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Am J Physiol Heart Circ Physiol 288: H1233-H1241, 2005. First published November 4, 2004; doi:10.1152/ajpheart.00732.2004
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Diabetic dyslipidemia and exercise affect coronary tone and differential regulation of conduit and microvessel K+ current

E. A. Mokelke,1,3,6 N. J. Dietz,1,3 D. M. Eckman,4,5 M. T. Nelson,5 and M. Sturek1,2,3,6

Departments of 1Medical Pharmacology and Physiology and 2Internal Medicine, School of Medicine, and 3Center for Diabetes and Cardiovascular Health, University of Missouri, Columbia, Missouri; 4Division of Neonatology, Department of Pediatrics, Wake Forest University Health Sciences, Winston-Salem, North Carolina; 5Department of Pharmacology, University of Vermont, Burlington, Vermont; and 6Cellular and Integrative Physiology, Indiana University School of Medicine, Indianapolis, Indiana

Submitted 21 July 2004 ; accepted in final form 27 October 2004

Spontaneous transient outward K+ currents (STOCs) elicited by Ca2+ sparks and steady-state K+ currents modulate vascular reactivity, but effects of artery size, diabetic dyslipidemia, and exercise on these differentially regulated K+ currents are unclear. We studied the conduit arteries and microvessels of male Yucatan swine assigned to one of three groups for 20 wk: control (C, n = 7), diabetic dyslipidemic (DD, n = 6), or treadmill-trained DD animals (DDX, n = 7). Circumflex artery blood flow velocity obtained with intracoronary Doppler and lumen diameters obtained by intravascular ultrasound enabled calculation of absolute coronary blood flow (CBF). Ca2+ sparks were determined in pressurized microvessels, and perforated patch clamp assessed K+ current in smooth muscle cells isolated from conduits and microvessels. Baseline CBF in DD was decreased versus C. In pressurized microvessels, Ca2+ spark activity was significantly lower in DD versus C and DDX (P < 0.05 vs. DDX). STOCs were pronounced in microvessel (~35 STOCs/min) in sharp contrast to conduit cells (~2 STOCs/min). STOCs were decreased by 86% in DD versus C and DDX in microvessels; in contrast, there was no difference in STOCs across groups in conduit cells. Steady-state K+ current in microvessels was decreased in DD and DDX versus C; in contrast, steady-state K+ current in conduit cells was decreased in DDX versus DD and C. We conclude that steady-state K+ current and STOCs are differentially regulated in conduit versus microvessels in health and diabetic dyslipidemia. Exercise prevented diabetic dyslipidemia-induced decreases in baseline CBF, possibly via STOC-regulated basal microvascular tone.

Yucatan swine; Doppler flow; intravascular ultrasound; vasoreactivity; spontaneous transient outward K+ currents; coronary blood flow



Address for reprint requests and other correspondence: M. Sturek, Indiana Univ. School of Medicine, 635 Barnhill Dr., MS 309, Indianapolis, IN 46202-5120 (E-mail msturek{at}iupui.edu)




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