KN-93, an inhibitor of multifunctional Ca++/calmodulin-dependent protein kinase, decreases early afterdepolarizations in rabbit heart

ME Anderson, AP Braun, Y Wu, T Lu, Y Wu… - … of Pharmacology and …, 1998 - ASPET
ME Anderson, AP Braun, Y Wu, T Lu, Y Wu, H Schulman, RJ Sung
Journal of Pharmacology and Experimental Therapeutics, 1998ASPET
The multifunctional Ca++/calmodulin-dependent protein kinase II (CaM kinase) mediates
Ca++-induced augmentation of L-type Ca++ current (ICa); therefore it may act as a
proarrhythmic signaling molecule during early afterdepolarizations (EADs) due to ICa. To
investigate the hypothesis that ICa-dependent EADs are favored by CaM kinase activation
EADs were induced with clofilium in isolated rabbit hearts. All EADs were rapidly terminated
with ICaantagonists. Hearts were pretreated with the CaM kinase inhibitor KN-93 or the …
The multifunctional Ca++/calmodulin-dependent protein kinase II (CaM kinase) mediates Ca++-induced augmentation of L-type Ca++ current (ICa); therefore it may act as a proarrhythmic signaling molecule during early afterdepolarizations (EADs) due to ICa. To investigate the hypothesis that ICa-dependent EADs are favored by CaM kinase activation EADs were induced with clofilium in isolated rabbit hearts. All EADs were rapidly terminated with ICaantagonists. Hearts were pretreated with the CaM kinase inhibitor KN-93 or the inactive analog KN-92 (0.5 μM) for 10 min before clofilium exposure. EADs were significantly suppressed by KN-93 (EADs present in 4/10 hearts) compared to KN-92 (EADs present in 10/11 hearts) (P = .024). There were no significant differences in parameters favoring EADs such as monophasic action potential duration or heart rate in KN-93- or KN-92-treated hearts. CaM kinase activity in situincreased 37% in hearts with EADs compared to hearts without EADs (P = .015). This increase in CaM kinase activity was prevented by pretreatment with KN-93. In vitro, KN-93 potently inhibited rabbit myocardial CaM kinase activity (calculatedKi ≤ 2.58 μM), but the inactive analog KN-92 did not (Ki > 100 μM). The actions of KN-93 and KN-92 on ICa and other repolarizing K+currents did not explain preferential EAD suppression by KN-93. These data show a novel association between CaM kinase activation and EADs and are consistent with the hypothesis that the ICa and CaM kinase activation both contribute to EADs in this model.
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