E-4031

Chemical compound
title: "E-4031" type: doc version: 1 created: 2026-02-28 author: "Wikipedia contributors" status: active scope: public tags: ["herg-blocker", "potassium-channel-blockers", "disubstituted-pyridines", "piperidines", "aromatic-ketones", "n-phenylmethanesulfonamide-derivatives"] description: "Chemical compound" topic_path: "general/herg-blocker" source: "https://en.wikipedia.org/wiki/E-4031" license: "CC BY-SA 4.0" wikipedia_page_id: 0 wikipedia_revision_id: 0
::summary Chemical compound ::
| verifiedrevid = 366892602 | IUPAC_name = N-[4-[1-[2-(6-Methylpyridin-2-yl)ethyl]piperidine-4-carbonyl]phenyl] | image = E-4031.png | image_class = skin-invert-image | alt =
| tradename = | pregnancy_AU = | pregnancy_US = | pregnancy_category = | legal_AU = | legal_CA = | legal_UK = | legal_US = | legal_status = | routes_of_administration =
| bioavailability = | protein_bound = | metabolism = | elimination_half-life = | excretion =
| IUPHAR_ligand = 2605 | CAS_number = 113558-89-7 | CAS_supplemental = 113559-13-0 (dihydrochloride) | UNII_Ref = | UNII = 1L1K8X5DF9 | ATCvet = | ATC_prefix = | ATC_suffix = | PubChem = 3185 | ChEMBL = 327980 | ChemSpiderID = 3073 | DrugBank =
| C=21 | H=27 | N=3 | O=3 | S=1 | synonyms = (1-[2-(6-methyl-2-pyridyl)ethyl]-4-(4-methylsulfonyl-aminobenzoyl)piperidine) | smiles = Cc1cccc(n1)CCN2CCC(CC2)C(=O)c3ccc(cc3)NS(=O)(=O)C | StdInChI = 1S/C21H27N3O3S/c1-16-4-3-5-19(22-16)12-15-24-13-10-18(11-14-24)21(25)17-6-8-20(9-7-17)23-28(2,26)27/h3-9,18,23H,10-15H2,1-2H3 | StdInChIKey = SRUISGSHWFJION-UHFFFAOYSA-N
E-4031 is an experimental class III antiarrhythmic drug that blocks potassium channels of the hERG-type.
Chemistry
E-4031 is a synthesized toxin that is a methanesulfonanilide class III antiarrhythmic drug.
Target
E-4031 acts on a specific class of voltage-gated potassium channels mainly found in the heart, the hERG channels. hERG channels (Kv11.1) mediate the IKr current, which repolarizes the myocardial cells. The hERG channel is encoded by ether-a-go-go related gene (hERG).
Mode of action
E-4031 blocks hERG-type potassium channels by binding to the open channels. Its structural target within the hERG-channel is unclear, but some other methanesulfonanilide class III antiarrhythmic drugs are known to bind to the S6 domain or C-terminal of the hERG-channel.
Reducing IKr in myocardial cells prolongs the cardiac action potential and thus prolongs the QT-interval. In non-cardiac cells, blocking Ikr has a different effect: it increases the frequency of action potentials.
Toxicity
As E-4031 can prolong the QT-interval, it can cause lethal arrhythmias.
Therapeutic use
E-4031 is solely used for research purposes. So far, one clinical trial has been conducted to test the effect of E-4031 on prolongation of the QT-interval.
References
References
- (April 2005). "Postnatal development of E-4031-sensitive potassium current in rat carotid chemoreceptor cells". Journal of Applied Physiology.
- (March 1990). "4'-[(4-Piperidyl)carbonyl]methanesulfonanilides as potent, selective, bioavailable class III antiarrhythmic agents". Journal of Medicinal Chemistry.
- (January 2010). "Pharmacological removal of human ether-à-go-go-related gene potassium channel inactivation by 3-nitro-N-(4-phenoxyphenyl) benzamide (ICA-105574)". Molecular Pharmacology.
- (2008). "Human ether-a-go-go related gene (hERG) K+ channels: function and dysfunction". Progress in Biophysics and Molecular Biology.
- (1997). "The class III antiarrhythmic agent E-4031 selectively blocks the inactivating inward-rectifying potassium current in rat anterior pituitary tumour cells (GH3/B6 cells).". Pflügers Archiv.
- (July 1990). "Two components of cardiac delayed rectifier K+ current. Differential sensitivity to block by class III antiarrhythmic agents". The Journal of General Physiology.
- (March 1996). "Class III antiarrhythmic drugs block HERG, a human cardiac delayed rectifier K+ channel. Open-channel block by methanesulfonanilides". Circulation Research.
- (February 2000). "Molecular determinant of high-affinity dofetilide binding to HERG1 expressed in Xenopus oocytes: involvement of S6 sites". Molecular Pharmacology.
- (October 2000). "A structural basis for drug-induced long QT syndrome". Proceedings of the National Academy of Sciences of the United States of America.
- (August 2001). "Open channel block of HERG K(+) channels by vesnarinone". Molecular Pharmacology.
- (June 2002). "Molecular determinants of voltage-dependent human ether-a-go-go related gene (HERG) K+ channel block". The Journal of Biological Chemistry.
- (May 2003). "Voltage-dependent profile of human ether-a-go-go-related gene channel block is influenced by a single residue in the S6 transmembrane domain". Molecular Pharmacology.
- (August 2004). "Structural determinants of HERG channel block by clofilium and ibutilide". Molecular Pharmacology.
- (November 1992). "Differential effects of the new class III antiarrhythmic agents almokalant, E-4031 and D-sotalol, and of quinidine, on delayed rectifier currents in guinea pig ventricular myocytes". Cardiovascular Research.
- (January 1996). "Assessment of reverse use-dependent blocking actions of class III antiarrhythmic drugs by 24-hour Holter electrocardiography". Journal of the American College of Cardiology.
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