{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T16:28:10Z","timestamp":1789835290006,"version":"4.0.1"},"reference-count":54,"publisher":"Wiley","issue":"16","license":[{"start":{"date-parts":[[2020,6,12]],"date-time":"2020-06-12T00:00:00Z","timestamp":1591920000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["physoc.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Physiology"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec><jats:title>Key points<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>ATP\u2010sensitive K<jats:sup>+<\/jats:sup> (K<jats:sub>ATP<\/jats:sub>) channels mediate hypoxia\u2010induced cerebral vasodilatation and hyperperfusion in animals.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>We tested whether K<jats:sub>ATP<\/jats:sub> channels blockade affects the increase in human cerebral blood flow (CBF) and the maintenance of oxygen delivery (CDO<jats:sub>2<\/jats:sub>) during hypoxia.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Hypoxia\u2010induced increases in the anterior circulation and total cerebral perfusion were attenuated under K<jats:sub>ATP<\/jats:sub> channels blockade affecting the relative changes of brain oxygen delivery.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Therefore, in humans, K<jats:sub>ATP<\/jats:sub> channels activation modulates the vascular tone in the anterior circulation of the brain, contributing to CBF and CDO<jats:sub>2<\/jats:sub> responses to hypoxia.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>ATP\u2010sensitive K<jats:sup>+<\/jats:sup> (K<jats:sub>ATP<\/jats:sub>) channels mediate hypoxia\u2010induced cerebral vasodilatation and hyperperfusion in animals. We tested whether K<jats:sub>ATP<\/jats:sub> channels blockade affects the increase in cerebral blood flow (CBF) and the maintenance of oxygen delivery (CDO<jats:sub>2<\/jats:sub>) during hypoxia in humans. Nine healthy men were exposed to 5\u2010min trials of normoxia and isocapnic hypoxia (IHX, 10% O<jats:sub>2<\/jats:sub>) before (BGB) and 3\u00a0h after glibenclamide ingestion (AGB). Mean arterial pressure (MAP), arterial saturation (<jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/tjp14190-math-0001.png\" xlink:title=\"urn:x-wiley:00223751:media:tjp14190:tjp14190-math-0001\"\/>), partial pressure of oxygen (<jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/tjp14190-math-0002.png\" xlink:title=\"urn:x-wiley:00223751:media:tjp14190:tjp14190-math-0002\"\/>) and carbon dioxide (<jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/tjp14190-math-0003.png\" xlink:title=\"urn:x-wiley:00223751:media:tjp14190:tjp14190-math-0003\"\/>), internal carotid artery blood flow (ICABF), vertebral artery blood flow (VABF), total (t)CBF (Doppler ultrasound) and CDO<jats:sub>2<\/jats:sub> were quantified during the trials. IHX provoked similar reductions in <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/tjp14190-math-0004.png\" xlink:title=\"urn:x-wiley:00223751:media:tjp14190:tjp14190-math-0004\"\/> and <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/tjp14190-math-0005.png\" xlink:title=\"urn:x-wiley:00223751:media:tjp14190:tjp14190-math-0005\"\/>, while MAP was not affected by oxygen desaturation or K<jats:sub>ATP<\/jats:sub> blockade. A smaller increase in ICABF (\u0394BGB: 36\u00a0\u00b1\u00a023 <jats:italic>vs<\/jats:italic>. \u0394AGB 11\u00a0\u00b1\u00a018%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.019) but not in VABF (\u2206BGB 26\u00a0\u00b1\u00a021 <jats:italic>vs<\/jats:italic>. \u2206AGB 27\u00a0\u00b1\u00a027%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.893) was observed during the hypoxic trial under K<jats:sub>ATP<\/jats:sub> channels blockade. Thus, IHX\u2010induced increases in tCBF (\u2206BGB 32\u00a0\u00b1\u00a019 <jats:italic>vs<\/jats:italic>. \u2206AGB 14\u00a0\u00b1\u00a013%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.012) and CDO<jats:sub>2<\/jats:sub> relative changes (\u2206BGB 7\u00a0\u00b1\u00a013 <jats:italic>vs<\/jats:italic>. \u2206AGB \u22126\u00a0\u00b1\u00a014%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.048) were attenuated during the AGB hypoxic trial. In a separate protocol, 6 healthy men (5 from protocol 1) underwent a 5\u2010min exposure to normoxia and IHX before and 3\u00a0h after placebo (5\u00a0mg of cornstarch) ingestion. IHX reduced <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/tjp14190-math-0006.png\" xlink:title=\"urn:x-wiley:00223751:media:tjp14190:tjp14190-math-0006\"\/> and <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/tjp14190-math-0007.png\" xlink:title=\"urn:x-wiley:00223751:media:tjp14190:tjp14190-math-0007\"\/>, but placebo did not affect the ICABF, VABF, tCBF, or CDO<jats:sub>2<\/jats:sub> responses. Therefore, in humans, K<jats:sub>ATP<\/jats:sub> channels activation modulates vascular tone in the anterior rather than the posterior circulation of the brain, contributing to tCBF and CDO<jats:sub>2<\/jats:sub> responses to hypoxia.<\/jats:p><\/jats:sec>","DOI":"10.1113\/jp279751","type":"journal-article","created":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T09:05:10Z","timestamp":1590656710000},"page":"3343-3356","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["K<sub>ATP<\/sub> channels modulate cerebral blood flow and oxygen delivery during isocapnic hypoxia in humans"],"prefix":"10.1113","volume":"598","author":[{"given":"Marcos P.","family":"Rocha","sequence":"first","affiliation":[{"name":"Laboratory of Exercise Sciences Department of Physiology and Pharmacology Fluminense Federal University  RJ Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique O.","family":"Campos","sequence":"additional","affiliation":[{"name":"Laboratory of Exercise Sciences Department of Physiology and Pharmacology Fluminense Federal University  RJ Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o D.","family":"Mattos","sequence":"additional","affiliation":[{"name":"Laboratory of Exercise Sciences Department of Physiology and Pharmacology Fluminense Federal University  RJ Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3441-9910","authenticated-orcid":false,"given":"Daniel E.","family":"Mansur","sequence":"additional","affiliation":[{"name":"Laboratory of Exercise Sciences Department of Physiology and Pharmacology Fluminense Federal University  RJ Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena N. 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