Quantitative modelling of interaction of propafenone with sodium channels in cardiac cells

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Authors

PÁSEK Michal ŠIMURDA Jiří

Year of publication 2004
Type Article in Periodical
Magazine / Source Medical & Biological Engineering & Computing
MU Faculty or unit

Faculty of Medicine

Citation
Field Biophysics
Keywords cardiac cell; sodium current block; propafenone; quantitative modelling
Description A mathematical model of the interaction of propafenone with cardiac sodium channels is based on experimental data that demonstrate use-dependent effect of the drug. The model of CLANCY and RUDY (Circulation, 2002; 105: 1208-1213) is applied to describe Na-channel in absence of the drug. The values of rate constants of the drug-receptor reaction are fitted to experimental data by iterative computer simulations using a genetic algorithm. The model suggests that drug molecules have an access to the binding sites predominantly in the inactivated states and that accumulation of blocked channels in the slow inactivated state is responsible for the observed use- dependent effects. The results of quantitative modelling predict that propafenone (0.2 mmol/l) effectively suppresses premature excitations leaving the regular action potentials nearly unaffected.
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