Oxygen Sensitivity, Potassium Channels, and Regulation of Placental Vascular Tone
Abstract
The human fetoplacental vasculature is a low‐resistance circulation with deoxygenated arterial relative to venous blood. The placenta lacks neuronal innervation suggesting that local physical (e.g., oxygenation; flow rate), paracrine (e.g., endothelial cell nitric oxide), and circulating (e.g., angiotensin II) factors will contribute to blood flow regulation in small fetoplacental vessels. Oxygenation (specifically hypoxia) has received particular attention. At the macro‐level, hypoxic challenge increases vascular resistance, but the data's physiological relevance remains questionable. K+ channels are a diverse family of proteins known to play important roles in the normal physiological functions of endothelial and smooth muscle cells of a variety of vascular beds. K+ channels are categorized by their predicted transmembrane structure or gating properties. A small number of perfused placental cotyledon and isolated blood vessels studies have assessed K+ channel activity. Specific activator/inhibitor application suggests functional voltage‐gated channels, whereas toxin inhibitor studies have documented K Ca channel activity. Pharmacological K ATP channel activation significantly dilates preconstricted placental arteries and veins. There is a paucity of cell subtype‐specific expression studies of placental K+ channels. This review focuses on the roles of K+ channels and oxygenation in controlling reactivity of small fetoplacental blood vessels.
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A variety of K+ channel subtypes, many of them oxygen sensitive, are present in the vasculature of the human placenta.
“A variety of K + channel subtypes, many of them oxygen sensitive, are present in the vasculature of the human placenta (307, 563, 564).”
From Placental Origins of Chronic Disease (2016) · cites this paper as [563]
Cites
Onset of Maternal Arterial Blood Flow and Placental Oxidative Stress
Jauniaux, E., Watson, A. L., Hempstock, J., Bao, Y.-P., Skepper, J. N., & Burton, G. J. (2000) · The American Journal of Pathology · doi:10.1016/s0002-9440(10)64849-3 · Cited by 1,057 · see citing works
Wei, A. D., Gutman, G. A., Aldrich, R. W., Chandy, K. G., Grissmer, S., & Wulff, H. (2005) · Pharmacological Reviews · doi:10.1124/pr.57.4.9 · Cited by 976 · see citing works
Structure and function of small arteries
Mulvany, M. J., & Aalkjær, C. (1990) · Physiological Reviews · doi:10.1152/physrev.1990.70.4.921 · Cited by 919 · see citing works
Gutman, G. A., Chandy, K. G., Grissmer, S., Lazdunski, M., McKinnon, D. H., Pardo, L. A., Robertson, G. A., Rudy, B., Sanguinetti, M. C., Stühmer, W., et al. (2005) · Pharmacological Reviews · doi:10.1124/pr.57.4.10 · Cited by 888 · see citing works
Fetal umbilical artery flow velocity waveforms and placental resistance: clinical significance
Trudinger, B., Giles, W. B., Cook, C. M., Bombardieri, J., & Collins, L. T. (1985) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1985.tb01044.x · Cited by 559 · see citing works
Hypoxic pulmonary vasoconstriction
Moudgil, R., Michelakis, E. D., & Archer, S. L. (2004) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00733.2004 · Cited by 452 · see citing works
Physiological roles of K+ channels in vascular smooth muscle cells
Ko, E. A., Han, J., Jung, I. D., & Park, W. S. (2008) · Journal of Smooth Muscle Research · doi:10.1540/jsmr.44.65 · Cited by 410 · see citing works
Blood gases, pH, and lactate in appropriate- and small-for-gestational-age fetuses
Nicolaides, K. H., Economides, D. L., & Soothill, P. W. (1989) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(89)90770-9 · Cited by 390 · see citing works
Endothelium-derived hyperpolarising factors and associated pathways: a synopsis
Edwards, G., Félétou, M., & Weston, A. H. (2010) · Pflügers Archiv - European Journal of Physiology · doi:10.1007/s00424-010-0817-1 · Cited by 360 · see citing works
Potassium Channels in the Peripheral Microcirculation
