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First published on November 11, 2005; DOI: 10.1124/mol.105.019943


0026-895X/06/6902-658-665$20.00
Mol Pharmacol 69:658-665, 2006

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Mechanism of Action of a Novel Human ether-a-go-go-Related Gene Channel Activator

Oscar Casis, Søren-Peter Olesen, and Michael C. Sanguinetti

Nora Eccles Harrison Cardiovascular Research and Training Institute and Department of Physiology, University of Utah, Salt Lake City, Utah (O.C., M.C.S.); Departmento de Fisiologia, Universidad del Pais Vasco, Bilbao, Spain (O.C.); and Danish Arrhythmia Research Centre, Department of Physiology, University of Copenhagen, Copenhagen and NeuroSearch, Ballerup, Denmark (S.-P.O.)

1,3-Bis-(2-hydroxy-5-trifluoromethyl-phenyl)-urea (NS1643) is a newly discovered activator of human ether-a-go-go-related gene (hERG) K+ channels. Here, we characterize the effects of this compound on cloned hERG channels heterologously expressed in Xenopus laevis oocytes. When assessed with 2-s depolarizations, NS1643 enhanced the magnitude of wild-type hERG current in a concentration- and voltage-dependent manner with an EC50 of 10.4 µM at –10 mV. The fully activated current-voltage relationship revealed that the drug increased outward but not inward currents, consistent with altered inactivation gating. NS1643 shifted the voltage dependence of inactivation by +21 mV at 10 µM and +35 mV at 30 µM, but it did not alter the voltage dependence of activation of hERG channels. The effects of the drug on three inactivation-deficient hERG mutant channels (S620T, S631A, and G628C/S631C) were determined. In the absence of channel inactivation, NS1643 did not enhance hERG current magnitude. The agonist activity of NS1643 was facilitated by mutations (F656 to Val, Met, or Thr) that are known to greatly attenuate channel inhibition by hERG blockers. We conclude that NS1643 is a partial agonist of hERG channels and that the mechanism of activation is reduced channel inactivation.


Received October 18, 2005; accepted November 11, 2005

Address correspondence to: Dr. Michael C. Sanguinetti, Department of Physiology, Nora Eccles Harrison Cardiovascular Research and Training Institute, University of Utah, 95 South 2000 East, Salt Lake City, UT 84112. E-mail: sanguinetti{at}cvrti.utah.edu




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