Why the study?
Does fesoterodine inhibit voltage-dependent K+ channels in coronary arterial smooth muscle cells?
Does fesoterodine inhibit voltage-dependent K+ channels in coronary arterial smooth muscle cells?
Fesoterodine inhibits vascular Kv channels (primarily Kv1.5) independently of its antimuscarinic effects, suggesting potential vascular implications when used for overactive bladder.
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No immediate clinical implications for coronary disease; leaves open research into fesoterodine's vascular Kv effects.
value of 3.19 ± 0.91 μM and a Hill coefficient of 0.56 ± 0.03. Although the drug did not alter the voltage-dependence of steady-state activation, it shifted the steady-state inactivation curve to a more negative potential, suggesting that fesoterodine affects the voltage-sensor of the Kv channel. Inhibition by fesoterodine was significantly enhanced by repetitive train pulses (1 or 2 Hz). Furthermore, it significantly increased the recovery time constant from inactivation, suggesting that the Kv channel inhibition by fesoterodine is use (state)-dependent. Its inhibitory effect disappeared by pretreatment with a Kv 1.5 inhibitor. However, pretreatment with Kv2.1 or Kv7 inhibitors did not affect the inhibitory effects on Kv channels. Based on these results, we conclude that fesoterodine inhibits vascular Kv channels (mainly the Kv1.5 subtype) in a concentration- and use (state)-dependent manner, independent of muscarinic receptor antagonism.
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Park et al. (2022) studied this question.
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