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1 Department of Physiology, University of Tennessee School of Medicine, Memphis, Tennessee 38163; and 2 Department of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri 63110
The functional
significance of ATP-sensitive K+ (KATP)
channels is controversial. In the present study, transgenic mice
expressing a mutant Kir6.2, with reduced ATP sensitivity, were used to
examine the role of sarcolemmal KATP in normal cardiac
function and after an ischemic or metabolic challenge. We found
left ventricular developed pressure (LVDP) was 15-20% higher in
hearts from transgenics in the absence of cardiac hypertrophy.
-Adrenergic stimulation caused a positive inotropic response from
nontransgenic hearts that was not observed in transgenic hearts.
Decreasing extracellular Ca2+ decreased LVDP in hearts from
nontransgenics but not in those from transgenics. These data suggest an
increase in intracellular [Ca2+] in transgenic hearts.
Additional studies have demonstrated hearts from nontransgenics and
transgenics have a similar postischemic LVDP. However,
ischemic preconditioning does not improve postischemic recovery in transgenics. Transgenic hearts also demonstrate a poor
recovery after metabolic inhibition. These data are consistent with the
hypothesis that sarcolemmal KATP channels are required for
development of normal myocardial function, and perturbations of
KATP channels lead to hearts that respond poorly to
ischemic or metabolic challenges.
ischemic preconditioning; metabolic inhibition; left ventricular developed pressure; heart rate; diastolic pressure; Kir6.2
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