Am J Physiol Heart Circ Physiol 280: H1751–H1761, 2001. Characterization of stretch-activated cation current in coronary smooth muscle cells XIN WU AND MICHAEL J. DAVIS Department of Medical Physiology, Texas A & M University System Health Science Center, College Station, Texas 77843 Received 20 September 1999; accepted in final form 29 November 2000 Wu, Xin, and Michael J. Davis. Characterization of stretch-activated cation current in coronary smooth muscle cells. Am J Physiol Heart Circ Physiol 280: H1751–H1761, 2001.—Stretch-activated ion currents were recorded from vascular smooth muscle (VSM) after enzymatic isolation of single cells from porcine coronary arterioles. Patch pipettes were used to record whole cell current and control cell length. Under voltage clamp in physiological saline solution, an inward cation current (ICAT) was activated by 105–135% longitudinal stretch. ICAT coincided with an increase in intracellular Ca2⫹ concentration. Under current clamp, membrane depolarization was induced by stretch. The magnitude of ICAT varied from ⫺0.8 to ⫺6.9 pA/pF at a holding potential of ⫺60 mV. ICAT was graded with stretch, inactivated on release, and could be repeatedly induced. A potassium current (IK) activated in unstretched cells by depolarization was also enhanced by stretch. In Ca2⫹-free bath solution, stretchinduced enhancement of IK was blocked, but ICAT was still present. Hexamethyleneamiloride (50 M), a reputed inhibitor of mechanosensitive channels, blocked ICAT and the stretch-induced increase in IK but not basal IK. Grammostolla spatulata venom (1:100,000) blocked basal IK, blocked stretch-induced increases in IK, and blocked ICAT. Iberiotoxin, a specific Ca2⫹-activated K⫹ channel blocker, did not alter ICAT but blocked the stretch-induced increase in IK and increased the magnitude of stretch-induced depolarization. We concluded that longitudinal stretch directly activates a cation current and secondarily activates a Ca2⫹activated K⫹ current in isolated coronary myocytes. Although these two currents would partially counteract each other, the predominance of ICAT at physiological potentials is likely to explain the depolarization and contraction observed in intact coronary VSM during pressure elevation. mechanosensitive channels; vascular myogenic response; calcium-activated potassium channels vascular smooth muscle (VSM) in response to elevation of luminal pressure, or stretch, is termed the myogenic response. This response is independent of neural, metabolic, hormonal, and endothelial factors (5). The myogenic response is important for local regulation of blood flow and capillary pressure and for generation of basal vascular tone. ACTIVE FORCE DEVELOPMENT BY Address for reprint requests and other correspondence: M. J. Davis, Dept. of Medical Physiology, 336 Reynolds Medical Bldg., Texas A & M Univ. System Health Science Center, College Station, TX 77843-1114. http://www.ajpheart.org However, the underlying cellular mechanisms are incompletely understood. Myogenic contractions are associated with a sustained depolarization of smooth muscle (14, 15), bringing the membrane potential to threshold for opening voltage-gated L-type Ca2⫹ channels (23). Ca2⫹ influx through these channels is thought to initiate and/or sustain contraction. Inhibition of the L-type channel blocks the myogenic response in nearly all vascular preparations (5). Although L-type Ca2⫹ channels can be directly activated by stretch if single cells are pressurized through a patch pipette (20), the resulting current is too small to account for stretch-induced depolarization of VSM (21); moreover, stretch-induced depolarization persists in the presence of L-type channel blockers (19, 26). For these reasons, alternative mechanisms have been proposed to account for stretch-induced depolarization, including 1) inhibition of a resting K⫹ conductance (15), 2) activation of a Cl⫺ conductance (22), and 3) activation of a nonselective cation conductance (18). Although there is evidence to support each of these mechanisms, a cation channel is consistently activated by whole cell stretch over a range of length changes that would be experienced by VSM cells in vivo (4, 26, 31). The characteristics of this channel, as studied in visceral (31) and VSM cells (4, 26), appear to be appropriate to produce depolarization and initiate Ca2⫹ influx (6). However, the physiological importance of the cation channel remains to be fully characterized. This is, in part, due to the lack of a selective blocker (12) that could be used to test its function in an intact vascular preparation. The interaction of this current with other mechanosensitive currents described in VSM (5) also remains to be determined. Other currents could potentially augment or counteract the effect of cation channel activation. Therefore, the purpose of this study was to determine the interaction of whole cell currents activated by longitudinal stretch of coronary smooth muscle cells. METHODS Cell isolation technique. Pigs (6–10 wk old, of either sex) were sedated with telazol (4.4 mg/kg im) and xylazine The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked ‘‘advertisement’’ in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 0363-6135/01 $5.00 Copyright © 2001 the American Physiological Society H1751 H1752 STRETCH-ACTIVATED CHANNELS IN VASCULAR MYOCYTES (Rompun, 2.2 mg/kg im), anesthetized with pentobarbital sodium (20 mg/kg iv), and administered heparin (1,000 U/kg iv). Pigs were then intubated and ventilated with room air. A left thoracotomy was performed, and the heart was electrically fibrillated, excised, and immediately placed in 4°C saline solution. Arterioles (50- to 160-m inner diameter) were freshly dissected from the pig heart and placed in a silastic-coated Plexiglas chamber containing saline solution at 4°C. The composition was (in mM) 145.0 NaCl, 4.7 KCl, 2.0 CaCl2, 1.17 MgSO4, 1.2 NaH2PO4, 5.0 glucose, 2.0 pyruvate, 0.02 EDTA, and 3.0 MOPS (pH adjusted to 7.4 with NaOH), with bovine serum albumin (BSA, 10 mg/ml; Amersham Life Science; Arlington Heights, IL) added to maintain cell integrity. Dissected vessels (20–30 segments, 