The drug stock solution was added to the culture media or bath solution to produce the final concentration as reported in Section 3.Figure 1
Chemical formula of ALL, an alkaloid extracted fromCorydalis decumbens (Thunb.) Pers. Papaveraceae.


## 2.2. Patch-Clamp Experiments

Mouse cardiac myocytes were isolated using an established enzymatic digestion protocol. Cell pellets were resuspended and plated on laminin-coated 35 mm dishes. Only quiescent, Ca2+-tolerant, and rod-shaped cells were used. Transmembrane action potentials and currents were recorded in whole cell configuration as previously described using a MultiClamp 700B amplifier (Axon Instruments) [7]. Correction for liquid junction potentials (which averaged −10 mV) was applied only for resting potential and reversal potential values.Action potentials and current were recorded using the whole cell patch-clamp technique with a MultiClamp 700B amplifier (Axon Instruments). Data were sampled at 10 kHz and subsequently filtered at 5 kHz for analysis (Digidata 1440A, Axon Instruments). Patch pipettes were pulled from borosilicate glass on a P-97 horizontal puller (Sutter Instruments). The resistance electrodes of 2 MΩ~5.5 MΩ were used to record action potentials and currents. A routine series resistance compensation was performed for values >80% to minimize voltage clamp errors. Thus, the uncompensatedRseries was < 2 MΩ. The membrane capacitance was measured on each of the cells and was compensated by approximately 80%~90% of their initial value.


## 2.3. Stimulation Parameters of Cardiac Myocytes

Myocytes were electrically stimulated for 3 ms with a 1.5 nA depolarizing pulse. Action potentials were induced in cardiac myocytes by 30 trains of suprathreshold current pulses at frequencies of 1.0, 2.0, 3.0, 4.0, and 5.0 Hz while the cells were under current clamp. DAD is defined as a depolarization >5 mV for >10 ms occurring during diastole (phase 4) immediately after an action potential. TA is defined as a spontaneous action potential arising from DADs.To record transient inward current (Iti), serial voltage steps were preceded by 20 conditioning pulses with each pulse lasting 150 ms from −80 mV to +50 mV at intervals of 100 ms. Following conditioning, serial voltage steps were applied for 2 s from −100 mV to +30 mV at 10 mV increments. Successive trains were 6 seconds apart. Iti amplitude was measured as the difference between the peak and the base of the transient current with the first peak taken for analysis.Using an extracellular solution with 0.05 mM TTX to inhibit Na+ current and 5.0 mM CsCl to inhibit K+ current, L-type calcium current (ICa,L) was recorded with 200 ms depolarizing pulses from a holding potential of −40 mV, with 10 mV steps from −40 mV to +60 mV. Current-voltage (I-V) curves were obtained with 10 mV voltage steps (−40 mV to +60 mV) from a holding potential of −40 mV.


## 2.4. Statistical Analysis

Statistical analyses were performed using SPSS version 17.0. One-way ANOVA with a Bonferroni post hoc test or Student’st-test was used. Chi-square tests (Fisher exact tests) were used to compare differences in the occurrence of DADs and TAs. Data were expressed as mean ± SEM. p<0.05 was considered statistically significant.


## 3. Results

### 3.1. DADs and TA Incidences in Mouse Ventricular Myocytes of Mice with ALL Treatment

Under fast frequency pacing pulse (5.0 Hz), DADs were elicited in 20% (5/25) of cardiac myocytes following 30 nM ISO treatment (Figures2(a) and 2(b)). The occurrence of DADs was significantly decreased in cardiac myocytes treated with 30 nM ISO treatment when administered 10 nM ALL (9%, 3/25, p<0.01, Figures 2(a) and 2(b)). Only 4% of untreated myocytes had DADs (1/25, Figures 2(a) and 2(b)). Twelve percent of TA events were observed in cells treated with ISO. In myocytes administered ISO and then treated with 10 μM ALL, only 4% had TA events (p<0.01, Figures 2(a) and 2(c)).Figure 2
Effects of ALL on DADs and TA in mouse ventricular myocytes with 5.0 Hz stimulation. (a) The events of DADs or TAs induced with ISO were decreased after exposure to 10μM ALL. The percent of DADs and TA events is shown in (b and c). p∗∗<0.01, compared to control myocytes; p##<0.01, compared to myocytes with ISO treatment.
(a)
(b)
(c)


