Electrophysiological characterization of BRL-32872 in canine Purkinje fiber and ventricular muscle - Effect on early after-depolarizations and repolarization dispersion

Amongst the different pharmacological approaches to the treatment of cardiac arrhythmias, compounds with multiple electrophysiological activities appear to exhibit a reduced adverse effect profile. BRL-32872 (N-(3,4-dimethoxyphenyl)-N-[3[[2-(3,4-dimethoxyphenyl)ethyl] propyl]-4-nitrobenzamide hydrochloride) is a typical example of an antiarrhythmic agent with combined K+ and Ca2+ blocking actions. In this study, we investigated the effects of BRL-32872 on early after-depolarizations and on dispersion of repolarization. Action potentials were recorded either in canine cardiac Purkinje fibers alone or in preparations containing both ventricular muscle and the attached Purkinje fibers. In Purkinje fibers, BRL-32872 (0.3-10 mu M) induced a bell-shaped concentration-dependent increase in action potential duration. At: 90% of repolarization, the action potential was prolonged at concentrations up to 1 mu M and was shortened when the concentration of BRL-32872 was further increased. In all 17 experiments, BRL-32872 did not cause early after-depolarizations in Purkinje fibers. On the contrary, BRL-32872 (3 mu M) systematically suppressed early after-depolarizations induced by clofilium (4-chloro-N,N-diethyl-N-heptylbenzenebutanaminium tosylate, 1 mu M), a selective inhibitor of the delayed rectifier K+ current. A similar effect was observed once with 1 mu M BRL-32872, a concentration able to prolong Purkinje fiber action potentials. Simultaneous recording of action potentials in ventricular and Purkinje preparations showed that increasing concentrations of BRL-32872 (0.3-10 mu M) induced a limited increase in the difference of repolarization time between the two tissues. The selective K+ channel inhibitor E-4031 (N-(4-(1-[2-(6-methyl-2-pyridyl)ethyl]-4-piperidyl)-carbonyl] phenyl) methanesulfonamide dihydrochloride dihydrate) exhibited a significant concentration-dependent increase in dispersion of repolarization. We conclude from che present results that the Ca2+ blocking activity of BRL-32872 (i) prevents the occurrence of early after-depolarizations associated with action potential prolongation and (ii) limits an excessive increase in action potential duration heterogeneity. These electrophysiological features mi ht represent the basis for antiarrhythmic compounds with reduced proarrhythmic profile (C) 1999 Elsevier Science B.V. All rights reserved.