Abstract-The effect of potassium on the migration of vascular smooth muscle cells was analyzed in media made with extracellular potassium concentrations of 3, 4, 5, and 6 mmol/L. The migration of cultured porcine coronary artery cells was stimulated with platelet-derived growth factor (PDGF)-BB. In the first study, cells were exposed to PDGF-BB at concentrations of 0, 10, or 20 ng/mL for 5 hours with the use of a Boyden chamber. Cells were quiescent overnight in 0.5% fetal bovine serum in Dulbecco's modified Eagle's medium with an extracellular potassium concentration of 4 mmol/L. With increasing potassium concentration, migration was significantly inhibited (PϽ0.02, 2-way ANOVA).In the cells exposed to 10 ng/mL PDGF-BB, migration ranged from 500Ϯ86% to 294Ϯ44% (value in wells with 0 ng/mL PDGF-BB and 4 mmol/L potassium concentrationϭ100%) in medium containing 3 to 6 mmol/L extracellular potassium concentration (PϽ0.03). Long-term potassium exposure was investigated in cells grown in 5% serum in Dulbecco's modified Eagle's medium with an extracellular potassium concentration of 3, 4, 5, or 6 mmol/L for 3 to 4 weeks. Migration was assessed with 0 or 20 ng/mL PDGF-BB. Migration was significantly inhibited by the elevation of extracellular potassium concentration (PϽ0.01, 2-way ANOVA). With 20 ng/mL PDGF-BB, the migration rates ranged from 152Ϯ11% in medium with 3 mmol/L potassium to 69Ϯ5% in 6 mmol/L potassium (PϽ0.01). Increases in extracellular potassium concentration within the physiological range significantly and directly inhibit vascular smooth muscle cell migration. Key Words: arteries Ⅲ atherosclerosis Ⅲ neointima Ⅲ platelet-derived growth factor I n recent studies in this laboratory, an inverse relationship was observed between dietary potassium content and the severity of neointimal proliferation after balloon angioplasty. 1,2 In experiments with rats and pigs, animals fed a high-potassium diet had significantly less neointimal area at the site of injury than animals fed a normal-or low-potassium diet. The cause of the neointimal proliferative lesion that occurs after angioplasty has been studied extensively by others and is known to include several alterations in the function of cells of the arterial wall. Of significant importance are the migration from the media to the subintima and the subsequent proliferation of medial vascular smooth muscle cells. During migration to the intima, the cells change from the differentiated, contractile phenotype to the dedifferentiated, synthetic state that is associated with proliferation. [3][4][5][6] Platelet-derived growth factor (PDGF) is a potent chemoattractant and mitogen for cells of mesenchymal origin and for vascular smooth muscle cells. [7][8][9][10] Previously, results from experiments in our laboratory have been consistent with the hypothesis that elevated extracellular potassium concentration inhibits the functions of platelets and vascular smooth muscle cells, including proliferation, 11,12 believed to be involved in neointimal proliferative lesion form...