New Findings
What is the topic of this review?In this review, we consider the role of the Na+,K+‐ATPase in cerebrovascular function and how it might be changed in familial hemiplegic migraine type 2 (FHM2). The primary focus is involvement of the Na+,K+‐ATPase isoforms in regulation of cerebrovascular tone.
What advances does it highlight?In this review, we discuss three overall distinct mechanisms whereby the Na+,K+‐ATPase might be capable of regulating cerebrovascular tone. Furthermore, we discuss how changes in the Na+,K+‐ATPase in cerebral arteries might affect brain perfusion and thereby be involved in the pathology of FHM2.
Abstract
Familial hemiplegic migraine type 2 (FHM2) has been characterized by biphasic changes in cerebral blood flow during a migraine attack, with initial hypoperfusion followed by abnormal hyperperfusion of the affected hemisphere. We suggested that FHM2‐associated loss‐of‐function mutation(s) in the Na+,K+‐ATPase α2 isoform might be responsible for these biphasic changes in several ways. We found that reduced expression of the α2 isoform leads to sensitization of the contractile machinery to [Ca2+]i via Src kinase‐dependent signal transduction. This change in sensitivity might be the underlying mechanism for both abnormally potentiated vasoconstriction and exaggerated vasorelaxation. Moreover, the functional significance of the Na+,K+‐ATPase α2 isoform in astrocytes provides for the possibility of elevated extracellular potassium signalling from astrocytic endfeet to the vascular wall in neurovascular coupling.