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ATP- and voltage-dependent electro-metabolic signaling regulates blood flow in heart

Guiling Zhao, Humberto C. Joca, Mark T. Nelson, W. Jonathan Lederer

2020Proceedings of the National Academy of Sciences70 citationsDOIOpen Access PDF

Abstract

Significance The ATP-sensitive K + channel (K ATP ) is a metabolite sensor that transduces the myocyte metabolic state into an electrical signal. Our studies show that this electro-metabolic signaling mechanism underlies the regulation of local blood flow in the heart through its actions on the contractile elements of the microvasculature. In addition, the efflux of K + supports this mechanism by its action on the capillary endothelial inward rectifier K + (Kir2.1). These findings establish a conceptually new framework for understanding the hugely reliable and incredibly robust local electro-metabolic microvascular regulation of blood flow in the heart.

Topics & Concepts

Hyperpolarization (physics)MyocytePericyteBiologyCardiac myocyteBlood flowCell biologyInternal medicineInward-rectifier potassium ion channelVascular smooth muscleEndocrinologyChemistryIon channelEndothelial stem cellMedicineBiochemistrySmooth muscleOrganic chemistryIn vitroReceptorNuclear magnetic resonance spectroscopyCardiac electrophysiology and arrhythmiasIon channel regulation and functionCardiac Ischemia and Reperfusion
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