Both β-adrenergic receptor stimulation and cardiac tissue type have important roles in elucidating the functional effects of IKs channel blockers in vitro

Introduction: Conflicting results associated with the use of IKs blockers on the action potential duration (APD) have raised a question as to whether the variable results arise from the use of different cardiac tissues, β-adrenergic stimulation, or by the “selectivity” of the chosen IKs blockers. Methods: We used the highly selective IKs blocker (−)-[3R, 4S] chromanol 293B [(−) chromanol] to mimic drug-induced long QT1 in isolated rabbit Purkinje fibers, papillary muscles, and ventricular trabeculae using the conventional microelectrode technique. Results:IKs block with (−) chromanol at 1×10−5 M did not significantly change the APD at different stimulation rates in all three cardiac tissues. Isoproterenol (Iso:1×10−7 M) shortened APD90, and (−) chromanol (1×10−5 M) largely prevented this shortening in isolated papillary muscles at 1 Hz [−3% with Iso combined (−) chromanol group versus −16% with iso group; p<0.05] and also at 2 Hz (+7% versus −25% with Iso group; p<0.05), but did not significantly prevent this shortening in isolated Purkinje fibers. In isolated trabeculae, (−) chromanol combined with Iso significantly prolonged the APD90 by 15% at 1 Hz (versus −10% with Iso group; p<0.05) and by 5% at 2 Hz (versus −11% with Iso group; p<0.05). Discussion: Our study shows that only during β-adrenoceptor stimulation, pharmacological inhibition of the IKs current plays an important role in the APD recorded from isolated ventricular trabeculae and papillary muscles, but not from Purkinje fibers. These results indicate that the APD prolonging effects of IKschannel blockers during β-adrenergic receptor stimulation can only be detected from isolated rabbit papillary muscles and ventricular trabeculae, but not Purkinje fibers.