effect of pentamidine on qt interval in the conscious guinea-pig and herg trafficking

1
dogs, having at least 95% of segments within the specified range of QTc interval, were for each heart rate interval (b 75;75100, 100150, 150200, N 200): Van de Water (3,5,4,3,3), Bazett (3,0,0,0,0), Spence (4,5,3,0,0) and Linear regression (4,5,5,5,3).Conclusion: Linear regres- sion method is considered superior to Spence , van de Water and Bassett for drug-induced tachycardia. doi:10.1016/j.vascn.2008.05.066 Validation of the Dynaflow® temperature control system for the hERG test Fabian Haeusermann a , Susanne Braum b , Alexander Breidenbach a , Liudmila Polonchuk a (F. Hoffmann-La Roche AG, Basel, Switzerland) (Cellectricon AB, Göteborg, Sweden) Nowadays testing new drug candidates for their potency to affect cardiac repolarisation in the hERG assay is an indispensable step in the in vitro cardiac safety assessment required by regulatory agencies worldwide. Among the experimental parameters that have to be controlled in the hERG test temperature and drug exposure are particularly important. Dynaflow® technology has been successfully used for the drug application in the electrophysiological experiments in various labs over the last decade. Recently, the Dynaflow® Temperature Control System has been developed in order to perform patch clamp experiments under controlled temperature with very precise and fast solution exchange. The objective of the study was to evaluate a newly developed Dynaflow® system in the hERG test at physiological temperature (+37 °C). A set of reference compounds was used to validate the novel technology using a CHO cell line stably transfected with hERG. The Dynaflow® Temperature Control System greatly facilitated the handling of drug testing in patch clamp experiments. The system provided higher success rate in seal formation and increased stability of recordings. A good correlation was found between IC50 values for the reference drugs obtained with the Dynaflow® System and those generated in the conventional patch clamp perfusion system at physiological temperature. Dynaflow® Temperature Control System technology enables to perform high quality tests at physiological temperature (+37 °C). In addition, it increases the throughput as well as minimizes the amount of compounds used. doi:10.1016/j.vascn.2008.05.067 Effect of pentamidine on QT interval in the conscious guinea-pig and hERG trafficking Samantha Robinson, Stella Worton, Nikol Simecek, Lorraine Camp- bell, Nick McMahon, Yi Cui, Bela Patel, Bronagh Heath (Safety Pharmacology, GlaxoSmithKline, The Frythe, Welwyn, Hertfordshire, AL6 9AR, UK) Pentamidine is known to cause QT prolongation and cardiac arrhythmias in the clinic. The purpose of this work was to investigate the effect of a single dose of pentamidine (a known hERG trafficking inhibitor) on QT interval in conscious guinea-pigs and to confirm hERG trafficking inhibition using HEK-293 cells stably transfected with hERG-1 cDNA. The effects of acute (10 min) and chronic (1620 h) exposure to pentamidine (1300 mM) on hERG current and current density were studied using whole-cell patch-clamp configuration. Western blots were conducted to support electrophysiological find- ings. Conscious guinea-pigs (n = 4), implanted with DSI telemetry units, received a single dose of vehicle i.m. followed by a single dose of pentamidine i.m at 18.5 mg/kg. ECG parameters were monitored for 2 h prior to and for 14 days after each dose. Signals were captured by PONEMAH OpenART, recorded at 15 s every 15 min. Chronic pentamidine exposure caused a marked reduction in hERG current density (70.9% at 30 μM; P b 0.05) and hERG protein expression, yet in vivo, pentamidine was not associated with QTcf prolongation, moreover a sustained reduction in QTcf of 8 msec was noted between day 4 and 14.Based on PK modelling data from the rat, exposure to pentamidine was estimated to be within the range showing a hERG trafficking effect in vitro. To conclude, inhibition of hERG trafficking did not translate to a QTc prolongation after a single dose in vivo, instead a reduction of QTc was apparent. The biological relevance of this has yet to be defined. doi:10.1016/j.vascn.2008.05.068 Effects of arsenic trioxide, an inhibitor for hERG channel trafficking, on the electrocardiogram of the guinea pig Mototsugu Sakakibara, Atsushi Sasaki, Yoshikazu Tsumura, Keitaro Hashimoto, Yasushi Yamashita (Mitsubishi Chemical Safety Institute Ltd., Kamisu, Japan) Previous in vitro studies have demonstrated that some drugs inhibit the trafficking of hERG channel to the cell membrane, which causes reduction of the channel density on the cell surface. Therefore the trafficking defect as well as direct blocking of hERG channel results in prolongation of the cardiac repolarization, which may be responsible for generation of arrhythmias. This study aimed at examining effects of an inhibitor of hERG channel trafficking, arsenic trioxide, on induction of arrhythmias, and comparing the effects with those of a direct hERG blocker, astemizole. In the in vitro study, hERG/ HEK293 cells were exposed to arsenic trioxide or astemizole and the hERG current was measured by the whole-cell clamp method. The cells were also cultured in a medium containing arsenic trioxide or astemizole for analysis of hERG protein changes by Western blotting. In the in vivo study, male guinea pigs were administered once daily arsenic trioxide by i.v. or astemizole by p.o.. The electrocardiogram was recorded under a restrained condition. Although arsenic trioxide inhibited the hERG channel trafficking, the hERG current was not reduced directly. In contrast, astemizole directly reduced the hERG current without inhibiting the hERG channel trafficking. Arsenic trioxide induced arrhythmias on the 9th day whereas astemizole did at the first day of experimentation. These results suggest that repeated administration is required to induce arrhythmias by drugs that inhibit hERG channel trafficking. doi:10.1016/j.vascn.2008.05.069 High throughput screening of a panel of ion channel expressing cell lines Barbara A. Wible, Yuri A. Kuryshev, Glenn E. Kirsch, Arthur M. Brown (ChanTest Corp., 14656 Neo Parkway, Cleveland, OH 44128, USA) Purpose: To develop and validate a catalog of cell lines over- expressing ion channel cDNAs for high throughput functional screen- ing in drug discovery and development. Methods: Human cDNAs encoding 80 of the ion channels most relevant to drug discovery, development, and safety are being cloned and stably transfected into HEK293 or CHO cells. Cotransfection with GFP allows the selection of transfected cells by fluorescent-activated cell sorting. Screening of individual subclones is carried out on two automated electrophysiol- ogy systems: PatchXpress and IonWorks Quattro. Both instruments provide a dramatic increase in throughput compared to manual patch 162 Journal of Pharmacological and Toxicological Methods 58 (2008) 147178

