Synonyms: 3,4-DAP | 3,4-diaminopyridine | Firdapse® | Ruzurgi® | Zenas®
amifampridine is an approved drug (EMA (2009), FDA (2018))
Compound class:
Synthetic organic
Comment: Amifampridine is a potassium channel blocker.
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No information available. |
Mechanism Of Action and Pharmacodynamic Effects |
Lambert-Eaton myasthenic syndrome (LEMS) arises from the autogenic destruction of pre-synaptic proteins, in particular P/Q‐type voltage-gated calcium channels, at the neuromuscular junction. The damage results in reduced release of acetylcholine into the synaptic cleft, impairing muscle contraction which would be the normal response to activation of post-synpatic acetylcholine receptors. Amifampridine acts to block pre-synaptic potassium channels, thereby extending the duration of the action potential, and increasing acetylcholine release. The subsequent increase in acetylcholine receptor activation improves muscle tone. LEMS often occurs as a paraneoplastic condition [1] in cancer patients or in patients with other autoimmune diseases [2,4]. |