Effects of JTV-519, a novel anti-ischaemic drug, on the delayed rectifier K+ current in guinea-pig ventricular myocytes.

We studied the effects of a newly synthesized anti-ischaemic agent, 4-[3-(4-benzylpiperidin-1-yl) propionyl]-7-methoxy-2, 3, 4, 5-tetrahydro-1, 4-benzothiazepine monohydrochloride (JTV-519) on the delayed rectifier potassium current (I_K), using guinea-pig ventricular myocytes and whole-cell voltage-clamp techniques, under blockade of the L-type calcium current (I_Ca,L) by D600 (1 µM) or nitrendipine (5 µM). The I_K in guinea-pig ventricular cells consists of two different components; the rapidly activating, E4031-sensitive component (I_Kr) and the slowly activating E4031-resistant component (I_Ks). Under steady-state conditions, JTV-519 (1 and 5 µM) did not change the amplitude of I_Ks remaining after blockade of I_Kr with 5 µM E4031. The effect of JTV-519 on I_Kr was assessed using short (50 ms) pulses which evoked a tail current that was sensitive to E4031 but not to chromanol 293B, a specific blocker of I_Ks. JTV-519 suppressed the I_Kr with a half-maximal inhibitory concentration of 1.2 µM. Selective inhibition of I_Kr by this agent was confirmed by using the "envelope of tails" test. These results suggest that the blockade of I_Kr may underlie the prolongation of action potential duration in ventricular muscle and QT-intervals alleged to occur in animal as well as human hearts. [ABSTRACT FROM AUTHOR]