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抗疟药青蒿素抗心律失常的作用机制 被引量:7

MECHANISM OF ANTIARRHYTHMIC EFFECT OF THE ANTIMALARIAL ARTEMISININ
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摘要 目的:探讨青蒿素抗心律失常的离子电流基础。方法:用全细胞膜片钳技术和双电极电压钳技术。结果:当细胞超极化到-100mV时,青蒿素以浓度依赖方式明显抑制家兔心室肌细胞Ik1,50μmol·L-1青蒿素可使家兔心室肌细胞Ik1从对照组的-236±039nA减少到-143±031nA。给予非洲蛙卵母细胞注射Kir2.1cRNA后,用不同浓度青蒿素灌注,可减低Kir2.1钾通道电流,此作用呈电压和浓度依赖性。青蒿素对Kir2.1钾通道的阻断作用呈可逆性。结论:青蒿素能有效抑制离体心肌细胞Ik1,其抗心律失常作用机理与其抑制心肌细胞Ik1及阻断Kir2.1通道电流有关。 AIM: To determine the ionic basis of antiarrhythmic action of artemisinin. METHODS: The effects of artemisinin on the inward rectifier K current ( I k1 ) in isolated rabbit myocytes were studied using whole cell voltage clamp technique, and its effects on the cloned inward rectifier K channels (K ir2.1 ) expressed in xenopus oocytes were investigated by two microelectrode voltage clamp technique. RESULTS: In rabbit myocytes, artemisinin significantly decreased I k1 in a concentration dependent manner. Artemisinin (50 μmol·L -1 ) decreased I k1 from -2 36±0 39 nA to -1 43±0 31 nA ( P <0 05, n =6 ) at -100 mV. Artemisinin reduced the current of K ir2.1 channel in xenopus oocytes in a dose dependent and voltage dependent manner when artemisinin was perfused with different concentration after K ir2.1 cRNA was injected. The blockade effect of artemisinin on K ir2.1 channel was revertible. CONCLUSION: Artemisinin inhibited effectively I k1 in isolated rabbit myocytes. The mechanism of antiarrhythmic action of artemisinin may be related to its inhibition on I k1 and blockade of K ir2.1 channel current.
出处 《药学学报》 CAS CSCD 北大核心 1999年第8期569-572,共4页 Acta Pharmaceutica Sinica
基金 黑龙江省杰出青年基金
关键词 青蒿素 钾通道 心律失常 抗疟药 药物疗法 artemisinin potassium channel K ir2.1 xenopus oocytes
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  • 1Wang H Z,中国药理学通报,1998年,14卷
  • 2Li G R,Circ Res,1996年,78卷,689页
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