(Hypertension. 1996;27:1234-1239.)
© 1996 American Heart Association, Inc.
Articles |
From the Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Correspondence to Yusuke Ohya, MD, PhD, Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-82, Japan. E-mail ohya@intmed2.med.kyushu-u.ac.jp.
| Abstract |
|---|
|
|
|---|
Key Words: rats, inbred, SHR patch clamp techniques potassium channels hydralazine adenosine triphosphate
| Introduction |
|---|
|
|
|---|
K+ channel openers activate K+ channels, hyperpolarize the cell membrane, and relax vascular smooth muscle.6 7 K+ channels activated by these compounds in vascular smooth muscle cells are thought to be ATP-sensitive K+ channels.8 9 10 11 Other types of K+ channels, such as Ca2+-dependent K+ channels, have also been shown to be possible targets of these agents.12 13 Because possible clinical uses of K+ channel openers include the treatment of hypertension, the effects of these drugs in hypertensive animals are of great interest. The in vivo administration of K+ channel openers such as cromakalim and levcromakalim effectively reduces the blood pressure of hypertensive patients and SHR.14 15 16 In contrast, with an open cranial window method, Kitazono et al17 showed that topical application of aprikalim induced a dose-dependent vasodilation in the basilar artery that was more marked in WKY than in SHRSP; the authors therefore suggested that the sensitivity of ATP-sensitive K+ channels to K+ channel openers is decreased in SHRSP. However, the electrophysiological properties of ATP-sensitive K+ channels in arterial cells have not been characterized in hypertensive animals. Our hypothesis in the present study was that properties of ATP-sensitive K+ channels in arterial smooth muscle cells are altered in hypertensive rats. With the use of the patch-clamp technique, we compared the characteristics of K+ channels evoked by levcromakalim in single smooth muscle cells from the mesenteric artery of WKY and SHR.
| Methods |
|---|
|
|
|---|
Cell Dispersion
Single smooth muscle cells were obtained from the main trunk of
the mesenteric artery by collagenase treatment. Procedures
were basically the same as those described previously.2 18
In brief, rats were stunned by a blow to the head and
decapitated. The main trunk of the mesenteric artery was
dissected and connective tissue carefully removed. The artery was
rinsed and incubated for about 15 minutes at 36°C in a
Ca2+-free solution (145 mmol/L NaCl, 6 mmol/L KCl, 10
mmol/L glucose, 10 mmol/L HEPES-NaOH [pH 7.3]). The tissue was then
incubated for 45 to 50 minutes at 36°C in the Ca2+-free
solution containing 0.3% collagenase (Wako). The digested
tissue was resuspended in Ca2+-free solution without
collagenase and gently agitated with a glass pipette to
disperse single cells. Cells were stored at 6° to 8°C in
Ca2+-free solution containing 1 mmol/L MgCl2
and 0.2% bovine serum albumin (essentially fatty acid free;
Sigma) until use. Patch-clamp experiments were performed within 4
hours after cell dispersion.
Electrical Recording
Whole-cell voltage clamp was performed with a patch pipette
through a voltage-clamp amplifier (Axopatch 1-D, Axon Instruments)
by the method of Hamill et al.19 The conditions and
procedures were basically the same as those we have described
previously.2 18 Electrical recording was performed
at room temperature (22° to 24°C). Membrane currents were
low-passfiltered at 2 kHz, digitized with a sampling
frequency of 5 to 10 kHz, and stored in a personal computer for
subsequent analysis. Cell capacitance was estimated when
compensating the series resistance by the dial setting of the
capacitive cancellation network in the voltage-clamp
amplifier.19 The liquid junction potential was not
corrected.
It has been reported that glibenclamide-sensitive background currents were detected in the absence of K+ channel openers in smooth muscle cells from rabbit portal vein and pulmonary artery, which were enhanced by the presence of GDP inside the cell.11 20 21 22 In our experiments, the background current stabilized within 5 minutes after the whole-cell configuration was achieved and was negligible in 92 of the 96 cells examined (2 of the 4 exceptions were from WKY and 2 from SHR). We did not use results from these 4 cells that showed large background currents.
