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1 University Department of
Pharmacology,
The pulmonary circulation changes rapidly at
birth to adapt to extrauterine life. The neonate is at high risk of
developing pulmonary hypertension, a common cause being perinatal
hypoxia. Smooth muscle K+ channels
have been implicated in hypoxic pulmonary vasoconstriction in adults
and O2-induced vasodilation in the
fetus, channel inhibition being thought to promote
Ca2+ influx and contraction. We
investigated the K+ currents and
membrane potentials of pulmonary artery myocytes during development, in
normal pigs and pigs exposed for 3 days to hypoxia, either from birth
or from 3 days after birth. The main finding is that cells were
depolarized at birth and hyperpolarized to the adult level of
40
mV within 3 days. Hypoxia prevented the hyperpolarization when present
from birth and reversed it when present from the third postnatal day.
The mechanism of hyperpolarization is unclear but may involve a
noninactivating, voltage-gated K+
channel. It is not caused by increased
Ca2+-activated or delayed
rectifier current. These currents were small at birth compared with
adults, declined further over the next 2 wk, and were suppressed by
exposure to hypoxia from birth. Hyperpolarization could contribute to
the fall in pulmonary vascular resistance at birth, whereas the low
K+-current density, by enhancing
membrane excitability, would contribute to the hyperreactivity of
neonatal vessels. Hypoxia may hinder pulmonary artery adaptation by
preventing hyperpolarization and suppressing
K+ current.
newborn pig; pulmonary artery remodeling; porcine pulmonary artery; hypoxia
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