The ionic mechanism of clotrimazole, an imidazole antimycotic P-450 inhibit
or, was examined in rat anterior pituitary GH, cells. In perforated-patch w
hole-cell recording experiments, clotrimazole reversibly caused an inhibiti
on of the Ca2+-activated K+ current in a dose-dependent manner. The IC50 va
lue of the clotrimazole-induced inhibition of I-K(Ca) was 3 mu M. In the ou
tside-out configuration of single channel recording, application of clotrim
azole (10 mu M) into the bath medium did not change the single channel cond
uctance of large conductance Ca2+-activated K+(BKCa) channels, but it suppr
essed the channel activity significantly. The change in the kinetic behavio
r of BKCa channels caused by clotrimazole in these cells is found to be due
to a decrease in mean open time and an increase in mean closed time. Other
structurally distinct P-450 inhibitors (e.g. ketoconazole or econazole) al
so effectively suppressed the amplitude of I-K(Ca). Clotrimazole (10 mu M)
blocked both the inactivating and non-inactivating components of the voltag
e-dependent K+ outward current (I-K(V)), but it produced a slight reduction
of L-type Ca2+ inward current (I-CA,I-L) without altering the current-volt
age relationship of I-CA,I-L. Clotrimazole (10 mu M) also increased the fir
ing rate of action potentials. These results provide direct evidence that c
lotrimazole is capable of suppressing the activity of BKCa channel in GH(3)
cells. Because of the non-selective inhibitory effect of clotrimazole on I
-K(Ca) and I-K(V), this inhibition is mainly, if not entirely, due to a dir
ect channel blockade. Thus, the present study implies that the blockade of
these ionic channels by clotrimazole would affect hormonal secretion and ne
uronal excitability. (C) 1999 Elsevier Science Ltd. All rights reserved.