Jackson, W. F. (2005) · Microcirculation · doi:10.1080/10739680590896072 · Cited by 338 · see citing works
Jauniaux, E. R. M., Watson, A. L., & Burton, G. J. (2001) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2001.111935 · Cited by 316 · see citing works
Goldstein, S. A. N., Bayliss, D. A., Kim, D. H., et al. (2005) · Pharmacological Reviews · doi:10.1124/pr.57.4.12 · Cited by 310 · see citing works
Kubo, Y., Adelman, J. P., Clapham, D. E., Jan, L. Y., Karschin, A., Kurachi, Y., Lazdunski, M., Nichols, C. G., Seino, S., & Vandenberg, C. A. (2005) · Pharmacological Reviews · doi:10.1124/pr.57.4.11 · Cited by 275 · see citing works
Potassium Channel Function in Vascular Disease
Sobey, C. G. (2001) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/01.atv.21.1.28 · Cited by 271 · see citing works
Takagi, Y., Nikaido, T., Toki, T., Kita, N., Kanai, M., Ashida, T., Ohira, S., & Konishi, I. (2004) · Virchows Archiv · doi:10.1007/s00428-003-0903-2 · Cited by 225 · see citing works
Characterization of the cloned human intermediate-conductance Ca 2+ -activated K + channel
Jensen, B., Strøbæk, D., Christophersen, P., et al. (1998) · American Journal of Physiology-Cell Physiology · doi:10.1152/ajpcell.1998.275.3.c848 · Cited by 224 · see citing works
The role of endothelium in the control of vascular tone
Busse, R., Trogisch, G., & Bassenge, E. (1985) · Basic Research in Cardiology · doi:10.1007/bf01907912 · Cited by 203 · see citing works
Fetal umbilical cord oxygen values and birth to placental weight ratio in relation to size at birth
Lackman, F., Capewell, V., Gagnon, R. J., & Richardson, B. (2001) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2001.116686 · Cited by 192 · see citing works
Moudgil, R., Michelakis, E. D., & Archer, S. L. (2006) · Microcirculation · doi:10.1080/10739680600930222 · Cited by 167 · see citing works
Thompson, R. S., & Trudinger, B. (1990) · Ultrasound in Medicine & Biology · doi:10.1016/0301-5629(90)90167-b · Cited by 155 · see citing works
Lack of innervation of human umbilical cord. An immunohistological and histochemical study
Fox, S. B., & Khong, T. Y. (1990) · Placenta · doi:10.1016/s0143-4004(05)80443-6 · Cited by 154 · see citing works
Decher, N., Maier, M., Dittrich, W., Gassenhuber, J., Brüggemann, A., Busch, A. E., & Steinmeyer, K. (2001) · FEBS Letters · doi:10.1016/s0014-5793(01)02222-0 · Cited by 152 · see citing works
Redox Modulation of Vascular Tone
Gutterman, D. D., Miura, H., & Liu, Y. (2005) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/01.atv.0000158497.09626.3b · Cited by 152 · see citing works
Hypoxic vasoconstriction in rat pulmonary and mesenteric arteries
Leach, R. M., Robertson, T. P., Twort, C. H. C., et al. (1994) · American Journal of Physiology-Lung Cellular and Molecular Physiology · doi:10.1152/ajplung.1994.266.3.l223 · Cited by 146 · see citing works
Lesage, F., Maingret, F., & Lazdunski, M. (2000) · FEBS Letters · doi:10.1016/s0014-5793(00)01388-0 · Cited by 121 · see citing works
Hypoxia-induced fetoplacental vasoconstriction in perfused human placental cotyledons
Howard, R. B., Hosokawa, T., & Maguire, M. H. (1987) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(87)80307-1 · Cited by 114 · see citing works
Hypoxic fetoplacental vasoconstriction in humans is mediated by potassium channel inhibition
Hampl, V., Bı́bová, J., Straňák, Z., Wu, X., Michelakis, E. D., Hashimoto, K., & Archer, S. L. (2002) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.01033.2001 · Cited by 104 · see citing works
Functional Expression of TRESK-2, a New Member of the Tandem-pore K+ Channel Family
Kang, D., Mariash, E., & Kim, D. (2004) · Journal of Biological Chemistry · doi:10.1074/jbc.m402940200 · Cited by 85 · see citing works
Oxygenation of the placental–fetal unit in humans
Schneider, H. (2011) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2011.05.009 · Cited by 84 · cited 1× · see citing works
“samples suggest that human fetoplacental blood vessels experience oxygenation levels at term similar to those recorded in the IVS (40-45mmHg; [18-21]); i.”
