1. Flavonoids and hERG channels: Friends or foes?
- Author
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Saponara S, Fusi F, Iovinelli D, Ahmed A, Trezza A, Spiga O, Sgaragli G, and Valoti M
- Subjects
- Action Potentials, Animals, ERG1 Potassium Channel chemistry, ERG1 Potassium Channel metabolism, Humans, Long QT Syndrome metabolism, Long QT Syndrome physiopathology, Myocytes, Cardiac metabolism, Protein Conformation, Risk Assessment, Risk Factors, Structure-Activity Relationship, Torsades de Pointes metabolism, Torsades de Pointes physiopathology, ERG1 Potassium Channel antagonists & inhibitors, Flavonoids toxicity, Heart Rate drug effects, Long QT Syndrome chemically induced, Myocytes, Cardiac drug effects, Potassium Channel Blockers toxicity, Torsades de Pointes chemically induced
- Abstract
The cardiac action potential is regulated by several ion channels. Drugs capable to block these channels, in particular the human ether-à-go-go-related gene (hERG) channel, also known as K
V 11.1 channel, may lead to a potentially lethal ventricular tachyarrhythmia called "Torsades de Pointes". Thus, evaluation of the hERG channel off-target activity of novel chemical entities is nowadays required to safeguard patients as well as to avoid attrition in drug development. Flavonoids, a large class of natural compounds abundantly present in food, beverages, herbal medicines, and dietary food supplements, generally escape this assessment, though consumed in consistent amounts. Continuously growing evidence indicates that these compounds may interact with the hERG channel and block it. The present review, by examining numerous studies, summarizes the state-of-the-art in this field, describing the most significant examples of direct and indirect inhibition of the hERG channel current operated by flavonoids. A description of the molecular interactions between a few of these natural molecules and the Rattus norvegicus channel protein, achieved by an in silico approach, is also presented., (Copyright © 2021 Elsevier B.V. All rights reserved.)- Published
- 2021
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