Abstract

Predicting how pharmaceuticals may affect heart rhythm is a crucial step in drug development and requires a deep understanding of a compound’s action on ion channels. In vitro hERG channel current recordings are an important step in evaluating the proarrhythmic potential of small molecules and are now routinely performed using automated high-throughput patch-clamp platforms. These machines can execute traditional voltage-clamp protocols aimed at specific gating processes, but the array of protocols needed to fully characterize a current is typically too long to be applied in a single cell. Shorter high-information protocols have recently been introduced that have this capability, but they are not typically compatible with high-throughput platforms. We present a new 15 second protocol to characterize hERG (Kv11.1) kinetics, suitable for both manual and high-throughput systems. We demonstrate its use on the Nanion SyncroPatch 384PE, a 384-well automated patch-clamp platform, by applying it to Chinese hamster ovary cells stably expressing hERG1a. From these recordings, we construct 124 cell-specific variants/parameterizations of a hERG model at 25°C. A further eight independent protocols are run in each cell and are used to validate the model predictions. We then combine the experimental recordings using a hierarchical Bayesian model, which we use to quantify the uncertainty in the model parameters, and their variability from cell-to-cell; we use this model to suggest reasons for the variability. This study demonstrates a robust method to measure and quantify uncertainty and shows that it is possible and practical to use high-throughput systems to capture full hERG channel kinetics quantitatively and rapidly.

Highlights

  • IntroductionThe human Ether-a-go-go-Related Gene (hERG) is of great importance in cardiac electrophysiology and safety pharmacology. hERG encodes the pore-forming a subunit of the ion channel Kv11.1, which conducts the rapid delayed rectifier potassium current, IKr [1]

  • The human Ether-a-go-go-Related Gene is of great importance in cardiac electrophysiology and safety pharmacology. hERG encodes the pore-forming a subunit of the ion channel Kv11.1, which conducts the rapid delayed rectifier potassium current, IKr [1]

  • We present a method for high-throughput characterization of hERG potassium channel kinetics via fitting a mathematical model to results of over 100 single-cell patch-clamp measurements collected simultaneously on an automated voltage-clamp platform

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Summary

Introduction

The human Ether-a-go-go-Related Gene (hERG) is of great importance in cardiac electrophysiology and safety pharmacology. hERG encodes the pore-forming a subunit of the ion channel Kv11.1, which conducts the rapid delayed rectifier potassium current, IKr [1]. Current pharmaceutical regulatory guidelines require the evaluation of effects on the hERG channel as part of preclinical drug development [4]. High-throughput automated patch-clamp screening for ion current inhibition by pharmaceutical compounds has been widely used to inform proarrhythmic safety in early drug discovery. Inhibition data from multiple ion channels can be integrated together using a mechanistically detailed in silico electrophysiology model to predict proarrhythmic risk [5]. Such a strategy, combining high-throughput in vitro and in silico approaches, is being advocated by a Food and Drug Administration-led initiative, the Comprehensive in vitro Proarrhythmia Assay [6], as a core pillar

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