Mt. Nelson et Je. Brayden, REGULATION OF ARTERIAL TONE BY CALCIUM-DEPENDENT K-SENSITIVE K+ CHANNELS( CHANNELS AND ATP), Cardiovascular drugs and therapy, 7, 1993, pp. 605-610
Citations number
32
Categorie Soggetti
Pharmacology & Pharmacy","Cardiac & Cardiovascular System
Resistance arteries depolarize and constrict to elevations in intravas
cular pressure. However, many of the molecular aspects of this phenome
non are not known. We present evidence that large conductance calcium-
dependent potassium (K(Ca)) channels, which are activated by intracell
ular calcium and membrane depolarization, play a fundamental role in r
egulating the degree of intravascular pressure-induced, myogenic tone.
We found that blockers of K(Ca) channels, charybdotoxin (CTX, <100 nM
) and TEA+ (<0.5 mM), further depolarized pressurized arteries by as m
uch as 12 mV and decreased diameter by up to 40%. CTX blocked K(Ca) ch
annels in outside-out patches from arterial smooth muscles with half-b
lock constant of 10 nM and external TEA+ caused a flickery block, with
a half-block constant of 200 muM. We propose that K(Ca) channels serv
e as a negative feedback pathway to limit the degree of membrane depol
arization and hence vasoconstriction to pressure. In contrast, CTX and
TEA+ (<1 mM) were without effect on membrane hyperpolarization and di
lation to a wide variety of synthetic (cromakalim, pinacidil, diazoxid
e, minoxidil sulfate and endogenous agents [calcitonin gene-related pe
ptide (CGRP), vasoactive intestinal peptide, an endothelial-derived hy
perpolarizing factor]. Glibenclamide and low concentrations of externa
l barium that inhibit ATP-sensitive potassium (K(ATP)) channels, howev
er, blocked the hyperpolarizations and dilations to these substances.
We have identified K(ATP) channels as well as high-affinity glibenclam
ide binding sites in arterial smooth muscle. These channels are activa
ted by cromakalim and CGRP, and are blocked by glibenclamide. Further,
the existence of K(ATP) channels in arterial smooth muscle suggests t
he possibility that compromising cellular metabolism through metabolic
poisons, hypoxia, or alterations in glucose may open K(ATP) channels
and lead to vasodilation. Indeed, other workers have provided evidence
that metabolic poisons and hypoxia lead to an increase in glibenclami
de-sensitive potassium efflux and vasodilation. We have found that rep
lacement of external glucose by deoxyglucose caused glibenclamide-sens
itive coronary artery dilation, membrane hyperpolarization, and activa
tion of K(ATP) channels. We conclude that both K(ATP) and K(Ca) channe
ls serve important functions in the regulation of arterial tone.