1 mm in length) were transferred to a tube of low-Ca2⫹ saline solution containing (in mM) 144.0 NaCl, 5.6 KCl, 0.1 CaCl2, 1.0 MgCl2, 0.42 Na2HPO4, 0.44 NaH2PO4, 10 HEPES, 4.17 NaHCO3, and 1 mg/ml BSA (pH adjusted to 7.4 with NaOH) at room temperature for 10 min. The solution was aspirated and replaced with low-Ca2⫹ saline solution containing 26 U/ml papain (Sigma, St. Louis, MO) and 1 mg/ml dithioerythritol (Sigma). The vessels were incubated for 30 min at 37°C with occasional agitation, after which fragments were transferred to low-Ca2⫹ saline solution containing 1.95 FALGPA U/ml collagenase (Sigma), 1 mg/ml soybean trypsin inhibitor (Sigma), and 75 U/ml elastase (Calbiochem, La Jolla, CA) for 25 min at 37°C. After further digestion, the remaining fragments were rinsed two times in low-Ca2⫹ saline solution and gently triturated using a fire-polished Pasteur pipette to release single smooth muscle cells. Patch-clamp techniques. Standard patch-clamp techniques as devised by Hamill et al. (11) were used. Micropipettes for whole cell recordings were pulled from 1.5-mm-outer diameter glass tubing (Corning 8161; Warner Instruments; Hamden, CT) on a programmable puller and fire polished. Pipette resistances ranged from 1 to 3 M⍀. For conventional whole cell recordings, pipettes were back filled with high-K⫹ pipette solution (high K⫹) containing (in mM) 6.0 NaCl, 115 KCl, 10 HEPES, 1.15 NaH2PO4, 1.18 MgCl2, 2.0 CaCl2, 11 glucose, and 10 EGTA [pH adjusted to 7.2 with KOH; free Ca2⫹ concentration ([Ca2⫹]) ⫽ 17 nM]. For perforated whole cell recording, the pipettes also contained 240 g/ml amphotericin B. An EPC-7 amplifier (HEKA, Darmstadt-Eberstadt, Germany) was used to record current, and Narishige MOseries hydraulic manipulators (Tokyo, Japan) were used for fine control of the micropipettes. Analog-to-digital conversions were made using a TL-1 interface (Axon Instruments; Foster City, CA) and stored on a Pentium computer for subsequent analysis. Data were sampled at 5–10 kHz and filtered at 1–2 kHz with the use of an 8-pole Bessel filter (Frequency Devices, Haverhill, MA). Series resistances varied from 2 to 9 M⍀. Series resistance compensation was used in whole cell recordings to improve voltage control. Current records were analyzed by use of pCLAMP (version 6.0.3, Axon Instruments). All experiments were performed at 22°C. Suspensions of freshly dispersed smooth muscle cells were studied in a recording chamber, suffused at a rate of 1.5 ml/min with physiological saline solution (PSS), on the stage of an inverted microscope (Zeiss IM-405). PSS had the following composition (in mM): 136 NaCl, 5.9 KCl, 10 HEPES, 1.16 NaH2PO4, 1.2 MgCl2, 1.8 CaCl2, 18 glucose, 0.02 EGTA, and 2 pyruvate (pH adjusted to 7.4 with NaOH). For Ca2⫹free PSS bath solution, Ca2⫹ was replaced with an equimolar concentration of Na⫹. Cells harvested from the enzyme procedure were elongated (⬃100 m in length) with tapered ends, refractile under phase optics, and contracted in solutions containing an elevated K⫹ concentration. Cell stretch technique. Before they firmly attached to the chamber bottom, individual cells were stretched with the use of two patch pipettes. The first pipette (Fig. 1, pipette 1), also used for intracellular recording, gently pressed one end of the cell to the bottom of the experimental chamber. After establishment of a gigaseal, a sharp pulse of suction was applied to the rear of the pipette to enter the whole cell recording mode. A second “stretch” pipette (Fig. 1, pipette 2) was sealed to the distal end of the cell in the cell-attached mode. The cell was gently lifted off the chamber bottom by use of the stretch pipette and slowly extended to its slack length as measured on the video monitor. The inner tip diameter of this pipette (Corning 7052; Garner Glass; Claremont, CA) was 3–5 m after pulling and 2–3 m after heat polishing. The stretch pipette was filled with the same solution used for superfusion. The position of the stretch pipette was controlled from a computer-driven amplifier that powered a piezoelectric translator attached to the pipette micromanipulator. Length steps, typically in the shape of a trapezoid, were delivered by the computer. The reference length (L) was designated as the minimum length of the cell between the two pipettes when Fig. 1. Cell stretch method. Pipette 1 was used for recording and to gently hold one end of the cell. Pipette 2 was sealed to the cell near its distal end, and its position was controlled using a piezoelectric translator. The cell was never firmly attached to the chamber bottom. Pipette 3 was used to apply solutions and/or inhibitors. Pipette 1 contained high K⫹; pipettes 2 and 3 contained physiological saline solution (PSS). L, reference length; ⌬L, change in length; Vm, membrane voltage. Bar in B is 15 m. STRETCH-ACTIVATED CHANNELS IN VASCULAR MYOCYTES the slack in the cell was removed. Maximum length changes to L ⫽ 130% corresponded to the magnitude of the transient distention previously observed in isolated arterioles when pressure was stepped over the entire myogenic range (7). Length changes beyond this level were usually associated with irreversible cell damage. During stretch protocols, the controlling voltage to the piezoelectric manipulator was recorded as well as the signal of the responding current of the cell (sampled at 20–400 Hz) with the use of LabView (National Instruments; Austin, TX). At the same time, the holding potential (HP), seal test, ramp or step voltage, and current changes were recorded using pCLAMP. Fura 2 microfluorometry. Intracellular Ca2⫹ concentration ([Ca2⫹]i) was measured using a fura 2 microfluorometry system (6). Cells were preloaded with the acetoxymethyl ester of fura 2 (fura 2-AM; 10 M) for 10 min and then superfused for at least 30 min with PSS before fluorescence measurements were started. The ratio of 340/380 fluorescence was converted to [Ca2⫹]i using a standard method (10). Minimum ratio (Rmin) was determined in 10 mM EGTA, and maximum ratio (Rmax) was determined in 10 M Ca2⫹. Solution changes. Solution changes and drug application to individual cells were made with the use of a picospritzer