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'Truly revolutionary' insight into how heart drugs work

WASHINGTON (February 12, 1998 5:30 p.m. EST http://www.nando.net) - A simple
chemical swap could explain why some heart drugs work, and could help
scientists design better drugs, researchers said Thursday.

Dr. Jonathan Lederer and colleagues at the University of Maryland said they
had found a way to make cells let in calcium where they should be letting in
sodium, thus changing a delicate but highly important chemical balance.

Their findings offer insight into how the heart contracts. Heart contraction
fails to work properly in heart failure, which affects 500,000 Americans every
year.

The contraction of heart muscle cells depends on the cell letting in calcium
from the outside. This is done through molecules known as calcium channels --
which give their name to a class of heart drugs known as calcium channel
blockers.

But sometimes calcium can come in using sodium channels which, as the name
implies, are supposed to let sodium into the cell.

Writing in the journal Science, Lederer's group said hormones such as
adrenaline and drugs based on digitalis can turn sodium channels into calcium
channels.

"We found that the sodium channel can be stimulated to do something new and
different by a neurotransmitter like adrenaline. It can be induced to conduct
calcium,"
Lederer said.

"What's more, when the sodium channel conducts calcium in heart muscle, it
significantly increases contraction. This is not academic minutia -- this is
truly revolutionary."

Copyright 1998 Nando.net
Copyright 1998 Reuters News Service

janet paterson
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