Abstract
Voltage-dependent ionic currents were recorded from squid giant fiber lobe neurons using the whole-cell patch-clamp technique. When applied to the bathing solution, methadone was found to block IK, I Na and I Ca. Both I Na and I Ca were reduced without apparent change in kinetics and exhibited IC(50)'s of 50-100 and 250-500 mu M, respectively, at +10 mV. In contrast, IK was reduced in a time-dependent manner that is well fit by a simple model of open channel block (K(D)= 32+/- or 2 mu M, +60 mV, 10 degrees Celsius). The mechanism of I(K) block was examined in detail and involves a direct action of methadone, a tertiary amine, on K channels rather than an opioid receptor-mediated pathway. The kinetics of I(K) block resemble those reported for internally applied long chain quaternary ammonium (QA) compounds; and recovery from I(K) block is QA-like in its slow time course and strong dependence on holding potential. A quaternary derivative of methadone (N-methyl- methadone) only reproduced the effects of methadone on I(K) when included in the pipette solution; this compound was without effect when applied externally. I(K) block thus appears to involve diffusion of methadone into the cytoplasm and occlusion of the open K channel at the internal QA blocking site by the protonated form of the drug. This proposed mode of action is supported by the pH and voltage dependence of block as well as by the observation that high external K+ speeds the rate of drug dissociation. In addition, the effect of methadone on I(K) evoked during prolonged (300 ms) depolarizations suggests that methadone block may interfere with endogenous K+ channel inactivation. The effects of temperature, methadone stereoisomers, and the methadone- like drugs propoxyphene and nor-propoxyphene on IK block were examined. Methadone was also found to block I(K) in GH3 cells and in chick myoblasts.
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- Alzheimer C., ten Bruggencate G. Nonopioid actions of the kappa-opioid receptor agonists, U 50488H and U 69593 on electrophysiologic properties of hippocampal CA3 neurons in vitro. J Pharmacol Exp Ther. 1990 Nov;255(2):900–905. [PubMed] [Google Scholar]
- Amsterdam E. A., Rendig S. V., Henderson G. L., Mason D. T. Depression of myocardial contractile function by propoxyphene and norpropoxyphene. J Cardiovasc Pharmacol. 1981 Jan-Feb;3(1):129–138. doi: 10.1097/00005344-198101000-00011. [DOI] [PubMed] [Google Scholar]
- Armstrong C. M., Bezanilla F. Charge movement associated with the opening and closing of the activation gates of the Na channels. J Gen Physiol. 1974 May;63(5):533–552. doi: 10.1085/jgp.63.5.533. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Armstrong C. M., Bezanilla F. Inactivation of the sodium channel. II. Gating current experiments. J Gen Physiol. 1977 Nov;70(5):567–590. doi: 10.1085/jgp.70.5.567. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Armstrong C. M. Interaction of tetraethylammonium ion derivatives with the potassium channels of giant axons. J Gen Physiol. 1971 Oct;58(4):413–437. doi: 10.1085/jgp.58.4.413. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Armstrong C. M. Ionic pores, gates, and gating currents. Q Rev Biophys. 1974 May;7(2):179–210. doi: 10.1017/s0033583500001402. [DOI] [PubMed] [Google Scholar]
- Barraclough C. J., Lowe R. A. Failure of naloxone to reverse the cardiotoxocity of Distalgesic overdose. Postgrad Med J. 1982 Oct;58(684):667–668. doi: 10.1136/pgmj.58.684.667. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bredgaard Sørensen M., Häggmark S., Nyhman H., Sloth Madsen P., Strøm J., Reiz S. Circulatory shock following intravenous propoxyphene poisoning. An experimental study of cardiac function and metabolism in pentobarbital-anesthetized pigs. Acta Anaesthesiol Scand. 1985 Jan;29(1):130–136. doi: 10.1111/j.1399-6576.1985.tb02173.x. [DOI] [PubMed] [Google Scholar]
