title: Inhibitory effects of diprafenone stereoenantiomers on cardiac Na+ channels.
abstract: The potency of (-)- and (+)-diprafenone to depress the Vmax of Na+-dependent action potentials and to block single cardiac Na+ channels was analyzed in microelectrode experiments with guinea pig papillary muscles and in patch clamp experiments with DPI-modified Na+ channels using neonatal cardiocytes. Within 20-30 min, both optical enantiomers caused a Vmax depression which occurred predominantly as a phasic blockade at a low dosage (10 mumol/l). (-)- and (+)-diprafenone were equally effective in evoking a tonic and phasic depression of Vmax. Exposing the cytoplasmic side of inside-out patches to 10 mumol/l of (-)- or (+)-diprafenone evoked a flicker block of DPI-modified Na+ channels within 1-2 s. Kinetic analysis of the latter revealed a KD value for the blocking action of 6.3 X 10(-5) mol for the (-) enantiomer and 7.1 X 10(-5) mol for the (+) enantiomer. Nevertheless, larger association and dissociation rate constants were obtained with (+)-diprafenone than with (-)-diprafenone. This indicates that there are stereoselective reaction kinetics in blocking open modified Na+ channels.
authors.affiliation: Physiological Institute, University Freiburg, Freiburg/Br., F.R.G.
authors.forename: M
authors.initials: M
authors.lastname: Kohlhardt
authors.forename: H
authors.initials: H
authors.lastname: Fichtner
mesh_terms: D000200:Action Potentials / Q000187:drug effects; D000818:Animals; D000889:Anti-Arrhythmia Agents / Q000494:pharmacology*; D006168:Guinea Pigs; D006321:Heart / Q000187:drug effects* / Q000502:physiology; D066298:In Vitro Techniques; D008839:Microelectrodes; D009206:Myocardium / Q000378:metabolism; D010210:Papillary Muscles / Q000187:drug effects; D011405:Propafenone / Q000031:analogs & derivatives* / Q000494:pharmacology; D015222:Sodium Channels / Q000187:drug effects*; D013237:Stereoisomerism
chemical_list: D000889:Anti-Arrhythmia Agents; D015222:Sodium Channels; C047546:diprafenone; D011405:Propafenone