### 3.2. Frequency Characteristics of ALL on DADs and TA Incidences

Action potentials were recorded from ventricular myocytes that were stimulated at 1 to 5 Hz. Figure3(a) displays 30 continuous driven action potentials at each pacing frequency with the development of DADs and TAs when pacing was discontinued. DADs and TAs were observed after relatively faster pacing frequencies. Compared to control myocytes, the occurrence of DADs and TAs progressively increased following treatment with 30 nM ISO at higher frequencies. The numbers of DADs or TAs were reduced after exposure to 10 μM ALL, and this effect was more significant during high frequency stimulation (Figures 3(b) and 3(c)).Figure 3
Frequency characteristics of ALL on DADs and TAs. (a) Hold potential at 0 mV, applying 30 wave pulses at 1500 pA for 3 ms at frequencies of 1.0, 2.0, 3.0, 4.0, and 5.0 Hz. Compared with untreated myocytes, the events of DADs and TAs progressively increased and had accelerated frequency following treatment with 30 nM ISO. Numbers of DADs or TAs were reduced in myocytes treated with ISO after exposure to 10μM ALL in (b and c).
(a)
(b)
(c)


### 3.3.Iti of Mouse Ventricular Myocytes with ALL Treatment

It is known that the occurrence of DADs is due to instigation byIti. To evaluate the role of Iti in development of DADs and TA, we recorded Iti among three groups. Compared to control cells, there was a notable increase of Iti found under exposure to 30 nM ISO. On average, the peak current densities of Iti increased from -1.03±0.12pA/pF to -2.38±0.08pA/pF, which was markedly reduced by 10 μM ALL to -1.21±0.14pA/pF (p<0.05, n=10, Figures 4(a) and 4(b)). Current-voltage relationship curves indicated that maximal inward current density of Iti was at the potential of −60 mV. Also, the current density of Iti was greater in myocytes with ISO treatment, ranging from −80 mV to −20 mV, compared to untreated myocytes. The ISO-induced increase of current in myocytes was reduced by ALL treatment (Figure 4(c)).Figure 4
Effect of ALL onIti in mouse ventricular myocytes. (a) The left inset shows current traces obtained by applying train pulses from −100 mV to +30 mV for 2 s after conditioned stimulus ranging from −80 to +50 mV at intervals of 150 ms. (b) The larger current densities induced by ISO were significantly reduced with 10 μM ALL treatment. (c) Current-voltage relationship showed that densities of inward Iti ranging from −80 mV to 0 mV were decreased by treatment with ALL with the largest reduction of peak current at −60 mV. p∗∗<0.01, versus control myocytes; p##<0.01, versus myocytes with ISO treatment.
(a)
(b)
(c)