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dogs, having at least 95% of segments within the specified range ofQTc interval, were for each heart rate interval (b75;75–100, 100–150,150–200, N200): Van de Water (3,5,4,3,3), Bazett (3,0,0,0,0), Spence(4,5,3,0,0) and Linear regression (4,5,5,5,3).Conclusion: Linear regres-sion method is considered superior to Spence , van de Water andBassett for drug-induced tachycardia.

doi:10.1016/j.vascn.2008.05.066

Validation of the Dynaflow® temperature control system for thehERG test

Fabian Haeusermanna, Susanne Braumb, Alexander Breidenbacha,Liudmila Polonchuka (F. Hoffmann-La Roche AG, Basel, Switzerland)(Cellectricon AB, Göteborg, Sweden)

Nowadays testing new drug candidates for their potency to affectcardiac repolarisation in the hERG assay is an indispensable step in thein vitro cardiac safety assessment required by regulatory agenciesworldwide. Among the experimental parameters that have to becontrolled in the hERG test temperature and drug exposure areparticularly important. Dynaflow® technology has been successfullyused for the drug application in the electrophysiological experimentsin various labs over the last decade. Recently, the Dynaflow®Temperature Control System has been developed in order to performpatch clamp experiments under controlled temperature with veryprecise and fast solution exchange. The objective of the study was toevaluate a newly developed Dynaflow® system in the hERG test atphysiological temperature (+37 °C). A set of reference compounds wasused to validate the novel technology using a CHO cell line stablytransfected with hERG. The Dynaflow® Temperature Control Systemgreatly facilitated the handling of drug testing in patch clampexperiments. The system provided higher success rate in sealformation and increased stability of recordings. A good correlationwas found between IC50 values for the reference drugs obtained withthe Dynaflow® System and those generated in the conventional patchclamp perfusion system at physiological temperature. Dynaflow®Temperature Control System technology enables to perform highquality tests at physiological temperature (+37 °C). In addition, itincreases the throughput as well as minimizes the amount ofcompounds used.

doi:10.1016/j.vascn.2008.05.067

Effect of pentamidine on QT interval in the conscious guinea-pigand hERG trafficking

