The ATP-sensitive potassium (K-ATP) channel is thought to play an important
role in the protection of heart and brain against tissue hypoxia. The gene
tic regulation of the components of the channel by hypoxia has not been pre
viously described. Here, we investigated the regulation of the two pore-for
ming channel proteins, Kir6.1 and Kir6.2, in response to hypoxia in vivo an
d in vitro. We find that these two structurally-related inwardly-rectifying
potassium channel proteins are reciprocally regulated by hypoxia in vivo,
with upregulation of Kir6.1 and down-regulation of Kir6.2, thereby resultin
g in a significant change in the composition of the channel complex in resp
onse to hypoxia. In vitro we describe neuronal and cardiac cell lines in wh
ich Kir6.1 is up-regulated by hypoxia, demonstrating that Kir6.1 is a hypox
ia-inducible gene. We conclude that the heart and brain display genetic pla
sticity in response to hypoxic stress through specific genetic reprograming
of cytoprotective channel genes.