Authors
Evangelos D Michelakis, Jason RB Dyck, M Sean McMurtry, Shaohua Wang, Xi-Chen Wu, Rohit Moudgil, Kyoko Hashimoto, Lakshmi Puttagunta, Stephen L Archer
Publication date
2001
Journal
Hypoxia: From Genes to the Bedside
Pages
401-418
Publisher
Springer US
Description
Chronic Hypoxic Pulmonary Hypertension (CH-PHT) is characterized by pulmonary artery (PA) vasoconstriction and cell proliferation/hypertrophy. PA smooth muscle cell (PASMC) contractility and proliferation are controlled by cytosolic Ca++ levels, which are largely determined by membrane potential (EM). EM is depolarized in CH-PHT due to decreased expression and functional inhibition of several redox-regulated, 4-aminopyridine (4-AP) sensitive, voltage-gated K+ channels (Kv1.5 and Kv2.1). Humans with Pulmonary Arterial Hypertension (PAH) also have decreased PASMC expression of Kv1.5 and Kv2.1. We speculate this “K+-channelopathy” contributes to PASMC depolarization and Ca++ overload thus promoting vasoconstriction and PASMC proliferation. We hypothesized that restoration of Kv channel expression in PHT and might eventually be benefial. Methods: Two strategies were used to …
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