Abstract
Human ether-a-go-go related gene (hERG) potassium (K+) channels play a critical role in cardiac action potential repolarization. Mutations that reduce hERG conductance or surface expression may cause congenital long QT syndrome (LQTS). However, the channels can be inhibited by structurally diverse small molecules, resulting in an acquired form of LQTS. Consequently, small molecules that increase the hERG current may be of value for treatment for LQTS. So far, nine hERG activators have been reported. The aim of this review is to discuss recent advances concerning the identification and action mechanism of hERG activators.
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References
Warmke JW, Ganetzky B . A family of potassium channel genes related to eag in Drosophila and mammals. Proc Natl Acad Sci U S A 1994; 91: 3438–42.
Sanguinetti MC, Jiang C, Curran ME, Keating MT . A mechanistic link between an inherited and an acquired cardiac arrhythmia: HERG encodes the IKr potassium channel. Cell 1995; 81: 299–307.
Shen XZ, Wu J, Lin JJ . HERG and arrhythmia. Adv Cardiovasc Dis 2008; 29: 436–40.
Lagrutta AA, Trepakova ES, Salata JJ . The hERG channel and risk of drug-acquired cardiac arrhythmia: an overview. Curr Top Med Chem 2008; 8: 1102–12.
Perrin MJ, Subbiah RN, Vandenberg JI, Hill AP . Human ether-a-go-go related gene (hERG) K+ channels: function and dysfunction. Prog Biophys Mol Biol 2008; 98: 137–48.
Vandenberg JI, Torres AM, Campbell TJ, Kuchel PW . The HERG K+ channel: progress in understanding the molecular basis of its unusual gating kinetics. Eur Biophys J 2004; 33: 89–97.
Piper DR, Sanguinetti MC, Tristani-Firouzi M . Voltage sensor movement in the hERG K+ channel. Novartis Found Symp 2005; 266: 46–52.
Smith PL, Yellen G . Fast and slow voltage sensor movements in HERG potassium channels. J Gen Physiol 2002; 119: 275–93.
Subbiah RN, Kondo M, Campbell TJ, Vandenberg JI . Tryptophan scanning mutagenesis of the HERG K+ channel: the S4 domain is loosely packed and likely to be lipid exposed. J Physiol 2005; 569: 367–79.
Baukrowitz T, Yellen G . Modulation of K+ current by frequency and external [K+]: a tale of two inactivation mechanisms. Neuron 1995; 15: 951–60.
Smith PL, Baukrowitz T, Yellen G . The inward rectification mechanism of the HERG cardiac potassium channel. Nature 1996; 379: 833–6.
Jiang M, Zhang M, Maslennikov IV, Liu J, Wu DM, Korolkova YV, et al. Dynamic conformational changes of extracellular S5-P linkers in the hERG channel. J Physiol 2005; 569: 75–89.
Hedley PL, Jørgensen P, Schlamowitz S, Wangari R, Moolman-Smook J, Brink PA, et al. The genetic basis of long QT and short QT syndromes: a mutation update. Hum Mutat 2009; 30: 1486–511.
Roden DM, Lazzara R, Rosen M, Schwartz PJ, Towbin J, Vincent GM . Multiple mechanisms in the long-QT syndrome. Current knowledge, gaps, and future directions. The SADS Foundation Task Force on LQTS. Circulation 1996; 94: 1996–2012.
Charpentier F, Merot J, Loussouarn G, Baro I . Delayed rectifier K+ currents and cardiac repolarization. J Mol Cell Cardiol 2010; 48: 37–44.
Kaufman ES, Ficker E . Is restoration of intracellular trafficking clinically feasible in the long QT syndrome? The example of HERG mutations. J Cardiovasc Electrophysiol 2003; 14: 320–2.
Gong Q, Jones MA, Zhou, Z . Mechanisms of pharmacological rescue of trafficking-defective hERG mutant channels in human long QT syndrome. J Biol Chem 2006; 281: 4069–74.
Berger SI, Ma'ayan A, Iyengar R . Systems pharmacology of arrhythmias. Sci Signal 2010; 3: ra30.
Roden DM . Drug-induced prolongation of the QT interval. N Engl J Med 2004; 350: 1013–22.
Guan FY, Yang SJ . HERG K+ channel, the target of anti-arrhythmias drugs. Yao Xue Xue Bao 2007; 42: 687–91.
Wulff H, Castle NA, Pardo LA . Voltage-gated potassium channels as therapeutic targets. Nat Rev Drug Discov 2009; 8: 982–1001.
Kang J, Chen XL, Wang H, Ji J, Cheng H, Incardona J, et al. Discovery of a small molecule activator of the human ether-a-go-go-related gene (HERG) cardiac K+ channel. Mol Pharmacol 2005; 67: 827–36.
Perry M, Sanguinetti MC . A single amino acid difference between ether-a-go-go-related gene channel subtypes determines differential sensitivity to a small molecule activator. Mol Pharmacol 2008; 73: 1044–51.