pipette before and during stretch (Fig. 1B, pipette 3). Cells at the outflow end of the chamber were studied first and cells at the inflow end last. Grammostolla spatulata spider venom was obtained from Spider Pharm (Feasterville, PA). Iberiotoxin and apamin were obtained from Alomone Labs (Jerusalem, Israel). Tetraethylammonium (TEA), hexamethyleneamiloride (HMA), and all other chemicals were obtained from Sigma. Data analysis. We used data only from those experiments in which the distal cell end did not pull away from the stretch pipette and in which a stable gigaseal was maintained throughout the stretch protocol. The high-resolution traces from pCLAMP were used to determine current amplitude. In most analyses, raw current values were normalized to cell capacitance (an index of cell size) and expressed as current density (in pA/pF). Whole cell capacitance ranged from 6 to 22 pF. Statistical comparisons were performed with repeated-measures analysis of variance (ANOVA) followed by post hoc tests or with an independent two-tail t-test, as appropriate. Summary values are presented as means ⫾ SE. Values of P ⬍ 0.05 were considered to be statistically significant. When normalized current was plotted versus cell stretch, the relationship was fit to the Boltzmann equation (I ⫽ {1 ⫹ exp[(L ⫺ L0.5)/k]}⫺1), where I is current, L0.5 is the length producing 50% current activation, and k is the slope factor. H1753 (n ⫽ 17). An example is shown in Fig. 2A, where the duration of stretch was 15 s. In this case, the amplitude of ICAT was nearly identical for both stretches. When the interval between the two stimuli was ⬍20 s, the amplitude of the second current was essentially unchanged in ⬇40% of the cells, decreased in ⬇50% of the cells, and increased in the remainder of the cells. The current could also be activated by a phasic stretch stimulus (at the same frequency as the porcine arterial pulse pressure). Sinusoidal stretch to 125% of L (at 1 or 2 Hz) activated ICAT, although the magnitude of the current was more variable (Fig. 2B) than that observed in response to a step change in length. ICAT could be easily differentiated from artifacts due to gigaseal breakdown. Seal breakdown would induce RESULTS An inward current is activated by whole cell stretch. Longitudinal stretch typically induced an inward cation current, termed ICAT, at negative holding potentials (n ⫽ 285 cells from 112 animals). The magnitude of ICAT varied from ⫺0.8 to ⫺6.9 pA/pF (HP ⫽ ⫺60 mV) for length increases between 105 and 135% of L. ICAT was reversible, and its amplitude increased monotonically with stretch. ICAT was noisier than the resting membrane current, suggesting that it arose from a channel. The delay in ICAT activation ranged from 20 to 1,000 ms after stretch. In most cells, ICAT could be recorded for at least 90 s without substantial inactivation. To examine the reproducibility of ICAT, two consecutive and identical stimuli were applied to the same cell Fig. 2. Longitudinal stretch consistently induced an inward cation current (ICAT). A: a single vascular smooth muscle (VSM) cell was held at ⫺60 mV while being stretched to 120% of the reference length (L) for 15 s. Inward ICAT is indicated by a downward deflection in the current (I) density trace. B: ICAT was also induced by a 1-Hz sinewave stimulus. Trace is representative of 6 cells. C: gigaseal breakdown during stretch. Inward ICAT density (ICAT, ⫺2 to ⫺3.4 pA/pF) was recorded after 2 successive stretches to 115 and 120% of L. However, near the end of the second stretch (arrow), the seal broke down, resulting in a large and noisy current (greater than ⫺15 pA/pF). The first inward ICAT recording reversed when stretch was released, but the second current recording did not. Bath solution, PSS; pipette solution, high K⫹. Holding potential (HP) ⫽ ⫺60 mV. Acquisition rate ⫽ 80–120 Hz. H1754 STRETCH-ACTIVATED CHANNELS IN VASCULAR MYOCYTES apparent changes in holding current, so seal resistance was monitored periodically while recording whole cell current during stretch. If the gigaseal broke down, the resulting current became larger, noisier, and irreversible, as shown in Fig. 2C (note the lower gain for the current recording compared with that used in Fig. 2, A and B). In this cell, between ⫺2.0 and ⫺3.4 pA/pF of inward ICAT was recorded after two successive stretches to 115 and 120% of L. However, near the end of the second stretch (see arrow), the seal broke down, resulting in a large, artifactual and noisy current trace (greater than ⫺15 pA/pF). The noisy current did not inactivate when cell length was returned to control. This response was typical of a cell that slipped from under the recording pipette. ICAT amplitude as a function of the magnitude of stretch. Graded increases in the magnitude of stretch were used to investigate whether the amplitude of ICAT was proportional to the magnitude of stretch. With cells stretched to 115, 120, 125, 130, or 135% of L, there was a corresponding increase in the amplitude of ICAT. An example is shown in Fig. 3A, in which length changes to 120, 125, and 130% of L were imposed at Fig. 3. Amplitude of ICAT was graded with increases in the magnitude of stretch. A: length changes to 120, 125, and 130% of L elicited graded increases in inward ICAT density. B: the magnitude of ICAT plotted as a function of L for the cell in A. Data were fit by a Boltzmann equation with half-maximal stretch equal to 123.3% of L and slope factor (k) ⫽ 1.8% above L. Bath solution, PSS; pipette solution, high K⫹. HP ⫽ ⫺60 mV. Acquisition rate ⫽ 300 Hz. Table 1. ICAT as a function of graded stretch Group n A B 1 2 3 4 5 3 3 5 8 6 ⫺1.38 ⫾ 0.34 ⫺1.56 ⫾ 0.21 ⫺1.72 ⫾ 0.17 ⫺2.16 ⫾ 0.18 ⫺5.45 ⫾ 0.12 ⫺1.43 ⫾ 0.19 ⫺1.68 ⫾ 0.15 ⫺2.34 ⫾ 0.12* ⫺3.81 ⫾ 0.13* ⫺5.74 ⫾ 0.19 C ⫺4.22 ⫾ 0.24*† ⫺5.53 ⫾ 0.11*† Values are means ⫾ SE. Inward cation current (ICAT; in pA/pF) as a function of graded stretch. Within each group, the same cell experienced each level of stretch. Group 1, stretch to 105 ( A) and then 110% (B) of reference length (L); group 2, stretch to 110 ( A) and then 112.5% (B) of L; group 3, stretch to 115 ( A), 120 (B), and then 125% (C) of L; group 