Key result
Intracellular terfenadine blocks hERG with ~250-fold lower potency vs extracellular application.
Why the study?
It is unknown whether intracellular binding competes with binding of blockers to hERG and pancreatic ß-cell KATP channels.
Does intracellular binding of terfenadine compete with its access to hERG and KATP channels in HEK 293 and RINm5F cells?
Does intracellular binding of terfenadine compete with its access to hERG and KATP channels in HEK 293 and RINm5F cells?
Highly lipophilic substances like terfenadine are not freely diffusible inside the cell due to intracellular binding sites, which may create steep concentration gradients and affect their access to ion channels like hERG.
Does not inform clinical blocker use; leaves open whether intracellular binding competes in intact cells.
Most blockers of both hERG (human ether-à-go-go-related gene) channels and pancreatic ß-cell ATP-sensitive K+ (KATP) channels access their binding sites from the cytoplasmic side of the plasma membrane. It is unknown whether binding to intracellular components competes with binding of these substances to K+ channels. The whole-cell configuration of the patch-clamp technique, a laser-scanning confocal microscope, and fluorescence correlation spectroscopy (FCS) were used to study hERG channels expressed in HEK (human embryonic kidney) 293 cells and KATP channels from the clonal insulinoma cell line RINm5F. When applied via the pipette solution in the whole-cell configuration, terfenadine blocked both hERG and KATP currents with much lower potency than after application via the bath solution, which was not due to P-glycoprotein-mediated efflux of terfenadine. Such a difference was not observed with dofetilide and tolbutamide. 37–68% of hERG/EGFP (enhanced green-fluorescent protein) fusion proteins expressed in HEK 293 cells were slowly diffusible as determined by laser-scanning microscopy in the whole-cell configuration and by FCS in intact cells. Bath application of a green-fluorescent sulphonylurea derivative (Bodipy-glibenclamide) induced a diffuse fluorescence in the cytosol of RINm5F cells under whole-cell patch-clamp conditions. These observations demonstrate the presence of intracellular binding sites for hERG and KATP channel blockers not dialyzable by the patch-pipette solution. Intracellular binding of terfenadine was not influenced by a mutated hERG (Y652A) channel. In conclusion, substances with high lipophilicity are not freely diffusible inside the cell but steep concentration gradients might exist within the cell and in the sub-membrane space.
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Zünkler et al. (2022) studied hERG and KATP channel block (in vitro). Terfenadine (intracellular application) vs. Terfenadine (extracellular bath application) was evaluated on IC50 for hERG peak tail current block. Terfenadine blocked hERG currents with much lower potency when applied intracellularly (IC50 6.9 µM) compared to extracellular bath application (IC50 27.7 nM), indicating intracellular binding.
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