Perry M, Sachse FB, Sanguinetti MC . Structural basis of action for a human ether-a-go-go-related gene 1 potassium channel activator. Proc Natl Acad Sci U S A 2007; 104: 13827–32.
Zhou J, Augelli-Szafran CE, Bradley JA, Chen X, Koci BJ, Volberg WA, et al. Novel potent human ether-a-go-go-related gene (hERG) potassium channel enhancers and their in vitro antiarrhythmic activity. Mol Pharmacol 2005; 68: 876–84.
Gordon E, Lozinskaya IM, Lin Z, Semus SF, Blaney FE, Willette RN, et al. 2-[2-(3,4-dichloro-phenyl)-2,3-dihydro-1H-isoindol-5-ylamino]-nicotinic acid (PD-307243) causes instantaneous current through human ether-a-go-go-related gene potassium channels. Mol Pharmacol 2008; 73: 639–51.
Casis O, Olesen SP, Sanguinetti MC . Mechanism of action of a novel human ether-a-go-go-related gene channel activator. Mol Pharmacol 2006; 69: 658–65.
Hansen RS, Diness TG, Christ T, Wettwer E, Ravens U, Olesen SP, et al. Biophysical characterization of the new human ether-a-go-go-related gene channel opener NS3623 [N-(4-bromo-2-(1H-tetrazol-5-yl)-phenyl)-N′-(3′-trifluoromethylphenyl)urea]. Mol Pharmacol 2006; 70: 1319–29.
Su Z, Limberis J, Souers A, Kym P, Mikhail A, Houseman K, et al. Electrophysiologic characterization of a novel hERG channel activator. Biochem Pharmacol 2009; 77: 1383–90.
Gerlach AC, Stoehr SJ, Castle NA . Pharmacological removal of human ether-a-go-go-related gene potassium channel inactivation by 3-nitro-N-(4-phenoxyphenyl) benzamide (ICA-105574). Mol Pharmacol 2010; 77: 58–68.
Gessner G, Macianskiene R, Starkus JG, Schonherr R, Heinemann SH . The amiodarone derivative KB130015 activates hERG1 potassium channels via a novel mechanism. Eur J Pharmacol 2010; 632: 52–9.
Zeng H, Lozinskaya IM, Lin Z, Willette RN, Brooks DP, Xu X, et al. Mallotoxin is a novel human ether-a-go-go-related gene (hERG) potassium channel activator. J Pharmacol Exp Ther 2006; 319: 957–62.
Perry M, Sachse FB, Abbruzzese J, Sanguinetti MC . PD-118057 contacts the pore helix of hERG1 channels to attenuate inactivation and enhance K+ conductance. Proc Natl Acad Sci U S A 2009; 106: 20075–80.
Xu X, Recanatini M, Roberti M, Tseng GN . Probing the binding sites and mechanisms of action of two human ether-a-go-go-related gene channel activators, 1,3-bis-(2-hydroxy-5-trifluoromethyl-phenyl)-urea (NS1643) and 2-[2-(3,4-dichloro-phenyl)-2,3-dihydro-1H-isoindol-5-ylamino]-nicotinic acid (PD307243). Mol Pharmacol 2008; 73: 1709–21.
Bennekou P, de Franceschi L, Pedersen O, Lian L, Asakura T, Evans G, et al. Treatment with NS3623, a novel Cl-conductance blocker, ameliorates erythrocyte dehydration in transgenic SAD mice: a possible new therapeutic approach for sickle cell disease. Blood 2001; 97: 1451–7.
Ridley JM, Milnes JT, Witchel HJ, Hancox JC . High affinity HERG K+ channel blockade by the antiarrhythmic agent dronedarone: resistance to mutations of the S6 residues Y652 and F656. Biochem Biophys Res Commun 2004; 325: 883–91.
Perry M, Sanguinetti M, Mitcheson J . Revealing the structural basis of action of hERG potassium channel activators and blockers. J Physiol 2010; 588: 3157–67.
Schwartz PJ . The congenital long QT syndromes from genotype to phenotype: clinical implications. J Intern Med 2006; 259: 39–47.
Gow RM . Effectiveness and limitations of beta-blocker therapy in congenital long-QT syndrome. Circulation 2001; 103: E24.
Bjerregaard P, Jahangir A, Gussak I . Targeted therapy for short QT syndrome. Expert Opin Ther Targets 2006; 10: 393–400.
Acknowledgements
This work was supported by National Natural Science Foundation of China grant 81072579 and open funds of State Key Laboratory of Robotics RLO201013.
We thank Dr Guo-yuan HU for valuable discussions and comments on the manuscript.
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Zhou, Pz., Babcock, J., Liu, Lq. et al. Activation of human ether-a-go-go related gene (hERG) potassium channels by small molecules. Acta Pharmacol Sin 32, 781–788 (2011). https://doi.org/10.1038/aps.2011.70
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DOI: https://doi.org/10.1038/aps.2011.70
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