Effect of Danhong Injection on electrophysiology of human-induced pluripotent stem cell-derived cardiomyocytes using patch clamp technique
Objective To explore the possible mechanism of Danhong Injection(DHI)in the treatment of aconitine-induced arrhythmia from the perspective of cellular electrophysiology through whole-cell patch-clamp experiments.Method Based on the patch-clamp technique of human induced pluripotent stem cell-derived cardiomyocytes(hiPSC-CMs),the inhibition effects of aconitine at different concentrations(3,9,27 μmol·L-1)on sodium channel and hERG potassium channel were observed,and the modeling conditions were screened.The control group,model group(1 μmol·L-1 aconitine for a long time)and DHI(3,9,27 μL·mL-1)groups were set up,and aconitine and DHI were added at the same time.The action potential amplitude(APA),discharge frequency,time-domain of 50% action potential decrease(APD50)and time-domain of 90% action potential decrease(APD90)were recorded,and the relative values were calculated using the control group as the standard.The control group,model group and DHI(3 μL·mL-1)group were set up,and aconitine and DHI were added at the same time,observed for 3-5 min,and the current densities of sodium ion,hERG potassium ion,and calcium ion were recorded.Results The inhibition rates of aconitine at 3,9,and 27 μmol·L-1 on sodium current were 17.94%,31.07%,and 60.67%,respectively,and the inhibition rates of hERG channel were 5.02%,10.59%,and 28.59%,respectively.The inhibition effect of aconitine on hERG channel in a short period of time was limited,while in the actual experiment,the long-term incubation of high concentration of aconitine completely inhibited the sodium current,resulting in the damage of ion channel function,so the model was prepared by 1 μmol·L-1 aconitine for a long time.Compared with the control group,the relative APA,relative APD50,and relative APD90 of hiPSC-CMs in the model group were significantly decreased(P<0.01,0.001),and the relative discharge frequency was significantly increased(P<0.001).The sodium current decreased within a certain time,with an inhibition rate of about 30.18%.The hERG potassium current decreased significantly,with an inhibition rate of about 72.33%.The calcium current increased significantly,with an increase of about 191.35%.Compared with model group,the relative discharge frequency of DHI 3,9,and 27 μL·mL-1 groups was significantly decreased(P<0.05,0.001),and the relative APD90 was significantly increased(P<0.05,0.01),and the relative APD50 of 3 μL·mL-1 group was significantly increased(P<0.001).The decrease of sodium current,the decrease of hERG potassium current,and the increase of calcium current in the DHI group were alleviated to some extent.Conclusion DHI may alleviate aconitine-induced arrhythmias by influencing sodium,potassium,and calcium channels.