Model-based analysis of the effects of thioridazine enantiomers on the rabbit papillary action potential

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Aims: We investigated mechanisms underlying the effects of the thioridazine enantiomers on the rabbit papillary action potential duration (AP, APD). Methods: An adapted computational model of the rabbit ventricular action potential was used to carry out a model-based analysis of transmembrane AP recordings from isolated right ventricular papillary muscles from 21 rabbits in four groups: control, (-)-thioridazine, (+)thioridazine, and racemate. Drug effects were determined using an inverse method and a forward method. Effects were modeled by inhibition of the IKr and ICaL currents. Results: Simultaneous inhibition of IKr and ICaL resulted in a more accurate description of the observed drug effects than could IKr inhibition alone. The following values of IKr inhibition at 10 mg L-1 were determined. Forward method: Racemate = 45%, (-)-thioridazine = 0%, and (+)-thioridazine = 85%. Inverse method: (-)thioridazine = 35%, (+)-thioridazine = 80%. Conclusion: Ikr inhibition accurately described the observed APD prolongation, and the identified levels of IKr inhibition were plausible when compared to literature. Both methods found (-)-thioridazine to cause less IKr inhibition than (+ )-thioridazine or the racemate. These results indicate that the prolonging effects observed in the experiment may be related to IKr inhibition.

Original languageEnglish
Title of host publicationComputing in Cardiology Conference 2015, CinC 2015
EditorsAlan Murray
Number of pages4
PublisherIEEE Computer Society Press
Publication date16 Feb 2015
Pages1089-1092
Article number7411104
ISBN (Electronic)9781509006854
DOIs
Publication statusPublished - 16 Feb 2015
Externally publishedYes
Event42nd Computing in Cardiology Conference, CinC 2015 - Nice, France
Duration: 6 Sep 20159 Sep 2015

Conference

Conference42nd Computing in Cardiology Conference, CinC 2015
LandFrance
ByNice
Periode06/09/201509/09/2015
SponsorCNRS Advancing the Frontiers, et al., IBM, Mortara, Physological Measurement, Universite Nice Sophia Antipolis
SeriesComputing in Cardiology
Volume42
ISSN2325-8861

ID: 261046493