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1 Enteric NeuroScience Program, Mayo Clinic College of Medicine, Rochester, MN, USA
2 Department of Immunology, Mayo Clinic, Rochester, MN, USA
* To whom correspondence should be addressed. E-mail: farrugia.gianrico{at}mayo.edu.
Interstitial cells of Cajal (ICC) generate the electrical slow wave. The ionic
conductances that contribute to the slow wave appear to vary among species. In human,
a tetrodotoxin-resistant Na+ current (NaV1.5) encoded by SCN5A contributes to the rising
phase of the slow wave, while T-type Ca2+ currents have been reported from cultured
mouse intestine ICC and also from canine colonic ICC. Mibefradil has a higher affinity
for T-type over L-type Ca2+ channels and the drug has been used in the gastrointestinal
tract to identify T-type currents. However, the selectivity of mibefradil for T-type Ca2+
channels over ICC and smooth muscle Na+ channels has not been clearly demonstrated.
The aim of this study was to determine the effect of mibefradil on T-type, L-type Ca2+
and Na+ currents. Whole cell currents were recorded from HEK 293 cells coexpressing
green fluorescent protein with either the rat brain T-type Ca2+ channel
13.3b +
2, the
human intestinal L-type Ca2+ channel subunits
1C +
2, or NaV1.5. Mibefradil
significantly reduced expressed T-type Ca2+ current at concentrations
0.1 µM (IC50 =
0.29 µM), L-type Ca2+ current at >1 µM (IC50 = 2.7 µM), and Na+ current at
0.3 µM
(IC50 = 0.98 µM). In conclusion, mibefradil inhibits the human intestinal TTX-resistant
Na+ channel at sub-micromolar concentrations. Caution must be used in the
interpretation of the effects of mibefradil when several ion channel classes are co-expressed.
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