Potassium channel activators have potential cardioprotective propertie
s, in part due to their ability to increase coronary blood flow. We co
mpared the vasorelaxant properties of potassium channel activators, a
calcium channel blocker (nicardipine) and a direct smooth muscle relax
ant (sodium nitroprusside) in the canine coronary artery, the femoral
artery and the saphenous vein precontracted with 0.03 muM endothelin-1
. In the circumflex coronary artery, RWJ 29009, a novel and potent pot
assium channel activator, maximally relaxed the precontracted rings wi
th an EC50 Of 1.9 nM. Cromakalim (EC50=220 nM) and nitroprusside (EC50
=109 nM) were also active. Nicardipine (EC50=16.6 nM) produced only a
70% relaxation at 1 muM concentration. In both femoral artery and saph
enous vein, all agents relaxed the precontracted rings only at much hi
gher concentrations, and the relaxations were only 75% of maximal rela
xation. The results show that while all vasodilators preferentially re
lax the coronary artery, potassium channel activators appear to be the
most selective and potent of these agents.