4, stretch to 120 ( A), 125 (B), and then 130% (C) of L; group 5, stretch to 130 ( A) and then 135% (B) of L. Holding potential (HP) ⫽ ⫺60 mV in all cases; n ⫽ no. of cells. * P ⬍ 0.05 compared with A. † P ⬍ 0.05 compared with B. HP ⫽ ⫺60 mV. The duration of stretch was 6 s in each case. The amplitude of the inward ICAT increased progressively with increasing stretch, and the entire data set for this cell is plotted in Fig. 3B. A fit of the Boltzmann equation to the data in Fig. 3B shows that half-maximum inward ICAT was evoked by a stretch to 123.3% of L; k was 1.8% above L. It was difficult to consistently analyze this relationship for individual cells because most cells could not successfully be stretched through the entire range of lengths. The composite data set for 25 different cells is shown in Table 1. The threshold for consistent, measurable ICAT was a stretch to 115% of L, and 135% of L was usually the maximum length change that could be imposed without damage. This magnitude of stretch is consistent with that observed in isolated arterioles when pressure is stepped through the entire range over which the vessels respond myogenically (7). Current-voltage relationship for ICAT. To determine the whole cell current-voltage (I-V) relationship for ICAT, voltage ramps from ⫺100 to ⫹60 mV (duration ⫽ 200 ms, HP ⫽ ⫺60 mV, average of 3–5 ramps) were applied before and during longitudinal cell stretch. We used only data from ICAT recordings that were stable during stretch (duration ⫽ 5–10 s). Figure 4A summarizes the I-V relationship of membrane currents before and during 115% stretch (n ⫽ 5). Stretch produced a 248% increase in inward ICAT at ⫺70 mV and 20% enhancement in outward current at ⫹60 mV. The difference current recorded before and after stretch is shown in Fig. 4B. The I-V relationship of the difference current was approximately linear between ⫺70 and ⫺10 mV, rectified inwardly at voltages negative to ⫺70 mV, and rectified outwardly at voltages positive to ⫺10 mV. The reversal potential of the stretch-induced current in this group of cells was ⫺18.2 ⫾ 3.2 mV (stretch to 115% of L). The reversal potentials at other levels of stretch, 105, 110, 115, and 120% of L, were not significantly different from this (Table 2). Membrane conductance increased from 0.3 ⫾ 0.04 to 1.0 ⫾ 0.07 nS at ⫺100 mV and from 1.5 ⫾ 0.05 to 1.8 ⫾ 0.04 nS at ⫹50 mV during stretch to 115% of L. [Ca2⫹]i changes during ICAT recording. To test whether longitudinal cell stretch induced an increase STRETCH-ACTIVATED CHANNELS IN VASCULAR MYOCYTES H1755 Fig. 5. Time course of intracellular Ca2⫹ concentration ([Ca2⫹]i) change relative to the change in stretch-evoked current density. Trapezoidal stretch to 120% of L activated an inward ICAT at HP ⫽ ⫺60 mV. A concomitant rise in [Ca2⫹]i occurred. In this cell, the inward ICAT and [Ca2⫹]i declined slightly with time, while stretch was maintained. When the cell was returned to its original L, the current inactivated, but the decline in [Ca2⫹]i was delayed (complete recovery is not shown). Test pulses from ⫺60 to ⫹50 mV (duration ⫽ 400 ms) were delivered before, during, and after stretch to estimate magnitude of outward K⫹ current (IK) density. Outward IK could be recorded at ⫹50 mV in the absence of stretch, but the amplitude of the current was increased during stretch. Perforated patch-clamp mode with cell preloaded with fura 2-AM. Bath solution, PSS; pipette solution, high K⫹ with amphotericin B. R340/380, ratio of 340- to 380-nm fluorescence. Fig. 4. Current-voltage (I-V) relationship of stretch-induced current. A: I-V plot of the average membrane current evoked by voltage ramp from ⫺100 to ⫹60 mV (200-ms duration), with HP ⫽ ⫺60 mV. Current density was recorded before (E) and during (F) stretch to 115% of L (n ⫽ 5). Each line is the average of 5 responses. B: I-V curve of the difference current, i.e., obtained before and during stretch. The reversal potential of the difference current was ⫺18.2 ⫾ 3.2 mV for stretch to 115% of L. Bath solution, PSS; pipette solution, high K⫹. in [Ca2⫹]i concomitant with ICAT, global [Ca2⫹]i was measured using fura 2 microfluorometry while current recordings were performed in the perforated-patch, whole cell mode. With cells bathed in PSS and high-K⫹ solution in the recording pipette, [Ca2⫹]i levels consistently increased in response to 120% stretch, as shown in Fig. 5. The onset of the changes was normally delayed 0.2–2 s after the change in length, and the Table 2. Reversal potential of ICAT as a function of stretch Parameter L, % n Erev, mV 105 4 ⫺19.3 ⫾ 2.7 110 3 ⫺18.8 ⫾ 3.5 115 5 ⫺18.2 ⫾ 3.2 120 6 ⫺20.1 ⫾ 3.1 Values are means ⫾ SE. Erev, reversal potential of net current, determined as the difference in average of 3 voltage ramps before and after stretch. HP ⫽ ⫺60 mV. peak [Ca2⫹]i increase was delayed significantly with respect to the peak ICAT. In the example shown in Fig. 5, an inward ICAT of approximately ⫺3 pA/pF was evoked by stretch. This current activated over the same time course in which [Ca2⫹]i increased from ⬇100 to a peak of 500 nM, followed by a plateau to ⬇300 nM. Data for five cells showed an average increase in [Ca2⫹]i to 278 ⫾ 35.8% of control levels in response to a 120% stretch. An outward K⫹ current is enhanced secondary to stretch. An outward whole cell current was also enhanced during stretch, concomitant with the increase in [Ca2⫹]i and ICAT. This is noted in the cell shown in Fig. 5 by the current response to the three brief voltage pulses (⫺60 to ⫹50 mV, duration ⫽ 400 ms) delivered before, during, and after stretch. Although little outward current was evident at the holding potential (HP ⫽ ⫺60 mV), 14.5 pA/pF of outward current were evoked by the first depolarizing pulse. The amplitude of this current increased to 20.2 pA/pF during the application of a 120% stretch and then returned toward control (to 16.2 pA/pF) after stretch was released. This observation suggested that an outward Ca2⫹-dependent current might be enhanced secondary to ICAT. To specifically test for the contribution of a K⫹ current, we analyzed the difference in the outward current evoked by depolarizing pulses given before