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Brexpiprazole, a third-generation atypical antipsychotic inhibits voltage-gated K+ channels in rabbit coronary artery smooth muscle cells.

Created on 11 Nov 2026

Authors

Wenwen Zhuang, Hye Ryung Kim, Sooa Lee, Seungjoo Kim, Seokhun Jeong, Daeun Shin, Mi Seon Seo, Jin Ryeol An, Hongzoo Park, Eun-Taek Han, Jin-Hee Han, Wanjoo Chun, Se Jin Lee, Hongliang Li, Won Sun Park

Published in

Toxicology and applied pharmacology. Pages 118116. Nov 10, 2026. Epub Nov 10, 2026.

Abstract

Voltage-gated K+ (Kv) channels are crucial for regulating membrane potential and contractility in vascular smooth muscle cells (VSMCs). In this study, we investigated the effects of the third-generation antipsychotic brexpiprazole on Kv channels in native VSMCs isolated from rabbit coronary arteries. Brexpiprazole inhibited Kv currents in a concentration-dependent manner, with an IC50 of 8.35 ± 2.61 μM and a Hill coefficient of 0.81 ± 0.07. This inhibition was accompanied by an accelerated inactivation rate and a leftward shift of the steady-state inactivation curve. Repetitive stimulation at 1 and 2 Hz enhanced the inhibitory effect, and recovery from inactivation was significantly prolonged, indicating use-dependent blockade. Pharmacological analysis further implied subtype specificity, as inhibition was attenuated by pretreatment with diphenyl phosphine oxide-1 (a Kv1.5-selective blocker) but not by stromatoxin-1 (Kv2.1) or linopirdine (Kv7). Taken together, these findings indicate that Kv1.5 contributes to the brexpiprazole-sensitive Kv current and that brexpiprazole suppresses Kv currents through both concentration- and state-dependent mechanisms, at least in part by altering channel inactivation properties.

PMID:
43009072
Bibliographic data and abstract were imported from PubMed on 11 Nov 2026.

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