Key result
Inhibition of various potassium currents revealed significant species-dependent differences in ventricular repolarization, with dog preparations showing the strongest translational value to humans.
Why the study?
Rodents have deeply different electrophysiological properties compared to humans, making the translation of rat studies to humans difficult.
Does the selective inhibition of various potassium currents differentially affect ventricular repolarization across animal models compared to human cardiac tissue?
Does the selective inhibition of various potassium currents differentially affect ventricular repolarization across animal models compared to human cardiac tissue?
Dog and rabbit ventricular preparations have strong translational value for human cardiac electrophysiology, whereas rat models have poor translational value and should be avoided for testing repolarization effects.
Dog models warrant preference for repolarization studies; leaves open human translation pending clinical validation.
Even though rodents are accessible model animals, their electrophysiological properties are deeply different from those of humans, making the translation of rat studies to humans rather difficult. We compared the mechanisms of ventricular repolarization in various animal models to those of humans by measuring cardiac ventricular action potentials from ventricular papillary muscle preparations using conventional microelectrodes and applying selective inhibitors of various potassium transmembrane ion currents. Inhibition of the I K1 current (10 µmol/L barium chloride) significantly prolonged rat ventricular repolarization, but only slightly prolonged it in dogs, and did not affect it in humans. On the contrary, I Kr inhibition (50 nmol/L dofetilide) significantly prolonged repolarization in humans, rabbits, and dogs, but not in rats. Inhibition of the I Kur current (1 µmol/L XEN-D0101) only prolonged rat ventricular repolarization and had no effect in humans or dogs. Inhibition of the I Ks (500 nmol/L HMR-1556) and I to currents (100 µmol/L chromanol-293B) elicited similar effects in all investigated species. We conclude that dog ventricular preparations have the strongest translational value and rat ventricular preparations have the weakest translational value in cardiac electrophysiological experiments.
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Árpádffy‐Lovas et al. (2022) studied Normal cardiac electrophysiology. Potassium current inhibitors (dofetilide, HMR-1556, chromanol-293B, BaCl2, XEN-D101) vs. Baseline (pre-drug application) was evaluated on Action potential duration (APD90) prolongation. Inhibition of various potassium currents revealed significant species-dependent differences in ventricular repolarization, with dog preparations showing the strongest translational value to humans.
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