In arteries, muscarinic agonists such as acetylcholine release an unid
entified, endothelium-derived hyperpolarizing factor (EDHF) which is n
either prostacyclin nor nitric oxide(1-3). Here we show that EDHF-indu
ced hyperpolarization of smooth muscle and relaxation of small resista
nce arteries are inhibited by ouabain plus Ba2+; ouabain is a blocker
of Na+/K+ ATPase(4) and Ba2+ blocks inwardly rectifying K+ channels(5)
. Small increases in the amount of extracellular K+ mimic these effect
s of EDHF in a ouabain- and Ba2+-sensitive, but endothelium-independen
t, manner. Acetylcholine hyperpolarizes endothelial tells and increase
s the K+ concentration in the myoendothelial space; these effects are
abolished by charybdotoxin plus apamin. Hyperpolarization of smooth mu
scle by EDHF is also abolished by this toxin combination, but these to
xins do not affect the hyperpolarization of smooth muscle by added K+.
These data show that EDHF is K+ that effluxes through charybdotoxin-
and apamin-sensitive K+ channels on endothelial cells. The resulting i
ncrease in myoendothelial K+ concentration hyperpolarizes and relaxes
adjacent smooth-muscle cells by activating Ba2+-sensitive K+ channels
and Na+/K+ ATPase, These results show that fluctuations in K+ levels o
riginating within the blood vessel itself are important in regulating
mammalian blood pressure and flow.