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Does clozapine inhibit voltage-dependent K+ channels in rabbit coronary arterial smooth muscle cells?
Does clozapine inhibit voltage-dependent K+ channels in rabbit coronary arterial smooth muscle cells?
Clozapine inhibits vascular Kv channels (primarily Kv1.5) in a concentration- and use-dependent manner, suggesting a potential mechanism for its cardiovascular side effects.
Clinical translation of clozapine Kv effects remains premature; extends preclinical coronary electrophysiology data.
(Kv) channels in rabbit coronary arterial smooth muscle cells. Clozapine-induced inhibition of Kv channels occurred in a concentration-dependent manner with an half-inhibitory concentration value of 7.84 ± 4.86 µM and a Hill coefficient of 0.47 ± 0.06. Clozapine did not shift the steady-state activation or inactivation curves, suggesting that it inhibited Kv channels regardless of gating properties. Application of train pulses (1 and 2 Hz) progressively augmented the clozapine-induced inhibition of Kv channels in the presence of the drug. Furthermore, the recovery time constant from inactivation was increased in the presence of clozapine, suggesting that clozapine-induced inhibition of Kv channels is use (state)-dependent. Pretreatment of a Kv1.5 subtype inhibitor decreased the Kv current amplitudes, but additional application of clozapine did not further inhibit the Kv current. Pretreatment with Kv2.1 or Kv7 subtype inhibitors partially blocked the inhibitory effect of clozapine. Based on these results, we conclude that clozapine inhibits arterial Kv channels in a concentrationand use (state)-dependent manner. Kv1.5 is the major subtype involved in clozapine-induced inhibition of Kv channels, and Kv2.1 and Kv7 subtypes are partially involved.
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Kang et al. (2022) studied this question.
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