### 3.4.ICa,L of Mouse Ventricular Myocytes with ALL Treatment

Since DAD events were augmented by both ISO and ALL treatment, we mainly measured currents of L-type calcium currents. TheICa,L currents of three groups were showed in Figure 5(a). The current densities of ICa,L in myocytes with 30 nM ISO treatment were significantly larger, with -8.5±0.6pA/pF in the control group and -15.5±0.3pA/pF in the ISO-treated group at 0 mV of test potential. ICa,L was reduced to -10.3±0.4pA/pF in ISO-treated myocytes that were cotreated with 10 μM of ALL (p<0.01, n=12, Figure 5(b)). The concentration-dependent inhibition of ALL on ICa,L is shown in Figure 5(c), with IC50: 16.08±1.23 μM and Hill coefficient: 0.84. The current-voltage relationship demonstrated that current densities of ICa,L from myocytes treated with ISO were significantly larger than in control myocytes from −20 mV to +20 mV. This effect was alleviated by 10 μM ALL treatment (Figure 5(d)).Figure 5
Effect of ALL onICa,L in mouse ventricular myocytes. (a) Representative ICa,L traces in mouse ventricular myocytes of the indicated three groups. Current amplitudes of ICa,L with ISO treatment were significantly higher and were reduced by treatment with ALL (b). The concentration-dependent inhibition of ALL on ICa,L is shown in (c), with IC50: 16.08 μM and Hill coefficient: 0.84. The current-voltage relationship demonstrated that current densities of ICa,L from myocytes with ISO treatment were significantly larger than in control myocytes. The effect of ISO on ICa,L was alleviated by 10 μM ALL treatment (d). p∗∗<0.01, versus control myocytes; p##<0.01, versus myocytes with ISO treatment.
(a)
(b)
(c)
(d)Steady-state activated curves and steady-state inactivated curves ofICa,L were fitted by the Boltzmann equation function. The steady-state activated curve of ICa,L was shifted to more negative potential in the presence of 30 nM ISO. Meanwhile, the steady-state inactivated curve was shifted to more positive potential by ISO treatment (Figures 6(a) and 6(c)). This suggests a slower activated procedure and faster inactivated procedure of ICa,L. Changes to the steady-state (in)activated curves were reversed by treatment with 10 μM ALL. V1/2,act and V1/2,inact were significantly different between the three groups, whereas kact and kinact values in the three groups had no significant difference (Figures 6(b) and 6(d)).Figure 6
Effect of ALL on steady-state activated and inactivated curve ofICa,L. (a) The representative currents of ICa,L activation and inactivation before and after being treated with Iso 30 nM and ALL 10 μM. (b and c) The steady-state activated curve of ICa,L was shifted to negative potential, while the steady-state inactivated curve was shifted to positive potential following ISO treatment. Changes of steady-state (in)activated curves were reversed with 10 μM ALL treatment. V1/2,act and V1/2,inact were shown in (d and e); kact and kinact were shown in (f and g). p∗∗<0.01, versus control myocytes; p##<0.01, versus myocytes with ISO treatment.
(a)
(b)
(c)
(d)
(e)
(f)
(g)A faster recovery from inactivation ofICa,L in myocytes with ISO treatment was reversed by 10 μM ALL treatment. The representative currents of recovery from inactivation before and after Iso and ALL treatment were recorded and shown in Figure 7(a). The average recovery time constants from inactivation were 895±20 ms in the control group, 312±16 ms in the ISO-treated myocytes, and 545±22 ms in myocytes cotreated with ISO and ALL, respectively (p<0.01, n=10, Figure 7(b)).Figure 7
Effect of ALL on recovery from inactivation ofICa,L. (a) The representative currents of ICa,L recovery from inactivation after being treated with Iso 30 nM and ALL 10 μM. (b) A faster recovery from inactivation of ICa,L in myocytes treated with Iso was observed. The time constant of recovery from inactivation was prolonged in myocytes treated with ALL.
(a)
(b)


## 3.1. DADs and TA Incidences in Mouse Ventricular Myocytes of Mice with ALL Treatment

Under fast frequency pacing pulse (5.0 Hz), DADs were elicited in 20% (5/25) of cardiac myocytes following 30 nM ISO treatment (Figures2(a) and 2(b)). The occurrence of DADs was significantly decreased in cardiac myocytes treated with 30 nM ISO treatment when administered 10 nM ALL (9%, 3/25, p<0.01, Figures 2(a) and 2(b)). Only 4% of untreated myocytes had DADs (1/25, Figures 2(a) and 2(b)). Twelve percent of TA events were observed in cells treated with ISO. In myocytes administered ISO and then treated with 10 μM ALL, only 4% had TA events (p<0.01, Figures 2(a) and 2(c)).Figure 2
Effects of ALL on DADs and TA in mouse ventricular myocytes with 5.0 Hz stimulation. (a) The events of DADs or TAs induced with ISO were decreased after exposure to 10μM ALL. The percent of DADs and TA events is shown in (b and c). p∗∗<0.01, compared to control myocytes; p##<0.01, compared to myocytes with ISO treatment.
(a)
(b)
(c)


## 3.2. Frequency Characteristics of ALL on DADs and TA Incidences

Action potentials were recorded from ventricular myocytes that were stimulated at 1 to 5 Hz. Figure3(a) displays 30 continuous driven action potentials at each pacing frequency with the development of DADs and TAs when pacing was discontinued. DADs and TAs were observed after relatively faster pacing frequencies. Compared to control myocytes, the occurrence of DADs and TAs progressively increased following treatment with 30 nM ISO at higher frequencies. The numbers of DADs or TAs were reduced after exposure to 10 μM ALL, and this effect was more significant during high frequency stimulation (Figures 3(b) and 3(c)).Figure 3
Frequency characteristics of ALL on DADs and TAs. (a) Hold potential at 0 mV, applying 30 wave pulses at 1500 pA for 3 ms at frequencies of 1.0, 2.0, 3.0, 4.0, and 5.0 Hz. Compared with untreated myocytes, the events of DADs and TAs progressively increased and had accelerated frequency following treatment with 30 nM ISO. Numbers of DADs or TAs were reduced in myocytes treated with ISO after exposure to 10μM ALL in (b and c).
(a)
(b)
(c)


