Paper
Subject Categories: Cardiovascular and pulmonary pharmacology
British Journal of Pharmacology (2005) 146, 561–567. doi:10.1038/sj.bjp.0706352; published online 1 August 2005
Reduction of repolarization reserve by halothane anaesthesia sensitizes the guinea-pig heart for drug-induced QT interval prolongation
Akira Takahara1, Atsushi Sugiyama1 and Keitaro Hashimoto1
1Department of Pharmacology, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Tamaho-cho, Nakakoma-gun, Yamanashi 409-3898, Japan
Correspondence: Atsushi Sugiyama, E-mail: atsushis@yamanashi.ac.jp
Received 24 May 2005; Accepted 23 June 2005; Published online 1 August 2005.
Abstract
- The utility of halothane-anaesthetized guinea-pigs as an in vivo model for predicting the clinical potential of a drug to induce QT interval prolongation was assessed using the electrocardiogram and monophasic action potential (MAP) recordings with electrical ventricular pacing.
- Intravenous administration of D-sotalol (0.3 mg kg-1) and terfenadine (0.3 mg kg-1), blockers of a rapid component of delayed rectifier potassium currents, prolonged the QT interval by 32
7 and 23
6 ms, respectively, whereas chromanol 293B (1 mg kg-1), a blocker of a slow component of delayed rectifier potassium currents, lengthened it by 33
8 ms. The extent of the QT interval prolongation by these drugs was greater than those in previous reports using pentobarbital-anaesthetized guinea-pigs. - The MAP duration at the control was shortened by decreasing the pacing cycle length from 400 to 200 ms, but the MAP duration at each cycle length was prolonged by D-sotalol.
- The formulas of Van de Water, Matsunaga, Fridericia and Bazett showed good correlation of the repolarization period when compared with the MAP duration at a pacing cycle length of 400 ms.
- The halothane-anaesthetized guinea-pig model may possess enough sensitivity to detect drug-induced QT interval prolongation, indicating that halothane anaesthesia can reduce the repolarization reserve of the heart in vivo.
Keywords:
QT prolongation, D-sotalol, terfenadine, chromanol 293B, guinea-pigs, halothane, monophasic action potential, corrected QT interval
Abbreviations:
ECG, electrocardiogram; IK1, inward rectifier potassium currents; IKr, rapid component of delayed rectifier potassium currents; IKs, slow component of delayed rectifier potassium currents; Ito, transient outward potassium currents; MAP, monophasic action potentials; MAP90, duration of MAP at 90% repolarization level; QTc, corrected QT interval; QTc(B), QTc calculated with the formula of Bazett; QTc(F), QTc calculated with the formula of Fridericia; QTc(M), QTc calculated with the formula of Matsunaga; QTc(V), QTc calculated with the formula of Van de Water; TdP, torsades de pointes