and during stretch. Figure 6 shows an example of another cell subjected first to 120% stretch and then to 125% stretch, with paired voltage pulses delivered before and during each step. As before, the magnitude of the H1756 STRETCH-ACTIVATED CHANNELS IN VASCULAR MYOCYTES Fig. 6. Time course of the outward IK activated during stretch. A: stretch to 120% and then to 125% of L, each stretch lasting 10 s. An inward ICAT was activated by each stretch when HP was ⫺60 mV, as noted by a sustained downward deflection in the current density trace coinciding with each increase in stretch. Transient voltage steps to ⫹50 mV (duration ⫽ 400 ms) elicited larger outward IK superimposed on the inward ICAT. a–d: outward IK evoked by 4 successive voltage pulses, with a and c recorded before stretch and b and d recorded during stretch. B: a higher-resolution trace (from pCLAMP) of the outward IK elicited during voltage pulses c and d. d-c, Difference current between c and d. An outward difference current suggests that enhancement of IK occurred during stretch. Bath solution, PSS; pipette solution, high K⫹. outward current evoked by the pulse was larger during the application of longitudinal stretch. For this cell, the currents evoked by four voltage steps are labeled a–d, where a and c are outward currents before stretch and b and d are outward currents during stretch. The amplitude of the outward current, termed IK, was significantly increased during both stretches. In Fig. 6A, the recordings were digitized at 80 Hz, so the outward IK traces are not clearly resolvable. Higher resolution traces of the currents recorded during the voltage pulses are shown in Fig. 6B (recorded in pCLAMP and sampled at ⱖ2 kHz); the high-resolution traces were used to measure outward IK amplitude in this and subsequent analyses. Although there was no significant difference between the amplitudes of currents a and c, the amplitudes of both b and d were larger than their controls, and the amplitude of d (recorded during 125% stretch) was greater than that of b (recorded during 120% stretch). The difference trace (d and c) recorded during the larger stretch is shown in Fig. 6B. The average results for these protocols are summarized in Table 3. For 18 cells studied, there were significant increases in the magnitude of IK during stretch (compared with nonstretched controls), and the increase was significant for each length step studied (120, 125, and 130% of L). Furthermore, the enhancement of IK was larger as the magnitude of the length step increased (Table 3). To test whether a Ca2⫹-activated K⫹ (KCa) channel contributed to the outward component of current enhanced by cell stretch, several additional experimental protocols were performed. First, the single-stretch protocol was repeated in Ca2⫹-free bath solution. Although ICAT could still be recorded in Ca2⫹-free bath during stretch, the outward component of current no longer increased with stretch (Fig. 7A, n ⫽ 7). This result suggested that 1) ICAT is not carried primarily by Ca2⫹, and 2) the outward component of ICAT was increased secondary to Ca2⫹ influx. Because TEA is known to block various IK, the effect of TEA on ICAT was tested during stretch with the cell bathed in PSS (containing 1.8 mM Ca2⫹). TEA at 10 mM is a nonselective K⫹ channel inhibitor, whereas 1 mM TEA is reported to have a more selective effect on KCa channels (24). Figure 7B shows an example of the protocol used to test this idea. Two consecutive stretch stimuli of the same magnitude were applied to the cell, the first in PSS and the second in PSS containing 1 mM TEA. In the absence of TEA, outward IK elicited by a depolarizing pulse was enhanced 22% (trace b vs. trace a) by cell stretch (length ⫽ 130% of L). Addition of 1 mM TEA (n ⫽ 8) to the superfusate reduced the outward IK by 62 ⫾ 1% (trace d vs. trace c) before the second stretch was applied, and, during the second stretch (to 130% of L), there was no significant increase in IK. Importantly, the inward ICAT at HP ⫽ ⫺60 mV was activated after each stretch (⫺5.4 ⫾ 0.3 pA/pF, n ⫽ 8), and this current was unaffected by TEA (⫺5.5 ⫾ 0.2 pA/pF). IK recovered to the control level (trace f vs. trace c) after washout of TEA. Qualitatively similar results were also obtained using 10 mM TEA, which had an even greater effect on basal outward IK (70 ⫾ 1% inhibition of IK before stretch, n ⫽ 18) and on the outward IK that was enhanced after stretch (98 ⫾ 1.2%); 10 mM TEA was also without significant effect on the inward ICAT recorded at HP ⫽ ⫺60 mV. The data are summarized in Fig. 7C. Table 3. Amplitude of IK as a function of stretch L, % Before stretch During stretch Change in IK 120 125 130 16.6 ⫾ 1.2 (8) 19.9 ⫾ 1.1 (8)* 2.8 ⫾ 0.2 (4) 17.1 ⫾ 1.4 (10) 21.6 ⫾ 1.7 (10)* 3.7 ⫾ 0.1 (4)† 16.4 ⫾ 1.4 (8) 22.7 ⫾ 1.6 (8)* 4.8 ⫾ 0.4 (4)†‡ Values are means ⫾ SE. Amplitude of K⫹ current (IK; in pA/pF) as a function of stretch; nos. in parentheses are no. of cells. HP ⫽ ⫺60 mV; test pulse ⫽ ⫹50 mV. * P ⬍ 0.05, “before stretch” compared with “during stretch.” † P ⬍ 0.05 compared with L ⫽ 120% (same group of cells). ‡ P ⬍ 0.05 compared with 125% (same group of cells). STRETCH-ACTIVATED CHANNELS IN VASCULAR MYOCYTES H1757 Iberiotoxin (IbTX; 100 nM), a specific inhibitor of large-conductance KCa channels (24), inhibited basal IK by 22% [n ⫽ 9, at time (t) ⫽ 2 min after application]. In the presence of IbTX, there was no significant increase in IK in response to 125% stretch, and the stretch-induced enhancement in ICAT was unaffected (Fig. 7C). We also tested the effect of IbTX on the membrane depolarization evoked by stretch. In current-clamp recording mode, the resting potential of unstretched VSM cells averaged ⫺56.4 ⫾ 1.2 mV (n ⫽ 35). In response to 130% longitudinal cell stretch, an average depolarization of 11.6 ⫾ 1.6 mV (n ⫽ 6) was recorded (Fig. 8). This depolarization was maintained for the Fig. 7. Characteristics of the outward IK enhanced by stretch. A: amplitude of the outward IK was not increased during stretch if the cell was bathed in Ca2⫹-free ([Ca2⫹]o free, where [Ca2⫹]o is extracellular Ca2⫹ concentration) PSS. ICAT was still recorded in response to