CIPA project Protocols of cardiac ion channels hERG, Ca++ and Na+ Eunjung Park FDA/CDER/OND/DCRP herg 1 Summary of protocols hERG hCav1.2 hNav1.5 Literature sources Chantest, Merck, Abbott, GSK, AZ, UW and other academic articles (18 papers for a summary) Chantest, Merck, Abbott, AZ, Aventis, and other academic articles (11 papers for a summary) Chantest, Merck, GSK, Aventis, AZ, UW, and other academic articles (17 papers for a summary) Period of literatures 1997-2013 2003-2013 1998-2013 Manual HEK293 (12) > CHO (3) > myocyte (1) > mouse Lcell (1)=SH-SY5Y (1) Myocytes (4)> HEK293 (2) > HL-1 (1) HEK293 (10) > CHO (2)> myocyte (2) Automatic CHO (6) > HEK293 (2) CHO (4)> HEK293 (1) > myocyte (1) CHO (3) = HEK 293 (3) > myocyte (1) Manual Near Physiological (8) > Room temperature (6) RT RT Automatic RT RT RT Manual Whole-cell patch clamp Whole cell parch clamp Whole cell parch clamp Automatic Whole cell patch clamp or perforated patch clamp Whole cell patch clamp or perforated patch clamp Whole cell patch clamp or perforated patch clamp Cells Temp Recording summary 2 Access and seal resistance of manual patch clamp assays Pipette (tip) resistance (access resistance, electrode resistance): • < 5M in 67 out of 70 literatures (96%) including hERG, Ca++ and Na+ channels pipette resistance (M) 6.0 5.0 4.0 * * 3.0 * 2.0 1.0 0.0 1 2 3 4 5 6 7 8 9 10111213141516171819202122232425262728293031323334353637383940414243444546474849505152535455565758596061626364656667 literature Seal resistance: • 3 (* on graph) out of 70 protocols (4.3%) indicated its seal resistance as > 1G. Series resistance compensation: • 35 out of 70 protocols (50%) indicated its series resistance compensation (minimum 60% and maximum 90%). summary 3 Seal resistance in automatic patch clamp assays PatchXpress IonWork Barracuda IonWork HT IonWork Ref ID (yr) 88 (2009) 92 (2010) 121 (2011) 151 (2005) 61 (2013) 62 (2006) 101 (2008) Ion channel Ca++ Na+ hERG/Na+ hERG hERG hERG Na+ Sponsor Merck Merck GSK J&J GSK AZ AZ Cell HEK293 HEK293 HEK293 HEK293 CHO CHO CHO 1-3 1-9 (ave 2.4) 1-2.8 (ave 1.7) > 30 (ave. 58) > 60 > 60 (HT) > 30 (Quattro) amphotericin amphotericin Amphotericin Quattro (Escin) Re (M) Rseal (M) 2520 >1000 1083 1900 Rm (M) 1358 >150 >200 >200 (ave 710) 11.8 <15 (ave. <10) <15 14 suction suction suction suction Ra (M) Membrane rupture Rseal: Patch seal resistance, Rm: membrane resistance during whole cell recording, Ra: whole cell access resistance, Re: electrode resistance summary 4 Extracellular buffer hERG hCav1.2 hNav1.5 M A M A M A NaCl KCl CaCl2* MgCl2 HEPES glucose KH2PO4 () () Na2HPO4 () () NaHCO3 () EGTA () NMDG () CsCl () Cholin-Cl () TEA-Cl () () BaCl2* () () L-aspartic acid () () () () () M: conventional manual patch clamp (mainly, Axopatch) A: Automatic patch clamp (): included in less than half of protocols summary 5 Intracellular buffer hERG Current carrier K-aspartate K-gluconate* Cs (K block) CsCl Cs-aspartate Cs-methanesulphonate Fluoride (Ca block) KF NaF CsF hCav1.2 M A () hNav1.5 M A M A () () () KCl* MgCl2 EGTA HEPES () () () () () () GTP ATP Na2ATP K2ATP MgATP ATP regeneration system Creatine phosphokinase Creatine phosphate Tris-phosphoreatine Seal resistance TEA (tetraehtylammonium) () CaCl2 () NaCl** () () () M: conventional manual patch clamp (mainly, Axopatch) A: Automatic patch clamp, (): included in less than half of protocols summary 6 Representative pulse sequences for a drug evaluation Depolarizing (0 to 70 mV, 1-4s) hERG Repolarizing (-80 to 20 mV, 2-6s) Vh=-80 mV Depolarizing (0 to 20mV, 100 to 500 ms) hCav1.2 Vh=-90 to -40 mV Depolarizing (-30 to 0 mV, 10-300 ms) hNav1.5 Hyperpolarizing (-120 mV) Vh=-150 to -80 mV Ref: JCE 2010, 21, 301 summary 7 hERG assay herg 8 Representative intracellular buffer solution Intracellular (pipet) (mM) Source Year Amplifier K-aspartate Kgluconate KCl pH pH buffer 5 7.2 KOH 5 3.2 7.35 KOH 5 5 1 7.3 KOH 5 10 1 7.2 KOH 20 1 1 7.35 KOH 10 1 0.1 7.2 KOH 10 10 1 1 7.2 KOH 70 5 EGTA ATP 5 15 KF HEPES MgCl2 4 10 5 5 20 10 5 CaCl2 NaCl manual Chantest 2013 AxoPatch Merck 2006 AxoPatch Abbott 2012 AxoPatch UWM 2006 AxoPatch 130 Automatic GSK 2013 Barracuda 140 GSK 2013 PatchXpress GSK 2013 130 119 125 10 5 5 100 10 5 2008 PatchXpress 60 5 AZ 2012 IonWorks 140 1 20 1 7.3 KOH AZ 2012 IonWorks 40 3 5 3.2 7.3 KOH Merck 130 QPatch 100 15 7.2 UWM: University of Wisconsin at Madison herg 9 Representative extracellular buffer solution Extracellular (superfusion) (mM) Source Year amplifier NaCl KCl CaCl2 MgCl2 HEPES glucose NaHCO3 pH pH buffer Manual Chantest 2013 AxoPatch 137 4 1.8 1 10 10 7.4 NaOH Merck 2006 AxoPatch 132 4 1.8 1.2 10 11.1 7.35 NaOH Abbott 2012 AxoPatch 140 5 2 1 20 5 7.4 NaOH UWM 2006 AxoPatch 137 4 1.8 1 10 10 7.4 NaOH GSK 2013 Barracuda 136 3 2 1 20 6 7.35 NaOH GSK 2013 PatchXpress 140 4 2 1 10 10 7.4 NaOH GSK 2013 QPatch 145 4 2 1 10 10 7.4 NaOH Merck 2008 PatchXpress 132 4 3 0.5 10 11 7.35 AZ 2012 IonWorks 137 4 1.8 1 10 10 7.3 Automatic UWM: University of Wisconsin at Madison herg 12 NaOH 10 Pulse sequences: potency Source-Yr temperature sample replication pulse holding (mV) 1st pulse (time, mV) 2nd pulse (time, mV) interval Chantest-2013 ambient n/a step -80 2s, 40 2s, -40 10s NDA- 2007 35±2 >3 step-ramp -80 1s, 20 0.5mV/ms, +20 to -80 5s Merck-2006 35 ± 0.5 