Introduction

Blood vessels in vivo are continuously exposed to hemodynamic forces. These include shear stresses on the luminal surface generated by blood flow, cyclic distension due to the vascular wave caused by the pulsatility of the blood flow, and endocrine and local factors including angiotensin II (Ang II) and endothelin-1 [13]. The luminal surface of blood vessels is lined with endothelial cells so that shear stress is sensed predominantly by endothelial cells [4, 5]. However, both endothelial and vascular smooth muscle cells are subjected to cyclic stretch.

Under normal conditions, vascular smooth muscle cells are quiescent and contractile [13, 6, 7]. In response to pathologic stress, however, vascular smooth muscle cells develop a proliferative, hypertrophic, and secretory phenotype [1, 6, 7]. These alterations result in vascular remodeling characterized by cellular hyperplasia, hypertrophy, apoptosis, enhanced protein synthesis, and extracellular matrix reorganization.

Mechanical stretch stimulates the migration and proliferation of vascular smooth muscle cells. Recent studies indicate that Ca2+-activated K+ (Kca) channels, specifically intermediate-conductance Ca2+-activated K+ (IKca) channels, have an important role in cell migration and proliferation. It is not known, however, whether the cell membrane stretch is linked to IKca channel regulation.

IKca channels are regulated through the influx of calcium ions. They are more sensitive to Ca2+ than other types of Ca2+-activated K+ channels, such as BKca channels [8, 9]. In addition, each type of Kca channel has a distinct pharmacology, and can hyperpolarize the membrane potential. In contrast to the vasodilatory function of BKca channel, the role of IKca channels in vascular smooth muscle cells is not completely understood. IKca channels, however, play a role in many physiologic functions such as proliferation, epithelial transport, and cell migration [1012].

We aimed to determine whether mechanical stretching of the cell membrane regulates the activity of IKca channels in cultured rat aorta smooth muscle cells using patch-clamp technique. Furthermore, we studied the signal transduction of membrane stretch on IKca channels. The present study demonstrates that cell-membrane stretch activates IKca currents, and the activation is associated with extracellular Ca2+ influx through stretch-activated non-selective cation (SA) channels, and the modulation of F-actin cytoskeleton and the activation of protein kinase C (PKC).

Methods

Preparation of cultured smooth muscle cells

Embryonic rat thoracic aortic smooth muscle cells from normotensive Berlin-Druckrey IX (A10; ATCC CRL 1467) were obtained from the American Tissue Type Collection (Rockville, MD). A10 cells were cultured at 37°C in 95% air/5% CO2 atmosphere in Dulbecco’s modified Eagle’s medium (DMEM), supplemented with 10% fetal bovine serum (GIBCO, Grand Island, NY). Cells were passaged once every 4 days at a seeding density of 3 × 105/ml. In the patch-clamp experiments, the cells were cultured in DMEM with fetal bovine serum in 35-mm plates, as described above, until reaching approximately 80–90% confluency. The investigation conformed to the Guide for the Care and Use of Laboratory Animals published by the US National Institutes of Health (NIH publication NO. 85-23, revised 1996).

Solution and chemicals

Inside-out patch

The bath solution contained (in mM): 110 KCl, 30 KOH, 10 Hepes, 1 EGTA, 1 MgCl2, and 0.54 CaCl2, adjusted to pH 7.2. The free [Ca2+] calculated using the program Maxchelator (http://www.stanford.edu/~cpatton/webmaxc/webmaxcS.htm) was 215 nM. The patch pipette was filled with (in mM): 140 KCl, 1 MgCl2, and 10 Hepes; adjusted pH to 7.4. Depending on the experiment, the free Ca2+ was changed from 0 to 10 μM by changing the calcium concentration in the corresponding solution.

Cell-attached patch

The 140 mM K+ pipette solution for single channel recordings contained (in mM): 140 KCl, 1 MgCl2, 10 Hepes, adjusted pH to 7.4. The bath solution was the physiological isotonic (310 mOsm/kgH2O) solution consisted of (in mM): 134 NaCl, 6 KCl, 1 MgCl2, 1 CaCl2, 10 Hepes, and 10 glucose, adjusted pH to 7.4, or the hypotonic (223 mOsm/kgH2O) in which NaCl concentration was reduced (in mM): 90 NaCl, 6 KCl, 1 MgCl2, 1 CaCl2, 10 Hepes, and 10 glucose, adjusted pH to 7.4. Depending on the experiment, Ca2+-free bath solution was used.

