The inhibitory effect of shakuyakukanzoto on K+ current in H9c2 cells

Fukushima J Med Sci. 2014;60(1):22-30. doi: 10.5387/fms.2013-16. Epub 2014 Mar 27.

Abstract

Shakuyakukanzoto (shao-yao-gan-cao-tang) is a commonly used Chinese traditional herbal medicine for the treatment of acute pain with muscle cramp. However, its mechanism of action is unclear. We previously reported that a low concentration of Kanzo (licorice) and isoliquiritigenin, a component of licorice, inhibited the potassium (K(+)) current in H9c2 cells. Therefore, in the present study, we examined the effects of Shakuyakukanzoto, Shakuyaku or Kanzo on the K(+) current (IKur) in H9c2 cells. Shakuyakukanzoto inhibited IKur in a concentration-dependent manner. The half-maximal concentration of Shakuyakukanzoto was approximately 1.3 mg/mL and the Hill coefficient was 1.2. The order of potency of inhibiting IKur was Kanzo>Shakuyakukanzoto>Shakuyaku. Glycyrrhizin, a major component of licorice, had no inhibitory effect on IKur. A small interfering RNA experiment indicated that IKur was most likely to be Kv2.1 in H9c2 cells. Our results suggest that Shakuyakukanzoto may normalize intracellular and extracellular K(+) balance by inhibiting IKur and reducing K(+) efflux, while the Na(+)-K(+) pump promotes K(+) influx into myofibers. Consequently, excess K(+) may be reduced from external space of myofibers. This may be a part of the Shakuyakukanzoto mechanism for improving muscle pain.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Line
  • Drug Combinations
  • Drugs, Chinese Herbal / pharmacology*
  • Glycyrrhiza / chemistry
  • Glycyrrhizic Acid / pharmacology
  • Humans
  • Ion Transport / drug effects
  • Muscle Cramp / drug therapy
  • Muscle Cramp / metabolism
  • Muscle Fibers, Skeletal / drug effects
  • Muscle Fibers, Skeletal / metabolism
  • Paeonia
  • Potassium / metabolism*
  • RNA, Small Interfering / genetics
  • Rats
  • Shab Potassium Channels / antagonists & inhibitors
  • Shab Potassium Channels / genetics
  • Shab Potassium Channels / metabolism

Substances

  • Drug Combinations
  • Drugs, Chinese Herbal
  • Kcnb1 protein, rat
  • RNA, Small Interfering
  • Shab Potassium Channels
  • shakuyaku-kanzoh-toh
  • Glycyrrhizic Acid
  • Potassium