Kv channels are present in virtually all VSMCs and strongly influence contractile responses. However, they are also instrumental in the proliferative, migratory, and secretory functions of synthetic, dedifferentiated VSMCs upon PM. In fact, Kv channels not only contribute to all these processes but also are active players in the phenotypic switch itself. This review is focused on the role(s) of Kv channels in VSMC proliferation, which is one of the best characterized functions of dedifferentiated VSMCs.VSMC proliferation is a complex process requiring specific Kv channels at specific time and locations. Their identification is further complicated by their large diversity and the differences in expression across vascular beds. Of interest, both conserved changes in some Kv channels and vascular bed-specific regulation of others seem to coexist and participate in VSMC proliferation through complementary mechanisms.Such a system will add flexibility to the process while providing the required robustness to preserve this fundamental cellular response.
K E Y W O R D Scell cycle regulation, phenotypic modulation, potassium channels, vascular remodeling, vascular smooth muscle cell proliferation
| THE MULTIPLE PHENOTYPES OF VASCULAR SMOOTH MUSCLE CELLSVSMCs in the vessel wall express a unique repertoire of contractile proteins, signaling molecules, receptors, and ion channels and exhibit extremely low rates of proliferation, migration, and production of ECM proteins. However, VSMCs maintain significant plasticity even in adult animal. In response to changes in environmental cues, VSMCs switch from their contractile, differentiated phenotype to a dedifferentiated, synthetic, and proliferative phenotype. This process, known as PM or phenotypic switching, entails profound structural and functional changes involving changes in gene expression and signaling mecha-
3-7The contractile state is controlled by multiple transcriptional factors, being SRF the best characterized. SRF binds to a specific cis-element, the CArG box, present in the promoter region of target genes. While most VSMC differentiation marker genes contain one or multiple CArG elements, CArG-SRF complexes can also modulate the expression of proliferation-related genes. 8,9 Specificity of these regulatory mechanisms depends on the expression of myocardin, a SRF coactivator expressed exclusively in SMCs and cardiomyocytes.
10-12Myocardin expression is dramatically reduced in cultured SMC, in contrast to the constant levels of SRF with SMC phenotypic modulation.Understanding myocardin function will permit to understand the normal VSMC differentiation and also PM.13