Chemicals

Charybdotoxin (ChTX), clotrimazole (CLT), TRAM-34, GF109203X, calcium ionophore A23187, 1,2-dioctanoyl-sn-glycerol (DOG), and cytochalasin D were purchased from Sigma. DOG was dissolved in dimethylsulphoxide. The final concentration of dimethylsulphoxide was less than 0.2%.

Data recording and analysis

Standard patch-clamp recording techniques were used to measure single-channel currents in either the cell-attached or inside-out patch configuration [13].

Smooth muscle cells were placed in an experimental 1-ml chamber on the stage of an inverted microscope. All experiments were performed at 20–25°C. Soft glass pipettes were pulled (pp-83, Narishige, Tokyo, Japan), and the tips were coated with Silgard to reduce capacitance. The resistance of pipettes filled with solution and immersed in the bath solution ranged from 3 to 5 MΩ for whole cell recordings and from 7 to 9 MΩ for single-channel recordings. Channel currents were recorded with a List Electronics EPC-7 patch-clamp amplifier and stored on a personal computer disk with an analog-to-digital converter (DigiData 1200; Axon Instruments, Foster City, CA). High-frequency signal components (800 Hz) were eliminated using a four-pole Bessel filter and digitized at 2 kHz. The pClamp version 7 software (Axon Instruments) was used for data acquisition and analysis. The channel current amplitude was fitted using a Gaussian curve.

Average channel activity (NP o) in patches was determined from current amplitude histograms and calculated as follows:

$$ NP_{\text{o}} = \left( {\sum\limits_{j = 1}^{N} {t_{j} j} } \right)/T $$

where P o is the open probability, T is the duration of the measurement, tj is the time spent at the current level corresponding to j = 1, 2…N channels in the open state, and N is the maximum number of channels observed in the patch. NP o was determined over a 3- to 5-min period. The channel activity was expressed as NP o.

Statistics

Data were expressed as mean ± SEM. Statistical significance was determined by Student’s t test or analysis of variance followed by the Student–Newman–Keuls multiple range test as appropriate. Statistical analysis was performed using Prism version 5.0 (GraphPad Software, San Diego, CA). A p value of less than 0.05 was considered statistically significant.

Results

Characteristics of IKca channels in cultured smooth muscle cells

The electrophysiologic properties of the IKca channels expressed on cultured smooth muscle cells by whole-cell and single-channel recordings were determined previously in our laboratory [14]. We performed whole-cell patch-clamp experiments on cultured A10 cells to measure functional IKca channel expression. Whole-cell recording was performed with a holding potential of −60 mV. The intracellular solution contained 140 mM K+ and 100 nM free Ca2+, and the extracellular K+ concentration was 140 mM. The average cell capacitance was 12.4 ± 0.3 pF (n = 6). We examined the effect of CLT, a selective blocker of IKca channels. CLT (1.0 μM) inhibited the current by 71 ± 5% (n = 6). The subsequent addition of ChTX, the blocker of both BKca and IKca channels, caused a decline in the remaining current (Fig. 1a). Next, we examined the effect of TRAM-34, a selective inhibitor of IKca channels (Fig. 1b). TRAM-34 (1.0 μM) inhibited the current by 81 ± 6% (n = 6). CLT-sensitive and TRAM-34-sensitive current was predominantly expressed in cultured A10 cells.

Fig. 1
figure 1

Channel properties of IKca channels expressed in A10 cells. a Representative recording of whole-cell current from an A10 cell held at −60 mV. The current shows clotrimazole (CLT)-sensitive K+ currents. CLT inhibited the current by 65% in this cell, and charybdotoxin (ChTX) inhibited the remaining current. The vertical arrow indicates when the whole-cell configuration was established, and the dashed line shows the zero current level. The cell was dialyzed with a solution containing 140 mM K+, and the extracellular K+ concentration was 140 mM. CLT and ChTX were added as indicated. b Representative recording of whole-cell current from an A10 cell held at −60 mV. The current shows TRAM-34-sensitive K+ currents. TRAM-34 inhibited the current by 92% in this cell, and charybdotoxin (ChTX) inhibited the remaining current. TRAM-34 and ChTX were added as indicated. c IKca single-channel currents from an inside-out patch exposed to symmetrical (140 mM) K+ solutions. Intracellular free Ca2+ concentration = 610 nM. Membrane potential was stepped from −80 to +80 mV in 10-mV increments. Closed state is represented by c. d Intracellular Ca2+ activation of IKca channels. Representative traces show single-channel activity of inside-out patches exposed to 0, 0.2, 1.0, and 10.0 µmol/l free Ca2+. Channel openings are shown as downward deflections. Voltage was −80 mV, and K+ concentration was symmetrical at 140 mM. Closed state is represented by c

