Evidence map›Paper›PMID 12411421›Full record

ArticleBritish journal of pharmacology2002

The antihistamine fexofenadine does not affect I(Kr) currents in a case report of drug-induced cardiac arrhythmia.

Constanze R Scherer, Christian Lerche, Niels Decher, Adrienne T Dennis, Patrick Maier, Eckhard Ficker, Andreas E Busch, Bernd Wollnik, Klaus Steinmeyer

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in British journal of pharmacology, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Comparative Study of Chemical Stability of Two HJournal of analytical methods in chemistry · 2019
    Article
  5. Modulation of Ether-à-Go-Go Related Gene (ERG) Current Governs Intrinsic Persistent Activity in Rodent Neocortical Pyramidal Cells.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2018
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Functional significance of KCNH2 (HERG) K897T polymorphism for cardiac repolarization assessed by analysis of T-wave morphology.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2006
    Article
  13. Article
  14. Review
  15. Inhibition of cloned HERG potassium channels by the antiestrogen tamoxifen.Naunyn-Schmiedeberg's archives of pharmacology · 2003
    Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Constanze R SchererAventis Pharma Deutschland GmbH, Cardiovascular Diseases, 65926 Frankfurt am Main, Germany.
Christian Lerche
Niels Decher
Adrienne T Dennis
Patrick Maier
Eckhard Ficker
Andreas E Busch
Bernd Wollnik
Klaus Steinmeyer
MetroHealth Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

1. The human HERG gene encodes the cardiac repolarizing K(+) current I(Kr) and is genetically inactivated in inherited long QT syndrome 2 (LQTS2). The antihistamine terfenadine blocks HERG channels, and can cause QT prolongation and torsades de pointes, whereas its carboxylate fexofenadine lacks HERG blocking activity. 2. In the present study the ability of fexofenadine to block the K897T HERG channel variant was investigated. The underlying single nucleotide polymorphism (SNP) A2960C was identified in a patient reported to develop fexofenadine-associated LQTS. 3. K897T HERG channels produced wild-type-like currents in Xenopus oocytes. Even at a concentration of 100 micro M, fexofenadine did not inhibit wild-type or K897T HERG channels. Coexpression of wild-type and K897T HERG with the ss-subunit MiRP1, slightly changed current kinetics but did not change sensitivity to terfenadine and fexofenadine. 4. Western blot analysis and immunostaining of transiently transfected COS-7 cells demonstrated that overall expression level, glycosylation pattern and subcellular localization of K897T HERG is indistinguishable from wild-type HERG protein, and not altered in the presence of 1 micro M fexofenadine. 5. We provide the first functional characterization of the K897T HERG variant. We demonstrated that K897T HERG is similar to wild-type HERG, and is insensitive to fexofenadine. Although the polymorphism changes PKA and PKC phosphorylation sites, regulation of K897T HERG by these kinases is not altered. 6. Our results strongly indicate that QT lengthening and cardiac arrhythmia in the reported case of drug-induced LQT are not due to the K897T exchange or to an inhibitory effect of fexofenadine on cardiac I(Kr) currents. British Journal of

Indexed as

Cation Transport ProteinsDNA-Binding ProteinsPotassium Channels, Voltage-GatedTrans-ActivatorsAgedAmino Acid SequenceAmino Acid SubstitutionAnimalsArrhythmias, CardiacBase SequenceBlotting, WesternCell LineColforsinCOS CellsDNADNA Mutational AnalysisCation Transport ProteinsColforsinDNADNA-Binding ProteinsERG1 Potassium ChannelERG protein, humanEther-A-Go-Go Potassium ChannelsfexofenadineHistamine H1 AntagonistsKCNH2 protein, humanKCNH6 protein, humanpotassium channel protein I(sk)Potassium ChannelsPotassium Channels, Voltage-GatedTerfenadineTetradecanoylphorbol AcetateTrans-ActivatorsTranscriptional Regulator ERG

Identifiers

PMID12411421
PMCPMC1573545
OpenAlexW2018923091

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.