- Brismar T., Gilly W. F. Synthesis of sodium channels in the cell bodies of squid giant axons. Proc Natl Acad Sci U S A. 1987 Mar;84(5):1459–1463. doi: 10.1073/pnas.84.5.1459. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Calligaro D., Young G. A., Khazan N. Dissociation of the opioid and nonopioid effects of cyclazocine. Pharmacol Biochem Behav. 1988 May;30(1):163–167. [PubMed] [Google Scholar]
- Carmeliet E., Morad M., Van der Heyden G., Vereecke J. Electrophysiological effects of tetracaine in single guinea-pig ventricular myocytes. J Physiol. 1986 Jul;376:143–161. doi: 10.1113/jphysiol.1986.sp016146. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Choi D. W., Viseskul V. Opioids and non-opioid enantiomers selectively attenuate N-methyl-D-aspartate neurotoxicity on cortical neurons. Eur J Pharmacol. 1988 Oct 11;155(1-2):27–35. doi: 10.1016/0014-2999(88)90399-8. [DOI] [PubMed] [Google Scholar]
- Choi K. L., Aldrich R. W., Yellen G. Tetraethylammonium blockade distinguishes two inactivation mechanisms in voltage-activated K+ channels. Proc Natl Acad Sci U S A. 1991 Jun 15;88(12):5092–5095. doi: 10.1073/pnas.88.12.5092. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Choi K. L., Mossman C., Aubé J., Yellen G. The internal quaternary ammonium receptor site of Shaker potassium channels. Neuron. 1993 Mar;10(3):533–541. doi: 10.1016/0896-6273(93)90340-w. [DOI] [PubMed] [Google Scholar]
- Clarkson C. W. Stereoselective block of cardiac sodium channels by RAC109 in single guinea pig ventricular myocytes. Circ Res. 1989 Nov;65(5):1306–1323. doi: 10.1161/01.res.65.5.1306. [DOI] [PubMed] [Google Scholar]
- Courtney K. R., Kendig J. J. Bupivacaine is an effective potassium channel blocker in heart. Biochim Biophys Acta. 1988 Mar 22;939(1):163–166. doi: 10.1016/0005-2736(88)90058-2. [DOI] [PubMed] [Google Scholar]
- Finkle B. S., McCloskey K. L., Kiplinger G. F., Bennett I. F. A national assessment of propoxyphene in postmortem medicolegal investigation, 1972-1975. J Forensic Sci. 1976 Oct;21(4):706–741. [PubMed] [Google Scholar]
- Fischer W., Bodewei R., VonVoigtlander P. F., Müller M. Anticonvulsant and related effects of U-54494A in various seizure tests. J Pharmacol Exp Ther. 1993 Oct;267(1):163–170. [PubMed] [Google Scholar]
- French R. J., Shoukimas J. J. An ion's view of the potassium channel. The structure of the permeation pathway as sensed by a variety of blocking ions. J Gen Physiol. 1985 May;85(5):669–698. doi: 10.1085/jgp.85.5.669. [DOI] [PMC free article] [PubMed] [Google Scholar]
- GERO A. Steric considerations on the chemical structure and physiological activity of methadone and related compounds. Science. 1954 Jan 22;119(3082):112–114. [PubMed] [Google Scholar]
- Gilly W. F., Armstrong C. M. Divalent cations and the activation kinetics of potassium channels in squid giant axons. J Gen Physiol. 1982 Jun;79(6):965–996. doi: 10.1085/jgp.79.6.965. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gilly W. F., Brismar T. Properties of appropriately and inappropriately expressed sodium channels in squid giant axon and its somata. J Neurosci. 1989 Apr;9(4):1362–1374. doi: 10.1523/JNEUROSCI.09-04-01362.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hamill O. P., Marty A., Neher E., Sakmann B., Sigworth F. J. Improved patch-clamp techniques for high-resolution current recording from cells and cell-free membrane patches. Pflugers Arch. 1981 Aug;391(2):85–100. doi: 10.1007/BF00656997. [DOI] [PubMed] [Google Scholar]
- Heaney R. M. Left bundle branch block associated with propoxyphene hydrochloride poisoning. Ann Emerg Med. 1983 Dec;12(12):780–782. doi: 10.1016/s0196-0644(83)80259-5. [DOI] [PubMed] [Google Scholar]
- Hille B. Local anesthetics: hydrophilic and hydrophobic pathways for the drug-receptor reaction. J Gen Physiol. 1977 Apr;69(4):497–515. doi: 10.1085/jgp.69.4.497. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Holland D. R., Steinberg M. I. Electrophysiologic properties of propoxyphene and norpropoxyphene in canine cardiac conducting tissues in vitro and in vivo. Toxicol Appl Pharmacol. 1979 Jan;47(1):123–133. doi: 10.1016/0041-008x(79)90079-6. [DOI] [PubMed] [Google Scholar]
