Quercetin is a foe in the heart by targeting the hERG potassium channel

Objective(s): Quercetin is a plant flavonoid known for its pharmacological activities, such as antioxidant, anti-inflammatory, and anti-cancer properties. However, there is limited information available regarding its potential toxicities. A previous study showed that quercetin can inhibit human ethe...

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Main Authors: Zihao Lu, Shuwen Li, Rui Wei, Wenwen Li, Yuqian Huang, Tingting Yang, Meng Yan
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2024-11-01
Series:Iranian Journal of Basic Medical Sciences
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Online Access:https://ijbms.mums.ac.ir/article_24662_5c98f1d37d2bed4c0c52260b80109426.pdf
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author Zihao Lu
Shuwen Li
Rui Wei
Wenwen Li
Yuqian Huang
Tingting Yang
Meng Yan
author_facet Zihao Lu
Shuwen Li
Rui Wei
Wenwen Li
Yuqian Huang
Tingting Yang
Meng Yan
author_sort Zihao Lu
collection DOAJ
description Objective(s): Quercetin is a plant flavonoid known for its pharmacological activities, such as antioxidant, anti-inflammatory, and anti-cancer properties. However, there is limited information available regarding its potential toxicities. A previous study showed that quercetin can inhibit human ether-a-go-related gene (hERG, also named KCNH2) currents, which may lead to long QT syndrome, torsade de pointes (TdP), and even sudden cardiac death. This study aimed to investigate the effects of quercetin on hERG and its potential mechanism.Materials and Methods: hERG currents and action potential duration (APD) were assessed using the patch clamp technique. Molecular docking was employed to elucidate the binding sites between quercetin and hERG. Transfection of wild-type or mutant plasmids was used to verify the results of molecular docking. Western blot was performed to determine the expression levels of hERG, transcription factor SP1, molecular chaperones HSP70 and HSP90, phosphorylated E3 ubiquitin ligase p-Nedd4-2, serum- and glucocorticoid-inducible kinase (SGK1), and phosphatidylinositol 3-kinase (PI3K). Immunoprecipitation was conducted to evaluate hERG ubiquitination.Results: Quercetin acutely blocked hERG current by binding to F656 amino acid residue, subsequently accelerating channel inactivation. Long-term incubation of quercetin accelerates Nedd4-2-mediated ubiquitination degradation of hERG channels by inhibiting the PI3K/SGK1 signaling pathway. Moreover, the APD of human induced pluripotent stem cell-derived cardiomyocytes (hiPS-CMs) is significantly prolonged by 30 μM quercetin.Conclusion: Quercetin has a potential risk of proarrhythmia, which provided useful information for the usage and development of quercetin as a medication.
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spelling doaj-art-3b65e908b48e437bac5d1c2f24b0aa1d2025-07-27T09:50:45ZengMashhad University of Medical SciencesIranian Journal of Basic Medical Sciences2008-38662008-38742024-11-0127111397140410.22038/ijbms.2024.77846.1684824662Quercetin is a foe in the heart by targeting the hERG potassium channelZihao Lu0Shuwen Li1Rui Wei2Wenwen Li3Yuqian Huang4Tingting Yang5Meng Yan6Jiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, ChinaJiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, ChinaDepartment of Pharmacy, Jiangsu Province Official HospitalJiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, ChinaJiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, ChinaJiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, ChinaJiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, ChinaObjective(s): Quercetin is a plant flavonoid known for its pharmacological activities, such as antioxidant, anti-inflammatory, and anti-cancer properties. However, there is limited information available regarding its potential toxicities. A previous study showed that quercetin can inhibit human ether-a-go-related gene (hERG, also named KCNH2) currents, which may lead to long QT syndrome, torsade de pointes (TdP), and even sudden cardiac death. This study aimed to investigate the effects of quercetin on hERG and its potential mechanism.Materials and Methods: hERG currents and action potential duration (APD) were assessed using the patch clamp technique. Molecular docking was employed to elucidate the binding sites between quercetin and hERG. Transfection of wild-type or mutant plasmids was used to verify the results of molecular docking. Western blot was performed to determine the expression levels of hERG, transcription factor SP1, molecular chaperones HSP70 and HSP90, phosphorylated E3 ubiquitin ligase p-Nedd4-2, serum- and glucocorticoid-inducible kinase (SGK1), and phosphatidylinositol 3-kinase (PI3K). Immunoprecipitation was conducted to evaluate hERG ubiquitination.Results: Quercetin acutely blocked hERG current by binding to F656 amino acid residue, subsequently accelerating channel inactivation. Long-term incubation of quercetin accelerates Nedd4-2-mediated ubiquitination degradation of hERG channels by inhibiting the PI3K/SGK1 signaling pathway. Moreover, the APD of human induced pluripotent stem cell-derived cardiomyocytes (hiPS-CMs) is significantly prolonged by 30 μM quercetin.Conclusion: Quercetin has a potential risk of proarrhythmia, which provided useful information for the usage and development of quercetin as a medication.https://ijbms.mums.ac.ir/article_24662_5c98f1d37d2bed4c0c52260b80109426.pdfdegradationkcnh2long qt syndromenedd4ubiquitination
spellingShingle Zihao Lu
Shuwen Li
Rui Wei
Wenwen Li
Yuqian Huang
Tingting Yang
Meng Yan
Quercetin is a foe in the heart by targeting the hERG potassium channel
Iranian Journal of Basic Medical Sciences
degradation
kcnh2
long qt syndrome
nedd4
ubiquitination
title Quercetin is a foe in the heart by targeting the hERG potassium channel
title_full Quercetin is a foe in the heart by targeting the hERG potassium channel
title_fullStr Quercetin is a foe in the heart by targeting the hERG potassium channel
title_full_unstemmed Quercetin is a foe in the heart by targeting the hERG potassium channel
title_short Quercetin is a foe in the heart by targeting the hERG potassium channel
title_sort quercetin is a foe in the heart by targeting the herg potassium channel
topic degradation
kcnh2
long qt syndrome
nedd4
ubiquitination
url https://ijbms.mums.ac.ir/article_24662_5c98f1d37d2bed4c0c52260b80109426.pdf
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