The single channel current–voltage relationship in a series of inside-out patch clamp experiments using symmetrical 140 mM K+ solution is shown in Fig. 1c. The channel showed inwardly rectifying behavior. The mean values of six independent experiments were 3.0 ± 0.1 and 2.1 ± 0.1 pA at −80 and +80 mV, respectively, corresponding to chord conductances of 38 ± 1 and 26 ± 1 pS, respectively.

Inside-out single channel recordings measured in symmetrical 140 mM K+ conditions for internal Ca2+ concentrations ranging from 0 to 10 μM are shown in Fig. 1d. In these experiments, the membrane voltage was maintained at −80 mV. Raising the internal Ca2+ concentration from 0 to 10 μM significantly increased the single channel activity. The sigmoidal curve was computed using the Hill equation with an ED50 of 2.41 ± 0.11 μM and a Hill coefficient of 2.38 ± 0.07 (n = 6). The channel showed no obvious voltage dependence because NP o remained unchanged when the holding potential was varied between −80 mV (NP o = 0.170 ± 0.035; n = 6) and +80 mV (NP o = 0.190 ± 0.055; n = 6). These properties are consistent with IKca channels expressed in immature and de-differentiated smooth muscle cells [15].

Effect of membrane stretching on IKca channels

Stretch-induced activation of IKca channels was observed in smooth muscle cells. The effect of suction application of 25 and 45 mmHg was tested at +40 mV in cell-attached mode. Figure 2a shows a sample recording from one of the patches containing one channel that are activated during the application of negative pressure and subsequently inactivated after removal of the pressure. The application of 25 mmHg increased NP o from 0.009 ± 0.003 to 0.090 ± 0.020 and the application of 45 mmHg increased NP o from 0.009 ± 0.003 to 0.203 ± 0.081 (n = 7; p < 0.01).

Fig. 2
figure 2

Effect of cell membrane stretching on IKca channels. a Representative recordings showing the effect of membrane stretching on IKca channels in A10 cells. IKca channel currents are recorded from cell-attached patches at a pipette voltage of +40 mV. b Amplitude histograms showing the activation of IKca channels in the same experiments as those of a. c Representative recordings showing the effect of membrane stretching on IKca channels in inside-out patch configuration. IKca channel currents are recorded at an intracellular Ca2+ concentration of 215 nM, and at a pipette voltage of −80 mV. d Amplitude histograms showing the activation of IKca channels in the same experiments as those of c

To determine if IKca channel activity is enhanced by the release of Ca2+ from intracellular stores or entrance of Ca2+ through the plasma membrane by stretch stimulus application, we performed experiments in the inside-out mode. At constant Ca2+ concentration (215 nM), application of pressure increased the member of channel openings at 25 and 45 mmHg (Fig. 2b). Application of negative pressure to the pipette caused activation of channels that produced outward unitary currents. The NP o without the negative pressure was 0.135 ± 0.027. The NP o after application of 25 and 45 mmHg were 0.281 ± 0.041 and 0.440 ± 0.101, respectively, which were significantly higher than the control condition (n = 6; p < 0.01). After restoring atmospheric pressure to the pipette, open probability returned to the control level. Figure 2c, d display the amplitude histograms showing the effect of the negative pressure on IKca channel activity in the cell-attached and in the inside-out configuration, respectively.

Effect of hyposmotic stretching on IKca channels

Hypotonic shock has been used in other many cell types to stretch the cell membrane. This procedure increases cell membrane tension due to cell swelling. We evaluated the effect of a hypotonic stimulus on the cell-attached mode. IKca currents were first recorded in isotonic medium (control; 310 mOsm/kgH2O) and afterward, the bath solution was replaced by hypotonic medium (223 mOsm/kgH2O).

Figure 3a is a typical recording from ten experiments showing the effects of hyposmotic stress on the IKca channel in cultured smooth muscle cells. IKca single-channel currents were recorded from cell-attached patches at a pipette voltage of +40 mV with a constant perfusion of the experimental chamber. The pipette solution contained 140 mM K+, and the extracellular K+ concentration was 6 mM. The superfusion with hyposmotic solution significantly stimulated IKca channel activity.