- Hoshi T., Zagotta W. N., Aldrich R. W. Biophysical and molecular mechanisms of Shaker potassium channel inactivation. Science. 1990 Oct 26;250(4980):533–538. doi: 10.1126/science.2122519. [DOI] [PubMed] [Google Scholar]
- Isacoff E. Y., Jan Y. N., Jan L. Y. Putative receptor for the cytoplasmic inactivation gate in the Shaker K+ channel. Nature. 1991 Sep 5;353(6339):86–90. doi: 10.1038/353086a0. [DOI] [PubMed] [Google Scholar]
- Josephson I. R. Lidocaine blocks Na, Ca and K currents of chick ventricular myocytes. J Mol Cell Cardiol. 1988 Jul;20(7):593–604. doi: 10.1016/s0022-2828(88)80117-2. [DOI] [PubMed] [Google Scholar]
- Kaufman J. J., Semo N. M., Koski W. S. Microelectrometric titration measurement of the pKa's and partition and drug distribution coefficients of narcotics and narcotic antagonists and their pH and temperature dependence. J Med Chem. 1975 Jul;18(7):647–655. doi: 10.1021/jm00241a001. [DOI] [PubMed] [Google Scholar]
- LEIMBACH D. G., EDDY N. B. Synthetic analgesics: III. Methadols, isomethadols, and their acyl derivatives. J Pharmacol Exp Ther. 1954 Feb;110(2):135–147. [PubMed] [Google Scholar]
- Leander J. D., McCleary P. E. Opioid and nonopioid behavioral effects of methadone isomers. J Pharmacol Exp Ther. 1982 Mar;220(3):592–596. [PubMed] [Google Scholar]
- Llano I., Bookman R. J. Ionic conductances of squid giant fiber lobe neurons. J Gen Physiol. 1986 Oct;88(4):543–569. doi: 10.1085/jgp.88.4.543. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Llano I., Webb C. K., Bezanilla F. Potassium conductance of the squid giant axon. Single-channel studies. J Gen Physiol. 1988 Aug;92(2):179–196. doi: 10.1085/jgp.92.2.179. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Magnan J., Paterson S. J., Tavani A., Kosterlitz H. W. The binding spectrum of narcotic analgesic drugs with different agonist and antagonist properties. Naunyn Schmiedebergs Arch Pharmacol. 1982 Jun;319(3):197–205. doi: 10.1007/BF00495865. [DOI] [PubMed] [Google Scholar]
- Martin W. R. Pharmacology of opioids. Pharmacol Rev. 1983 Dec;35(4):283–323. [PubMed] [Google Scholar]
- Matteson D. R., Armstrong C. M. Properties of two types of calcium channels in clonal pituitary cells. J Gen Physiol. 1986 Jan;87(1):161–182. doi: 10.1085/jgp.87.1.161. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Miller J. B., Stockdale F. E. Developmental origins of skeletal muscle fibers: clonal analysis of myogenic cell lineages based on expression of fast and slow myosin heavy chains. Proc Natl Acad Sci U S A. 1986 Jun;83(11):3860–3864. doi: 10.1073/pnas.83.11.3860. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Narahashi T., Moore J. W., Poston R. N. Anesthetic blocking of nerve membrane conductances by internal and external applications. J Neurobiol. 1969;1(1):3–22. doi: 10.1002/neu.480010103. [DOI] [PubMed] [Google Scholar]
- Nealey T., Spires S., Eatock R. A., Begenisich T. Potassium channels in squid neuron cell bodies: comparison to axonal channels. J Membr Biol. 1993 Feb;132(1):13–25. doi: 10.1007/BF00233048. [DOI] [PubMed] [Google Scholar]
- Nickander R., Smits S. E., Steinberg M. I. Propoxyphene and norpropoxyphene: pharmacologic and toxic effects in animals. J Pharmacol Exp Ther. 1977 Jan;200(1):245–253. [PubMed] [Google Scholar]
- Ono K., Kiyosue T., Arita M. Effects of AN-132, a novel antiarrhythmic lidocaine analogue, and of lidocaine on membrane ionic currents of guinea-pig ventricular myocytes. Naunyn Schmiedebergs Arch Pharmacol. 1989 Jan-Feb;339(1-2):221–229. doi: 10.1007/BF00165147. [DOI] [PubMed] [Google Scholar]
- Orito K., Yanagisawa T., Taira N. A possibility that the ATP-sensitive potassium channel in coronary artery has a high-affinity internal binding site for tetraalkylammonium. Jpn J Pharmacol. 1994 Apr;64(4):297–301. doi: 10.1254/jjp.64.297. [DOI] [PubMed] [Google Scholar]
