Key result
Fentanyl boosts BK current ~11-fold through β1 subunits and constricts β1-knockout arteries.
Why the study?
Ultra-potent synthetic opioids are a leading cause of overdose deaths, and because BK channel accessory beta1 subunits are predominantly expressed in smooth muscle, whether BK beta1 determines the effect of fentanyl on cerebral artery diameter warranted investigation.
Does the BK channel accessory β1 subunit mediate fentanyl-induced BK channel activation and regulate the cerebrovascular diameter response to fentanyl in mice?
Does the BK channel accessory β1 subunit mediate fentanyl-induced BK channel activation and regulate the cerebrovascular diameter response to fentanyl in mice?
Absolute Event Rate: 11.22% vs 1.54%
p-value: p=<0.05
Identifies the vascular smooth muscle BK channel β1 subunit as a direct, opioid receptor-independent molecular sensor of fentanyl that protects against fentanyl-induced cerebral artery vasoconstriction.
Fentanyl may subtly affect cerebral tone via BK β1 at low doses; leaves open clinical relevance pending in vivo studies.
Ultra‐potent synthetic opioids are powerful analgesics but also a leading cause of drug overdose deaths. Calcium−/voltage‐gated potassium channels of large conductance (BK) control vital physiological processes, with their accessory β1 (encoded by Kcnmb1 in mice) subunit being predominantly expressed in smooth muscle. Thus, we hypothesize that BK β1 determines the effect of fentanyl on cerebral artery diameter. Here we report that fentanyl (0.001–10 μ m ) activates BK heteromers consisting of slo1 + β1 subunits in CHO cells, but not homomers of slo1. In ex vivo pressurized mouse cerebral arteries, pharmacological inhibition of BK or β1 genetic deletion ( Kcnmb1 −/− ) led to fentanyl‐induced vasoconstriction. Naloxone, an opioid receptor antagonist, ablates the fentanyl response in wild‐type cerebral arteries whereas mild constriction persists in Kcnmb 1 −/− arteries. Therefore, we identify BK β1 as a functional fentanyl target which acts independently of opioid receptors to regulate fentanyl action on cerebral artery diameter.
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Thapa et al. (2026) studied Fentanyl-induced regulation of cerebral artery diameter. Fentanyl vs. Homomeric cbv1 channels (lacking beta1 subunit) and Kcnmb1-/- (beta1-lacking) mouse middle cerebral arteries, with or without naloxone (10 μM) or paxilline (1 μM) was evaluated on Fold-change increase in BK current amplitude (at 0.1 μM fentanyl) and percent-change in ex vivo middle cerebral artery (MCA) external diameter (p=<0.05). Fentanyl (0.1 μM) increased BK current amplitude 11.22-fold in β1-containing channels versus 1.54-fold in homomeric channels (P<0.05) and caused vasoconstriction up to -10.9% in β1-knockout arteries.
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