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Effect of selective...
Effect of selective IK,ACh inhibition by XAF-1407 in an equine model of tachypacing-induced persistent atrial fibrillation
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- Fenner, Merle Friederike (author)
- University of Copenhagen
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- Carstensen, Helena (author)
- University of Copenhagen
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- Dalgas Nissen, Sarah (author)
- University of Copenhagen
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- Melis Hesselkilde, Eva (author)
- University of Copenhagen
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- Scott Lunddahl, Christine (author)
- University of Copenhagen
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- Adler Hess Jensen, Maja (author)
- University of Copenhagen
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- Loft-Andersen, Ameli Victoria (author)
- University of Copenhagen
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- Sattler, Stefan Michael (author)
- University Hospital Munich,Ludwig-Maximilian University of Munich,Copenhagen University Hospital
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- Platonov, Pyotr (author)
- Lund University,Lunds universitet,Electrocardiology Research Group - CIEL,Forskargrupper vid Lunds universitet,Lund University Research Groups,Skåne University Hospital
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- El-Haou, Said (author)
- Xention Ltd
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- Jackson, Claire (author)
- Xention Ltd
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- Tang, Raymond (author)
- Xention Ltd
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- Kirby, Robert (author)
- Xention Ltd
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- Ford, John (author)
- Xention Ltd
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- Schotten, Ulrich (author)
- Maastricht University
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- Milnes, James (author)
- Xention Ltd
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- Svane Sørensen, Ulrik (author)
- Acesion Pharma
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- Jespersen, Thomas (author)
- University of Copenhagen
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- Buhl, Rikke (author)
- University of Copenhagen
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(creator_code:org_t)
- 2020-06-24
- 2020
- English 17 s.
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In: British Journal of Pharmacology. - : Wiley. - 0007-1188 .- 1476-5381. ; 177:16, s. 3778-3794
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Abstract
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- Background and Purpose: Inhibition of the G-protein gated ACh-activated inward rectifier potassium current, IK,ACh may be an effective atrial selective treatment strategy for atrial fibrillation (AF). Therefore, the anti-arrhythmic and electrophysiological properties of a novel putatively potent and highly specific IK,ACh inhibitor, XAF-1407 (3-methyl-1-[5-phenyl-4-[4-(2-pyrrolidin-1-ylethoxymethyl)-1-piperidyl]thieno[2,3-d]pyrimidin-6-yl]azetidin-3-ol), were characterised for the first time in vitro and investigated in horses with persistent AF. Experimental Approach: The pharmacological ion channel profile of XAF-1407 was investigated using cell lines expressing relevant ion channels. In addition, eleven horses were implanted with implantable cardioverter defibrillators enabling atrial tachypacing into self-sustained AF. The electrophysiological effects of XAF-1407 were investigated after serial cardioversions over a period of 1 month. Cardioversion success, drug-induced changes of atrial tissue refractoriness, and ventricular electrophysiology were assessed at baseline (day 0) and days 3, 5, 11, 17, and 29 after AF induction. Key Results: XAF-1407 potently and selectively inhibited Kir3.1/3.4 and Kir3.4/3.4, underlying the IK,ACh current. XAF-1407 treatment in horses prolonged atrial effective refractory period as well as decreased atrial fibrillatory rate significantly (~20%) and successfully cardioverted AF, although with a decreasing efficacy over time. XAF-1407 shortened atrioventricular-nodal refractoriness, without effect on QRS duration. QTc prolongation (4%) within 15 min of drug infusion was observed, however, without any evidence of ventricular arrhythmia. Conclusion and Implications: XAF-1407 efficiently cardioverted sustained tachypacing-induced AF of short duration in horses without notable side effects. This supports IK,ACh inhibition as a potentially safe treatment of paroxysmal AF in horses, suggesting potential clinical value for other species including humans.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Farmakologi och toxikologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Pharmacology and Toxicology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
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Fenner, Merle Fr ...
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Carstensen, Hele ...
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Dalgas Nissen, S ...
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Melis Hesselkild ...
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Scott Lunddahl, ...
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Adler Hess Jense ...
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Loft-Andersen, A ...
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Sattler, Stefan ...
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Platonov, Pyotr
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El-Haou, Said
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Jackson, Claire
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Tang, Raymond
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Kirby, Robert
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Ford, John
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Schotten, Ulrich
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Milnes, James
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Svane Sørensen, ...
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Jespersen, Thoma ...
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Buhl, Rikke
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Lund University