BackgroundPulmonary vein contracts in response to hypoxia
Zhao, Y., Packer, C. S., & Rhoades, R. A. (1993) · American Journal of Physiology-Lung Cellular and Molecular Physiology · doi:10.1152/ajplung.1993.265.1.l87 · Cited by 81 · see citing works
Expression and function of potassium channels in the human placental vasculature
Wareing, M., Bai, X., Seghier, F., et al. (2006) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00040.2006 · Cited by 66 · see citing works
Self-citationInvolvement of calcitonin gene-related peptide in control of human fetoplacental vascular tone
Dong, Y.-L., Vegiraju, S., Chauhan, M., et al. (2004) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00140.2003 · Cited by 62 · see citing works
Doppler umbilical artery waveform indices-Normal values from fourteen to forty-two weeks
Hendricks, S. K., Sorensen, T. K., Wang, K. Y., et al. (1989) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(89)90397-9 · Cited by 60 · see citing works
Ca2+sensitization during sustained hypoxic pulmonary vasoconstriction is endothelium dependent
Robertson, T. P., Aaronson, P. I., & Ward, J. P. T. (2003) · American Journal of Physiology-Lung Cellular and Molecular Physiology · doi:10.1152/ajplung.00422.2002 · Cited by 60 · see citing works
Pountney, D. J., Gulkarov, I. M., de Miera, E. V., et al. (1999) · FEBS Letters · doi:10.1016/s0014-5793(99)00495-0 · Cited by 56 · see citing works
Yoneyama, Y., Sawa, R., Suzuki, S., Shin, S., Power, G. G., & Araki, T. (1996) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(96)70406-4 · Cited by 55 · see citing works
Cell-cell communication in the vessel wall
Dora, K. A. (2001) · Vascular Medicine · doi:10.1177/1358836x0100600108 · Cited by 55 · see citing works
Robertson, T. (2001) · Cardiovascular Research · doi:10.1016/s0008-6363(01)00192-4 · Cited by 54 · see citing works
Role of the l-arginine nitric oxide pathway in hypoxic fetoplacental vasoconstriction
Byrne, B., Howard, R. B., Morrow, R. J., et al. (1997) · Placenta · doi:10.1016/s0143-4004(97)90003-5 · Cited by 53 · see citing works
Mistry, H. D., McCallum, L. A., Kurlak, L. O., Greenwood, I. A., Broughton Pipkin, F., & Tribe, R. M. (2011) · Hypertension · doi:10.1161/hypertensionaha.111.173740 · Cited by 48 · see citing works
Wareing, M., Greenwood, S. L., & Baker, P. N. (2005) · Placenta · doi:10.1016/j.placenta.2004.11.008 · Cited by 40 · see citing works
Self-citationMultiple sites of oxygen sensing and their contributions to hypoxic pulmonary vasoconstriction
Gurney, A. M. (2002) · Respiratory Physiology & Neurobiology · doi:10.1016/s1569-9048(02)00048-4 · Cited by 37 · see citing works
Hypoxia: Implications for Implantation to Delivery—A Workshop Report
Burton, G. J., & Caniggia, I. (2001) · Placenta · doi:10.1053/plac.2001.0642 · Cited by 37 · see citing works
Characterisation of K+ Channels in Human Fetoplacental Vascular Smooth Muscle Cells
Brereton, M. F., Wareing, M., Jones, R. L., et al. (2013) · PLoS ONE · doi:10.1371/journal.pone.0057451 · Cited by 34 · see citing works
Self-citationMaigaard, S., Forman, A., & Andersson, K. (1985) · Placenta · doi:10.1016/s0143-4004(85)80021-7 · Cited by 31 · see citing works
Sand, A., Andersson, E., & Fried, G. M. (2005) · Placenta · doi:10.1016/j.placenta.2004.12.013 · Cited by 30 · see citing works
Gestational diabetes alters human placental vascular responses to changes in oxygen tension