## 3.3.Iti of Mouse Ventricular Myocytes with ALL Treatment

It is known that the occurrence of DADs is due to instigation byIti. To evaluate the role of Iti in development of DADs and TA, we recorded Iti among three groups. Compared to control cells, there was a notable increase of Iti found under exposure to 30 nM ISO. On average, the peak current densities of Iti increased from -1.03±0.12pA/pF to -2.38±0.08pA/pF, which was markedly reduced by 10 μM ALL to -1.21±0.14pA/pF (p<0.05, n=10, Figures 4(a) and 4(b)). Current-voltage relationship curves indicated that maximal inward current density of Iti was at the potential of −60 mV. Also, the current density of Iti was greater in myocytes with ISO treatment, ranging from −80 mV to −20 mV, compared to untreated myocytes. The ISO-induced increase of current in myocytes was reduced by ALL treatment (Figure 4(c)).Figure 4
Effect of ALL onIti in mouse ventricular myocytes. (a) The left inset shows current traces obtained by applying train pulses from −100 mV to +30 mV for 2 s after conditioned stimulus ranging from −80 to +50 mV at intervals of 150 ms. (b) The larger current densities induced by ISO were significantly reduced with 10 μM ALL treatment. (c) Current-voltage relationship showed that densities of inward Iti ranging from −80 mV to 0 mV were decreased by treatment with ALL with the largest reduction of peak current at −60 mV. p∗∗<0.01, versus control myocytes; p##<0.01, versus myocytes with ISO treatment.
(a)
(b)
(c)


## 3.4.ICa,L of Mouse Ventricular Myocytes with ALL Treatment

Since DAD events were augmented by both ISO and ALL treatment, we mainly measured currents of L-type calcium currents. TheICa,L currents of three groups were showed in Figure 5(a). The current densities of ICa,L in myocytes with 30 nM ISO treatment were significantly larger, with -8.5±0.6pA/pF in the control group and -15.5±0.3pA/pF in the ISO-treated group at 0 mV of test potential. ICa,L was reduced to -10.3±0.4pA/pF in ISO-treated myocytes that were cotreated with 10 μM of ALL (p<0.01, n=12, Figure 5(b)). The concentration-dependent inhibition of ALL on ICa,L is shown in Figure 5(c), with IC50: 16.08±1.23 μM and Hill coefficient: 0.84. The current-voltage relationship demonstrated that current densities of ICa,L from myocytes treated with ISO were significantly larger than in control myocytes from −20 mV to +20 mV. This effect was alleviated by 10 μM ALL treatment (Figure 5(d)).Figure 5
Effect of ALL onICa,L in mouse ventricular myocytes. (a) Representative ICa,L traces in mouse ventricular myocytes of the indicated three groups. Current amplitudes of ICa,L with ISO treatment were significantly higher and were reduced by treatment with ALL (b). The concentration-dependent inhibition of ALL on ICa,L is shown in (c), with IC50: 16.08 μM and Hill coefficient: 0.84. The current-voltage relationship demonstrated that current densities of ICa,L from myocytes with ISO treatment were significantly larger than in control myocytes. The effect of ISO on ICa,L was alleviated by 10 μM ALL treatment (d). p∗∗<0.01, versus control myocytes; p##<0.01, versus myocytes with ISO treatment.
(a)
(b)
(c)
(d)Steady-state activated curves and steady-state inactivated curves ofICa,L were fitted by the Boltzmann equation function. The steady-state activated curve of ICa,L was shifted to more negative potential in the presence of 30 nM ISO. Meanwhile, the steady-state inactivated curve was shifted to more positive potential by ISO treatment (Figures 6(a) and 6(c)). This suggests a slower activated procedure and faster inactivated procedure of ICa,L. Changes to the steady-state (in)activated curves were reversed by treatment with 10 μM ALL. V1/2,act and V1/2,inact were significantly different between the three groups, whereas kact and kinact values in the three groups had no significant difference (Figures 6(b) and 6(d)).Figure 6
Effect of ALL on steady-state activated and inactivated curve ofICa,L. (a) The representative currents of ICa,L activation and inactivation before and after being treated with Iso 30 nM and ALL 10 μM. (b and c) The steady-state activated curve of ICa,L was shifted to negative potential, while the steady-state inactivated curve was shifted to positive potential following ISO treatment. Changes of steady-state (in)activated curves were reversed with 10 μM ALL treatment. V1/2,act and V1/2,inact were shown in (d and e); kact and kinact were shown in (f and g). p∗∗<0.01, versus control myocytes; p##<0.01, versus myocytes with ISO treatment.
(a)
(b)
(c)
(d)
(e)
(f)
(g)A faster recovery from inactivation ofICa,L in myocytes with ISO treatment was reversed by 10 μM ALL treatment. The representative currents of recovery from inactivation before and after Iso and ALL treatment were recorded and shown in Figure 7(a). The average recovery time constants from inactivation were 895±20 ms in the control group, 312±16 ms in the ISO-treated myocytes, and 545±22 ms in myocytes cotreated with ISO and ALL, respectively (p<0.01, n=10, Figure 7(b)).Figure 7
Effect of ALL on recovery from inactivation ofICa,L. (a) The representative currents of ICa,L recovery from inactivation after being treated with Iso 30 nM and ALL 10 μM. (b) A faster recovery from inactivation of ICa,L in myocytes treated with Iso was observed. The time constant of recovery from inactivation was prolonged in myocytes treated with ALL.
(a)
(b)