Solutions and Chemicals
The bath solution for electrical recording contained
(mmol/L) NaCl 150, KCl 6, CaCl2 2, MgCl2 2,
glucose 10, and HEPES-NaOH 10 (pH 7.3). The pipette solution contained
(mmol/L) KCl 150, MgCl2 1, ATP (disodium salt) 0.3, GDP
(disodium salt) 1, EGTA 10, and HEPES-TrisOH 10 (pH 7.25). In some
experiments, the NaCl in the bath solution was replaced with an
equimolar concentration of KCl.
Levcromakalim (BRL 38227; a gift from Smith-Kline Beecham) was dissolved in 100% ethanol as a 30 mmol/L stock solution, and glibenclamide (Sigma) was dissolved in 100% dimethyl sulfoxide as a 100 mmol/L stock solution. The stock solutions were diluted at least 1000 times when used; ethanol or dimethyl sulfoxide at 0.1% had no effect on membrane currents.
Data Analysis
The slope conductance of the levcromakalim-evoked current
was obtained at potentials from -100 to -40 mV in a ramp
pulse. When the currents in WKY and SHR were compared, the slope
conductance was normalized by the cell capacitance because we have
previously shown that the ratio of cell capacitance to cell surface
area (specific membrane capacitance) does not differ between SHR and
WKY.2 The levcromakalim dose-response curve was
obtained by assuming 1:1 binding of the drug to the receptor according
to the Michaelis-Menten equation. Data were fitted to the equation by
the nonlinear least-squares method. Data are expressed as mean±SE.
Statistical significance was determined by ANOVA followed by a multiple
comparison test (Scheffé's test). A value of P<.05
was considered statistically significant.
| Results |
|---|
|
|
|---|
|
Membrane currents were recorded from single smooth muscle cells by
the whole-cell voltage-clamp method. Depolarizing and
hyperpolarizing command potentials were applied from a holding
potential of -60 mV. Command potentials to less than -40 mV
evoked only small background currents (Fig 1A
).
Depolarization to -30 mV or more positive potentials induced a
delayed outward current that was sensitive to
4-aminopyridine (data not shown), as has been observed
in other arterial smooth muscle cells.23 24 A
Ca2+-dependent K+ current was not apparent
because of the presence of 10 mmol/L EGTA in the pipette solution. A
net inward current was not usually observed because of a large
K+ outward current. Addition of 3 µmol/L levcromakalim to
the bath solution induced an upward shift in the holding current and
increased the current amplitudes induced by the command potentials (Fig 1B
). The levcromakalim-evoked current isolated by subtraction
apparently did not decay within 200 milliseconds and was therefore time
independent during this period (Fig 1C
).
|
Current was recorded during application of a 200-millisecond
voltage ramp from -100 to -10 mV (Fig 2
).
Before application of levcromakalim, only a small linear background
current was recorded at potentials less than -30 mV.
Levcromakalim induced a large increase in the current slope; the evoked
current was nearly linear at less than -40 mV. Subsequent
application of glibenclamide (3 µmol/L) abolished the
levcromakalim-evoked current. The current traces obtained before
and after application of levcromakalim intersect at about -80 mV,
suggesting that the reversal potential of the levcromakalim-evoked
current was approximately -80 mV.
|
To evaluate the ionic nature of the levcromakalim-evoked current,
we examined the effect of changing the K+ concentration in
the bath solution ([K+]o) on the
reversal potential. The levcromakalim-evoked currents at various
[K+]o values are shown in Fig 3A
. The K+ equilibrium potential was
calculated from the Nernst equation for various
[K+]o values and is shown as a solid line in
Fig 3B
. The measured reversal potentials did not deviate from the
calculated K+ equilibrium potentials for both WKY and SHR.
This [K+]o dependence of the reversal
potential suggests that the levcromakalim-evoked currents were
carried through K+-selective channels. The equilibrium
potentials of Na+ and Cl- under the
standard condition were 110 and 2 mV, respectively, markedly different
from the observed reversal potentials.