stretch, as noted by a sustained downward deflection in the current density trace coinciding with the L increase. Voltage steps from ⫺60 to ⫹50 mV during this time elicited an outward IK, the amplitude of which was not noticeably enhanced during stretch. B: 2 stretches to 130% of L were used to test the effect of adding 1 mM tetraethylammonium (TEA) to the bath solution (PSS). Voltage steps from ⫺60 to ⫹50 mV revealed an increase in outward IK during stretch (trace b vs. a). TEA caused a substantial decrease in outward IK at ⫹50 mV before stretch (trace d vs. c), and, in the presence of TEA, outward IK did not significantly increase during stretch (trace e vs. trace d). There were no substantial differences in the amplitude of outward IK with time in the absence of TEA and stretch (trace a vs. trace c vs. trace f). Also, the amplitude of ICAT was similar between the 2 stretches in the presence of TEA. C: summary of effects of TEA (1 mM) and iberiotoxin (IbTX; 100 nM) on IK before and after stretch. For TEA protocols, stretch was to 130% of L. For IbTX protocols, stretch was to 125% of L. HP ⫽ ⫺60 mV; test pulse ⫽ ⫹50 mV; n ⫽ no. of cells. Bath solution, Ca2⫹-free PSS (A) and PSS (B and C); pipette solution, high K⫹. * P ⬍ 0.05 vs. control. Fig. 8. Stretch-induced depolarization was enhanced by Ca2⫹-activated K⫹ channel blockade. A: with the use of the current-clamp configuration, longitudinal stretch to 130% of L induced a 17-mV membrane depolarization from a resting potential near ⫺60 mV. B: depolarization induced by stretch to 130% of L in another cell was enhanced by addition of IbTX (100 nM) to the bath. In addition, spontaneous fluctuations in the membrane potential recording were reduced in the presence of IbTX (see portion of trace above the dashed line). C: summary of effects of IbTX (100 nM) or apamin (200 nM) on membrane potential at rest and during stretch to 130% of L. Nos. in parentheses indicate no. of cells. Bath solution, PSS; pipette solution, high K⫹. * P ⬍ 0.05 vs. control group (no stretch). # P ⬍ 0.05 vs. stretch group. H1758 STRETCH-ACTIVATED CHANNELS IN VASCULAR MYOCYTES duration of the stretch, although transient spikes often appeared at the more positive potentials. The cell gradually repolarized 1–5 s after stretch was released. IbTX (100 nM) had no significant effect on the resting membrane potential of these cells (Fig. 8C), but after a cell had been depolarized by stretch, application of IbTX caused an additional depolarization. An example of this effect is shown in Fig. 8B, where 130% stretch produced a 17-mV initial depolarization and subsequent IbTX application produced an additional 7-mV depolarization. Fluctuations in the membrane potential recording were typically reduced in the presence of IbTX compared with control (Fig. 8, compare A and B). The data are summarized in Fig. 8C. On average, the additional depolarization produced by IbTX during stretch was 5.1 mV. We also tested the effects of apamin, an inhibitor of small-conductance KCa channels (24), on this response. Like IbTX, apamin (200 nM) had no significant effect on the resting membrane potential (Fig. 8C). When applied after cell stretch, apamin (200 nM) and IbTX (100 nM) produced essentially the same response (additional depolarization of 5.9 mV) as IbTX alone. Thus it is likely that apamin-sensitive KCa channels do not play a role in stretch-induced depolarization, whereas IbTX-sensitive KCa channels do. Effects of putative mechanosensitive channel blockers. Although no highly selective blockers of mechanosensitive channels have been described to date, HMA is reported to block stretch-activated single-channel cation currents in Xenopus oocytes (13), and G. spatulata venom is reported to block mechanosensitive whole cell cation currents in GH3 cells, Xenopus oocytes, and chick heart cells (3, 16). We tested the effects of these compounds on the inward and outward components of stretch-activated current in coronary smooth muscle cells. Whole cell currents were elicited by voltage ramps from ⫺100 to ⫹60 mV (200-ms duration, HP ⫽ ⫺60 mV) before, during, and after 120% cell stretch. The average current evoked by three voltage ramps was used for comparison. In the cell shown in Fig. 9A, stretch induced an inward ICAT of ⫺1.8 pA/pF and a 24% increase in the outward IK at ⫹50 mV (trace b vs. trace a). The inward ICAT was completely blocked by 50 M HMA (representative of 10 cells). In contrast to TEA, HMA had no effect on the magnitude of the outward IK at ⫹50 mV in the absence of stretch. However, stretch-induced increases in the outward IK were blocked by HMA (trace e vs. trace d). The data for 10 cells are summarized in Fig. 9C. In an additional series of experiments, G. spatulata venom was applied at a concentration of 1:10,000 or 1:100,000 (dilutions of the crude extract in PSS, n ⫽ 6 for each). The stretch and recording protocol was identical to that used for HMA. In the cell shown in Fig. 9B, 120% stretch evoked ⫺2.2 pA/pF of inward ICAT at HP ⫽ ⫺60 mV and increased the outward IK at ⫹50 mV by 21% (trace b vs. trace a). G. spatulata venom (1:100,000) completely blocked ICAT and inhibited the outward IK at ⫹50 mV by 52% in the absence of stretch Fig. 9. Effect of putative mechanosensitive channel blockers on ICAT and IK . A: 2 identical stretches to 120% of L evoked an inward ICAT at ⫺60 mV and enhanced the outward IK at ⫹50 mV. Three voltage ramps (from ⫺100 to ⫹60 mV, 200-ms duration) were delivered at periodic intervals to measure IK, and the changes in IK (in C) are the average of the 3 currents. ICAT was prevented by 50 M hexamethyleneamiloride (HMA) as indicated by the absence of inward ICAT at ⫺60 mV during HMA perfusion (for stretch 2). Stretch-induced increases in IK did not occur in the presence of HMA (trace e vs. trace d). HMA did not block control IK in the absence of stretch (trace d vs. trace c or trace a). There were no substantial differences in the amplitude of IK with time (trace a vs. trace c vs. trace f). B: same protocol repeated in the presence of G. spatulata spider venom (1:100,000). ICAT was blocked by the spider venom as indicated by the absence of an