Endothelial ATP-Sensitive Potassium Channel Protects Against the Development of Hypertension and Atherosclerosis

Hypertension. 2020 Sep;76(3):776-784. doi: 10.1161/HYPERTENSIONAHA.120.15355. Epub 2020 Jul 13.

Abstract

In the endothelium, ATP-sensitive potassium (KATP) channels are thought to couple cellular metabolism with membrane excitability, calcium entry, and endothelial mediator release. We hypothesized that endothelial KATP channels have a broad role protecting against high blood pressure and atherosclerosis. Endothelial-specific Kir6.1 KO mice (eKO) and eKO mice on an apolipoprotein E KO background were generated (A-eKO) to investigate the role of KATP channels in the endothelium. Basal blood pressure was not elevated in eKO mice. However, when challenged with a high-salt diet and the eNOS inhibitor L-NAME, eKO mice became more hypertensive than their littermate controls. In aorta, NO release at least partly contributes to the endothelium-dependent vasorelaxation induced by pinacidil. In A-eKO mice atherosclerotic plaque density was significantly greater than in their littermate controls when challenged with a high-fat diet, particularly in the aortic arch region. Levels of endothelial dysfunction markers were higher in eKO compared with WT mice; however, these were not significant for A-eKO mice compared with their littermate controls. Furthermore, decreased vascular reactivity was observed in the mesenteric arteries of A-eKO mice, but not in aorta when on a high-fat diet. Our data support a role for endothelial Kir6.1-containing KATP channels in the endothelial protection against environmental stressors: the maintenance of blood pressure homeostasis in response to high salt and endothelial integrity when challenged with a high-fat diet.

Keywords: atherosclerosis; endothelium; hypertension; ion channels.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antihypertensive Agents / pharmacology
  • Apolipoproteins E / metabolism
  • Atherosclerosis* / metabolism
  • Atherosclerosis* / prevention & control
  • Blood Pressure / drug effects
  • Blood Pressure / physiology
  • Diet, High-Fat / adverse effects
  • Endothelial Cells* / drug effects
  • Endothelial Cells* / physiology
  • Enzyme Inhibitors / pharmacology
  • Hypertension* / drug therapy
  • Hypertension* / metabolism
  • KATP Channels / metabolism*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • NG-Nitroarginine Methyl Ester / pharmacology
  • Nitric Oxide Synthase Type III* / antagonists & inhibitors
  • Nitric Oxide Synthase Type III* / metabolism
  • Peptide Fragments / metabolism
  • Pinacidil / pharmacology*
  • Treatment Outcome
  • Vasodilation / drug effects
  • Vasodilation / physiology

Substances

  • Antihypertensive Agents
  • Apolipoproteins E
  • Enzyme Inhibitors
  • KATP Channels
  • Peptide Fragments
  • apolipoprotein E (133-149)
  • uK-ATP-1 potassium channel
  • Pinacidil
  • Nitric Oxide Synthase Type III
  • Nos3 protein, mouse
  • NG-Nitroarginine Methyl Ester