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Mechanism of inhibition of the Na current by tocainide in guinea-pig isolated ventricular cells

Tocainide blocked the Na current ( I Na) in ventricular myocytes in either a tonic or a phasic block manner, having a higher affinity for the inactivated state ( Kd i = 18 μM) than for the rested state ( Kd rest = 606 μM). The degree of phasic block was enhanced and the onset of phasic block was fas...

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Published in:General pharmacology 1999-05, Vol.32 (5), p.541-550
Main Authors: Tanaka, Yasunori, Hisatome, Ichiro, Sasaki, Norihito, Ahmmed, Gias U, Yatsuhashi, Toru, Yamanouchi, Yumi, Uchida, Kazuhiko, Hamada, Toshihiro, Taniguchi, Shin-ichi, Ogino, Kazuhide, Igawa, Osamu, Yoshida, Akio, Shigemasa, Chiaki, Sato, Ryoichi
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container_end_page 550
container_issue 5
container_start_page 541
container_title General pharmacology
container_volume 32
creator Tanaka, Yasunori
Hisatome, Ichiro
Sasaki, Norihito
Ahmmed, Gias U
Yatsuhashi, Toru
Yamanouchi, Yumi
Uchida, Kazuhiko
Hamada, Toshihiro
Taniguchi, Shin-ichi
Ogino, Kazuhide
Igawa, Osamu
Yoshida, Akio
Shigemasa, Chiaki
Sato, Ryoichi
description Tocainide blocked the Na current ( I Na) in ventricular myocytes in either a tonic or a phasic block manner, having a higher affinity for the inactivated state ( Kd i = 18 μM) than for the rested state ( Kd rest = 606 μM). The degree of phasic block was enhanced and the onset of phasic block was faster with an increase in pulse duration as well as at less-negative holding potential (HP). The recovery-time constant from the phasic block of I Na induced by tocainide was independent of either the HP or the removal of fast inactivation. After removal of fast inactivation, tocainide showed the pulse-duration dependency of phasic block but not the voltage dependency. These results suggest that tocainide could bind to the inactivated-state receptor through the hydrophilic pathway and leave the receptor through the hydrophobic pathway, producing the tonic and phasic block of I Na.
doi_str_mv 10.1016/S0306-3623(98)00228-6
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1879-0011
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source Elsevier
subjects Animals
Anti-Arrhythmia Agents - pharmacology
Electrophysiology
Fast inactivation process
Guinea Pigs
Heart - drug effects
Heart - physiology
Heart Ventricles - cytology
Hydrophobic pathway
In Vitro Techniques
Modulated receptor hypothesis
Na channels
Sodium Channel Blockers
Sodium Channels - physiology
Tocainide
Tocainide - pharmacology
Ventricular myocytes
title Mechanism of inhibition of the Na current by tocainide in guinea-pig isolated ventricular cells
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