## 4. Discussion

The major finding of the present study is that mouse ventricular myocytes exhibited a lower incidence of ISO-induced DADs and TAs in response to 10μM ALL, which suggests that ALL has potential antitriggered arrhythmic effects. TAs have been easily induced by DADs in ventricular myocytes following the addition of isoproterenol and high calcium [8]. Furthermore, in isolated mouse ventricular myocytes, the effect of ALL on depressing DADs and DAD-induced TAs is largely rate-dependent showing stronger inhibitory effects at higher pulse frequencies.DADs are generally thought to be initiated by spontaneous Ca2+ release from the sarcoplasmic reticulum (SR) and a Ca2+-activated transient, depolarizing inward current (Iti) [9, 10]. Several Ca2+-activated currents have been proposed to participate in Iti, namely, the NCX exchange (INa/Ca) and calcium activated chloride channels (ICl,Ca) [11, 12]. Recently, Asakura et al. [4] reported that activation of the ryanodine receptor results in an explicit Ca2+ release initiated by the subthreshold Ca2+ accumulation and the progressive accumulation of Ca2+i, which rapidly increases the rate of DAD events. During heart failure, it has been shown that there is an increase in magnitude of INa and ICa,L and NCX exchange protein can double. Together, this will increase INa/Ca and will double Iti amplitude, which depolarizes the cell towards TA threshold. Iti induces DADs during the diastolic interval that may trigger premature beats by reaching threshold potential. Triggered arrhythmias cause the majority of sudden cardiac death during nonischemic heart failure [2]. Our data demonstrates the ability of ALL to suppress DADs and DAD-induced TA and that this effect could be explained by its action to reduce Iti currents. Current-voltage relationships of myocytes undergoing stimulation showed that densities of inward Iti range from −80 mV to 0 mV were decreased by ALL, with the largest reduction peak current at −60 mV. The lower amplitude of Iti leads to fewer events of DADs and subsequent DAD-induced TAs.During heart failure,ICa,L is essential for the electrical and biochemical function of the heart because they are the primary pathway for Ca2+ influx into cardiac myocytes. We found a notable ICa,L increase in myocytes with ISO treatment. The steady-state activated curve of ICa,L was shifted to negative potential, while the steady-state inactivated curve was shifted to positive potential by ISO treatment. The main mechanism of channel gating is a shorter time constant of recovery from inactivation in ISO-treated cells. The time constant of recovery from inactivation was prolonged and changes of the steady-state (in)activated curves were reversed by ALL treatment. Also, the increased effect of ISO on ICa,L was alleviated by ALL with less DAD events as a response. For these reasons and more, the effects of ALL on ICa,L and Iti may attenuate ISO-induced arrhythmogenesis by decreasing the genesis of DADs.The data in this study should be interpreted with caution because of its potential limitations. First, normal mouse ventricular myocytes are employed to determine the effect of ALL on DADs and TAs. As we know, triggered arrhythmias are prone to develop in heart failure. It is difficult to establish a heart failure model in mice, but normal cells do not mirror disease states. Therefore, ventricular myocytes isolated from mice with heart failure should be adopted in future research. Second, DADs and TA events are regulated by many currents such asICa,L, Iti, IK1, INCX, and ICl,Ca [13, 14]. We only investigated ICa,L and Iti in this study. The effects of ALL on other currents should be investigated in future research.In conclusion, DADs and TA events were decreased in mice ventricular cells treated with ALL. The underlying mechanism through which these cells exhibited a lower incidence of triggered arrhythmias was unclear. A possible explanation is that the decrease ofICa,L leads to NCX exchanger inhibition and generates Iti. On the other hand, Iti current can be directly blocked by ALL. Together, these effects on Iti will explain the reduced incidence of DADs and TAs in mouse by ALL.



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*Source: 634172-2015-10-19.xml*