COMPARATIVE ANALYSIS OF MECHANISMS OF ACTION OF PEPTIDE TOXINS, INHIBITORS OF CALCIUM AND SODIUM CHANNELS, UNDER ISCHEMIA/REPERFUSION

Abstract

Ischemia contributes to many pathological conditions encountered in clinical practice. Besides, subsequent reperfusion may worsen tissue damage, exacerbating injuries caused by ischemia. Shifts in the balance of calcium and sodium ions play a major role in the development of ischemia-reperfusion injury. Inhibitors of calcium and sodium ion channels located on the membrane surface can help to avoid a sharp disturbance in the ion balance. Although such inhibitors reduce cell death, their mechanisms of action differ. The aim of the study is to conduct a comparative analysis of the mechanisms of action of peptide inhibitors of calcium and sodium channels on ischemia-reperfusion damage to epithelial cells. Materials and Methods. Peptide synthesizer was used for toxin synthesis. Chromatography and mass spectrometry were used for quality control. Analysis of cell death, changes in calcium and sodium ion concentrations, and pH levels were performed using fluorescent dyes and a multimodal reader. Results. It was found that peptide inhibitors of calcium and sodium channels reduce apoptosis and necrosis levels in CHO-K1 culture under simulated ischemia/reperfusion. The calcium channel inhibitor reduces cell death by lowering calcium and sodium ion concentrations and maintaining physiological pH levels throughout the reperfusion phase. The sodium channel inhibitor reduces death by lowering calcium and increasing sodium concentrations, and by maintaining an elevated pH throughout the reperfusion phase. Conclusion. Although both calcium and sodium concentrations as well as their mutual influence play an important role in the development of ischemia-reperfusion injury, inhibition of certain channels has different effects on intracellular processes with the same result, namely reduced cell death.