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Am J Physiol Gastrointest Liver Physiol (March 24, 2005). doi:10.1152/ajpgi.00022.2005
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Submitted on January 19, 2005
Accepted on March 21, 2005

EFFECT OF MIBEFRADIL ON SODIUM AND CALCIUM CURRENTS

Peter R. Strege1, Cheryl E. Bernard1, Yijun Ou2, Simon J. Gibbons1, and Gianrico Farrugia1*

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 {alpha}13.3b + {beta}2, the human intestinal L-type Ca2+ channel subunits {alpha}1C + {beta}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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