Evidence map›Paper›PMID 34785211›Full record

ArticleEuropean journal of pharmacology2021

Assessment of proarrhythmogenic risk for chloroquine and hydroxychloroquine using the CiPA concept.

Urs Thomet, Bogdan Amuzescu, Thomas Knott, Stefan A Mann, Kanigula Mubagwa, Beatrice Mihaela Radu

Abstract read
In one paragraph

Article in European journal of pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Safety of Hydroxychloroquine: What a Dermatologist Should Know.American journal of clinical dermatology · 2025
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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  8. Feedback contributions to excitation-contraction coupling in native functioning striated muscle.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2023
    Review
  9. Article
  10. Article
  11. Article
  12. Local Anesthetic Like Inhibition of the Cardiac NaJournal of experimental pharmacology · 2022
    Article
  13. 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

6 authors.

Urs ThometAnaxon A.G., Brünnenstrasse 90, 3018, Bern, Switzerland.
Bogdan AmuzescuDept. Anatomy, Animal Physiology & Biophysics, Faculty of Biology, University of Bucharest, Splaiul Independentei 91-95, 050095, Bucharest, Romania. Electronic address: bogdan@biologie.kappa.ro.
Thomas KnottCytoBioScience Inc., 3463 Magic Drive, San Antonio, TX, 78229, USA.
Stefan A MannCytocentrics Bioscience GmbH, Nattermannallee 1, 50829, Cologne, Germany.
Kanigula MubagwaDept. Cardiovascular Sciences, Faculty of Medicine, K U Leuven, B-3000, Leuven, Belgium; Dept. Basic Sciences, Faculty of Medicine, Université Catholique de Bukavu, Bukavu, DR Congo.
Beatrice Mihaela RaduDept. Anatomy, Animal Physiology & Biophysics, Faculty of Biology, University of Bucharest, Splaiul Independentei 91-95, 050095, Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chloroquine and hydroxychloroquine have been proposed recently as therapy for SARS-CoV-2-infected patients, but during 3 months of extensive use concerns were raised related to their clinical effectiveness and arrhythmogenic risk. Therefore, we estimated for these compounds several proarrhythmogenic risk predictors according to the Comprehensive in vitro Proarrhythmia Assay (CiPA) paradigm. Experiments were performed with either CytoPatch™2 automated or manual patch-clamp setups on HEK293T cells stably or transiently transfected with hERG1, hNav1.5, hKir2.1, hKv7.1+hMinK, and on Pluricyte® cardiomyocytes (Ncardia), using physiological solutions. Dose-response plots of hERG1 inhibition fitted with Hill functions yielded IC50 values in the low micromolar range for both compounds. We found hyperpolarizing shifts of tens of mV, larger for chloroquine, in the voltage-dependent activation but not inactivation, as well as a voltage-dependent block of hERG current, larger at positive potentials. We also found inhibitory effects on peak and late I

Indexed as

Action PotentialsAntiviral AgentsArrhythmias, CardiacBiological AssayChloroquineComputer SimulationCorrelation of DataCOVID-19 Drug TreatmentDose-Response Relationship, DrugERG1 Potassium ChannelHEK293 CellsHumansHydroxychloroquineInhibitory Concentration 50KCNQ1 Potassium ChannelKineticsAntiviral AgentsChloroquineERG1 Potassium ChannelHydroxychloroquineKCNE1 protein, humanKCNJ4 protein, humanKCNQ1 Potassium ChannelKCNQ1 protein, humanNAV1.5 Voltage-Gated Sodium ChannelPotassium Channels, Inwardly RectifyingPotassium Channels, Voltage-GatedSCN5A protein, humanChloroquineComprehensive in vitro proarrhythmia assayCytocentering automated patch-clampHuman induced pluripotent stem cell-derived cardiomyocyteHydroxychloroquineProarrhythmogenic risk predictor

Identifiers

PMID34785211
PMCPMC8590616

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Registered trials

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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.