5-8 step -80 1s, 20 2s, -50 15s NDA- 2004 35 5-8 step -80 1s, 20 2s, -50 15s Abbott-2012* 36.5 -37.0 5 Step-ramp -80 1.5s, 0 1mV/25ms, 0 to -80 15s NDA- 2002 36.5 -37.0 6 step -80 3s, 0 4s, -50 15s Dr. January-2009 23 ± 1 3-6 step -80 4s, 70 5.7s, -50 15s Pfizer/Univ Walk2010 37 n/a step -80 2s, 20 4s, -40 12s 37 n/a Step-ramp -80 1s, 20 0.5mV/ms, +20 to -80 10s * hERG enhancer herg 11 Pulse sequences: Voltage dependent temperature holding (mV) 1st pulse (time, mV) 2nd pulse (time, mV) 37 -80 n/a, -60 to 40 n/a. -100 37 -80 3s, -60 to 40 (10mV inc) 4s, -60 HEK 293 35 -80 4s, -60 to 50 5s, -50 January-2005 HEK293 23 -80 4s, -70 to 60 (10 mV/15s) 6s, -50 Hancox-2010 HEK 293 Dofetilide/cisapride 37 -80 2s, -40 to 50 4s, -40 Belardinelli-2008 HEK 293 ranolazine 23 -80 4s, -80 to 70 ( 10mV inc.) 5.7s, -50 Fox-2009 Canine myocytes 37 -80 0.5s, 60 to -30 (10 mV inc) 1.6s, -30 source cells Abbott-2009 HEK 293 Abbott-2007 HEK293 January-1998 Drug chloramine-T herg 12 Pulse sequences: Channel activation source Drug temperature holding (mV) 1st pulse (time, mV) 2nd pulse (time, mV) Abbott-2009 A-935142* 37 -80 5-850 ms (30ms inc), -10 n/a, -100 Abbott-2007 chloramine-T 37 -80 5-185 ms, 30 n/a, -100 Abbott-2007 chloramine-T 37 -80 5-480 ms, 0 n/a, -100 January-2005 Miconazole 23 -80 various duration, 20 1s, -50 * hERG enhancer herg 13 Pulse sequences: Channel deactivation source Drug temperature holding (mV) 1st pulse (time, mV) 2nd pulse (time, mV) Abbott-2009 A-935142* 37 -80 n/a, 40 n/a, -70 to -120 Merck-2006 Flunarizine 35 -80 1s, 50 2s, -120 to 20 (10mV inc) January-2005 miconazole 23 -80 1s, 60 5s, -100 to -20 (10 mV inc) * hERG enhancer herg 14 Pulse sequences: Channel inactivation 1st pulse (time, mV) 2nd pulse (time, mV) 3rd pulse (time, mV) -80 500ms, 60 2 ms, -100 n/a, -40 to 60 37 -80 500ms, 60 2 ms, -100 n/a, -20 to 60 miconazole 23 -80 200 ms, 60 100ms, -100 300ms, -20 to 60 HEK 293 ranolazine 23 -80 300 ms, 60 10ms, -100 n/a, -40 to 40 (10 mV inc.) Pfizer/Univ-2010 HEK293 Cisapride /dofetilide 37 -80 500 ms, 40 2ms, -100 n/a, -40 to 40 Fox-2009 Canine myocytes 37 -80 1.5s, 50 2.5 ms, -100 1.5s, -40 to 60 source cells Drug temperature holding (mV) Abbott-2009 HEK 293 A-935142 37 Abbott-2007 HEK 293 chloramine-T January-2005 HEK 293 Belardinelli-2008 herg 15 Pulse sequences: Channel recovery from inactivation source cells Drug temperature holding (mV) 1st pulse (time, mV) 2nd pulse (time, mV) Gintant-2009 HEK 293 A-935142 37 -80 1s, 40 n/a, -120 to 40 January-2005 HEK 293 miconazole 23 -80 200 ms, 60 300ms, -100 to -20 (10 mV inc.) Belardinelli-2008 HEK 293 ranolazine 23 -80 200 ms, 60 300 ms, -100 