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Therefore, we tested the hypothesis that suppression of Kir2.1 is responsible for hypercholesterolemia\u2010induced inhibition of flow\u2010induced<jats:styled-content style=\"fixed-case\">NO<\/jats:styled-content>production and flow\u2010induced vasodilation (<jats:styled-content style=\"fixed-case\">FIV<\/jats:styled-content>). We also tested the role of Kir2.1 in the development of atherosclerotic lesions.<\/jats:p><\/jats:sec><jats:sec xml:lang=\"en\"><jats:title>Methods and Results<\/jats:title><jats:p xml:lang=\"en\">Kir2.1 currents are significantly suppressed in microvascular endothelial cells exposed to acetylated\u2013low\u2010density lipoprotein or isolated from apolipoprotein E\u2013deficient (<jats:italic>Apoe<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>) mice and rescued by cholesterol depletion. Genetic deficiency of Kir2.1 on the background of hypercholesterolemic<jats:italic>Apoe<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>mice,<jats:italic>Kir2.1<\/jats:italic><jats:sup><jats:italic>+\/\u2212<\/jats:italic><\/jats:sup><jats:italic>\/Apoe<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>exhibit the same blunted<jats:styled-content style=\"fixed-case\">FIV<\/jats:styled-content>and flow\u2010induced<jats:styled-content style=\"fixed-case\">NO<\/jats:styled-content>response as<jats:italic>Apoe<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>or<jats:italic>Kir2.1<\/jats:italic><jats:sup><jats:italic>+\/\u2212<\/jats:italic><\/jats:sup>alone, but while FIV in<jats:italic>Apoe<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>mice can be rescued by cholesterol depletion, in<jats:italic>Kir2.1<\/jats:italic><jats:sup><jats:italic>+\/\u2212<\/jats:italic><\/jats:sup><jats:italic>\/Apoe<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>mice cholesterol depletion has no effect on<jats:styled-content style=\"fixed-case\">FIV<\/jats:styled-content>. Endothelial\u2010specific overexpression of Kir2.1 in arteries from<jats:italic>Apoe<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>and<jats:italic>Kir2.1<\/jats:italic><jats:sup><jats:italic>+\/\u2212<\/jats:italic><\/jats:sup><jats:italic>\/Apoe<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>mice results in full rescue of<jats:styled-content style=\"fixed-case\">FIV<\/jats:styled-content>and<jats:styled-content style=\"fixed-case\">NO<\/jats:styled-content>production in<jats:italic>Apoe<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>mice with and without the addition of a high\u2010fat diet. Conversely, endothelial\u2010specific expression of dominant\u2010negative Kir2.1 results in the opposite effect.<jats:italic>Kir2.1<\/jats:italic><jats:sup><jats:italic>+\/\u2212<\/jats:italic><\/jats:sup><jats:italic>\/Apoe<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>mice also show increased lesion formation, particularly in the atheroresistant area of descending aorta.<\/jats:p><\/jats:sec><jats:sec xml:lang=\"en\"><jats:title>Conclusions<\/jats:title><jats:p xml:lang=\"en\">We conclude that hypercholesterolemia\u2010induced reduction in<jats:styled-content style=\"fixed-case\">FIV<\/jats:styled-content>is largely attributable to cholesterol suppression of Kir2.1 function via the loss of flow\u2010induced<jats:styled-content style=\"fixed-case\">NO<\/jats:styled-content>production, whereas the stages downstream of flow\u2010induced Kir2.1 activation appear to be mostly intact. Kir2.1 channels also have an atheroprotective role.<\/jats:p><\/jats:sec>","DOI":"10.1161\/jaha.117.007430","type":"journal-article","created":{"date-parts":[[2018,3,4]],"date-time":"2018-03-04T01:10:21Z","timestamp":1520125821000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":52,"title":["Hypercholesterolemia\u2010Induced Loss of Flow\u2010Induced Vasodilation and Lesion Formation in Apolipoprotein E\u2013Deficient Mice Critically Depend on Inwardly Rectifying K<sup>+<\/sup>Channels"],"prefix":"10.1161","volume":"7","author":[{"given":"Ibra S.","family":"Fancher","sequence":"first","affiliation":[{"name":"Division of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine, University of Illinois at Chicago, IL"},{"name":"Department of Physical Therapy, University of Illinois at Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Joon","family":"Ahn","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine, University of Illinois at Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crystal","family":"Adamos","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine, University of Illinois at Chicago, IL"},{"name":"Department of Physical Therapy, University of Illinois at Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Osborn","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine, University of Illinois at Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myung\u2010Jin","family":"Oh","sequence":"additional","affiliation":[{"name":"Section of Pulmonary and Critical Care, Department of Medicine, University of Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun","family":"Fang","sequence":"additional","affiliation":[{"name":"Section of Pulmonary and Critical Care, Department of Medicine, University of Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine A.","family":"Reardon","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Godfrey S.","family":"Getz","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane A.","family":"Phillips","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, University of Illinois at Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irena","family":"Levitan","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine, University of Illinois at Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","first-page":"246","article-title":"Mechanoreception by the endothelium: mediators and mechanisms of pressure\u2010 and flow\u2010induced vascular responses","volume":"27","author":"Rubanyi GM","year":"1990","unstructured":"Rubanyi GM, Freay AD, Kauser K, Johns A, Harder DR. 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