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Pharmacology & therapeutics (Oxford), 2017-08, Vol.176, p.13-21
2017

Details

Autor(en) / Beteiligte
Titel
Atrial fibrillation: Therapeutic potential of atrial K + channel blockers
Ist Teil von
  • Pharmacology & therapeutics (Oxford), 2017-08, Vol.176, p.13-21
Ort / Verlag
England
Erscheinungsjahr
2017
Link zum Volltext
Quelle
Elsevier ScienceDirect Journals Complete
Beschreibungen/Notizen
  • Despite the epidemiological scale of atrial fibrillation, current treatment strategies are of limited efficacy and safety. Ideally, novel drugs should specifically correct the pathophysiological mechanisms responsible for atrial fibrillation with no other cardiac or extracardiac actions. Atrial-selective drugs are directed toward cellular targets with sufficiently different characteristics in atria and ventricles to modify only atrial function. Several potassium (K ) channels with either predominant expression in atria or distinct electrophysiological properties in atria and ventricles can serve as atrial-selective drug targets. These channels include the ultra-rapidly activating, delayed outward-rectifying Kv1.5 channel conducting I , the acetylcholine-activated inward-rectifying Kir3.1/Kir3.4 channel conducting I , the Ca -activated K channels of small conductance (SK) conducting I , and the two pore domain K (K2P) channels TWIK-1, TASK-1 and TASK-3 that are responsible for voltage-independent background currents I , I , and I . Here, we briefly review the characteristics of these K channels and their roles in atrial fibrillation. The antiarrhythmic potential of drugs targeting the described channels is discussed as well as their putative value in treatment of atrial fibrillation.

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