A 4-AP-sensitive current is enhanced by chronic carbon monoxide exposure in coronary artery myocytes. Am J Physiol Heart Circ Physiol 282: H2031-H2038, 2002. First published January 24, 2002 10.1152/ajpheart.00807.2001.-A physiological role of carbon monoxide has been suggested for coronary myocytes; however, direct evidence is lacking. The objective of this study was to test the effect of chronic carbon monoxide exposure on the K ϩ currents of the coronary myocytes. The effect of 3-wk chronic exposure to carbon monoxide was assessed on K ϩ currents in isolated rat left coronary myocytes by the use of the patch-clamp technique in the whole cell configuration. Moreover, membrane potential studies were performed on coronary artery rings using intracellular microelectrodes, and coronary blood flow in isolated heart preparation was recorded. Carbon monoxide did not change the amplitude of global whole cell K ϩ current, but it did increase the component sensitive to 1 mM 4-aminopyridine. Carbon monoxide exposure hyperpolarized coronary artery segments by ϳ10 mV and, therefore, increased their sensitivity to 4-aminopyridine. This effect was associated with an enhancement of coronary blood flow. We conclude that chronic carbon monoxide increases a 4-aminopyridinesensitive current in isolated coronary myocytes. This mechanism could, in part, contribute to hyperpolarization and to increased coronary blood flow observed with carbon monoxide.voltage-gated K ϩ channels; membrane currents; vasodilation; 4-aminopyridine CARBON MONOXIDE (CO) is an endogenously generated gas that regulates vascular tone. Several lines of investigation provide evidence that CO is a vasodilator acting directly on vascular smooth muscle cells (VSMCs) (27) and that it inhibits smooth muscle cell proliferation (17). In coronary circulation, acute and chronic exogenous CO exposure induced an increase in coronary blood flow (1, 16). Several mechanisms have been suggested to explain this effect, including a direct effect of CO on coronary artery cells (8). Indeed, acute CO induced in vitro an endothelium-independent relaxation of the preconstricted coronary artery (8,14). Nevertheless, the cellular mechanism by which acute or chronic CO increases in coronary blood flow is unknown.Plasma membranes of coronary VSMCs show a dense expression of voltage-gated K ϩ (K V ) channels and high-conductance Ca 2ϩ -activated K ϩ (BK Ca ) channels. Moreover, the expression levels of these two-gene families are altered in some chronic cardiovascular pathologies, such as arterial hypertension (3). CO can influence the open-state probability of BK Ca channels in VSMC membranes (27), and it can activate K V channels in jujenal circular smooth muscle cells (6), thereby regulating the level of resting membrane potential (E m ) and contractile force in VSMCs. In the VSMCs of arterial circulation, the hyperpolarizing effect of K V and BK Ca channels contributes to the regulation of vascular tone and blood pressure by limiting voltage-dependent Ca 2ϩ influx through dihydropy...