Journal of Pharmacological Sciences (Aug 2022)

Roles of IK,ACh for perpetuating atrial fibrillation: Effects of atrial-selective K+ channel inhibitor AVE0118 and class I drugs on the persistent atrial fibrillation canine model

  • Ryuichi Kambayashi,
  • Ai Goto,
  • Hiroko Izumi-Nakaseko,
  • Yoshinori Takei,
  • Akio Matsumoto,
  • Shinichi Kawai,
  • Atsushi Sugiyama

Journal volume & issue
Vol. 149, no. 4
pp. 175 – 178

Abstract

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Since information is still limited whether atrial IK,ACh may become a potential therapeutic target to terminate persistent atrial fibrillation (AF), we assessed it by using the persistent AF canine model with representative IK,ACh inhibitor AVE0118 and class I drugs. AVE0118 (6 mg/kg, n = 7), disopyramide (3 mg/kg, n = 7) and cibenzoline (3 mg/kg, n = 6) terminated the AF in 3/7, 1/7 and 2/6 animals, respectively, whereas aprindine (3 mg/kg, n = 6) did not suppress it. These findings suggest that IK,ACh inhibition in addition to open-state INa suppression with slow dissociation kinetics can synergistically exert potent antiarrhythmic action against persistent AF.

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