Tricyclic antidepressants (TCAs) are associated with cardiovascular side effects including prolongation of the QT interval of the ECG. In this report we studied the effects of two TCAs (imipramine and amitriptyline) on ionic current mediated by cloned HERG potassium channels. Voltage clamp measurements of HERG currents were made from CHO cells transiently transfected with HERG cDNA. HERG-encoded potassium channels were inhibited in a reversible manner by both imipramine and amitriptyline. HERG tail currents (IHERG) following test pulses to +20 mV were inhibited by imipramine with an IC50 of 3.4±0.4 μM (mean±s.e.mean) and a Hill coefficient of 1.17±0.03 (n=5). 3 μM amitriptyline inhibited IHERG by 34±6% (n=3). The inhibition showed only weak voltage dependence. Using an ‘envelope of tails' comprised of pulses to +20 mV of varying durations, the τ of activation was found to be 155±30 ms for control and 132±26 ms for 3 μM imipramine (n=5). Once maximal channel activation was achieved after 320 ms (as demonstrated by maximal tail currents), further prolongation of depolarization did not increase imipramine-mediated HERG channel inhibition. Taking current measurements every second during a 10 s depolarizing pulse from −80 mV to 0 mV, block was observed during the first pulse in the presence of imipramine and the level of IHERG block was similar throughout the pulse (n=5). A three pulse protocol (two depolarizing pulses to +20 mV separated by 20 ms at −80 mV) revealed that imipramine did not significantly alter the kinetics of IHERG inactivation. The τ of inactivation was 8±2 ms and 5.6±0.4 ms (n=5) in the absence and presence of 3 μM imipramine, respectively, and currents inactivated to a similar extent. Our data are consistent with TCAs causing components of block of the HERG channel in both the closed and open states. Any component of open channel block occurs rapidly upon depolarization. Inhibition of IHERG by the prototype TCAs imipramine and amitriptyline may suggest a mechanism for QT prolongation associated with risks of arrhythmia and sudden death that accompany high concentrations of TCAs following overdose. Keywords: HERG, imipramine, amitriptyline, tricyclic antidepressant, ‘rapid' delayed rectifier, IKr, cardiac arrhythmia, long QT syndrome, potassium channel Introduction Imipramine and amitriptyline are agents belonging to the tricyclic class of antidepressants (TCAs), and are used for treatment of depression and other conditions including panic disorder, obsessive compulsive disorder, bulimia, and nocturnal enuresis (Gorman, 1996; Daly & Wilens, 1998). TCAs have a wide spectrum of actions including inhibition of noradrenaline and 5-hydroxytryptamine reuptake at nerve endings, as well as anti-histaminergic, anticholinergic activities, and block of sodium channels (Coupland et al., 1997; Stahl, 1998). Tricyclic antidepressants such as imipramine and amitriptyline have cardiovascular side effects including orthostatic hypotension, atrioventricular conduction delay, reduced heart rate variability in response to exercise, tachycardia, syncope, and lengthening of the QT interval (which may be associated with arrhythmias), particularly in cases with high dosages and in patients with concurrent cardiovascular disease (Coupland et al., 1997). Overdose of antidepressant agents (and particularly TCAs) is epidemiologically important from the standpoint of mortality (Henry, 1997). The cardiac actions of TCAs have been suggested to result from ‘quinidine-like' activity (Pentel & Benowitz, 1986). Quinidine, a type I antiarrhythmic, is known to cause slowing of phase 0 depolarization of the action potential resulting in slowing of conduction through the His-Purkinje system and myocardium. It is well-established that, in addition to its antiarrhythmic effects, quinidine can have pro-arrhythmic activity (Grace & Camm, 1998). Recent data suggest that quinidine and mexilitene (another type I antiarrhythmic), can also inhibit delayed rectifier potassium currents (IK; Balser et al., 1991; Mitcheson & Hancox, 1997; Po et al., 1999). The rapid component of the delayed rectifier potassium current (IKr) is widely accepted as being mediated by the HERG gene-product, and block of this current can lead to QT prolongation and its concomitant risk of the polymorphic ventricular tachyarrhythmia, torsade de pointes (Sanguinetti et al., 1995; Sanguinetti & Keating, 1997). Furthermore, a variety of pharmacological agents known to cause QT elongation with its associated risk of arrhythmia have been shown to block IHERG, including type III antiarrhythmics (Trudeau et al., 1995; Spector et al., 1996a; Busch et al., 1998), non-sedating antihistamines (Roy et al., 1996; Suessbrich et al., 1996), and antipsychotics (Suessbrich et al., 1997a). Imipramine has been shown to inhibit IKr in guinea-pig ventricular myocytes (Valenzuela et al., 1994), but the characteristics and concentration-dependence of the inhibition were not studied. In this study, therefore, we investigated the ability of the TCAs imipramine and amitriptyline to block heterologously expressed IHERG. The concentration-dependence and mechanism underlying inhibition were also studied.