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July 15, 2002Journal of Clinical Investigation234 citationsOpen Access

Episodic coronary artery vasospasm and hypertension develop in the absence of Sur2 KATP channels

WCWilliam A. ChutkowJPJielin PuMWMatthew T. Wheeler

Key Result

Sur2 gene-targeted mice exhibited significantly elevated resting blood pressures, sudden death, and transient coronary artery vasospasm that was reduced by a calcium channel antagonist.

Structured PICO

P
Population
Sur2 gene-targeted mice (Sur2(-/-)) used as an animal model to study the role of K(ATP) channels in vascular smooth muscle.
E
Exposure
Calcium channel antagonist
O
Outcome
Resting blood pressure, sudden death, and coronary artery vasospasm episodes

The SUR2 K(ATP) channel is a critical regulator of episodic vasomotor activity, and its absence in mice provides a model for Prinzmetal variant angina.

Abstract

K(ATP) channels couple the intracellular energy state to membrane excitability and regulate a wide array of biologic activities. K(ATP) channels contain a pore-forming inwardly rectifying potassium channel and a sulfonylurea receptor regulatory subunit (SUR1 or SUR2). To clarify the role of K(ATP) channels in vascular smooth muscle, we studied Sur2 gene-targeted mice (Sur2(-/-)) and found significantly elevated resting blood pressures and sudden death. Using in vivo monitoring, we detected transient, repeated episodes of coronary artery vasospasm in Sur2(-/-) mice. Focal narrowings in the coronary arteries were present in Sur2(-/-) mice consistent with vascular spasm. We treated Sur2(-/-) mice with a calcium channel antagonist and successfully reduced vasospastic episodes. The intermittent coronary artery vasospasm seen in Sur2(-/-) mice provides a model for the human disorder Prinzmetal variant angina and demonstrates that the SUR2 K(ATP) channel is a critical regulator of episodic vasomotor activity.

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Cite This Study

Chutkow et al. (2002) studied Coronary artery vasospasm and hypertension. Sur2 gene knockout vs. Wild-type (implied) was evaluated on Resting blood pressure, sudden death, and coronary artery vasospasm. Sur2 gene-targeted mice exhibited significantly elevated resting blood pressures, sudden death, and transient coronary artery vasospasm that was reduced by a calcium channel antagonist.

synapsesocial.com/papers/6a61a5dc6b7099fe363f6f98https://doi.org/10.1172/jci15672
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