Inhibition of Ion Transport through Gramicidin A Channels by the Addition of Local Anesthetic Procaine

The blocking effects of the cationic procaine, a typical local anesthetic (LA), on ion transport through gramicidin A (gA) channels between two aqueous phases (W1 and W2) were electrochemically elucidated. Although the gA channels promoted the permeation of monovalent cations, especially Cs⁺, the addition of procaine to W1 decreased the permeation of Cs⁺ through these channels from W1 to W2. This can be explained based on the following mechanism. Hydrophobic cationic procaine tends to approach the pore of a gA channel. Since it is too large to enter the pore, it cannot pass through the channel. Thus, cationic procaine inhibits the permeation of Cs⁺ from W1 to W2 by competing with Cs⁺ for access to the entrances of the gA channels. It is postulated that the decrease in the apparent activity of Cs⁺ caused by this competition prevents ion transport through the gA channels.