Fig. 3
figure 3

Effect of hyposmotic stretching on IKca channels. a Representative recordings showing the effect of hyposmotic stretching on IKca channels. IKca channel currents are recorded from cell-attached patches at a pipette voltage of +40 mV. Hyposmotic solution was added as indicated. Hyposmotic stress activated IKca current. Subsequent application of TRAM-34 inhibited the activated current. The dashed line shows zero current level. b Effect of extracellular Ca2+ on the activation of IKca current. The trace shows a recording of cell-attached patch. Ca2+-free isosmotic solution was replaced with Ca2+-free hyposmotic solution. The activation of IKca channels was attenuated under this condition. c Effect of nicardipine on the activation of IKca current. The trace shows a recording of cell-attached patch that had been pretreated with nicardipine (5 μM). Hyposmotic stress activated IKca channels under this condition. d Effect of Gadolinium (Gd3+) on the activation of IKca current. The trace shows a current recording pretreated with Gd3+ (100 nM). Gd3+ attenuated the activation of IKca channels. e Effect of extracellular Ca2+, nicardipine, and Gd3+ on IKca channel activation by hyposmotic swelling. The bars show mean NP o (+SEM) of IKca current before (filled bars) and after the hyposmotic stress (open bars) under these pretreatment conditions. *p < 0.01 versus isotonic condition of each pretreatment. p < 0.01 versus hypotonic stress under the control (without the pretreatment) condition

The mean open probability increased from 0.009 ± 0.006 in control solution to 0.480 ± 0.012 at 5 min of hypotonic stress. Subsequent application of 1.0 μM TRAM-34 induced a significant inhibition in IKca channel current. In other recordings, channel activity usually decreased when the hypotonic solution was removed and the cells were again bathed in control solution.

Effect of extracellular Ca2+ on the activation of IKca current induced by hyposmotic swelling

It is well known that the IKca channel is activated by intracellular free Ca2+ and that extracellular Ca2+ is necessary for efficient control of Ca2+ homeostasis. To determine if Ca2+ influx is involved in the hyposmotic stretch-induced activation of the current, we removed extracellular Ca2+ and observed the effect of hyposmotic swelling on IKca channels. When Ca2+-free isosmotic solution was replaced with Ca2+-free hyposmotic solution, the activation of IKca was attenuated significantly compared with the recordings using physiological Ca2+ solution (Fig. 3b). Although the mean open probability increased from 0.009 ± 0.005 in control solution to 0.120 ± 0.006 at 5 min of hypotonic stress (n = 6; p < 0.01), it was significantly lower than the NP o with the physiological Ca2+ hyposmotic solution (p < 0.01).

L-type Ca2+ channel is not involved in the pathway

First, to assess the contribution of L-type Ca2+ channels to the hyposmotic stretch-induced activation of IKca channels, we tested the effect of hyposmotic solution on the IKca current in the presence of nicardipine, an L-type Ca2+ channel blocker (Fig. 3c).

Nicardipine was added to the extracellular solution for 10 min before the application of hyposmotic solution. The NP o after pretreatment with nicardipine was 0.007 ± 0.005, which was not significantly different from the NP o without the pretreatment. The NP o of IKca channels was significantly increased by hyposmotic solution after nicardipine treatment (n = 9; p < 0.01). The NP o in hyposmotic stress was 0.401 ± 0.109, which was not significantly different from the NP o without the pretreatment. This result indicates that L-type Ca channel is not involved in this pathway.

Gadolinium blocks hyposmotic swelling-induced activation

We next examined the effect of the pretreatment of 100 nM gadolinium (Gd3+), a stretch-activated non-selective cation (SA) channel blocker. As shown in Fig. 3d, Gd3+ attenuated the activation of IKca channels induced by hyposmotic swelling (n = 9). These results suggested that the influx of extracellular Ca2+ is through the SA channel and not the L-type calcium channel and that it is involved in the activation of IKca channels.

PKC and F-actin are involved in the pathway

Although Ca2+-free extracellular solution or the presence of Gd3+ attenuated the activation, the IKca current was still enhanced in those conditions. Furthermore, in the experiments of inside-out patch configuration, membrane stretch activated the IKca channel current at constant Ca2+ concentration. Therefore, other signal pathways may exist besides those that depend upon an increase in intracellular Ca2+.

