Department of Organic Chemistry, Faculty of Pharmacy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, 87-100 Toruń, Poland.
Department of Neurobiology and Biophysics, Institute of Bioscience, Vilnius University Saulėtekio Ave. 7, LT-10257 Vilnius, Lithuania.
Int J Mol Sci. 2023 Dec 23;25(1):263. doi: 10.3390/ijms25010263.
Dysrhythmia is a term referring to the occurrence of spontaneous and repetitive changes in potentials with parameters deviating from those considered normal. The term refers to heart anomalies but has a broader meaning. Dysrhythmias may concern the heart, neurological system, digestive system, and sensory organs. Ion currents conducted through ion channels are a universal phenomenon. The occurrence of channel abnormalities will therefore result in disorders with clinical manifestations depending on the affected tissue, but phenomena from other tissues and organs may also manifest themselves. A similar problem concerns the implementation of pharmacotherapy, the mechanism of which is related to the impact on various ion currents. Treatment in this case may cause unfavorable effects on other tissues and organs. Drugs acting through the modulation of ion currents are characterized by relatively low tissue specificity. To assess a therapy's efficacy and safety, the risk of occurrences in other tissues with similar mechanisms of action must be considered. In the present review, the focus is shifted prominently onto a comparison of abnormal electrical activity within different tissues and organs. This review includes an overview of the types of dysrhythmias and the basic techniques of clinical examination of electrophysiological disorders. It also presents a concise overview of the available pharmacotherapy in particular diseases. In addition, the authors review the relevant ion channels and their research technique based on patch clumping.
心律失常是指电位自发且重复出现的参数变化,偏离了正常的参数范围。这个术语指的是心脏异常,但它的含义更广泛。心律失常可能涉及心脏、神经系统、消化系统和感觉器官。离子通道传导的离子电流是一种普遍现象。因此,通道异常的发生将导致临床表现的紊乱,具体取决于受影响的组织,但其他组织和器官的现象也可能表现出来。类似的问题涉及到药物治疗的实施,其机制与对各种离子电流的影响有关。在这种情况下的治疗可能会对其他组织和器官产生不利影响。通过调节离子电流起作用的药物的特点是组织特异性相对较低。为了评估治疗的疗效和安全性,必须考虑具有类似作用机制的其他组织中出现的风险。在本综述中,重点明显转移到不同组织和器官内异常电活动的比较上。这篇综述包括心律失常的类型和电生理紊乱临床检查的基本技术概述。它还简要概述了特定疾病的现有药物治疗。此外,作者还根据膜片钳技术综述了相关的离子通道及其研究技术。
Int J Mol Sci. 2023-12-23
Clin Toxicol (Phila). 2017-6
J Pharmacol Toxicol Methods. 2016
Cardiovasc Res. 2002-7
Z Kardiol. 2000
J Biomol Screen. 2011-9
Toxicol Appl Pharmacol. 2017-8-15
Annu Rev Med. 1996
Molecules. 2023-12-11
Front Cardiovasc Med. 2023-6-20
Pharmaceuticals (Basel). 2023-6-6
Circ Arrhythm Electrophysiol. 2023-7
Ann Neurosci. 2023-1
Cyborg Bionic Syst. 2023-5-31