|
We investigated the effects of various K+ channel blockers
on the levcromakalim-evoked currents. Blockers were applied after
the current was stabilized with 3 µmol/L levcromakalim. As indicated
above, glibenclamide (3 µmol/L), a specific blocker of ATP-sensitive
K+ channels, abolished the levcromakalim-evoked current
(Fig 2
); the relative slope conductance after application of 3 µmol/L
glibenclamide was 0.07±0.03 (n=12) for WKY and 0.05±0.05 (n=10) for
SHR. Charybdotoxin, a specific blocker of large-conductance
Ca2+-dependent K+ channels (BK channels), did
not inhibit the levcromakalim-evoked current at concentrations up
to 0.3 µmol/L; subsequent application of glibenclamide abolished the
levcromakalim-evoked current (Fig 4A
). The relative
slope conductance in the presence of 0.3 µmol/L charybdotoxin was
0.96±0.03 (n=7) in WKY and 0.97±0.04 (n=5) in SHR. Low concentrations
(
1 mmol/L) of tetraethylammonium, which
also blocks BK channels, apparently did not inhibit the
levcromakalim-evoked current; higher
tetraethylammonium concentrations (3 and 10
mmol/L) partially inhibited the levcromakalim-evoked current (Fig 4B
). The relative slope conductance with 1 mmol/L
tetraethylammonium was 0.93±0.02 (n=5) for
WKY and 0.95±0.03 (n=5) for SHR. These results suggest that the
levcromakalim-evoked current is carried through ATP-sensitive
K+ channels and not BK channels in this preparation.
|
We compared the potencies of levcromakalim for evoking currents in
cells from SHR and WKY (Fig 5A
and 5B
). Levcromakalim
evoked the ATP-sensitive K+ current in a dose-dependent
manner in both SHR and WKY cells; however, 0.1 µmol/L levcromakalim
induced an apparent current only in WKY. The slope conductance of
levcromakalim-induced currents was obtained and normalized relative
to the cell capacitances (SHR, n=32 cells; WKY, n=26 cells) (Fig 6
). The maximal slope conductance and dissociation
constant (Kd) were estimated from the
dose-response relation by fitting the data to the Michaelis-Menten
equation. The maximal slope conductance was smaller in SHR (34.0 pS/pF)
than in WKY (51.4 pS/pF). The dose-response relation for SHR was
shifted to the right (Kd, 0.50 µmol/L
for WKY and 1.70 µmol/L for SHR). These results suggest that both
responsiveness and sensitivity of ATP-sensitive K+ channels
to levcromakalim were decreased in SHR cells.
|
|
Long-term treatment of SHR with hydralazine shifted the
dose-response relation for the effect of levcromakalim toward that
of WKY; the estimated maximal slope conductance was 45.8 pS/pF and the
Kd was 0.54 µmol/L (n=21) (Figs 5C
and 6
).
Hydralazine applied acutely to single smooth muscle cells did
not evoke significant currents (change in current conductance with 10
µmol/L hydralazine: SHR, 0.21±0.05 pS/pF, n=4; WKY,
0.27±0.06 pS/pF, n=4). Thus, antihypertensive treatment with
hydralazine reduced blood pressure and attenuated the
alteration in levcromakalim action on ATP-sensitive K+
channels in SHR.
| Discussion |
|---|
|
|
|---|
Physiological and pharmacological characteristics of ATP-sensitive K+ channels have been examined in various vascular smooth muscle cells (rabbit portal vein, mesenteric artery, and pulmonary artery; rat portal vein; canine coronary artery)9 10 11 22 23 24 ; however, the properties of channels in rat arteries are less well characterized. These previous studies have shown that ATP-sensitive K+ channel currents are (1) inhibited by intracellular ATP, (2) time independent and voltage insensitive, and (3) sensitive to glibenclamide and 4-aminopyridine but insensitive to charybdotoxin. Furthermore, K+ channel openers have been shown to activate these same ATP-sensitive K+ channels.9 10 22 23 24 In the present study, levcromakalim evoked K+-selective currents that were time independent. The current-voltage relation was linear at less than -40 mV, suggesting that channel activation was voltage insensitive. The levcromakalim-evoked current was sensitive to glibenclamide but insensitive to charybdotoxin and low concentrations of tetraethylammonium. These characteristics indicate that the levcromakalim-evoked current in rat mesenteric artery cells is carried by ATP-sensitive K+ channels.
