The Molecular Interaction Between Local Anesthetic/Antiarrhythmic Agents and Voltage-Gated Sodium Channels

1998 ◽  
Vol 8 (2) ◽  
pp. 83-88
Author(s):  
Jeffrey R Balser
2008 ◽  
Vol 102 (1) ◽  
pp. 86-94 ◽  
Author(s):  
Christopher A. Ahern ◽  
Amy L. Eastwood ◽  
Dennis A. Dougherty ◽  
Richard Horn

1995 ◽  
Vol 81 (2) ◽  
pp. 338-346 ◽  
Author(s):  
Shinichi Sakura ◽  
Andrew W. Bollen ◽  
Ricardo Ciriales ◽  
Kenneth Drasner

2009 ◽  
Vol 96 (3) ◽  
pp. 247a
Author(s):  
Jean-François Desaphy ◽  
Antonella Dipalma ◽  
Teresa Costanza ◽  
Michela De Bellis ◽  
Alfred L. George ◽  
...  

2001 ◽  
Vol 95 (6) ◽  
pp. 1406-1413 ◽  
Author(s):  
Larry E. Wagner ◽  
Kevin J. Gingrich ◽  
John C. Kulli ◽  
Jay Yang

Background The general anesthetic ketamine is known to be an N-methyl-D-aspartate receptor blocker. Although ketamine also blocks voltage-gated sodium channels in a local anesthetic-like fashion, little information exists on the molecular pharmacology of this interaction. We measured the effects of ketamine on sodium channels. Methods Wild-type and mutant (F1579A) recombinant rat skeletal muscle sodium channels were expressed in Xenopus oocytes. The F1579A amino acid substitution site is part of the intrapore local anesthetic receptor. The effect of ketamine was measured in oocytes expressing wild-type or mutant sodium channels using two-electrode voltage clamp. Results Ketamine blocked sodium channels in a local anesthetic-like fashion, exhibiting tonic blockade (concentration for half-maximal inhibition [IC50] = 0.8 mm), phasic blockade (IC50 = 2.3 mm), and leftward shift of the steady-state inactivation; the parameters of these actions were strongly modified by alteration of the intrapore local anesthetic binding site (IC50 = 2.1 mm and IC50 = 10.3 mm for tonic and phasic blockade, respectively). Compared with lidocaine, ketamine showed greater tonic inhibition but less phasic blockade. Conclusions Ketamine interacts with sodium channels in a local anesthetic-like fashion, including sharing a binding site with commonly used clinical local anesthetics.


1995 ◽  
Vol 81 (2) ◽  
pp. 338-346 ◽  
Author(s):  
Shinichi Sakura ◽  
Andrew W. Bollen ◽  
Ricardo Ciriales ◽  
Kenneth Drasner

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