Figueroa, R., Omar, H. Α., Tejani, N. A., & Wolin, M. S. (1993) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(11)90807-2 · Cited by 29 · see citing works
Satoh, S., Koyanagi, T., Fukuhara, M., et al. (1989) · Early Human Development · doi:10.1016/0378-3782(89)90007-8 · Cited by 29 · see citing works
Read, M. A., Boura, A. L. A., & Walters, W. A. W. (1995) · Placenta · doi:10.1016/0143-4004(95)90011-x · Cited by 28 · see citing works
Wareing, M., Greenwood, S. L., Fyfe, G. K., et al. (2006) · Biology of Reproduction · doi:10.1095/biolreprod.106.051607 · Cited by 28 · see citing works
Self-citationHost Inflammatory Response Profiling in Preeclampsia Using anIn VitroWhole Blood Stimulation Model
Brewster, J. A., Orsi, N. M., Gopichandran, N., Ekbote, U. V., Cadogan, E., & Walker, J. J. (2008) · Hypertension in Pregnancy · doi:10.1080/10641950701826067 · Cited by 27 · see citing works
Oxygen-sensing potassium currents in pulmonary artery
McCulloch, K. M., Osipenko, O. N., & Gurney, A. M. (1999) · General Pharmacology The Vascular System · doi:10.1016/s0306-3623(98)00219-5 · Cited by 26 · see citing works
Soydemir, F., Kuruvilla, S., Brown, M., Dunn, W. B., Day, P. J., Crocker, I. P., Baker, P. N., Sibley, C. P., & Brownbill, P. (2010) · Laboratory Investigation · doi:10.1038/labinvest.2010.171 · Cited by 26 · see citing works
Isolation, Characterization, and Mapping of Two Human Potassium Channels
Su, K., Kyaw, H., Fan, P., et al. (1997) · Biochemical and Biophysical Research Communications · doi:10.1006/bbrc.1997.7830 · Cited by 22 · see citing works
Mills, T. A., Wareing, M., Shennan, A., et al. (2009) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2009.04.019 · Cited by 22 · see citing works
Self-citationHoeldtke, N., Napolitano, P. G., Moore, K. H., et al. (1997) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(97)70020-6 · Cited by 21 · see citing works
Kwek, K. Y. C., Read, M. A., Khong, T. Y., et al. (2001) · Placenta · doi:10.1053/plac.2001.0690 · Cited by 20 · see citing works
Corcoran, J. J., Lacey, H. A., Baker, P. N., & Wareing, M. (2008) · Hypertension in Pregnancy · doi:10.1080/10641950701826158 · Cited by 20 · see citing works
Self-citationPierce, B. T., Napolitano, P. G., Pierce, L. M., Apodaca, C. C., Hume, R. F., & Calhoun, B. C. (2001) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2001.117636 · Cited by 19 · see citing works
Kiernan, M. F., Barrie, A., Szkolar, J., Mills, T. A., & Wareing, M. (2010) · Placenta · doi:10.1016/j.placenta.2010.03.009 · Cited by 18 · see citing works
Self-citationGuiet-Bara, A., Ibrahim, B., Leveteau, J., et al. (1999) · Bioelectrochemistry and Bioenergetics · doi:10.1016/s0302-4598(99)00020-3 · Cited by 16 · see citing works
Cooper, E. J., Wareing, M., Greenwood, S. L., & Baker, P. N. (2005) · Placenta · doi:10.1016/j.placenta.2005.04.012 · Cited by 16 · see citing works
Self-citationRamasubramanian, R., Johnson, R. F., Downing, J. W., et al. (2006) · Anesthesia & Analgesia · doi:10.1213/01.ane.0000222468.76942.d8 · Cited by 15 · see citing works
Glibenclamide Inhibits Agonist-induced Vasoconstriction of Placental Chorionic Plate Arteries
Wareing, M., Greenwood, S. L., Fyfe, G. K., et al. (2005) · Placenta · doi:10.1016/j.placenta.2005.05.012 · Cited by 15 · see citing works
Self-citationRelaxation of human placental arteries and veins by ATP‐sensitive potassium channel openers
