Identification of Lauric Acid as a Potent Sodium Channel NaV1.5 Blocker from Compound Chinese Medicine Wenxin Keli.

IF 4.7 2区 医学 Q1 CHEMISTRY, MEDICINAL Drug Design, Development and Therapy Pub Date : 2025-01-09 eCollection Date: 2025-01-01 DOI:10.2147/DDDT.S485723
Weiwei Xie, Jiaming Gao, Yingran Liang, Chenxing Huang, Boyong Zhang, Xiaonan Chen, Xi Yao, Guo Nan, Honghua Wu, Yuefei Wang, Lin Wu, Taiyi Wang, Yan Zhu
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Abstract

Purpose: The major cardiac voltage-gated sodium channel NaV1.5 (INa) is essential for cardiac action potential initiation and subsequent propagation. Compound Chinese medicine Wenxin Keli (WXKL) has been shown to suppress arrhythmias and heart failure. However, its active components have not been fully elucidated. This study focused on identifying the active inhibitor of INa in WXKL and exploring their mode of action in electrophysiological conduction.

Methods: A chemical fraction library was constructed from an aqueous extract of WXKL and screened using an automated patch-clamping system in cells stably expressing the NaV1.5 gene SCN5A. Candidate fractions with INa-inhibition activity were analyzed by HPLC-ESI-IT-TOF-MS and GC-MS to identify the ingredients. NaV1.5 blocker molecules identified by single-cell electrocardiogram were tested in hiPSC-derived cardiomyocytes. We evaluated the SCN5A inhibitory potential of Wenxin Keli effective monomer employing molecular docking and molecular dynamics simulation approaches.

Results: A primary screen of the WXKL chemical library identified five fractions that significantly inhibited the NaV1.5 channel, with one of them rich in poly-saturated fatty acids. Molecular structural characterization revealed the presence of lauric acid, myristic acid, palmitic acid, and stearic acid in the active subfraction. Electrophysiological characterization demonstrated lauric acid (LA) as the most effective monomer for INa-inhibition with an IC50 at 27.40 ± 12.78 μM. LA shifted the steady-state inactivation of INa to more negative potentials and decreased the amplitude of extracellular field potential in hiPSC-derived cardiomyocytes. We demonstrate for the first time that naturally poly-saturated fatty acid, lauric acid, as a potential novel INa blocker. Molecular docking and molecular dynamics simulation suggested that LA binds to the NaV1.5 protein, with a significant binding affinity forming interactions with functionally essential residues and blocks the inward flow of Na+. Mechanistically, lauric acid acts on the fast inactivation of NaV1.5 alter electrophysiology conduction of hiPSC-derived cardiomyocytes and contribute to the antiarrhythmic effect of WXKL.

Conclusion: Lauric acid is a potent blocker for sodium channel NaV1.5 and alleviates arrhythmia via inhibiting INa.

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复方中药温心颗粒中月桂酸作为钠通道NaV1.5有效阻滞剂的鉴定
目的:主要的心脏电压门控钠通道 NaV1.5(INa)对心脏动作电位的启动和随后的传播至关重要。复方中药文心科利(WXKL)已被证明可抑制心律失常和心力衰竭。然而,其活性成分尚未完全阐明。本研究的重点是确定文心科利中的 INa 活性抑制剂,并探索其在电生理传导中的作用模式:方法:从 WXKL 的水提取物中构建化学组分库,并在稳定表达 NaV1.5 基因 SCN5A 的细胞中使用自动贴片钳系统进行筛选。通过 HPLC-ESI-IT-TOF-MS 和 GC-MS 分析具有 INa 抑制活性的候选馏分,以确定其中的成分。通过单细胞心电图鉴定出的 NaV1.5 阻断剂分子在 hiPSC 衍生的心肌细胞中进行了测试。我们采用分子对接和分子动力学模拟方法评估了文心凯利有效单体的 SCN5A 抑制潜力:结果:通过对 WXKL 化学物质库进行初筛,发现了五种能显著抑制 NaV1.5 通道的馏分,其中一种富含多不饱和脂肪酸。分子结构表征显示,活性馏分中含有月桂酸、肉豆蔻酸、棕榈酸和硬脂酸。电生理学表征表明,月桂酸(LA)是抑制 INa 的最有效单体,其 IC50 为 27.40 ± 12.78 μM。LA 使 INa 的稳态失活转向更负的电位,并降低了 hiPSC 衍生心肌细胞中细胞外场电位的振幅。我们首次证明天然多饱和脂肪酸月桂酸是一种潜在的新型 INa 阻滞剂。分子对接和分子动力学模拟表明,月桂酸能与 NaV1.5 蛋白结合,并与功能必需残基形成相互作用,从而阻断 Na+ 的内流。从机理上讲,月桂酸作用于NaV1.5的快速失活,改变了hiPSC衍生心肌细胞的电生理传导,有助于WXKL的抗心律失常作用:月桂酸是钠通道 NaV1.5 的强效阻滞剂,可通过抑制 INa 缓解心律失常。
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来源期刊
Drug Design, Development and Therapy
Drug Design, Development and Therapy CHEMISTRY, MEDICINAL-PHARMACOLOGY & PHARMACY
CiteScore
9.00
自引率
0.00%
发文量
382
审稿时长
>12 weeks
期刊介绍: Drug Design, Development and Therapy is an international, peer-reviewed, open access journal that spans the spectrum of drug design, discovery and development through to clinical applications. The journal is characterized by the rapid reporting of high-quality original research, reviews, expert opinions, commentary and clinical studies in all therapeutic areas. Specific topics covered by the journal include: Drug target identification and validation Phenotypic screening and target deconvolution Biochemical analyses of drug targets and their pathways New methods or relevant applications in molecular/drug design and computer-aided drug discovery* Design, synthesis, and biological evaluation of novel biologically active compounds (including diagnostics or chemical probes) Structural or molecular biological studies elucidating molecular recognition processes Fragment-based drug discovery Pharmaceutical/red biotechnology Isolation, structural characterization, (bio)synthesis, bioengineering and pharmacological evaluation of natural products** Distribution, pharmacokinetics and metabolic transformations of drugs or biologically active compounds in drug development Drug delivery and formulation (design and characterization of dosage forms, release mechanisms and in vivo testing) Preclinical development studies Translational animal models Mechanisms of action and signalling pathways Toxicology Gene therapy, cell therapy and immunotherapy Personalized medicine and pharmacogenomics Clinical drug evaluation Patient safety and sustained use of medicines.
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