Key result
Sertraline reversibly and concentration-dependently inhibited Na+/Mg2+ exchange transport in rat ventricular myocytes with an IC50 of 8.9 μM, more effectively than paroxetine or fluvoxamine.
Sertraline is a potent inhibitor of the Na+/Mg2+ exchanger in rat ventricular myocytes and could serve as a pharmacological tool to characterize its functions.
Na + /Mg 2+ exchange transport, the Na + gradient-driven Mg 2+ extrusion system, plays a key role in cellular Mg 2+ homeostasis. To date, the molecular entity and selective inhibitors of Na + /Mg 2+ exchanger have not been fully explored. Intracellular free Mg 2+ concentration ([Mg 2+ ] i ) was measured in ventricular myocytes acutely isolated from rat hearts. After soaking the cells in high-Mg 2+ low-Na + solution to increase [Mg 2+ ] i , the addition of extracellular Na + caused a decrease in [Mg 2+ ] i . We analyzed the rate of decrease in [Mg 2+ ] i as Na + /Mg 2+ exchange transport activity. The suppression of the rate of decrease in [Mg 2+ ] i caused by sertraline, a selective serotonin reuptake inhibitor (SSRI), was concentration dependent (IC 50 8.9 μM) and reversible. Other SSRIs, namely paroxetine and fluvoxamine, were less effective than sertraline. In conclusion, sertraline inhibited Na + /Mg 2+ exchange transport more effectively than any previously reported inhibitors of Na + /Mg 2+ exchanger. Sertraline could be used as a tool to characterize the functions of Na + /Mg 2+ exchanger.
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Tashiro et al. (2025) studied this question. Sertraline vs. Paroxetine and fluvoxamine was evaluated on Rate of decrease in intracellular free Mg2+ concentration ([Mg2+]i) as Na+/Mg2+ exchange transport activity (IC50 8.9 μM). Sertraline reversibly and concentration-dependently inhibited Na+/Mg2+ exchange transport in rat ventricular myocytes with an IC50 of 8.9 μM, more effectively than paroxetine or fluvoxamine.
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