Escitalopram was developed as an antidepressant of the selective serotonin reuptake inhibitors (SSRIs) from citalopram as its (S)-stereoisomer. It has been known that escitalopram showed the high selectivity to serotonin transporters compared to other SSRIs. However, it has been also considered that escitalopram, including other antidepressants, have a risk to induce seizures, such as epileptic patients. In this study, we examined the effect of escitalopram in Nav1.2 voltage-gated sodium channels (VGSCs) transfected HEK293 cells. Nav1.2 VGSCs current decreased by approximately 50.7±8.3 % under treatment with 100 μM escitalopram. The IC50 of escitalopram against Nav1.2 VGSCs current was 114.17 μM. Moreover, the treatment with 100 µM escitalopram could shift the activation curve toward hyperpolarization side and the voltage at half-maximal activation shifted from -13.8 ± 4.6 mV to -21.5 ± 3.9 mV toward hyperpolarization. In addition, the treatment with 100 μM escitalopram also could shift the inactivation curve toward hyperpolarization side and the voltage at half-maximal inactivation shifted from -50.3 ± 3.7 mV to -56.7 ± 6.0 mV toward hyperpolarization. These findings suggested that escitalopram might be able to inhibit Nav1.2 VGSCs current and changes the kinetics of both activation and inactivation.

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