inward ICAT evoked by stretch (for stretch 2). Stretchinduced increases in IK also did not occur in the presence of spider venom (e vs. d), but the venom significantly blocked IK even in the absence of stretch (d vs. c). C: summary of effects of HMA (50 M) and G. spatulata venom (1:100,000) on ICAT and IK. For IK, test pulse ⫽ ⫹50 mV. Nos. in parentheses indicate no. of cells. Stretch to 120% of L in all protocols. Bath solution, PSS; pipette solution, high K⫹; HP ⫽ ⫺60 mV. * P ⬍ 0.05 vs. control. STRETCH-ACTIVATED CHANNELS IN VASCULAR MYOCYTES (trace d vs. trace c). As before, stretch-induced increases in outward IK did not occur when ICAT was blocked (trace e vs. trace d). At the higher concentration of 1:10,000, G. spatulata venom blocked ICAT, although this effect was not specific for ICAT because L-type Ca2⫹ currents were inhibited as well (data not shown). The data for six cells are summarized in Fig. 9C. DISCUSSION To investigate the mechanism underlying myogenic depolarization of VSM, whole cell currents were recorded from single coronary myocytes during longitudinal stretch. Stretch to 115–135% of control length caused activation of an inward cation current, induced membrane depolarization, and produced an increase in global [Ca2⫹]i. The magnitude of ICAT ranged from ⫺0.8 to ⫺6.9 pA/pF (HP ⫽ ⫺60 mV), was graded with stretch, inactivated on release of the stimulus, and could be repeatedly induced. An outward IK was also enhanced by stretch at depolarized potentials. In Ca2⫹free bath, ICAT could still be recorded, but the stretchinduced enhancement in IK was absent. The reputed mechanosensitive channel blockers HMA and G. spatulata venom blocked stretch-induced increases in both ICAT and IK, but G. spatulata venom also blocked basal IK, suggesting it was not selective for mechanosensitive current. K⫹ channel blockers, including TEA and IbTX, blocked the stretch-induced increase in IK and increased the magnitude of the stretch-induced depolarization but did not alter ICAT. We concluded that longitudinal stretch of coronary myocytes directly activates an inward ICAT at the resting membrane potential and secondarily activates a KCa channel. The enhancement in IK may serve to counteract stretchinduced depolarization and thereby limit the magnitude and/or duration of a myogenic contraction. Evidence for a depolarization-linked mechanism underlying myogenic tone derives from several lines of experimentation. 1) Graded VSM depolarization occurs as pressure in isolated small arteries and arterioles is increased (17). 2) Smooth muscle strips (2) and single myocytes depolarize in response to longitudinal stretch (4, 26, 31), such that depolarization by 10–15 mV from a resting potential of about ⫺55 mV would be sufficient to increase the open probability of voltage-gated Ca2⫹ channels by severalfold (23). 3) The myogenic response is blunted when the normal ion gradients across the plasma membrane are altered so as to minimize the extent of stretch-induced depolarization (5). 4) Ca2⫹ channel blockers attenuate myogenic tone in almost all types of smooth muscle (5). Depolarization of smooth muscle would activate Ca2⫹ entry and thereby enhance contraction (14, 17). This is not the only mechanism involved, however, because there is considerable evidence that Ca2⫹-independent pathways, e.g., protein kinase C activation, are also important (5), perhaps for long-term maintenance of contraction at high pressure. The mechanism by which stretch is coupled to depolarization is controversial. Both the speed of the response and the change in membrane potential point to H1759 a role for ion channels. One explanation is that depolarization is mediated by activation of a cation channel promoting Na⫹/Ca2⫹ influx. Such channels have been recorded in myocytes isolated from a number of smooth muscles (4, 18, 25, 32). These channels typically exhibit a relative permeability of K⫹ⱖ Na⫹ ⬎ Ca2⫹ and singlechannel conductance between 30 and 40 pS (for monovalent ions) (4, 18, 32). In the presence of Ca2⫹, they often rectify (18, 32) and show reduced monovalent conductance (18, 26), suggesting that a Ca2⫹-dependent inactivation mechanism exists. In terms of physiological relevance, it is important to note that stretchactivated whole cell currents and/or depolarizations have now been recorded in pig coronary myocytes (4), urinary bladder (30, 31), and rat mesenteric arterioles (25, 26). The reversal potentials for whole cell currents and their dependence on extracellular Na⫹ concentration are consistent with activation of a nonselective cation channel rather than a pure Ca2⫹ conductance (4, 25, 26, 31). Voltage-gated Ca2⫹ channels might also be modulated directly by stretch. L-type Ca2⫹ currents in rat cerebral arterial myocytes, as recorded by use of the conventional whole cell mode, are enhanced by inflating cells through a patch pipette (20, 21) and, in perforated-patch recordings, by hypoosmotic cell swelling (20). Yet current flow through these channels is probably too small to account for stretch-induced depolarization (21), and stretch-induced depolarization persists in the presence of Ca2⫹ channel blockade (19, 26). Stretch-induced depolarization might also be mediated by activation of Cl⫺ efflux if a mechanosensitive Cl⫺ channel in smooth muscle responded to longitudinal stretch and if the Cl⫺ equilibrium potential of the smooth muscle cell were more positive than the resting membrane potential (22). These requirements have not been thoroughly tested, but the reversal potential of stretch-induced whole cell current appears to be independent of changes in extracellular Cl⫺ concentration (4, 26). Although Cl⫺ channel blockers inhibit myogenic responsiveness (22), their actions may be explained by nonspecific effects on voltage-gated Ca2⫹ channels (9). Thus the evidence supporting a key role for a Cl⫺ channel is not compelling at this time. Inhibition of K⫹ efflux might also account for stretchinduced depolarization if one or more of the various K⫹ channels identified in smooth muscle were inhibited by membrane stretch (5). Mechanosensitive K⫹ channels have been identified in smooth muscle by use of