Role of the inward K rectifier in the repetitive activity at the depolarized level in single ventricular myocytes

The role of the inward K⁺ rectifier in the repetitive activity at depolarized levels was studied in guinea pig single ventricular myocytes by voltage- and current-clamp methods. In action potentials arrested at the plateau by a depolarizing current, small superimposed hyperpolarizing currents caused much larger voltage displacements than at the resting potential and sometimes induced a regenerative repolarization. Around –20 mV, sub- and suprathreshold repetitive inward currents were found. In the same voltage range, small hyperpolarizing currents reversed their polarity. During depolarizing voltage-clamp ramps, around –20 mV there was a sudden decrease in the outward current (I_ns: current underlying the negative slope in the inward K⁺ rectifier steady state I–V relation). During repolarizing ramps, the reincrease in outward current was smaller and slower. During depolarizing and repolarizing current ramps, sudden voltage displacements showed a similar asymmetry. Repetitive I_ns could continue as long as the potential was kept at the level at which they appeared. Depolarizing voltage-clamp steps also caused repetitive I_ns and depolarizing current steps induced repetitive slow responses. Cadmium and verapamil reduced I_ns amplitude during the depolarizing ramp. BRL 34915 (cromakalim), an opener of the ATP-sensitive K⁺ channel, eliminated the negative slope and I_ns, whereas barium increased I_ns frequency (an effect abolished by adding BRL). Depolarization-induced slow responses persisted in an NaCl-Ca-free solution. Thus, the mechanism of repetitive activity at the depolarized level appears to be related to the presence of the negative slope in the inward K⁺ rectifier I–V relation.