Optical control of cardiac electrophysiology by the photochromic ligand azobupivacaine 2

Background and Purpose Patients suffering from ischaemic heart disease and heart failure are at high risk of recurrent ventricular arrhythmias (VAs), eventually leading to sudden cardiac death. While high-voltage shocks delivered by an implantable defibrillator may prevent sudden cardiac death, thes...

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Hauptverfasser: Fehrentz, Timm (VerfasserIn) , Amin, Ehsan (VerfasserIn) , Görldt, Nicole (VerfasserIn) , Strasdeit, Tobias (VerfasserIn) , Moussavi-Torshizi, Seyed-Erfan (VerfasserIn) , Leippe, Philipp (VerfasserIn) , Trauner, Dirk (VerfasserIn) , Meyer, Christian (VerfasserIn) , Frey, Norbert (VerfasserIn) , Sasse, Philipp (VerfasserIn) , Klöcker, Nikolaj (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: March 2025
In: British journal of pharmacology
Year: 2025, Jahrgang: 182, Heft: 5, Pages: 1125-1142
ISSN:1476-5381
DOI:10.1111/bph.17394
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1111/bph.17394
Verlag, kostenfrei, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/bph.17394
Volltext
Verfasserangaben:Timm Fehrentz, Ehsan Amin, Nicole Görldt, Tobias Strasdeit, Seyed-Erfan Moussavi-Torshizi, Philipp Leippe, Dirk Trauner, Christian Meyer, Norbert Frey, Philipp Sasse, Nikolaj Klöcker

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520 |a Background and Purpose Patients suffering from ischaemic heart disease and heart failure are at high risk of recurrent ventricular arrhythmias (VAs), eventually leading to sudden cardiac death. While high-voltage shocks delivered by an implantable defibrillator may prevent sudden cardiac death, these interventions themselves impair quality of life and raise both morbidity and mortality, which accentuates the need for developing novel defibrillation techniques. Experimental Approach Photopharmacology allows for reversible control of biological processes by light. When relying on synthetic and externally applied chromophores, it renders genetic modification of target cells dispensable and may hence be advantageous over optogenetic approaches. Here, the photochromic ligand azobupivacaine 2 (AB2) was probed as a modulator of cardiac electrophysiology in an ex vivo intact mouse heart model. Key Results By reversibly blocking voltage-gated Na+ and K+ channels, photoswitching of AB2 modulated both the ventricular effective refractory period and the conduction velocity in native heart tissue. Moreover, photoswitching of AB2 was able to convert VA into sinus rhythm. Conclusion and Implications The present study provides the first proof of concept that AB2 enables gradual control of cardiac electrophysiology by light. AB2 may hence open the door to the development of an optical defibrillator based on photopharmacology. 
650 4 |a action potential duration 
650 4 |a conduction velocity 
650 4 |a optical defibrillation 
650 4 |a photopharmacology 
650 4 |a ventricular arrhythmia 
650 4 |a voltage-gated potassium channel 
650 4 |a voltage-gated sodium channel 
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