Inactivation properties and frequency-dependence of ultrarapid delayed rectifier k+ current in human atrial myocytes. Feng, Jianlin, Donghui Xu, Zhiguo Wang, and Stanley_nattel,. Department of 1Medicine and 2Research Center, Montreal Heart Institute, Montreal H1T 1C8; Department of 3Medicine, University of Montreal, Montreal H3C 3J7; and the Department of 4Pharmacology and Therapeutics, McGill University, Montreal H3G 1Y6, Quebec, Canada
APStracts 5:0310H, 1998.
The ultrarapid delayed rectifier current (IKur) plays a significant role in human atrial repolarization and is generally believed to show little rate-dependence because of slow and partial inactivation. This study was designed to evaluate in detail the properties and consequences of IKur inactivation in isolated human atrial myocytes. IKur inactivated with a biexponential time course and a half -inactivation voltage of -7.5 " 0.6 mV (mean " SE), with complete inactivation during 50-s pulses to voltages positive to +10 mV (37_C). Recovery from inactivation proceeded slowly, with time constants of 0.42 " 0.06 and 7.9 " 0.9 s at -80 mV. Substantial frequencydependence was observed at 37_C over a clinically-relevant range of frequencies. Inactivation was faster and occurred at more positive voltages at 37_C compared to room temperature. The voltageand timedependencies of Kv1.5 inactivation were studied in Xenopus oocytes to avoid overlapping currents, and strongly resembled those of IKur in native myocytes. We conclude that, while IKur inactivation is slow, it is extensive, and slow recovery from inactivation confers important frequency-dependence with significant consequences for understanding the role of IKur in human atrial repolarization.

Received 9 April 1998; accepted in final form 20 July 1998.
APS Manuscript Number H279-8.
Article publication pending Am. J. Physiol. (Heart Circ. Physiology).
ISSN 1080-4757 Copyright 1998 The American Physiological Society.
Published in APStracts on 21 September 1998