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on February 19, 2004

Stroke. 2004
Published online before print February 19, 2004, doi: 10.1161/01.STR.0000119753.05670.F1
A more recent version of this article appeared on April 1, 2004
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Right arrow Type 2 diabetes
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Submitted on December 10, 2003
Accepted on December 15, 2003

Potassium Channel Dysfunction in Cerebral Arteries of Insulin-Resistant Rats Is Mediated by Reactive Oxygen Species

Benedek Erdös MD*; Steve A. Simandle PhD; James A. Snipes BS; Allison W. Miller PharmD; and David W. Busija PhD

From the Department of Physiology and Pharmacology, Wake Forest University School of Medicine, Winston-Salem, NC (B.E., S.A.S., J.A.S., A.W.M., D.W.B.), and Institute of Human Physiology and Clinical Experimental Research, Semmelweis University, Budapest, Hungary (B.E.).

* To whom correspondence should be addressed. E-mail: berdos{at}wfubmc.edu.

Background and Purpose--Insulin resistance (IR) increases the risk of stroke in humans. One possible underlying factor is cerebrovascular dysfunction resulting from altered K+ channel function. Thus, the goal of this study was to examine K+ channel-mediated relaxation in IR cerebral arteries.

Methods--Experiments were performed on pressurized isolated middle cerebral arteries (MCAs) from fructose-fed IR and control rats.

Results--Dilator responses to iloprost, which are BKCa channel mediated, were reduced in the IR compared with control arteries (19±2% versus 33±2% at 10-6 mol/L). Similarly, relaxation to the KATP opener pinacidil was diminished in the IR MCAs (17±2%) compared with controls (38±2% at 10-5 mol/L). IR also reduced the KATP channel-dependent component in calcitonin gene-related peptide-induced dilation; however, the magnitude of the relaxation remained unchanged in IR because of a nonspecified K+ channel-mediated compensatory mechanism. In contrast, Kir channel-mediated relaxation elicited by increases in extracellular [K+] (4 to 12 mmol/L) was similar in the control and IR arteries. Blockade of the Kir and Kv channels with Ba2+ and 4-aminopyridine, respectively, constricted the MCAs in both experimental groups with no significant difference. Pretreatment of arteries with superoxide dismutase (200 U/mL) plus catalase (150 U/mL) restored the dilatory responses to iloprost and pinacidil in the IR arteries. Immunoblots showed that the expressions of the pore-forming subunits of the examined K+ channels are not altered by IR.

Conclusions--IR induces a type-specific K+ channel dysfunction mediated by reactive oxygen species. The alteration of KATP and BKCa channel-dependent vascular responses may be responsible for the increased risk of cerebrovascular events in IR.


Key words: diabetes mellitus • insulin resistance • middle cerebral artery • potassium channels • oxidative stress • rats




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