Abstract:Aims
The myogenic reactivity of the middle cerebral arteries (MCA) protects the brain by altering the diameter in response to changes in lumen pressure. Large conductance potassium (BK) channels are known to regulate the myogenic reactivity, yet, it is not clear how aging alters the myogenic reactivity via the BK channel in males and females. Thus, we hypothesize that age-associated changes in BK channel subunits modulate the myogenic reactivity in a sex-specific manner.
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“…Calcium-activated K + channels are a negative feedback mechanism resulting in VSMCs membrane hyperpolarization and reduced vasoconstriction ( 8 , 53 ). A recent study indicated that VSMCs isolated from MCAs of adult female rats exhibited higher BK channel current densities compared with males leading to attenuated myogenic reactivity ( 61 ). In addition, a higher basal vascular tone would be expected to blunt subsequent myogenic responses ( 53 ).…”
Section: Discussionmentioning
confidence: 99%
“…Stroke survivors face long-term disability and cognitive deficits ( 37 ). Previous studies demonstrated that females have smaller MCA compared with males in humans ( 45 , 51 , 64 ) and in rats ( 61 ). The MCA in females has greater responses to hypercapnia, nitric oxide (NO), and flow-mediated vasodilation ( 31 , 47 , 54 , 56 ) and lower responses to angiotensin II (ANG II) as well as endothelin-1 (ET-1)-induced vasoconstriction ( 1 , 62 ).…”
Using perfusion fixation of the middle cerebral artery (MCA) in calcium-free solution at physiological pressure and systematically randomly sampling the sections prepared from the same M2 segments of MCA, we found that there are structural differences that are associated with altered cerebral blood flow (CBF) autoregulation but not neurovascular coupling and cognition in young, healthy Sprague-Dawley (SD) rats. Understanding the intrinsic differences in cerebrovascular structure and function in males and females is essential to develop new pharmaceutical treatments for cerebrovascular disease (CVD).
“…Calcium-activated K + channels are a negative feedback mechanism resulting in VSMCs membrane hyperpolarization and reduced vasoconstriction ( 8 , 53 ). A recent study indicated that VSMCs isolated from MCAs of adult female rats exhibited higher BK channel current densities compared with males leading to attenuated myogenic reactivity ( 61 ). In addition, a higher basal vascular tone would be expected to blunt subsequent myogenic responses ( 53 ).…”
Section: Discussionmentioning
confidence: 99%
“…Stroke survivors face long-term disability and cognitive deficits ( 37 ). Previous studies demonstrated that females have smaller MCA compared with males in humans ( 45 , 51 , 64 ) and in rats ( 61 ). The MCA in females has greater responses to hypercapnia, nitric oxide (NO), and flow-mediated vasodilation ( 31 , 47 , 54 , 56 ) and lower responses to angiotensin II (ANG II) as well as endothelin-1 (ET-1)-induced vasoconstriction ( 1 , 62 ).…”
Using perfusion fixation of the middle cerebral artery (MCA) in calcium-free solution at physiological pressure and systematically randomly sampling the sections prepared from the same M2 segments of MCA, we found that there are structural differences that are associated with altered cerebral blood flow (CBF) autoregulation but not neurovascular coupling and cognition in young, healthy Sprague-Dawley (SD) rats. Understanding the intrinsic differences in cerebrovascular structure and function in males and females is essential to develop new pharmaceutical treatments for cerebrovascular disease (CVD).
“…However, it was also reported that NS1619 can also cause vasodilation by affecting multiple complementary pathways, including the stimulation of NO production, regulating other K + channels and L-type Ca 2+ channels (McCullough et al, 2014), i.e., NS1619 may have a nonspecific activation effect on BK channel activation. Besides that, more and more studies have reported that NS1619 is the activator of the BK-α subunit (Reed et al, 2019;Du et al, 2020). Therefore, the single experiment of vascular response to NS1619 is not enough to prove the effect of the BK channel.…”
Section: Regulation and Mechanisms Of Coronary Bk-β1 By Murf1mentioning
Diabetic coronary arterial disease is a leading cause of morbidity and mortality in diabetic patients. The impaired function of large-conductance calcium-activated potassium channels (BK channels) is involved in diabetic coronary arterial disease. Many studies have indicated that the reduced BK channel expression in diabetic coronary artery is attributed to ubiquitin-mediated protein degradation by the ubiquitin-proteasome system. This review focuses on the influence and the mechanisms of BK channel regulation by E3 ubiquitin ligases in diabetic coronary arterial disease. Thus, BK channels regulated by E3 ubiquitin ligase may play a pivotal role in the coronary pathogenesis of diabetic mellitus and, as such, is a potentially attractive target for therapeutic intervention.
“…Finally, aside from estrogenic endothelial/myogenic and anti-inflammatory effects, there have been documented differences in potassium channel expression in males vs. females, with a direct link to estrogen levels ( Reed et al, 2020 ). In rats, large potassium channel beta-1 subunit (BK-B1) displays decreased expression in both males and female rats with removed ovaries.…”
Section: Considerations and Future Directionsmentioning
The impact of age and biological sex on outcome in moderate/severe traumatic brain injury (TBI) has been documented in large cohort studies, with advanced age and male sex linked to worse long-term outcomes. However, the association between age/biological sex and high-frequency continuous multi-modal monitoring (MMM) cerebral physiology is unclear, with only sparing reference made in guidelines and major literature in moderate/severe TBI. In this narrative review, we summarize some of the largest studies associating various high-frequency MMM parameters with age and biological sex in moderate/severe TBI. To start, we present this by highlighting the representative available literature on high-frequency data from Intracranial Pressure (ICP), Cerebral Perfusion Pressure (CPP), Extracellular Brain Tissue Oxygenation (PbtO2), Regional Cerebral Oxygen Saturations (rSO2), Cerebral Blood Flow (CBF), Cerebral Blood Flow Velocity (CBFV), Cerebrovascular Reactivity (CVR), Cerebral Compensatory Reserve, common Cerebral Microdialysis (CMD) Analytes and their correlation to age and sex in moderate/severe TBI cohorts. Then we present current knowledge gaps in the literature, discuss biological implications of age and sex on cerebrovascular monitoring in TBI and some future avenues for bedside research into the cerebrovascular physiome after TBI.
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