Structural advances in voltage-gated sodium channels

D Jiang, J Zhang, Z **a - Frontiers in Pharmacology, 2022 - frontiersin.org
Voltage-gated sodium (NaV) channels are responsible for the rapid rising-phase of action
potentials in excitable cells. Over 1,000 mutations in NaV channels are associated with …

The Role of Late I Na in Development of Cardiac Arrhythmias

C Antzelevitch, V Nesterenko, JC Shryock… - Voltage gated sodium …, 2014 - Springer
Late I Na is an integral part of the sodium current, which persists long after the fast-
inactivating component. The magnitude of the late I Na is relatively small in all species and …

[HTML][HTML] Structure of the cardiac sodium channel

D Jiang, H Shi, L Tonggu, TMG El-Din, MJ Lenaeus… - Cell, 2020 - cell.com
Voltage-gated sodium channel Na v 1.5 generates cardiac action potentials and initiates the
heartbeat. Here, we report structures of Na V 1.5 at 3.2–3.5 Å resolution. Na V 1.5 is …

Structural Basis for Pore Blockade of the Human Cardiac Sodium Channel Nav1.5 by the Antiarrhythmic Drug Quinidine**

Z Li, X **, T Wu, G Huang, K Wu, J Lei… - Angewandte …, 2021 - Wiley Online Library
Abstract Nav1. 5, the primary voltage‐gated Na+ (Nav) channel in heart, is a major target for
class I antiarrhythmic agents. Here we present the cryo‐EM structure of full‐length human …

RYR2 channel inhibition is the principal mechanism of flecainide action in CPVT

DO Kryshtal, DJ Blackwell, CL Egly, AN Smith… - Circulation …, 2021 - ahajournals.org
Rationale: The class Ic antiarrhythmic drug flecainide prevents ventricular tachyarrhythmia in
patients with catecholaminergic polymorphic ventricular tachycardia (CPVT), a disease …

Fenestrations control resting-state block of a voltage-gated sodium channel

TM Gamal El-Din, MJ Lenaeus, N Zheng… - Proceedings of the …, 2018 - pnas.org
Potency of drug action is usually determined by binding to a specific receptor site on target
proteins. In contrast to this conventional paradigm, we show here that potency of local …

Induced pluripotent stem cells used to reveal drug actions in a long QT syndrome family with complex genetics

C Terrenoire, K Wang, KW Chan Tung… - Journal of General …, 2013 - rupress.org
Cardiomyocytes (CMs) differentiated from patient-specific induced pluripotent stem cells
(iPSCs [iPSC-CMs]) have now been shown to provide valuable models of heritable cardiac …

A computational model to predict the effects of class I anti-arrhythmic drugs on ventricular rhythms

JD Moreno, ZI Zhu, PC Yang, JR Bankston… - Science translational …, 2011 - science.org
A long-sought, and thus far elusive, goal has been to develop drugs to manage diseases of
excitability. One such disease that affects millions each year is cardiac arrhythmia, which …

Structural basis for antiarrhythmic drug interactions with the human cardiac sodium channel

PT Nguyen, KR DeMarco, I Vorobyov… - Proceedings of the …, 2019 - pnas.org
The human voltage-gated sodium channel, hNaV1. 5, is responsible for the rapid upstroke of
the cardiac action potential and is target for antiarrhythmic therapy. Despite the clinical …

Mechanism of local anesthetic drug action on voltage-gated sodium channels

HA Fozzard, PJ Lee, GM Lipkind - Current pharmaceutical …, 2005 - benthamdirect.com
Local anesthetic drugs interfere with excitation and conduction by action potentials in the
nervous system and in the heart by blockade of the voltage-gated Na channel. Drug affinity …