Metabolic regulation of endothelial SK channels and human coronary microvascular function

Yuhong Liu, Anatoli Y. Kabakov, An Xie, Guangbin Shi, Arun K. Singh, Neel R. Sodha, Afshin Ehsan, Anny Usheva, Vahid Agbortoko, Gideon Koren, Samuel C. Dudley, Frank W. Sellke, Jun Feng

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

BACKGROUND: Diabetic (DM) inactivation of small conductance calcium-activated potassium (SK) channels contributes to coronary endothelial dysfunction. However, the mechanisms responsible for this down-regulation of endothelial SK channels are poorly understood. Thus, we hypothesized that the altered metabolic signaling in diabetes regulates endothelial SK channels and human coronary microvascular function.

METHODS: Human atrial tissue, coronary arterioles and coronary artery endothelial cells (HCAECs) obtained from DM and non-diabetic (ND) patients (n = 12/group) undergoing cardiac surgery were used to analyze metabolic alterations, endothelial SK channel function, coronary microvascular reactivity and SK gene/protein expression/localization.

RESULTS: The relaxation response of DM coronary arterioles to the selective SK channel activator SKA-31 and calcium ionophore A23187 was significantly decreased compared to that of ND arterioles (p < 0.05). Diabetes increases the level of NADH and the NADH/NAD + ratio in human myocardium and HCAECs (p < 0.05). Increase in intracellular NADH (100 μM) in the HCAECs caused a significant decrease in endothelial SK channel currents (p < 0.05), whereas, intracellular application of NAD + (500 μM) increased the endothelial SK channel currents (p < 0.05). Mitochondrial reactive oxygen species (mROS) of HCAECs and NADPH oxidase (NOX) and PKC protein expression in the human myocardium and coronary microvasculature were increased respectively (p < 0.05).

CONCLUSIONS: Diabetes is associated with metabolic changes in the human myocardium, coronary microvasculature and HCAECs. Endothelial SK channel function is regulated by the metabolite pyridine nucleotides, NADH and NAD +, suggesting that metabolic regulation of endothelial SK channels may contribute to coronary endothelial dysfunction in the DM patients with diabetes.

Original languageEnglish (US)
Pages (from-to)1-9
Number of pages9
JournalInternational Journal of Cardiology
Volume312
DOIs
StatePublished - Aug 1 2020

Bibliographical note

Funding Information:
This research project was supported by the NIH 1R01HL127072-01A1 , 1R01 HL136347-01 , NIGMS / NIH grant (pilot project) 1P20GM103652 and AHA -Grant-in-Aid- 15GRNT25710105 to J.F.; R01-HL-46716 and U54GM115677 to F.W.S, and RO1HL128831, to F.W.S & A.U.

Funding Information:
This research project was mainly supported by the National Institutes of Health (NIH) 1R01HL127072-01A1 , 1R01 HL136347-01 , National Institute of General Medical Science (NIGMS) of the NIH [ 5P20-GM103652 (Pilot Project and CORE)] and AHA -Grant-in-Aid (# 15GRNT25710105 ) to J.F. This work was supported in part by R01-HL46716 to F.W.S., RO1HL128831 to F.W.S and A.U.

Publisher Copyright:
© 2020 The Authors

Keywords

  • Coronary microcirculation
  • Diabetes
  • Endothelial function
  • Endothelium-dependent hyperpolarization
  • Metabolic syndrome
  • SK channels

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