Aconitine will induce arrhythmias after the fiber has been completely repolarized. This arrhythmia is generally facilitated in the presence of high Ca
2+ solution, yet the aconitine-induced arrhythmia occurs even in the presence of low Ca
2+ solutions. We studied aconitine-induced arrhythmia (particularly the ampliitude of delayed afterdepolarization) in the frog atrium or guinea-pig papillary muscles in Ca
2+-free solution, in the presence or absence of Ca
2+ channel blocking agents. In Ca
2+-free solution, aconitine (10
-5g/ml) decreased the resting potential, overshoot,
Vmax, and shortened the duration of the 90% action potential, before the onset of delayed afterdepolarization in frog atrial preparations. Tetrodotoxin (TTX) (2×10
-7g/ml) blocked these aconitine-induced electrical changes. Verapamil (10
-6g/ml) in nominally Ca
2+-free solution blocked neither the generation of delayed afterdepolarization nor the triggered activity, while LaCl
3 (0.5mM) or TTX halted it. Delayed afterdepolarization appeared following the aconitine-induced transient increase in twitch tension. This transient increase in twitch tension was blocked by LaCl
3 and TTX but not by verapamil. Delayed afterdepolarization in Ca
2+-free solution demonstrated the voltage dependence of a U shape between -40 and -80mV and was inhibited by low Na
+ and high K
+. Under the influence of aconitine in the guinea pig papillary muscle exposed to the Ca
2+-free solution, depolarizing clamp pulses produced a transient inward current, and here the sigmoid time- and voltage-dependent characteristics were similar to those seen in the case of digitalis intoxication. These results suggest that intracellular Na
+ loading plays an important role in the aconitine-induced delayed afterdepolarization and transient inward currents in low Ca
2+ solution.
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