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External potassium ions have long been known as mediators of vasodilation of several vascular beds, including the coronary and cerebral circulations.1 2 3 4 5 6 Indeed, potassium ions have been viewed as communicators of the metabolic state of the cells that surround blood vessels. For example, release of potassium ions from neurons is communicated through glial cells to regulate cerebral artery diameter.7 Recently, it has been suggested that the potassium ions from endothelial cells may signal smooth muscle to relax and, as such, may constitute an endothelial-derived hyperpolarizing factor.8 Two targets of external potassium ions have been proposed: the Na+/K+ ATPase and the inward rectifier potassium channel.1 5 9 An elevation of external potassium causes very different responses of these two molecular targets. The electrogenic Na+/K+ ATPase is activated by external potassium with a half-activation constant of about 1 to 2 …

Potassium Ions as Vasodilators: Role of Inward Rectifier Potassium Channels