In 1979, Brown, DiFrancesco and Noble reported in
Nature a sinoatrial current that was so unusual they
felt compelled to christen it the "funny" current (If).
The funny thing about this current, which is generated
by the inward movement of sodium and potassium
ions, is that is activated by hyperpolarization of the cell membrane. Some experts
argued that this current might play a key role in the control of pacemaker activity, while
other experts treated this claim with some suspicion, pointing out that it was a very
small current and only one of the 10 or more
currents responsible for the propagation of
the nodal action potential. It certainly
seemed an unlikely that If might represent
a therapeutic target in the battle against
cardiovascular disease. However, nowadays,
as explained by Michael J. Shattock and Michael R. Rosen, this curious little channel
is known to be able to exert a substantial effect upon heart rate such that its chemical
inhibition may reduce cardiac rate by as much as one fifth without altering the profile
of the action potential or the inotropic state of the ventricle...
|