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Cardiovascular Research 1998 40(3):516-522; doi:10.1016/S0008-6363(98)00198-9
© 1998 by European Society of Cardiology
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Copyright © 1998, European Society of Cardiology

Effect of 5-HT4 receptor stimulation on the pacemaker current If in human isolated atrial myocytes

Roberto Pinoa, Elisabetta Cerbaia, Giancarlo Calamaib, Franco Alajmob, Alberto Borgiolib, Lucio Braconib, Massimo Cassaib, Gian Franco Montesib and Alessandro Mugellia,*

aDepartment of Pharmacology, University of Firenze, Viale G.B. Morgagni 65, 50134 Firenze, Italy
bDepartment of Cardiosurgery, Azienda Ospedaliera Careggi, Firenze, Italy

* Corresponding author. Tel.: +39-(55)-427-1264; fax: +39-(55)-427-1285; e-mail: mugelli@server1.pharm.unifi.it

Objective: 5-HT4 receptors are present in human atrial cells and their stimulation has been implicated in the genesis of atrial arrhythmias including atrial fibrillation. An If-like current has been recorded in human atrial myocytes, where it is modulated by ß-adrenergic stimulation. In the present study, we investigated the effect of serotonin (5-hydroxytryptamine, 5-HT) on If electrophysiological properties, in order to get an insight into the possible contribution of If to the arrhythmogenic action of 5-HT in human atria. Methods: Human atrial myocytes were isolated by enzymatic digestion from samples of atrial appendage of patients undergoing corrective cardiac surgery. Patch-clamped cells were superfused with a modified Tyrode's solution in order to amplify If and reduce overlapping currents. Results and conclusions: A time-dependent, cesium-sensitive increasing inward current, that we had previously described having the electrophysiological properties of the pacemaker current If, was elicited by negative steps (–60 to –130 mV) from a holding potential of –40 mV. Boltzmann fit of control activation curves gave a midpoint (V1/2) of –88.9±2.6 mV (n=14). 5-HT (1 µM) consistently caused a positive shift of V1/2 of 11.0±2.0 mV (n=8, p<0.001) of the activation curve toward less negative potentials, thus increasing the amount of current activated by clamp steps near the physiological maximum diastolic potential of these cells. The effect was dose-dependent, the EC50 being 0.14 µM. Maximum current amplitude was not changed by 5-HT. 5-HT did not increase If amplitude when the current was maximally activated by cAMP perfused into the cell. The selective 5-HT4 antagonists, DAU 6285 (10 µM) and GR 125487 (1 µM), completely prevented the effect of 5-HT on If. The shift of V1/2 caused by 1 µM 5-HT in the presence of DAU 6285 or GR 125487 was 0.3±1 mV (n=6) and 1.0±0.6 mV (n=5), respectively (p<0.01 versus 5-HT alone). The effect of 5-HT4 receptor blockade was specific, since neither DAU 6285 nor GR 125487 prevented the effect of 1 µM isoprenaline on If. Thus, 5-HT4 stimulation increases If in human atrial myocytes; this effect may contribute to the arrhythmogenic action of 5-HT in the human atrium.

KEYWORDS Human atrial myocytes; Serotonin (5-HT); 5-HT4 receptor subtype; Arrhythmia (mechanisms); Pacemaker current


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