Stress without distress: homeostatic role for KATP channels
Stress without distress: homeostatic role for KATP channels
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DOI:
10.1038/sj.mp.4001323
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发表时间:
2003-03
影响因子:
11
通讯作者:
L. Zingman;D. Hodgson;A. Alekseev;A. Terzic
中科院分区:
文献类型:
--
作者:
L. Zingman;D. Hodgson;A. Alekseev;A. Terzic
Stress is defined as a threat, real or implied, to the narrow range of physiological parameters necessary for survival, with the dynamic of existence comprising an ongoing sequence of stressful events and their consequences. 1 Self-preservation is achieved through the general adaptation syndrome that is initiated by brain recognition of threat leading to modification of behavior and activation of the hypothalamic-pituitary–adrenal axis and autonomic nervous system. 1 This ubiquitous response underlies the ‘fight-orflight’reaction by alteration of bodily functions to sustain a new performance level necessary for confrontation or evasion of threatening conditions. 1 However, augmentation in performance is metabolically demanding, and requires a safety mechanism to prevent fatal exhaustion of resources. Recently, the ATP-sensitive potassium (KATP) channel, a cell membrane metabolic sensor, was identified as a critical component in maintaining the body’s homeostasis during the adaptive reaction to stress, such that the reaction itself does not become deleterious to the organism. 2KATP channels, widely represented in metabolically active tissues, are formed through physical association of the pore-forming inwardly rectifying potassium channel, Kir6. x, with the regulatory sulfonylurea receptor, SUR. 3 In this way, Kir6. 2 and SUR2A generate cardiac and skeletal muscle KATP channels. 4 Metabolic sensing occurs through modulation of Kir6. 2 ATP-sensitivity by the SUR2A subunit ATPase activity such that stabilization of SUR2A in a posthydrolytic state favors K+ efflux through Kir6. 2 leading to membrane hyperpolarization. 5 These intrinsic channel properties, along with tight integration of KATP channel proteins with cellular metabolic pathways, are responsible for the rapid and precise metabolic modulation of membrane potential-dependent cellular functions. 5 Vascular smooth muscle channels combine Kir6. 1 and SUR2B, 6 and channels in pancreatic β-cells comprise Kir6. 2 and SUR1. 3 In neurons, various permutations of Kir6. 1 or Kir6. 2 and SUR1 or SUR2 coexpression form KATP channels. 7 Such structural diversity defines a wide spectrum of KATP channel involvement in tissue-specific func-