In order to test the involvement of PKC in hyposmotic swelling-induced IKca channel activation, the effect of GF109203X, a PKC inhibitor, was examined in the experiments using Ca2+-free extracellular solution. Pretreatment of A10 cells with 10 μM GF109203X for 20 min abolished the effect of hyposmotic shock (n = 6; Fig. 4a). Subsequent application of 10 μM A23187 induced a significant increase in IKca channel current.

Fig. 4
figure 4

Effects of PKC and F-actin on IKca channel activation induced by hyposmotic stress. a Representative recordings showing the effect of GF109203X (10 μM) on the activation of IKca current induced by hyposmotic stretching. Hyposmotic solution did not activate IKca channels under this condition, while subsequent application of the calcium-ionophore A23187 (10 μM) was effective. The pipette and bath solutions were the same as in Fig. 3. The pipette voltage was +40 mV. The dashed line shows the zero current level. b Effect of cytochalasin D (3 μM) on the activation of IKca current. The trace shows a recording of cell-attached patch. Hyposmotic stress did not activate IKca channels under this pretreatment. Subsequent application of A23187 was effective. c Effect of 1,2-dioctyanoyl-sn-glycerol (DOG) on the activation of IKca current under the pretreatment with cytochalasin D. The trace shows a recording of cell-attached patch that had been pretreated with cytochalasin D (3 μM). Neither hyposmotic solution nor DOG (10 μM) activated IKca currents. d Effect of DOG on the activation of IKca current in the absence of cytochalasin D. DOG activated IKca channels under this condition. e Effect of GX109203X and cytochalasin D on IKca channel activation by hyposmotic swelling. The bars show mean NP o (+SEM) of IKca current before (filled bars) and after the hyposmotic stress (open bars). *p < 0.01 versus isotonic condition of each pretreatment. p < 0.01 versus hypotonic stress under the control (without the pretreatment) condition. p < 0.01 versus DOG under the control (without the pretreatment) condition

Another possibility involves a possible role played by the actin cytoskeleton in cell membrane stretch-dependent regulation of IKca channels. We therefore examined the effect of treatment with cytochalasin D. To disrupt the F-actin cytoskeleton in some experiments, smooth muscle cells were pre-incubated for 3 h in 3 μM cytochalasin D before being subjected to membrane stretch experiments. This treatment almost completely eliminated the response of IKca channels to cell swelling (Fig. 4b).

The GF109203X application data suggested that PKC is involved in the pathway of swelling-induced IKca channel activation. Therefore, we tested the effect of DOG, a membrane permeable analog of 1,2-diacylglycerol (DOG) on IKca channel activity in the presence of cytochalasin D. In six cells pretreated with GF109203X, DOG failed to activate the IKca current, whereas DOG increased NP o from 0.470 ± 0.101 to 1.380 ± 0.112 without the presence of cytochalasin D.

Effect of PKC and F-actin on the experiments of negative pressure

In order to confirm the signal transduction of the mechanical stretch demonstrated in the hyposmotic stretch experiments, we tested the effect of GF109203X and cytochalasin D in the cell-attached patch configuration. These examinations were performed in Ca2+-free extracellular solution. Pretreatment with GF109203X abolished the stretch-induced IKca channel activation (Fig. 5a). Cytochalasin D also inhibited the effect of stretch on IKca current (Fig. 5b). Although DOG activated IKca channels in the control condition, the pretreatment with cytochalasin D abolished the effect of DOG (Fig. 5c).

Fig. 5
figure 5

Effect of PKC and F-actin on IKca channel activation induced by negative pressure. a Representative recordings showing the effect of GF109203X (10 μM) on the activation of IKca current induced by membrane stretching. Negative pressure of 45 mmHg did not activate IKca channels under this condition, while subsequent application of A23187 (10 μM) was effective. The pipette and bath solutions were the same as in Fig. 2a. The pipette voltage was +40 mV. The dashed line shows the zero current level. b Effect of cytochalasin D (3 μM) on the activation of IKca current. The trace shows a recording of cell-attached patch. Membrane stretching did not activate IKca channels under this pretreatment. Subsequent application of A23187 was effective. c Effect of DOG on the activation of IKca current under the pretreatment with cytochalasin D. Negative pressure did not activate IKca current, and subsequent application of DOG was also ineffective. d Effect of DOG on the activation of IKca current in the absence of cytochalasin D. DOG activated IKca channels under this condition. e Effect of GX109203X and cytochalasin D on IKca channel activation by membrane stretching. The bars show mean NP o (+SEM) of IKca current before (filled bars) and after the addition of negative pressure (open bars). *p < 0.01 versus 0 mmHg of each pretreatment. p < 0.01 versus 45 mmHg under the control (without the pretreatment) condition. p < 0.01 versus DOG under the control (without the pretreatment) condition

Discussion

Our study demonstrated that membrane stretch and hyposmotic swelling activates IKca channels in cultured artery smooth muscle cells. In cell membrane stretch condition, extracellular Ca2+ influx through SA channels activated IKca channels. Furthermore, our results demonstrate clearly that PKC and F-actin are important factors in the cell membrane stretching-induced activation of IKca channels. Unitary conductance was not modified by suction or swelling.