to -30 (10 mV inc.) herg 16 L-type Ca++ channel assay Ca channel 17 Intracellular buffer composition of L-type Ca++ channel study Charge carrier /K blocker ID amplifier cells source CsCl resistance internal Ca rundown CsCs-MS TEA-Cl MgCl2 CaCl2 CP-E tris-P ASP CP ATP chelating GTP HEPES EGTA NaCl glucose EDTA pH pH buffer 0.3 Conventional 48 AxoPatch gMyocyte Aventis 130 20 85 HEKA EPC-9 HEK293 Merck 135 89, AxoPatch 42 HL-1 Merck 125 20 93 Multiclamp rMyocyte Abbott 110 30 108 AxoPatch CHO France lab 140 1 50 14 4 1 5 3.6 1 5 0.2 5 2 3 0.6 10 10 7.2 CsOH 10 10 7.2 n/a 10 10 7.4 n/a 10 10 7.2 CsOH 10 10 7.2 KOH 10 10 7.2 CsOH 10 5 HT (amphotericin B for perforated whole cell patch clamp) 1 Qpatch* CHO Chantest 130 5 1 PatchXpress CHO Chantest 130 5 49 PatchXpress HEK293 Chantest 88 PatchXpress HEK293 Merck 130 80 20 1 20 4 1 4 50 3** 2 4 0.1 10 10 7.2 CsOH 14 4 0.3 10 10 7.2 MS 20 5 1 10 10 7.2 CsOH 5 3 7.3 KOH K-gluc KCl 137 IonWorks CHO AZ 100 40 3.2 Cs-asp: Cs-aspartate, Cs-ME: Cs-methanesulphonate. TEA-Cl: tetraethylammonium chloride, CP-E (unit/ml): Creatine phosphokinase, TrisP: tris-phosphocreatine, CP: creatine phosphate, MS: methanesulfonic acid. *CdCl2 (200 UM) added at the end of exp to block Ca current and leak calculation/**to test Ca standard, add just before recording with 0.2 mM cAMP and 3 mM CaCl2 Ca channel Extracellular buffer ID Amplifier cells NaCl Choline-Cl TEA-Cl KCl CsCl CaCl2 48 AxoPatch gMyocyte 137 85 HEKA EPC-9 HEK293 88 Multiclamp HEK293 140 89 AxoPatch HL-1 157 BaCl2 MgCl2 HEPES glucose TEA-OH pH pH buffer Conventional 5.4 1.8 1 10 1 10 10 0.5 10 5 0.5 10 1.8 1 10 1.8 1 150 15 10 7.4 5 7.2 n/a 7.4 TEAOH 7.4 n/a 10 7.4 NaOH 10 10 7.4 NaOH 1.2 10 11.1 7.4 NaOH 1 10 10 7.3 KOH 10 HT 1 CHO 137 49 PatxhXpress gMyocytes 137 88 PatchXpress HEK293 102 4 137 IonWorks CHO 135 4 • • • Qpatch 4 5.4 30 1 Ingredients of extracellular buffer solution are quite similar between Ca channel and hERG assay except CsCl, TEA-Cl, and Choline Cl. TEA (Tetraethylammonium): block K channel, formation and maintenance of giga seals BaCl2= external charge carrier (to increase the amplitude of Ca channel), block other channels like Kir2.3 and Na during recording and maximize the L-Ca. Ca channel Voltage protocols for Ca++ channel ID49 ID93 Vh (mV) Test (mV) Test (ms) Vh (mV) Prepulse (mV) Prepulse (ms) Test (mV) Test (ms) -40 0 200 -80 -40 100 0 500 inactivate the Na+ and T-type channels used to reveal state-dependent block augmentation in Cav1.2. Ca channel Pulse sequences: Potency Depolarizing (0 to 20mV, 100 to 500 ms) Vh=-90 to -40 mV ID Source Yr Cell line Amplifier Temp (C) Vh (mV) Prepulse (mV) prepulse (ms) Test (mV) Test (ms) Interval (s) 1, 27 Chantest 2013 CHO QPatch RT -40 0 150 5 1 Chantest 2013 CHO PatchXpress RT -80 10 500 n/a 42 Pfizer 2004 Myocyte n/a RT -70 -40 200 10 250 47* Chantest 2010 CHO PatchXpress RT -80 10 500 10 200 49 Chantest 2010 Myocyte PatchXpress RT -40 0 300 20 50 Chantest 2008 Myocyte n/a RT -40 0 300 20 48 Aventis 2004 Myocyte Axopatch RT -40 0 200 85 Merck 2010 HEK293 HEKA EPC-9 RT -90 -40 10 100 88 Merck 2009 HEK293 PatchXpress 22-26 -60 20 100 88 Merck 2009 HEK293 Multiclamp 20-25 -70 10 200 89 Merck 2004 HL-1 Axoparch 23 -50 10 100 93 Abbott 2011 myocyte MultiClamp RT -80 0 500 125 Acac-China 2012 rmyocyte AxoPatch RT -40 0 200 137 AZ 2012 CHO IonWorks RT -65 0 500 * Dr. January: no relevant articles Ca channel -40 100 5 Pulse sequences: Voltage dependent ID Protocol Vh (mV) prepulse Activation (mV) 88 Voltage dependent -60 -60 to 90 89 Voltage dependent -50 -40 to 50 88 Prepulse dependent inactivation -60 2s, -100 to 60 Activation (ms) Test (mV) Test (ms) Interval (s) 20 100 20 • Kinetic study of L-type Ca channel - limited to voltage dependent/ state-dependent/use-dependent protocols • Kinetic study in HT assay- limited. Ca channel 15 Na+ channel Na channel 23 Intracellular buffer of Na+ channel assay Charge carrier /K+ blocker ID amplifier cells source year Cs-asp CsCl Charge carrier /Ca++ blocker CsF NaF TEA-Cl MgCl2 KKCl gluconate CP NaCl ATP EGTA GTP HEPES pH pH buffer Conventional 48 AxoPatch gMyocytes Aventis 2004 130 5 90 AxoPatch HEK293 January 2009 20 92 AxoPatch* HEK293 Merck 2010 87 101 conventional CHO AZ 2008 120 AxoPatch tsa201 Schwartz 2012 20 122 AxoPatch CHO 130 123 EPC7 HEK293 Patel (UV) 2004 Wang 2002 (Harvard) 30 2 120 5 20 4 20 1 110 130 2 0.5 7.2 CsOH 5 7.4 CsOH 10 7.4 CsOH 10 5 5 10 7.2 2 10 7.4 CsOH 5 7.4 CsOH 10 10 7.2 CsOH 10 5 7.2 CsOH 10 7.2 CsOH 10 7.2 5/15 100 10 5 10 1 0.1 30 KOH HT 1 Qpatch CHO Chantest 2013 1 PatchXpress CHO Chantest 2013 130 5 4 5 47 PatchXpress CHO Chantest 2010 130 5 4 5 49 PatxhXpress gMyocytes Chantest 2010 130 5 4 5 92 PatchXpress HEK293 Merck 2010 AZ 2008 GSK 2011 101 Ionwork CHO 121 PatchXpress* HEK293 30 120 120 5 2 5 2 3.2 20 110 100 40 10 Cs-asp: Cs-aspartate, TEA-Cl: tetraethylammonium chloride, CP: creatine phosphate Fluoride: introduction of fluoride anions into the cell produced an irreversible block of calcium current. Na channel 0.1 10 5 KOH Aspartic 7.2 acid 7.3 CsOH 3 5 7.3 KOH 10 10 7.4 HCl 0.1 10 Extracellular buffer ID amplifier cells source NaCl NMDG Chol-Cl TEA_Cl L-AA KCl CsCl CaCl2 MgCl2 KH2PO4 HEPES EGTA glucose Na2HPO4 pH pH buffer Conventional 48 AxoPatch gMyocytes Rampe 40 90 