New antiarrhythmic targets to control intracellular calcium handling

H. Driessen, V.J.A. Bourgonje, T.A.B. van Veen, M.A. Vos

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Sudden cardiac death due to ventricular arrhythmias is a major problem. Drug therapies to prevent SCD do not provide satisfying results, leading to the demand for new antiarrhythmic strategies. New targets include Ca(2+)/Calmodulin-dependent protein kinase II (CaMKII), the Na/Ca exchanger (NCX), the Ryanodine receptor (RyR, and its associated protein FKBP12.6 (Calstabin)) and the late component of the sodium current (I Na-Late ), all related to intracellular calcium (Ca(2+)) handling. In this review, drugs interfering with these targets (SEA-0400, K201, KN-93, W7, ranolazine, sophocarpine, and GS-967) are evaluated and their future as clinical compounds is considered. These new targets prove to be interesting; however more insight into long-term drug effects is necessary before clinical applicability becomes reality.
Original languageEnglish
Pages (from-to)198-213
Number of pages16
JournalNetherlands Heart Journal
Volume22
Issue number5
Publication statusPublished - May 2014

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