Key result
Hypoxia and metabolic inhibitors decrease voltage-gated K+ currents in rat pulmonary artery smooth muscle cells, leading to membrane depolarization and increased intracellular calcium.
Hypoxia-induced inhibition of voltage-gated K+ channels in pulmonary artery smooth muscle cells mediates membrane depolarization and calcium influx, providing a mechanistic basis for hypoxic pulmonary vasoconstriction.
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Should not change clinical practice; hypothesis-generating for K+ channel mechanisms in hypoxic pulmonary vasoconstriction.
Inhibition of voltage-gated K+ (Kv) channels by 4-aminopyridine (4-AP) depolarizes pulmonary artery (PA) smooth muscle cells, induces Ca(2+)-dependent action potentials and increases [Ca2+]i. Neither charybdotoxin, which blocks Ca(2+)-activated K+ channels, nor glibenclamide, which blocks ATP-sensitive K+ channels, has such effects on membrane potential (Em) and [Ca2+]i. Hypoxia reversibly decreases the 4-AP-sensitive KV currents (IK(V)) in PA myocytes. The resulting membrane depolarization caused by decreased IK(V) induces Ca(2+)-dependent action potentials and thereby raises [Ca2+]i. Thus, KV channel activity plays a critical role in: (a) regulating Em and [Ca2+]i under physiological conditions; and (b) sensing O2 alteration and transducing the hypoxic stimulus to changes of Em and [Ca2+]i. The metabolic inhibitors 2-deoxy-D-glucose (2-DOG; 10 mM) and carbonyl cyanide-p-trifluoromethoxyphenyl-hydrazone (FCCP; 3-5 microM), the reducing agent reduced glutathione and inhibitors of cytochrome P-450, all mimic the effects of hypoxia on IK(V) and Em in PA myocytes. Furthermore, hypoxia and 2-DOG negligibly affect IK(V) and Em in mesenteric artery smooth muscle cells. These results suggest that hypoxia, perhaps via a localized reduction of ATP, triggers the block of KV channels and depolarizes PA myocytes. This blockade may also be mediated by a change in cellular redox status, perhaps via a conformational change of a haem- (or metal-) containing regulatory moiety that is attached to the channel protein.
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Yuan et al. (1995) studied this question. Hypoxia and metabolic inhibitors was evaluated on Voltage-gated K+ channel activity, membrane potential, and intracellular Ca2+. Hypoxia and metabolic inhibitors decrease voltage-gated K+ currents in rat pulmonary artery smooth muscle cells, leading to membrane depolarization and increased intracellular calcium.
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