The dose-response curve for current activation by levcromakalim was shifted to the right in SHR relative to that in WKY (Kd was larger in SHR). This observation suggests that the sensitivity of ATP-sensitive K+ channels to K+ channel openers is decreased in hypertensive rats. A similar shift in the dose-response curve was observed for aprikalim-induced vasodilation in the basilar artery of SHRSP compared with WKY.17 Furthermore, in preliminary experiments with adult SHR and age-matched WKY, we have observed that levcromakalim in a dose-dependent manner relaxed mesenteric arteries that had been precontracted with 1 µmol/L phenylephrine and that the dose-response curve was shifted to the right in SHR compared with WKY (unpublished data, 1995). We consider that the impaired relaxation of the artery to K+ channel openers is due to the impaired membrane hyperpolarization. These alterations could be explained by the impaired activation of ATP-sensitive K+ channels by this drug. However, it is also possible that the membrane hyperpolarization by any hyperpolarizing stimulus might be impaired in arteries from hypertensive rats.
We have shown that the activation of ATP-sensitive K+ channels by levcromakalim is impaired in mesenteric arteries of SHR. Furspan and Webb25 showed that the potencies of diazoxide in activating ATP-sensitive K+ channels in tail arteries were similar in SHRSP and WKY. This discrepancy with our data may be attributable to the difference in the arteries (tail artery of SHRSP versus mesenteric artery of SHR) or the drugs (diazoxide versus levcromakalim) studied.
In the present study, the maximal slope conductance normalized by the cell capacitance was smaller in SHR than in WKY, suggesting that the maximal response to levcromakalim was decreased in SHR. In contrast, the maximal dilation of the basilar artery by aprikalim was similar in SHRSP and WKY despite the decreased sensitivity to aprikalim action in SHRSP.17 In addition, the maximal hyperpolarization (to near the K+ equilibrium potential) of mesenteric arteries in response to 10 µmol/L cromakalim did not differ between SHR and WKY.26 However, the similar maximal relaxation and hyperpolarization responses between WKY and SHR (or SHRSP) in these studies are not inconsistent with the present results, because the maximal relaxation or hyperpolarization does not necessarily require maximal channel opening. Indeed, complete relaxation of mesenteric arteries from WKY and SHR was observed at lower concentrations of levcromakalim (0.3 to 1 µmol/L) than those required for maximal channel opening (10 to 30 µmol/L).
Hydralazine relaxes the vascular bed and reduces blood pressure. In hydralazine-treated SHR, blood pressure did not differ significantly from that in WKY, and the action of levcromakalim on channel activation was not impaired. Prevention of the impairment in levcromakalim action was not attributable to a direct effect of hydralazine on K+ channels because hydralazine did not activate K+ channels when applied acutely to single cells and the drug was washed out during the isolation of single cells. In addition, we have recently observed that long-term administration of angiotensin-converting enzyme inhibitor and calcium antagonist also restored the vasodilating effect of K+ channel openers in SHR arteries (T. Nagao et al, unpublished data, 1995). It is thus likely that the impairment of levcromakalim action in SHR may be attributable to the sustained hypertension. However, we have not examined the effects of long-term treatment with hydralazine on the activation of ATP-sensitive K+ channels by levcromakalim in WKY. Thus, the possibility still exists that long-term hydralazine administration might directly restore the action of levcromakalim on ATP-sensitive K+ channels.
Levcromakalim effectively reduces the systemic blood pressure of hypertensive patients and animals.5 6 Thus, the impaired action of levcromakalim in the mesenteric artery of SHR in vitro does not appear to reflect the efficacy of this drug as an antihypertensive agent. One possible explanation for this discrepancy is that the vascular tone of hypertensive patients and animals may be more sensitive to changes in the membrane potential than that of normotensive controls. A second possible explanation is that levcromakalim action may not be impaired in resistance vessels; we examined only the main trunk of the mesenteric artery.
The physiological and pathophysiological relevance of the impaired action of levcromakalim on ATP-sensitive K+ channels in hypertension remains to be determined. However, if the dilatation of a certain artery to K+ channel openers was impaired in hypertensive animals, a concomitant decrease in systemic blood pressure by this drug might result in hypoperfusion of the tissue. In addition, if the vasodilating actions of endogenous K+ channel openers such as adenosine,27 calcitonin generelated peptide,28 vasoactive intestinal peptide,8 and norepinephrine (ß-adrenergic stimulation)28 are impaired as well as those of synthetic K+ channel openers, such a defect might contribute to the altered control of vascular tone in hypertensive patients and animals. Moreover, the present observation that antihypertensive treatment restored the effect of a K+ channel opener on ATP-sensitive K+ channels reinforces the importance of antihypertensive treatment in correcting the alteration in arterial smooth muscle cells.