- Oron L., Sarne Y., Michaelson D. M. Nonopioid effect of morphine on electrically evoked acetylcholine release from Torpedo electromotor neurons. J Neurochem. 1992 Feb;58(2):416–420. doi: 10.1111/j.1471-4159.1992.tb09738.x. [DOI] [PubMed] [Google Scholar]
- Perozo E., Jong D. S., Bezanilla F. Single channel studies of the phosphorylation of K+ channels in the squid giant axon. II. Nonstationary conditions. J Gen Physiol. 1991 Jul;98(1):19–34. doi: 10.1085/jgp.98.1.19. [DOI] [PMC free article] [PubMed] [Google Scholar]
- ROBBINS E. B. The pharmacologic effects of a new analgesic alpha-4-dimethylamino-1,2-diphenyl-3-methyl-4-propionyloxybutane. J Am Pharm Assoc Am Pharm Assoc. 1955 Aug;44(8):497–500. doi: 10.1002/jps.3030440812. [DOI] [PubMed] [Google Scholar]
- Rojas E., Rudy B. Destruction of the sodium conductance inactivation by a specific protease in perfused nerve fibres from Loligo. J Physiol. 1976 Nov;262(2):501–531. doi: 10.1113/jphysiol.1976.sp011608. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stanfield P. R. Tetraethylammonium ions and the potassium permeability of excitable cells. Rev Physiol Biochem Pharmacol. 1983;97:1–67. doi: 10.1007/BFb0035345. [DOI] [PubMed] [Google Scholar]
- Stickney J. L. Cardiac effects of 1-alpha-acetylmethadol. I. Chronotropic effects in vitro. Toxicol Appl Pharmacol. 1977 Apr;40(1):23–32. doi: 10.1016/0041-008x(77)90112-0. [DOI] [PubMed] [Google Scholar]
- Strøm J., Häggmark S., Madsen P. S., Ostman M., Reiz S., Angelo H., Sørensen M. B. The effects of naloxone on central hemodynamics and myocardial metabolism in experimental propoxyphene-induced circulatory shock. Acta Anaesthesiol Scand. 1985 Oct;29(7):693–697. doi: 10.1111/j.1399-6576.1985.tb02282.x. [DOI] [PubMed] [Google Scholar]
- Sugiyama K., Muteki T. Local anesthetics depress the calcium current of rat sensory neurons in culture. Anesthesiology. 1994 Jun;80(6):1369–1378. doi: 10.1097/00000542-199406000-00025. [DOI] [PubMed] [Google Scholar]
- Sullivan H. R., Due S. L., McMahon R. E. The difference in activity between (+)- and (-)-methadone is intrinsic and not due to a difference in metabolism. J Pharm Pharmacol. 1975 Oct;27(10):728–732. doi: 10.1111/j.2042-7158.1975.tb09391.x. [DOI] [PubMed] [Google Scholar]
- Swenson R. P., Jr Inactivation of potassium current in squid axon by a variety of quaternary ammonium ions. J Gen Physiol. 1981 Mar;77(3):255–271. doi: 10.1085/jgp.77.3.255. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Walker J. M., Moises H. C., Friederich M. W. A review of some nonopioid actions of dynorphin. Prog Clin Biol Res. 1985;192:309–312. [PubMed] [Google Scholar]
- Wang G. K. Binding affinity and stereoselectivity of local anesthetics in single batrachotoxin-activated Na+ channels. J Gen Physiol. 1990 Nov;96(5):1105–1127. doi: 10.1085/jgp.96.5.1105. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Whitcomb D. C., Gilliam F. R., 3rd, Starmer C. F., Grant A. O. Marked QRS complex abnormalities and sodium channel blockade by propoxyphene reversed with lidocaine. J Clin Invest. 1989 Nov;84(5):1629–1636. doi: 10.1172/JCI114340. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yeh J. Z., Tanguy J. Na channel activation gate modulates slow recovery from use-dependent block by local anesthetics in squid giant axons. Biophys J. 1985 May;47(5):685–694. doi: 10.1016/S0006-3495(85)83965-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yellen G. Permeation in potassium channels: implications for channel structure. Annu Rev Biophys Biophys Chem. 1987;16:227–246. doi: 10.1146/annurev.bb.16.060187.001303. [DOI] [PubMed] [Google Scholar]
- Zagotta W. N., Hoshi T., Aldrich R. W. Restoration of inactivation in mutants of Shaker potassium channels by a peptide derived from ShB. Science. 1990 Oct 26;250(4980):568–571. doi: 10.1126/science.2122520. [DOI] [PubMed] [Google Scholar]
- Zhu Y., Im W. B. Block of sodium channel current by anticonvulsant U-54494A in mouse neuroblastoma cells. J Pharmacol Exp Ther. 1992 Jan;260(1):110–116. [PubMed] [Google Scholar]