RILUZOLE-INDUCED BLOCK OF VOLTAGE-GATED NA+ CURRENT AND ACTIVATION OF BKCA CHANNELS IN CULTURED DIFFERENTIATED HUMAN SKELETAL MUSCLE CELLS

Abstract Riluzole is known to be of therapeutic use in the management of amyotrophic lateral sclerosis. In this study, we investigated the effects of riluzole on ion currents in cultured differentiated human skeletal muscle cells (dHSkMCs). Western blotting revealed the protein expression of α-subunits for both large-conductance Ca 2+ -activated K + (BK Ca ) channel and Na + channel (Na v 1.5) in these cells. Riluzole could reduce the frequency of spontaneous beating in dHSkMCs. In whole-cell configuration, riluzole suppressed voltage-gated Na + current ( I Na ) in a concentration-dependent manner with an IC 50 value of 2.3 μM. Riluzole (10 μM) also effectively increased Ca 2+ -activated K + current ( I K(Ca) ) which could be reversed by iberiotoxin (200 nM) and paxilline (1 μM), but not by apamin (200 nM). In inside-out patches, when applied to the inside of the cell membrane, riluzole (10 μM) increased BK Ca -channel activity with a decrease in mean closed time. Simulation studies also unraveled that both decreased conductance of I Na and increased conductance of I K(Ca) utilized to mimic riluzole actions in skeletal muscle cells could combine to decrease the amplitude of action potentials and increase the repolarization of action potentials. Taken together, inhibition of I Na and stimulation of BK Ca -channel activity caused by this drug are partly, if not entirely, responsible for its muscle relaxant actions in clinical setting.