| Literature DB >> 20156596 |
Sarah M Schumacher1, Jeffrey R Martens.
Abstract
Atrial fibrillation (AF) is a common cardiac arrhythmia with potentially life-threatening complications. Drug therapies for treatment of AF that seek long-term maintenance of normal sinus rhythm remain elusive due in large part to proarrhythmic ventricular actions. Kv1.5, which underlies the atrial specific I(Kur) current, is a major focus of research efforts seeking new therapeutic strategies and targets. Recent work has shown a novel effect of antiarrhythmic drugs where compounds that block Kv1.5 channel current also can alter ion channel trafficking. This work further suggests that the pleiotropic effects of antiarrhythmic drugs may be separable. Although this finding highlights the therapeutic potential for selective manipulation of ion channel surface density, it also reveals an uncertainty regarding the specificity of modulating trafficking pathways without risk of off-target effects. Future studies may show that specific alteration of Kv1.5 trafficking can overcome the proarrhythmic limitations of current pharmacotherapy and provide an effective method for long-term cardioversion in AF. Copyright 2010 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.Entities:
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Year: 2010 PMID： 20156596 PMCID： PMC2932854 DOI： 10.1016/j.hrthm.2010.02.017
Source DB: PubMed Journal: Heart Rhythm ISSN： 1547-5271 Impact factor: 6.343