AxoPatch HEK293 January 140 92 AxoPatch* HEK293 Salata 10 101 conventional CHO Valentine 147 120 AxoPatch tsa201 Schwartz 122 AxoPatch CHO 123 EPC7 97 5.4 1.8 1 5 4 1.8 0.75 5 1 1.2 20 11 7.4 TEAOH 4 1.8 1 10 10 7.4 145 4 1.8 1 10 10 7.35 NaOH Patel (UV) 130 4 1 5 5 5 7.4 HEK293 Wang (Harvard) 65 Kramer 137 4 1.8 1 10 10 7.4 4 1.8 1 10 10 7.4 NMDG 4 1.8 1 10 10 7.4 NMDG 1 2.7 0.5 5 2.7/140 0.9 0.5/1 4 2 1 125 5 85 2 10 7.4 NMDG 7.4 10 NaOH NaOH NaOH 7.4 TEAOH HT 1 Qpatch/PX CHO 49 PatxhXpress gMyocytes Brown 40 49 PatxhXpress gMyocytes Brown 40 92 PatchXpress HEK293 Salata 40 101 Ionwork* CHO Valentine 138 121 PatchXpress* HEK293 GSK 35 • • 97 120 105 1.5/8.1 20 10 1 10 NaOH 7.5 HCl 7.3 KOH 7.35 HCl NMDG (N-methyl-D-glucamine), lower mobility, produce series resistances larger (by about 30-50%) than Cs. L-AA: L-aspartic acid Na channel Pulse sequences: Potency Depolarizing (-30 to 0 mV, 10-200 ms) Hyperpolarizing (-120 mV) holding (-150 to -80 mV) ID Source Yr Vh (mV) Hyperpolarizing (pre-pulse) (mV) Depolarizing (Test) ( ms) (mV) (ms) -10 200 Vh II (mV) Depolarizing II (Test) ( ms) (mV) Interval (s) (ms) 1 Chantest 2013 -80 -120 47 Chantest* 2010 -80 -120 500 -10 200 49 Chantest 2010 -80 -120 20 -15 10 48 Aventis 2004 -110 -20 n/a 10 50 Chantest 2008 -80 -15 10 10 92 MerCk 2010 -100 -20 30 5 95 January 2009 -140 -20 24 10 96 January 2008 -150 -20 24 15 101 AZ 2008 -120 0 n/a 120 Schwartz 2012 -120 -10 n/a 121 GSK 2011 -30 50 122 UV 2004 -120 20 25 125 Zhang 2012 -100 -20 30 -120 -120 * Two step pulse for tonic and phasic block 200 200 Na channel 10 -80 200 -10 200 1 50 Pulse sequences: Voltage dependent ID Source Yr Vh (mV) Hyperpolarizing (pre-pulse) (mV) Depolarizing (Test) ( ms) (mV) (ms) 92 Salata 2010 -120 -90 to 30 30 100 Mekielski 1998 -150 -90 to 30 24 101 Valentine 2008 -120 -90 to 90 50 Na channel Pulse sequences: channel kinetic protocols ID Source Yr kinetics Vh (mV) Hyperpolarizing or pre-pulse (mV) Depolarizing (Test) ( ms) Vh II (mV) (ms) Depolarizing II (Test) (mV) ( ms) (mV) (ms) -120 500 20 24 -20 24/240 -15 10 90 Mayo 2009 activation -140 -120 to 60 n/a 100 UC 1998 activation -150 various 24 121 GSK 2011 activation -120 -90 to -35 32 122 UV 2004 activation -120 -80 to 60 20 90 Mayo 2009 inactivation -140 -150 to 0 1000 0 24 121 GSK 2011 inactivation -120 -130 to -40 480 -30 50 100 UC 1998 inactivation -120 -150 to -30 1000 122 UV 2004 Inactivation -120 -120 to -20 1000 20 n/a 100 UC 1998 recovery -120 -20 1000 -120 var 50 Chantest 2008 recovery -80 -15 500 -120 var 122 UV 2004 recovery -120 to 20 100 -90 var 20 123 Harvard 2002 recovery -70 10 -140 var 30 -140 Na channel n/a 500 5