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1 Department of Medicine, University of California School of Medicine, San Diego, California 92103-8382; 2 Departments of Physiology and Medicine, University of Maryland, Baltimore 21201; and 3 National Institute on Aging, Gerontology Research Center, Baltimore, Maryland 21224
Pulmonary vasoconstriction and vascular medial hypertrophy greatly contribute to the elevated pulmonary vascular resistance in patients with pulmonary hypertension. A rise in cytosolic free Ca2+ ([Ca2+]cyt) in pulmonary artery smooth muscle cells (PASMC) triggers vasoconstriction and stimulates cell growth. Membrane potential (Em) regulates [Ca2+]cyt by governing Ca2+ influx through voltage-dependent Ca2+ channels. Thus intracellular Ca2+ may serve as a shared signal transduction element that leads to pulmonary vasoconstriction and vascular remodeling. In PASMC, activity of voltage-gated K+ (Kv) channels regulates resting Em. In this study, we investigated whether changes of Kv currents [IK(V)], Em, and [Ca2+]cyt affect cell growth by comparing these parameters in proliferating and growth-arrested PASMC. Serum deprivation induced growth arrest of PASMC, whereas chelation of extracellular Ca2+ abolished PASMC growth. Resting [Ca2+]cyt was significantly higher, and resting Em was more depolarized, in proliferating PASMC than in growth-arrested cells. Consistently, whole cell IK(V) was significantly attenuated in PASMC during proliferation. Furthermore, Em depolarization significantly increased resting [Ca2+]cyt and augmented agonist-mediated rises in [Ca2+]cyt in the absence of extracellular Ca2+. These results demonstrate that reduced IK(V), depolarized Em, and elevated [Ca2+]cyt may play a critical role in stimulating PASMC proliferation. Pulmonary vascular medial hypertrophy in patients with pulmonary hypertension may be partly caused by a membrane depolarization-mediated increase in [Ca2+]cyt in PASMC.
intracellular calcium; voltage-gated potassium channels; membrane potential
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