Emerging mechanisms involving brain Kv7 channel in the pathogenesis of hypertension

Biochem Pharmacol. 2022 Dec:206:115318. doi: 10.1016/j.bcp.2022.115318. Epub 2022 Oct 22.

Abstract

Hypertension is a prevalent health problem inducing many organ damages. The pathogenesis of hypertension involves a complex integration of different organ systems including the brain. The elevated sympathetic nerve activity is closely related to the etiology of hypertension. Ion channels are critical regulators of neuronal excitability. Several mechanisms have been proposed to contribute to hypothalamic-driven elevated sympathetic activity, including altered ion channel function. Recent findings indicate one of the voltage-gated potassium channels, Kv7 channels (M channels), plays a vital role in regulating cardiovascular-related neurons activity, and the expression of Kv7 channels is downregulated in hypertension. This review highlights recent findings that the Kv7 channels in the brain, blood vessels, and kidneys are emerging targets involved in the pathogenesis of hypertension, suggesting new therapeutic targets for treating drug-resistant, neurogenic hypertension.

Keywords: Brain; Hypertension; Kv7 channels; M-Channel; Sympathetic nerve activity.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Humans
  • Hypertension* / etiology
  • Hypertension* / metabolism
  • Hypothalamus / metabolism
  • Ion Channels / metabolism
  • Neurons* / metabolism
  • Potassium Channels

Substances

  • Ion Channels
  • Potassium Channels