Samantha Robinson, Stella Worton, Nikol Simecek, Lorraine Camp-bell, Nick McMahon, Yi Cui, Bela Patel, Bronagh Heath (SafetyPharmacology, GlaxoSmithKline, The Frythe, Welwyn, Hertfordshire,AL6 9AR, UK)

Pentamidine is known to cause QT prolongation and cardiacarrhythmias in the clinic. The purpose of this work was to investigatethe effect of a single dose of pentamidine (a known hERG traffickinginhibitor) on QT interval in conscious guinea-pigs and to confirmhERG trafficking inhibition using HEK-293 cells stably transfectedwith hERG-1 cDNA. The effects of acute (10min) and chronic (16–20 h)exposure to pentamidine (1–300 mM) on hERG current and currentdensity were studied using whole-cell patch-clamp configuration.Western blots were conducted to support electrophysiological find-ings. Conscious guinea-pigs (n=4), implanted with DSI telemetryunits, received a single dose of vehicle i.m. followed by a single dose ofpentamidine i.m at 18.5 mg/kg. ECG parameters were monitored for

2 h prior to and for 14 days after each dose. Signals were captured byPONEMAH OpenART, recorded at 15 s every 15 min. Chronicpentamidine exposure caused a marked reduction in hERG currentdensity (70.9% at 30 µM; Pb0.05) and hERG protein expression, yetin vivo, pentamidine was not associated with QTcf prolongation,moreover a sustained reduction in QTcf of 8 msec was noted betweenday 4 and 14.Based on PK modelling data from the rat, exposure topentamidine was estimated to be within the range showing a hERGtrafficking effect in vitro. To conclude, inhibition of hERG traffickingdid not translate to a QTc prolongation after a single dose in vivo,instead a reduction of QTc was apparent. The biological relevance ofthis has yet to be defined.

doi:10.1016/j.vascn.2008.05.068

Effects of arsenic trioxide, an inhibitor for hERG channeltrafficking, on the electrocardiogram of the guinea pig

Mototsugu Sakakibara, Atsushi Sasaki, Yoshikazu Tsumura, KeitaroHashimoto, Yasushi Yamashita (Mitsubishi Chemical Safety InstituteLtd., Kamisu, Japan)

Previous in vitro studies have demonstrated that some drugsinhibit the trafficking of hERG channel to the cell membrane, whichcauses reduction of the channel density on the cell surface. Thereforethe trafficking defect as well as direct blocking of hERG channel resultsin prolongation of the cardiac repolarization, which may beresponsible for generation of arrhythmias. This study aimed atexamining effects of an inhibitor of hERG channel trafficking, arsenictrioxide, on induction of arrhythmias, and comparing the effects withthose of a direct hERG blocker, astemizole. In the in vitro study, hERG/HEK293 cells were exposed to arsenic trioxide or astemizole and thehERG current was measured by the whole-cell clamp method. Thecells were also cultured in a medium containing arsenic trioxide orastemizole for analysis of hERG protein changes by Western blotting.In the in vivo study, male guinea pigs were administered once dailyarsenic trioxide by i.v. or astemizole by p.o.. The electrocardiogramwas recorded under a restrained condition. Although arsenic trioxideinhibited the hERG channel trafficking, the hERG current was notreduced directly. In contrast, astemizole directly reduced the hERGcurrent without inhibiting the hERG channel trafficking. Arsenictrioxide induced arrhythmias on the 9th day whereas astemizole didat the first day of experimentation. These results suggest that repeatedadministration is required to induce arrhythmias by drugs that inhibithERG channel trafficking.

doi:10.1016/j.vascn.2008.05.069

High throughput screening of a panel of ion channel expressingcell lines

Barbara A. Wible, Yuri A. Kuryshev, Glenn E. Kirsch, Arthur M. Brown(ChanTest Corp., 14656 Neo Parkway, Cleveland, OH 44128, USA)

Purpose: To develop and validate a catalog of cell lines over-expressing ion channel cDNAs for high throughput functional screen-ing in drug discovery and development. Methods: Human cDNAsencoding 80 of the ion channels most relevant to drug discovery,development, and safety are being cloned and stably transfected intoHEK293 or CHO cells. Cotransfection with GFP allows the selection oftransfected cells by fluorescent-activated cell sorting. Screening ofindividual subclones is carried out on two automated electrophysiol-ogy systems: PatchXpress and IonWorks Quattro. Both instrumentsprovide a dramatic increase in throughput compared to manual patch

162 Journal of Pharmacological and Toxicological Methods 58 (2008) 147–178