Effects of antibiotics on the contractility and Ca2+ transients of rat cardiac myocytes

We have compared the effects of streptomycin sulphate, gentamicin sulphate and neomycin sulphate on cell shortening tour index of contractility) and intracellular Ca2+ ([Ca2+](i)) transients of rat ventricular myocytes. All three agents abolished shortening and [Ca2+](i), transients but streptomycin was significantly less potent than the other agents. The IC50 of streptomycin was 0.37 mM for shortening and 0.78 mM for [Ca2+](i), approximately an order of magnitude greater than equivalent values for gentamicin and neomycin. Gentamicin and streptomycin shortened the action potential duration of most cells but prolonged the action potential duration of others. We therefore conclude that multiple ionic mechanisms affecting action potential duration are modulated by these antibiotics. Our observations are consistent with the negative inotropic effect of antibiotics being caused by a decrease in Ca2+ influx causing a reduction in the [Ca2+](i) transient. (C) 2001 Published by Elsevier Science B.V.