Effectiveness in Block by Dexmedetomidine of Hyperpolarization-Activated Cation Current, Independent of Its Agonistic Effect on α<sub>2</sub>-Adrenergic Receptors

Dexmedetomidine (DEX), a highly selective agonist of α<sub>2</sub>-adrenergic receptors, has been tailored for sedation without risk of respiratory depression. Our hypothesis is that DEX produces any direct perturbations on ionic currents (e.g., hyperpolarization-activated cation current...

Full description

Bibliographic Details
Main Authors: Te-Ling Lu, Te-Jung Lu, Sheng-Nan Wu
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/21/23/9110
Description
Summary:Dexmedetomidine (DEX), a highly selective agonist of α<sub>2</sub>-adrenergic receptors, has been tailored for sedation without risk of respiratory depression. Our hypothesis is that DEX produces any direct perturbations on ionic currents (e.g., hyperpolarization-activated cation current, <i>I</i><sub>h</sub>). In this study, addition of DEX to pituitary GH<sub>3</sub> cells caused a time- and concentration-dependent reduction in the amplitude of <i>I</i><sub>h</sub> with an IC<sub>50</sub> value of 1.21 μM and a <i>K</i><sub>D</sub> value of 1.97 μM. A hyperpolarizing shift in the activation curve of <i>I</i><sub>h</sub> by 10 mV was observed in the presence of DEX. The voltage-dependent hysteresis of <i>I</i><sub>h</sub> elicited by long-lasting triangular ramp pulse was also dose-dependently reduced during its presence. In continued presence of DEX (1 μM), further addition of OXAL (10 μM) or replacement with high K<sup>+</sup> could reverse DEX-mediated inhibition of <i>I</i><sub>h</sub>, while subsequent addition of yohimbine (10 μM) did not attenuate the inhibitory effect on <i>I</i><sub>h</sub> amplitude. The addition of 3 μM DEX mildly suppressed the amplitude of <i>erg</i>-mediated K<sup>+</sup> current. Under current-clamp potential recordings, the exposure to DEX could diminish the firing frequency of spontaneous action potentials. In pheochromocytoma PC12 cells, DEX was effective at suppressing <i>I</i><sub>h</sub> together with a slowing in activation time course of the current. Taken together, findings from this study strongly suggest that during cell exposure to DEX used at clinically relevant concentrations, the DEX-mediated block of <i>I</i><sub>h</sub> appears to be direct and would particularly be one of the ionic mechanisms underlying reduced membrane excitability in the in vivo endocrine or neuroendocrine cells.
ISSN:1661-6596
1422-0067