F ailure of the coronary circulation to meet the constant demands of the cardiomyocytes results in ischemic heart disease or infarction. Determining the factors that regulate coronary blood flow is, therefore, crucial for understanding pathophysiological manifestations and for the development of new therapeutic strategies. Voltage-gated potassium channels (K V ) have been implicated in the control of the coronary circulation and reactive hyperemia, 1,2 but little is known about the specific molecular components. Kv channels encoded by KCNQ1-5 (K V 7.1-K V 7.5) are important regulators of the smooth muscle resting membrane potential and contractility in several different rodent and human arteries, [3][4][5][6][7][8][9][10][11] which are known to be compromised in animal models of primary and secondary hypertension. 3,6 These channels, in particular K V 7.4, are also functional end points in β-adrenoceptor-mediated relaxations.3 These combined observations provide a mechanism by which arteries become relatively resistant to endogenous vasorelaxants. However, little is known about K V 7 expression levels or the functional importance of these channels in coronary arteries.Consequently, we determined the expression profiles of KCNQ genes and the functional impact of K V 7 channel modulators in left anterior descending (LAD) coronary arteries. We also ascertained whether K V 7 channels contribute to relaxations produced by adenosine, which is released rapidly after myocardial ischemia in vivo and acts as a local metabolic regulator of coronary flow. 12,13 This study demonstrates that K V 7 channels are key regulators of coronary flow at rest, and they also contribute to adenosine-mediated dilatations and the active response to ischemia.
MethodsFor more complete descriptions, see the online-only Data Supplement.
AnimalsThe study complies with the European Community Guidelines for the Care and Use of Experimental Animals and was approved by the Animal Ethics Screening Committee in Denmark (license number: 2010/561-1799) and by the UK Animal (Scientific Procedures) Act 1986. Male, normotensive Wistar Hannover rats and spontaneously hypertensive rats (SHRs), aged 11 to 16 weeks, were purchased from Abstract-The goal of the present study was to determine the role of KCNQ-encoded K V channels (K V 7 channels) in the passive and active regulation of coronary flow in normotensive and hypertensive rats. In left anterior descending coronary arteries from normotensive rats, structurally different K V 7.2 to 7.5 activators produced relaxations, which were considerably less in arteries from hypertensive rats and were not mimicked by the K V 7.1-specific activator R-L3. In isolated, perfused heart preparations, coronary flow rate increased in response to the K V 7.2 to 7.5 activator (S)-1 and was diminished in the presence of a K V 7 inhibitor. The expression levels of KCNQ1-5 and their known accessory KCNE1-5 subunits in coronary arteries were similar in normotensive and hypertensive rats as measured by quantitative polymerase cha...