Key result
Empagliflozin enhances ventricular IKr and IKs currents and shortens action potential duration.
Why the study?
Empagliflozin improves cardiovascular outcomes and possesses antiarrhythmic activity, but the mechanisms underlying these protective effects have not been fully elucidated.
Does empagliflozin modulate ion channel activity and action potential duration in adult zebrafish ventricular myocardium?
Does empagliflozin modulate ion channel activity and action potential duration in adult zebrafish ventricular myocardium?
Empagliflozin's enhancement of delayed rectifier potassium currents (IKr and IKs) may contribute to its antiarrhythmic and cardioprotective effects.
Answers are grounded in this paper and cite their sources.
No immediate clinical implications; hypothesis-generating for SGLT2 inhibitor effects on repolarization in humans.
Empagliflozin, an inhibitor of sodium-glucose co-transporter 2 (iSGLT2), improves cardiovascular outcomes in patients with and without diabetes and possesses an antiarrhythmic activity. However, the mechanisms of these protective effects have not been fully elucidated. This study aimed to explore the impact of empagliflozin on ion channel activity and electrophysiological characteristics in the ventricular myocardium. The main cardiac ionic currents (INa, ICaL, ICaT, IKr, IKs) and action potentials (APs) were studied in zebrafish. Whole-cell currents were measured using the patch clamp method in the isolated ventricular cardiomyocytes. The conventional sharp glass microelectrode technique was applied for the recording of APs from the ventricular myocardium of the excised heart. Empagliflozin pretreatment compared to the control group enhanced potassium IKr step current density in the range of testing potentials from 0 to +30 mV, IKr tail current density in the range of testing potentials from +10 to +70 mV, and IKs current density in the range of testing potentials from −10 to +20 mV. Moreover, in the ventricular myocardium, empagliflozin pretreatment shortened AP duration APD as shown by reduced APD50 and APD90. Empagliflozin had no influence on sodium (INa) and L- and T-type calcium currents (ICaL and ICaT) in zebrafish ventricular cardiomyocytes. Thus, we conclude that empagliflozin increases the rapid and slow components of delayed rectifier K+ current (IKr and IKs). This mechanism could be favorable for cardiac protection.
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Karpushev et al. (2022) studied Normal cardiac electrophysiology (zebrafish model). Empagliflozin vs. Control (buffer solution) was evaluated on IKr and IKs current density and Action Potential Duration. Empagliflozin increased the rapid and slow components of delayed rectifier K+ current (IKr and IKs) and shortened action potential duration in zebrafish ventricular myocardium.
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