In conclusion, the action of levcromakalim on ATP-sensitive K+ channels in mesenteric arteries was impaired in adult SHR compared with age-matched WKY. This impairment during chronic hypertension could be corrected by long-term antihypertensive treatment. It remains to be determined whether the receptor for K+ channel openers, ATP-sensitive K+ channels themselves, or the interaction between the two is altered in SHR.
| Acknowledgments |
|---|
Received November 14, 1995; first decision December 18, 1995; accepted February 27, 1996.
| References |
|---|
|
|
|---|
2.
Ohya Y, Abe I, Fujii K, Takata Y, Fujishima M.
Voltage-dependent Ca2+ channels in resistance arteries
from spontaneously hypertensive rats. Circ
Res. 1993;73:1090-1099.
3.
Wilde DW, Furspan PB, Szocik JF. Calcium
current in smooth muscle cells from normotensive and genetically
hypertensive rats. Hypertension. 1994;24:739-746.
4.
Rusch NJ, De Lucena RG, Wooldridge TA, England SK,
Cowley AW Jr. A Ca2+-dependent K+ current is
enhanced in arterial membranes of hypertensive rats.
Hypertension. 1992;19:301-307.
5.
Rusch NJ, Runnells AM. Remission of high blood
pressure reverses arterial potassium channel
alterations. Hypertension. 1994;23:941-945.
6. Weston AH, Edwards G. Recent progress in potassium channel opener pharmacology. Biochem Pharmacol. 1992;43:47-54. [Medline] [Order article via Infotrieve]
7. Quest U, Cook NS. Moving together: K+ channel openers and ATP-sensitive K+ channels. Trends Pharmacol Sci. 1989;10:431-435. [Medline] [Order article via Infotrieve]
8.
Standen NB, Quayle JM, Davies JE, Brayden Y, Huang Y,
Nelson MT. Hyperpolarizing vasodilators activate
ATP-sensitive K+ channels in arterial smooth
muscle. Science. 1989;245:177-180.
9.
Kajioka S, Kitamura K, Kuriyama H. Guanosine
diphosphate activates an
adenosine-5'-triphosphate-sensitive K+ channel
in the rabbit portal vein. J Physiol
(Lond). 1988;405:397-418.
10. Nakao K, Bolton TB. Cromakalim-induced potassium currents in single dispersed smooth muscle cells of rabbit artery and vein. Br J Pharmacol. 1991;102:155p. Abstract.
11. Xu X, Lee KS. Characterization of the ATP-inhibited K+ current in canine coronary smooth muscle cells. Pflugers Arch. 1994;427:110-120. [Medline] [Order article via Infotrieve]
12. Gelband CH, Lodge NJ, van Breemen C. A Ca2+-activated K+ channel from rabbit aorta: modulation by cromakalim. Eur J Pharmacol. 1989;167:201-210. [Medline] [Order article via Infotrieve]
13.
Kajioka S, Oike M, Kitamura K. Nicorandil opens
a calcium-dependent K+ channel in smooth muscle cells
of the rat portal vein. J Pharmacol Exp
Ther. 1990;254:905-913.
14. Donnelly R, Elliott HL, Meredith PA, Reid JL. Clinical studies with the potassium channel activator cromakalim in normotensive and hypertensive subjects. J Cardiovasc Pharmacol. 1990;16:790-795. [Medline] [Order article via Infotrieve]
15. Struijker Boudier HAJ, Messing MWJ, van Essen H. Preferential small arteriolar vasodilatation by the potassium channel opener, BRL 38227, in conscious spontaneously hypertensive rats. Eur J Pharmacol. 1992;218:191-193.[Medline] [Order article via Infotrieve]
16. Haertlein B, Keiser RF, Cheung W, Tobia A. Differential responses to BRL 34915 and nifedipine in spontaneously hypertensive and normotensive rats. FASEB J. 1988;2:A604. Abstract.
17. Kitazono T, Heistad DD, Faraci FK. ATP-sensitive potassium channels in the basilar artery during chronic hypertension. Hypertension. 1993;32:677-681.
18.
Ohya Y, Sperelakis N. ATP regulation of the slow
calcium channels in vascular smooth muscle cells of guinea pig
mesenteric artery. Circ Res. 1989;64:145-154.