Jewsbury, S., Baker, P. N., & Wareing, M. (2006) · European Journal of Clinical Investigation · doi:10.1111/j.1365-2362.2007.01749.x · Cited by 15 · see citing works
Self-citationEffects of oxygenation and luminal flow on human placenta chorionic plate blood vessel function
Wareing, M. (2011) · Journal of obstetrics and gynaecology research · doi:10.1111/j.1447-0756.2011.01666.x · Cited by 12 · see citing works
Self-citationExpression of an electrically silent voltage-gated potassium channel in the human placenta
Fyfe, G. K., Panicker, S., Jones, R. L., et al. (2012) · Journal of Obstetrics and Gynaecology · doi:10.3109/01443615.2012.709288 · Cited by 12 · see citing works
Bisseling, T. M., Versteegen, M. G. J., van der Wal, S., et al. (2005) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2004.09.031 · Cited by 10 · see citing works
Cooper, E. J., Wareing, M., Greenwood, S. L., et al. (2005) · Journal of the Society for Gynecologic Investigation · doi:10.1016/j.jsgi.2005.05.004 · Cited by 10 · see citing works
Self-citationEvidence of K and Ca channels in endothelial cells of human allantochorial placental vessels.
Guiet-Bara, A., & Bara, M. (2002) · PubMed · Cited by 8 · see citing works
EFFECTS OF THIOPENTONE OR CHLORMETHAZOLE ON HUMAN PLACENTAL STEM VILLOUS ARTERIES
Allen, J., Maigaard, S., CHRISTENSEN, J. H., et al. (1987) · British Journal of Anaesthesia · doi:10.1093/bja/59.10.1273 · Cited by 5 · see citing works
Functional Characterization of a Cloned Human Intermediate‐Conductance Ca2+‐Activated K+ Channel
Dyhring, T., Jensen, B., Strøbæk, D., et al. (1999) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1999.tb11305.x · Cited by 4 · see citing works
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Placental Origins of Chronic Disease
Burton, G. J., Fowden, A. L., & Thornburg, K. L. (2016) · Physiological Reviews · doi:10.1152/physrev.00029.2015 · Cited by 717 · see citing works
Expression of voltage-dependent potassium channels in first trimester human placentae
Mistry, H. D., Kurlak, L. O., Whitley, G. S., Cartwright, J. E., Broughton Pipkin, F., & Tribe, R. M. (2014) · Placenta · doi:10.1016/j.placenta.2014.02.008 · Cited by 5 · see citing works
- Authors
- Wareing, M.
- Affiliations
- Manchester Academic Health Science Centre (GB)
- Corresponding author
- Wareing, Mark
- ORCID
- Wareing, Mark
- Venue
- Microcirculation
- Publisher
- Wiley
- Published
- 2014-01
- Volume
- 21
- Issue
- 1
- Pages
- 58-66
- ISSN
- 1073-9688 (ISSN-L)
- 1549-8719
- OpenAlex
- W1992792350
- Cited by
- 30
- References
- 73
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 4 · 2019: 1 · 2018: 2 · 2016: 4 · 2015: 1 · 2014: 4 · 2013: 1
- FWCI
- 0.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Microcirculation (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion channel regulation and function
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Keywords
- oxygen sensitivity, hypoxia, potassium channels, fetoplacental circulation, placental arteries, calcium-activated potassium channels, ATP-sensitive potassium channels, voltage-gated potassium channels, vascular reactivity, nitric oxide, angiotensin II, placental cotyledons
- MeSH terms
- Animals, Female, Humans, Muscle, Smooth, Vascular, Oxygen, Oxygen Consumption, Placenta, Pregnancy, Potassium Channels, Placental Circulation, Myocytes, Smooth Muscle
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