THE OBJECTIVE OF this study was to compare the relaxant effects of the
K+ channel openers pinacidil and lemakalim in isolated human pial art
eries with the effects of the dihydropyridines nifedipine and nimodipi
ne and the prostacyclin analog iloprost. Relaxation was measured in ve
ssels contracted by 40 mmol/L K+. In contrast to the potent and consis
tent relaxant effects of nifedipine, nimodipine, and iloprost, the pot
ency of pinacidil and lemakalim proved to be highly variable and inver
sely correlated with the onset velocity of the preceding contractions
of K+ as well as with the endothelium-dependent relaxation of carbacho
l. Thus, in contrast to dihydropyridines and iloprost, pinacidil and l
emakalim selectively elicited potent relaxations in those arteries tha
t exhibited signs of altered vascular wall functions.