Perissinotti Laura L, Guo Jiqing, De Biase Pablo M, Clancy Colleen E, Duff Henry J, Noskov Sergei Y
Centre for Molecular Modeling, Department of Biological Sciences, Faculty of Science, University of Calgary, Calgary, Alberta, Canada.
Libin Cardiovascular Institute of Alberta, Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada.
Biophys J. 2015 Mar 24;108(6):1414-1424. doi: 10.1016/j.bpj.2014.12.056.
Congenital and acquired (drug-induced) forms of the human long-QT syndrome are associated with alterations in Kv11.1 (hERG) channel-controlled repolarizing IKr currents of cardiac action potentials. A mandatory drug screen implemented by many countries led to a discovery of a large group of small molecules that can activate hERG currents and thus may act as potent antiarrhythmic agents. Despite significant progress in identification of channel activators, little is known about their mechanism of action. A combination of electrophysiological studies with molecular and kinetic modeling was used to examine the mechanism of a model activator (NS1643) action on the hERG channel and its L529I mutant. The L529I mutant has gating dynamics similar to that of wild-type while its response to application of NS1643 is markedly different. We propose a mechanism compatible with experiments in which the model activator binds to the closed (C3) and open states (O). We suggest that NS1643 is affecting early gating transitions, probably during movements of the voltage sensor that precede the opening of the activation gate.
人类长QT综合征的先天性和后天性(药物诱导)形式与心脏动作电位中Kv11.1(hERG)通道控制的复极化IKr电流改变有关。许多国家实施的强制性药物筛查发现了一大类能够激活hERG电流的小分子,因此这些小分子可能作为有效的抗心律失常药物。尽管在通道激活剂的鉴定方面取得了显著进展,但对其作用机制仍知之甚少。结合电生理研究与分子和动力学建模来研究一种模型激活剂(NS1643)对hERG通道及其L529I突变体的作用机制。L529I突变体的门控动力学与野生型相似,但其对NS1643应用的反应明显不同。我们提出了一种与实验结果相符的机制,即模型激活剂与关闭状态(C3)和开放状态(O)结合。我们认为NS1643正在影响早期门控转换,可能是在激活门打开之前电压传感器移动的过程中。