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(Stroke. 2002;33:2692.)
© 2002 American Heart Association, Inc.

Original Contributions

Mechanism of Extracellular K⁺-Induced Local and Conducted Responses in Cerebral Penetrating Arterioles

Tetsuyoshi Horiuchi, MD; Hans H. Dietrich, PhD; Kazuhiro Hongo, MD Ralph G. Dacey, Jr, MD

From the Department of Neurosurgery, Washington University School of Medicine, St Louis, Mo (T.H., H.H.D., R.G.D), and Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan (K.H.).

Correspondence to Hans H. Dietrich, PhD, Department of Neurosurgery, Washington University School of Medicine, Box 8057, 660 S Euclid Ave, St Louis, MO 63110. E-mail DietrichH{at}Nsurg.wustl.edu

Background and Purpose— Extracellular concentration of potassium ion ([K⁺]_o) may have a significant influence on the cerebral circulation in health and disease. Mechanisms of [K⁺]_o-induced conducted vasomotor responses in cerebral arterioles, possibly linking microvascular regulation to neuronal activity, have not been examined.

Methods— We analyzed vascular responses to small increases of [K⁺]_o (up to 5 mmol/L) in isolated, cannulated, and pressurized rat cerebral arterioles (36.5±1.4 µm). [K⁺]_o was elevated globally through extraluminal application or locally through micropipette, while arteriolar diameter was measured online.

Results— Elevation of [K⁺]_o (5 mmol/L) produced dilation that was inhibited by ouabain but not BaCl₂. Locally applied [K⁺]_o (3 to 5 mmol/L) produced a biphasic response (initial constriction followed by dilation), both of which were conducted to the remote site (distance 1142±68 µm). Endothelial impairment inhibited conducted but not local biphasic responses. Extraluminal ouabain attenuated local and conducted secondary dilation but not initial constriction. The local biphasic response was unaffected by extraluminal or intraluminal BaCl₂. Extraluminal but not intraluminal BaCl₂ impaired both conducted constriction and dilation.

Conclusions— In rat penetrating arteriole, (1) [K⁺]_o (3 to 5 mmol/L) strongly regulates arteriolar tone and causes conducted vasomotor responses; (2) local responses to elevated [K⁺]_o are endothelium independent but conducted responses are dependent on an intact endothelium; (3) smooth muscle Na⁺-K⁺-ATPase activation is the generator of conducted dilation; and (4) smooth muscle inward rectifier potassium channels sustain conduction. Our findings suggest that potassium-induced conducted vasomotor responses may link local neuronal activity to microvascular regulation, which may be attenuated in pathological conditions.

Key Words: endothelium • microcirculation • potassium • rats

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