Editorial |
From the Department of Pharmacology, The University of Melbourne, Parkville, Victoria, Australia; Departments of Internal Medicine and Pharmacology, Cardiovascular Center, University of Iowa College of Medicine, Iowa City, Iowa.
Correspondence to Frank M. Faraci, PhD, Department of Internal Medicine, University of Iowa College of Medicine, Iowa City, IA 52242-1081. E-mail frank-faraci@uiowa.edu
Key Words: potassium channels genetics mice cerebral arteries
| Introduction |
|---|
3 to 5
mmol/L.1 In contrast to the depolarization and contraction
of vascular muscle that are commonly produced by high concentrations of
K+, small to moderate increases in the
concentration of extracellular K+ produce
membrane hyperpolarization and relaxation in a
variety of blood vessels in vitro.2 3 4 5 6 7 8 9 This vasodilator
response is particularly prominent in cerebral
arteries.2 3 4 5 Because K+ is
released during normal neuronal and muscle activity, this mechanism may
play a role in the coupling of cellular metabolism and
local blood flow.10 11 12 Several mechanisms have been proposed to contribute to K+-induced hyperpolarization of vascular muscle and vasodilatation. The two most studied have been (1) increased activation of Na+/K+-ATPase and (2) increased activity of inwardly rectifying K+ channels (Kir).2 3 4 8 These studies have relied almost exclusively on the use of pharmacological inhibition with ouabain and extracellular barium ion (Ba2+), respectively. Although a ouabain-sensitive vascular response may be present for very modest increases in extracellular K+ (<5 mmol/L), the major sustained component elicited by higher concentrations of K+ (7 to 20 mmol/L) is Ba2+-sensitive.2 3 4 5 8 Because of these findings, recent interest has focused on Kir channels as the key signaling pathway that produces vasodilatation through physiological elevations in extracellular K+.
K+ channels are thought to play a major role in
regulation of vascular tone by producing
hyperpolarization of vascular muscle in response to
diverse stimuli including receptor-mediated agonists, second
messengers, and Ca2+ sparks.13 14 15
Hyperpolarization of vascular
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