19. Hamill OP, Marty A, Nehr E, Sackmann B, Sigworth FJ. Improved patch-clamp techniques for high-resolution current recordings from cell and cell-membrane patches. Pflugers Arch. 1981;391:85-100.[Medline] [Order article via Infotrieve]
20. Beech DJ, Zhang H, Nakao K, Bolton TB. K+ channel activation by nucleotide diphosphates and its inhibition by glibenclamide in vascular smooth muscle cells. Br J Pharmacol. 1993;110:573-582. [Medline] [Order article via Infotrieve]
21.
Clapp LH, Gurney AM. ATP-sensitive
K+ channels regulate resting potential of pulmonary
arterial smooth muscle cells. Am J
Physiol. 1992;262:H916-H920.
22.
Clapp LH, Davey R, Gurney AM. ATP-sensitive
K+ channels mediate vasodilation produced by lemakalim in
rabbit pulmonary artery. Am J Physiol. 1993;264:H1907-H1915.
23. Beech DJ, Bolton TB. Properties of the cromakalim-induced potassium conductance in smooth muscle cells from the rabbit portal vein. Br J Pharmacol. 1989;98:851-864. [Medline] [Order article via Infotrieve]
24. Noack T, Deiter P, Edwards G, Weston AH. Characterization of potassium currents modulated by BRL 38227 in rat portal vein. Br J Pharmacol. 1992;106:717-726. [Medline] [Order article via Infotrieve]
25. Furspan PB, Webb RC. Decreased ATP sensitivity of a K+ channel and enhanced vascular smooth muscle relaxation in genetically hypertensive rats. J Hypertens. 1993;11:1067-1072. [Medline] [Order article via Infotrieve]
26.
Fujii K, Tominaga M, Ohmori S, Kobayashi K, Koga T,
Takata Y, Fujishima M. Decreased
endothelium-dependent
hyperpolarization to acetylcholine in smooth muscle
of the mesenteric artery of spontaneously hypertensive rats.
Circ Res. 1992;70:660-669.
27.
Dart C, Standen NB.
Adenosine-activated potassium current in smooth
muscle cells isolated from the pig coronary artery.
J Physiol (Lond). 1993;471:767-786.
28.
Kitazono T, Heistad DD, Faraci FM. Role of
ATP-sensitive K+ channels in CGRP-induced dilation of
basilar artery in vivo. Am J Physiol. 1993;265:H581-H585.
This article has been cited by other articles:
![]() |
H. Xue, Y.-L. Zhang, G.-S. Liu, and H. Wang A New ATP-Sensitive Potassium Channel Opener Protects the Kidney from Hypertensive Damage in Spontaneously Hypertensive Rats J. Pharmacol. Exp. Ther., November 1, 2005; 315(2): 501 - 509. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Auger, A. Beausejour, M. Brochu, and J. St-Louis Increased Na+ intake during gestation in rats is associated with enhanced vascular reactivity and alterations of K+ and Ca2+ function Am J Physiol Heart Circ Physiol, October 1, 2004; 287(4): H1848 - H1856. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. E. Callera, A. Yogi, R. C. Tostes, L. V. Rossoni, and L. M. Bendhack Ca2+-Activated K+ Channels Underlying the Impaired Acetylcholine-Induced Vasodilation in 2K-1C Hypertensive Rats J. Pharmacol. Exp. Ther., June 1, 2004; 309(3): 1036 - 1042. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Mukundan and N. L. Kanagy Ca2+ influx mediates enhanced alpha 2-adrenergic contraction in aortas from rats treated with NOS inhibitor Am J Physiol Heart Circ Physiol, November 1, 2001; 281(5): H2233 - H2240. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. G. Sobey Potassium Channel Function in Vascular Disease Arterioscler Thromb Vasc Biol, January 1, 2001; 21(1): 28 - 38. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. C. R. Borges, T. Feres, L. M. Vianna, and T. B. Paiva Effect of Cholecalciferol Treatment on the Relaxant Responses of Spontaneously Hypertensive Rat Arteries to Acetylcholine Hypertension, October 1, 1999; 34(4): 897 - 901. [Abstract] [Full Text] [PDF] |
||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Hypertension Home | Subscriptions | Archives | Feedback | Authors | Help | AHA Journals Home | Search Copyright © 1996 American Heart Association, Inc. All rights reserved. Unauthorized use prohibited. |