singlechannel recording techniques, but the channels are activated, rather than inactivated, by stretch (8). To mediate stretch-induced depolarization, a putative mechanosensitive IK must exhibit basal activity when a vessel has resting vascular tone. Although some isolated vessel data are consistent with this requirement (19), electrophysiological support is largely lacking. Voltage-dependent K⫹ (KV) channel blockers depolarize VSM cells in pressurized arterioles and enhance myogenic tone (19), but the more likely candidate to mediate a stretch-sensitive IK is the largeconductance KCa (BK) channel (8). Wesselman et al. H1760 STRETCH-ACTIVATED CHANNELS IN VASCULAR MYOCYTES (33) concluded that BK channels were necessary for pressure-induced contraction of isolated mesenteric arteries because charybdotoxin, a relatively specific inhibitor, caused a decrease in myogenic index. However, those experiments were performed in vessels precontracted with norepinephrine, which might have led to basal BK channel activation. On the basis of the effect of specific BK inhibitors on basal tone, it appears that not all blood vessels have basal BK channel activity that could potentially be inhibited by stretch (5). A more likely role for K⫹ channels in myogenic responsiveness is to counteract, rather than initiate, myogenic tone. Indeed, because the conductance of BK channels is so large and activation of only a few would be necessary to substantially change smooth muscle membrane potential, it has been proposed that stretchinduced depolarization could not be maintained unless an endogenous inhibitor of the channels is produced (15). There is evidence that 20-hydroxyeicosatetraenoic acid (20-HETE), a cytochrome P-450 metabolite of arachidonic acid, may be one such substance (15). However, the use of (reputedly) selective inhibitors has confirmed a role for 20-HETE only in some (33), not all (1), vessels. Data in the present study support the idea that a KCa current is activated secondary to stretch-induced Ca2⫹ entry, whereas a cation channel underlies the depolarization controlling Ca2⫹ entry. The enhanced IK had the following characteristics under the conditions of our experiments: 1) it activated over a voltage range appropriate for KV or KCa channels (Fig. 4), 2) its activation coincided with the time course of stretchinduced [Ca2⫹]i increases (Fig. 5), 3) its enhancement was prevented in Ca2⫹-free bath solution (Fig. 7), and 4) it was blocked by inhibitors of KCa channels (Figs. 7 and 8). These observations are all consistent with this channel being a KCa channel. Importantly, its activation must have occurred secondary to that of the cation channel, because IK was blocked when ICAT was blocked, but not vice versa (Fig. 9). The idea that IK counteracts stretch-induced depolarization is supported by our observation that stretch-induced depolarization was potentiated by the specific KCa channel inhibitor IbTX (Fig. 8). Importantly, IbTX had no effect on resting membrane potential, suggesting it blocked only a component of current that was activated after cell stretch (Fig. 8C). Our conclusions are consistent with the findings of Wellner and Isenberg (31), who reported that TEA caused a shift in reversal potential of ICAT in bladder myocytes toward more positive values. In that study, stretch-enhanced outward IK was also blocked by intracellular Ca2⫹ chelation (31). Collectively, these characteristics match those of a KCa current. Our data support the conclusion that a cation channel is activated by longitudinal stretch in coronary arteries and arterioles, leading to membrane depolarization. The characteristics of the whole cell current associated with this channel were as follows: 1) it was reversibly and repeatedly activated by stretch (Fig. 2); 2) it showed graded increases in amplitude with in- creasing stretch, up to 135% of control cell length (Fig. 3); 3) it activated over the same time course as stretchinduced depolarization (Figs. 2 and 8); and 4) it had a reversal potential in PSS between ⫺15 and ⫺20 mV (Fig. 4 and Table 2). These characteristics are nearly identical to those for stretch-activated whole cell currents recorded in other smooth muscle cells (26, 31). Furthermore, ICAT persisted in Ca2⫹-free bath solution (Fig. 7) and in the presence of K⫹ channel blockers (Figs. 7 and 8) and was blocked by inhibitors of mechanosensitive channels such as Gd3⫹ (28), HMA, and G. spatulata venom (Fig. 9). Because the stretch-activated current can be recorded at negative potentials after extracellular Cl⫺ substitution (4), it is likely that current is carried predominantly by Na⫹ at negative potentials. At positive potentials, much of the current must be carried by K⫹, because it can still be recorded as the equilibrium potential for Na⫹ is approached. The channel is likely to be Ca2⫹ permeable as well, as is typical of other non-voltage-gated, mechanosensitive channels (4, 18, 32). The observation that this current sometimes decays markedly after stretch (16, 32) suggests a possible Ca2⫹-dependent inactivation mechanism that will make accurate determination of Na⫹-toCa2⫹ permeability ratio difficult. Is activation of a nonselective cation channel necessary for initiation of the vascular myogenic response? This question was not answered by the present experiments and cannot be answered at this time. There are several reputed inhibitors of mechanosensitive channels used to block mechanotransduction in muscle (12). Yet all of these compounds, including Gd3⫹, streptomycin antibiotics, and G. spatulata venom, also inhibit voltage-gated Ca2⫹ channels. For example, Gd3⫹ inhibits ICAT in mesenteric artery and bladder myocytes (26, 31), inhibits stretch-induced depolarization of single VSM cells, inhibits stretch-induced Ca2⫹ influx (6), and blocks myogenic tone of arterioles (27, 29). However, Gd3⫹ inhibits L-type channels in smooth muscle at 1,000-fold lower concentrations than required to inhibit mechanosensitive cation channels (28), so its physiological effect on arterioles could be explained simply by a downstream action on the L-type channel. 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