The arterial wall is continuously exposed to mechanical stimulation such as shear stress and luminal pressure. It is well known that such mechanical strain plays a pivotal role in the development of vascular remodeling in hypertension [16, 17]. However, its exact mechanism remains unknown. Mitogen-activated protein kinases (MAPKs), members of a family of serine/threonine-specific protein kinases [18], are believed to be involved in the pathway of cell proliferation and, therefore, in vascular structural remodeling [1921]. Kubo et al. [22] have reported that increases in perfusion pressure in isolated perfused rat aortae caused a pressure-dependent increase in the activity of MAPKs. They also demonstrated that pressure loading of the vascular wall of rat aorta can activate p42 and p44 MAPKs and that MAPK activation is mediated at least in part by the vascular angiotensin system [23]. The regulation of MAPK is dependent upon changes in intracellular Ca2+ [24]. Furthermore, it is reported that activation of IKca channels enhances Ca2+ influx by increasing its transmembrane electrical gradient [25, 26]. The increase in Ca2+ influx, caused by activation of IKca, stimulates distinct cellular mechanisms associated with smooth muscle growth and proliferation [14, 15], which can be mediated via MAPK activation. These previous studies suggest that the activation of IKca channels is linked to the activation of MAPK.

We previously reported that Ang II activates IKca channels in arterial smooth muscle cells. Ang II increases the current by interacting with the AT1 receptors, a mechanism which is involved in the activation of PKC [14]. IKca channel activation by Ang II is expected to contribute to Ca2+ entry in smooth muscle cells and therefore affect migration and proliferation in some pathophysiological conditions [27].

IKca channels have an important role in cell migration and proliferation. Previous reports suggest that proliferative smooth muscle cells predominantly express IKca channels [15, 28] and that cell migration is also modulated by the activity of IKca channels [10].

Regulation of ion channel activity by changes in the organization of the F-actin cytoskeleton has been suggested for the epithelial Na+ channel [29], the cystic fibrosis transmembrane regulator, CFTR [30], voltage-gated K+ channels, and cardiac ATP-sensitive K+ channels [31]. Changes in the structure of the F-actin cytoskeleton may also play an important role as a cell volume regulator. Generally, cell swelling is reported to cause a decrease in cellular F-actin content. Stretch has been shown to enhance vascular smooth muscle cell migration as a result of the translocation of PKCδ to the cytoskeleton [32].

The pathway of signal transduction of IKca channel activation is still unknown. Our results show that PKC and F-actin are both involved in the activation of IKca channels in cultured smooth muscle cells.

In order to study the relationship between PKC and F-actin in the activation pathway, we examined the effect of DOG together with cytochalasin D on the activation of IKca current under hyposmotic and stretched condition. The results showed that no significant current was activated as compared with the control, which was different from the activation effect of DOG alone. This suggests that activation of PKC by DOG under the condition of depolymerization of F-actin cannot elicit IKca current any longer. This implies that the role of F-actin for regulation of IKca channel in the signal pathway would be downstream site related to the role of PKC. For stress-activated or mechanically gated channels, several studies have shown that the cytoskeleton directly interacts with the channel protein and can intrinsically sense the cell stretch [33, 34]. Stretch-activated IKca channels may act similarly. IKca channel activation by cell-membrane stretching contributes to Ca2+ entry in smooth muscle cells and therefore affects migration and proliferation in some pathophysiologic conditions. So far there have been few functional studies of the regulation of IKca channels by mechanical stress, though the IKca channel is required for de-differentiation, proliferation, and migration [14, 15, 28]. There is a clear need for future functional studies of the role of IKca channel activation by cell membrane stretch in cardiovascular disease, especially hypertension.

In summary, the present study demonstrates that cell-membrane stretch activates IKca channels, and that the activation is associated with extracellular Ca2+ influx through SA channels and is modulated by both the F-actin cytoskeleton and the activation of PKC.