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Am J Physiol Lung Cell Mol Physiol 294: L309-L318, 2008. First published December 7, 2007; doi:10.1152/ajplung.00091.2007
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Endothelin-1 mediates hypoxia-induced inhibition of voltage-gated K+ channel expression in pulmonary arterial myocytes

E. Miles Whitman, Sarah Pisarcik, Trevor Luke, Michele Fallon, Jian Wang, J. T. Sylvester, Gregg L. Semenza, and Larissa A. Shimoda

Division of Pulmonary and Critical Care Medicine and Vascular Biology Program, Institute for Cell Engineering; and Departments of Medicine, Pediatrics, Oncology, and Radiation Oncology and McKusick-Nathans Institute of Genetic Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland

Submitted 8 March 2007 ; accepted in final form 28 November 2007

Prolonged exposure to decreased oxygen tension causes contraction and proliferation of pulmonary arterial smooth muscle cells (PASMCs) and pulmonary hypertension. Hypoxia-induced inhibition of voltage-gated K+ (Kv) channels may contribute to the development of pulmonary hypertension by increasing intracellular calcium concentration ([Ca2+]i). The peptide endothelin-1 (ET-1) has been implicated in the development of pulmonary hypertension and acutely decreases Kv channel activity. ET-1 also activates several transcription factors, although whether ET-1 alters KV channel expression is unclear. The hypoxic induction of ET-1 is regulated by the transcription factor hypoxia-inducible factor-1 (HIF-1), which we demonstrated to regulate hypoxia-induced decreases in KV channel activity. In this study, we tested the hypothesis that HIF-1-dependent increases in ET-1 lead to decreased Kv channel expression and subsequent elevation in [Ca2+]i. Resting [Ca2+]i and Kv channel expression were measured in cells exposed to control (18% O2, 5% CO2) and hypoxic (4% O2, 5% CO2) conditions. Hypoxia caused a decrease in expression of Kv1.5 and Kv2.1 and a significant increase in resting [Ca2+]i. The increase in [Ca2+]i was reduced by nifedipine, an inhibitor of voltage-dependent calcium channels, and removal of extracellular calcium. Treatment with BQ-123, an ET-1 receptor inhibitor, prevented the hypoxia-induced decrease in Kv channel expression and blunted the hypoxia-induced increase in [Ca2+]i in PASMCs, whereas ET-1 mimicked the effects of hypoxia. Both hypoxia and overexpression of HIF-1 under normoxic conditions increased ET-1 expression. These results suggest that the inhibition of Kv channel expression and rise in [Ca2+]i during chronic hypoxia may be the result of HIF-1-dependent induction of ET-1.

hypoxia-inducible factor-1; pulmonary hypertension



Address for reprint requests and other correspondence: L. A. Shimoda, Division of Pulmonary and Critical Care Medicine, Johns Hopkins Univ., 5501 Hopkins Bayview Circle, JHAAC 4A.52, Baltimore, MD 21224 (e-mail: shimodal{at}welch.jhu.edu)




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