Evidence map›Paper›PMID 23878377›Full record

ArticleThe Journal of physiology2013

Ionic mechanisms limiting cardiac repolarization reserve in humans compared to dogs.

Norbert Jost, László Virág, Philippe Comtois, Balázs Ordög, Viktória Szuts, György Seprényi, Miklós Bitay, Zsófia Kohajda, István Koncz, Norbert Nagy and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of physiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed
7.5field-weighted citation impact, top 2% 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

86 citing papers in PubMed, 153 citations in OpenAlex.

  1. Trial
  2. Review
  3. The slow delayed rectifier KScientific reports · 2025
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  6. Beta-Adrenergic Activation of the Inward Rectifier KInternational journal of molecular sciences · 2024
    Article
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  8. A Comparative Study of the Rapid (IPharmaceuticals (Basel, Switzerland) · 2024
    Article
  9. Review
  10. Human induced pluripotent stem cell-derived atrial cardiomyocytes recapitulate contribution of the slowly activating delayed rectifier currents IKs to repolarization in the human atrium.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. IBiomedicines · 2023
    Article
  17. Article
  18. Choice of experimental model determines translational impact: The link between bisphenol A and cardiotoxicity.Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association · 2023
    Article
  19. Article
  20. Injection of IFrontiers in physiology · 2023
    Article

26 more citing papers are in PubMed but not listed here.

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

21 authors at 7 institutions in 4 countries.

Norbert JostA. Varró: Department of Pharmacology and Pharmacotherapy, Faculty of Medicine, University of Szeged, H-6720 Szeged, Dóm tér 12, PO Box 427, Hungary. varro.andras@med.u-szeged.hu.
László Virág
Philippe Comtois
Balázs Ordög
Viktória Szuts
György Seprényi
Miklós Bitay
Zsófia Kohajda
István Koncz
Norbert Nagy
Tamás Szél
János Magyar
Mária Kovács
László G Puskás
Csaba Lengyel
Erich Wettwer
Ursula Ravens
Péter P Nánási
Julius Gy Papp
András Varró
Stanley Nattel
American Pharmacists Association · USHungarian Academy of Sciences · HUTU Dresden · DEUniversity of Debrecen · HUMontreal Heart Institute · CAUniversité de Montréal · CAUniversity of Szeged · HU

Funding

Canadian Institutes of Health Research MOP 68929
6 · The paper itself

Abstract

The species-specific determinants of repolarization are poorly understood. This study compared the contribution of various currents to cardiac repolarization in canine and human ventricle. Conventional microelectrode, whole-cell patch-clamp, molecular biological and mathematical modelling techniques were used. Selective IKr block (50-100 nmol l(-1) dofetilide) lengthened AP duration at 90% of repolarization (APD90) >3-fold more in human than dog, suggesting smaller repolarization reserve in humans. Selective IK1 block (10 μmol l(-1) BaCl2) and IKs block (1 μmol l(-1) HMR-1556) increased APD90 more in canine than human right ventricular papillary muscle. Ion current measurements in isolated cardiomyocytes showed that IK1 and IKs densities were 3- and 4.5-fold larger in dogs than humans, respectively. IKr density and kinetics were similar in human versus dog. ICa and Ito were respectively ~30% larger and ~29% smaller in human, and Na(+)-Ca(2+) exchange current was comparable. Cardiac mRNA levels for the main IK1 ion channel subunit Kir2.1 and the IKs accessory subunit minK were significantly lower, but mRNA expression of ERG and KvLQT1 (IKr and IKs α-subunits) were not significantly different, in human versus dog. Immunostaining suggested lower Kir2.1 and minK, and higher KvLQT1 protein expression in human versus canine cardiomyocytes. IK1 and IKs inhibition increased the APD-prolonging effect of IKr block more in dog (by 56% and 49%, respectively) than human (34 and 16%), indicating that both currents contribute to increased repolarization reserve in the dog. A mathematical model incorporating observed human-canine ion current differences confirmed the role of IK1 and IKs in repolarization reserve differences. Thus, humans show greater repolarization-delaying effects of IKr block than dogs, because of lower repolarization reserve contributions from IK1 and IKs, emphasizing species-specific determinants of repolarization and the limitations of animal models for human disease.

Indexed as

Action PotentialsModels, CardiovascularAdultAnimalsCalciumCells, CulturedDogsFemaleHeartHumansIon TransportMaleMiddle AgedMyocytes, CardiacPotassiumPotassium ChannelsCalciumPotassiumPotassium ChannelsRNA, MessengerSodiumSodium-Calcium Exchanger

Identifiers

PMID23878377
PMCPMC3779111
OpenAlexW2118684821

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.