Objective: A substantial line of evidence indicates that Kv4.2 and Kv4.3
channels are the major components of rapid transient-outward potassium
currents (A-type currents). It is speculated that those currents may be
involved in the maintenance of the membrane potential, as well as in the
regulation of propagation and frequency of action potentials. However, very
little is known about the presence and function of A-type currents in human
vascular smooth muscles such as human umbilical vein (HUV). Having in mind
its crucial role in the proper fetal oxygenation the aim of the study was to
determine whether Kv4.2 and Kv4.3 potassium channels are present in HUV
smooth muscle and to investigate potential alterations of their expression
during maternal pathological conditions - gestational diabetes mellitus
(GDM) and pregnancy-induced hypertension (PIH). Materials and methods:
Healthy, diabetic and hypertensive pregnancies were subjects of this
investigation. Each group was consisted of 6 HUV samples obtained from 6
normal pregnancies, 6 pregnancies with GDM, and 6 pregnancies with PIH.
After pharmacology analysis, immunohistochemistry and Western blot were
performed. Results: Immunohistochemistry revealed similar expression pattern
of both, Kv4.2 and Kv4.3 subunits, in HUV smooth muscle in all groups of
patients. Results obtained by Western blot were in agreement with
immunohistochemical staining. The expression of Kv4.2 and Kv4.3 subunits was
not significantly different between the groups. Conclusion: Collectively,
this is the first study that demonstrated presence of Kv4.2 and Kv4.3
potassium channels in the HUV smooth muscle and their preservation during
the course of GDM and PIH. These channels are most likely major components
of rapid A-type currents that may be relevant for maternal-fetus blood flow
and hence fetal development. Also, they may represent sensors for detecting
hemodynamic and/or metabolic changes in the local environment.