Evidence map›Paper›PMID 21120454›Full record

ArticleNaunyn-Schmiedeberg's archives of pharmacology2011

hERG K+ channel-associated cardiac effects of the antidepressant drug desipramine.

Ingo Staudacher, Lu Wang, Xiaoping Wan, Sabrina Obers, Wolfgang Wenzel, Frank Tristram, Ronald Koschny, Kathrin Staudacher, Jana Kisselbach, Patrick Koelsch and 4 more

Abstract read
PubMed Publisher
In one paragraph

Article in Naunyn-Schmiedeberg's archives of pharmacology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 40 citations in OpenAlex.

  1. Review
  2. Article
  3. Recording ten-fold larger IFrontiers in physiology · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. hERG quality control and the long QT syndrome.The Journal of physiology · 2016
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Differential hERG ion channel activity of ultrasmall gold nanoparticles.Proceedings of the National Academy of Sciences of the United States of America · 2013
    Article
  14. Article
  15. Article
  16. Desipramine prevents cardiac gap junction uncoupling.Naunyn-Schmiedeberg's archives of pharmacology · 2012
    Article
  17. Article
  18. Article
  19. Article
  20. Article
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

14 authors at 4 institutions in 2 countries.

Ingo StaudacherDepartment of Cardiology, Medical University Hospital Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.
Lu Wang
Xiaoping Wan
Sabrina Obers
Wolfgang Wenzel
Frank Tristram
Ronald Koschny
Kathrin Staudacher
Jana Kisselbach
Patrick Koelsch
Patrick A Schweizer
Hugo A Katus
Eckhard Ficker
Dierk Thomas
University Hospital Heidelberg · DECase Western Reserve University · USHeidelberg University · DEKarlsruhe Institute of Technology · DE

Funding

Role of Molecular Chaperones in hERG ProcessingR01HL071789 · NHLBI · METROHEALTH MEDICAL CENTER · PI FICKER, ECKHARD K · 2004 to 2008
$1.6M
NHLBI NIH HHS HL71789
6 · The paper itself

Abstract

Cardiac side effects of antidepressant drugs are well recognized. Adverse effects precipitated by the tricyclic drug desipramine include prolonged QT intervals, torsade de pointes tachycardia, heart failure, and sudden cardiac death. QT prolongation has been primarily attributed to acute blockade of hERG/I(Kr) currents. This study was designed to provide a more complete picture of cellular effects associated with desipramine. hERG channels were expressed in Xenopus laevis oocytes and human embryonic kidney (HEK 293) cells, and potassium currents were recorded using patch clamp and two-electrode voltage clamp electrophysiology. Ventricular action potentials were recorded from guinea pig cardiomyocytes. Protein trafficking and cell viability were evaluated in HEK 293 cells and in HL-1 mouse cardiomyocytes by immunocytochemistry, Western blot analysis, or colorimetric MTT assay, respectively. We found that desipramine reduced hERG currents by binding to a receptor site inside the channel pore. hERG protein surface expression was reduced after short-term treatment, revealing a previously unrecognized mechanism. When long-term effects were studied, forward trafficking was impaired and hERG currents were decreased. Action potential duration was prolonged upon acute and chronic desipramine exposure. Finally, desipramine triggered apoptosis in cells expressing hERG channels. Desipramine exerts at least four different cellular effects: (1) direct hERG channel block, (2) acute reduction of hERG surface expression, (3) chronic disruption of hERG trafficking, and (4) induction of apoptosis. These data highlight the complexity of hERG-associated drug effects.

Indexed as

Action PotentialsAnimalsAntidepressive Agents, TricyclicBlotting, WesternCell SurvivalComputer SimulationDesipramineDose-Response Relationship, DrugERG1 Potassium ChannelEther-A-Go-Go Potassium ChannelsGuinea PigsHEK293 CellsHumansImmunohistochemistryMicroscopy, ConfocalModels, MolecularAntidepressive Agents, TricyclicDesipramineERG1 Potassium ChannelEther-A-Go-Go Potassium ChannelsKCNH2 protein, human

Identifiers

PMID21120454
OpenAlexW1976901361

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.