Endosomal KATP channels as a reservoir after myocardial ischemia: a role for SUR2 subunits

Bao L, Hadjiolova K, Coetzee WA, Rindler MJ. Endosomal K-ATP channels as a reservoir after myocardial ischemia: a role for SUR2 subunits. Am J Physiol Heart Circ Physiol 300: H262-H270, 2011. First published October 22, 2010; doi: 10.1152/ajpheart.00857.2010.-ATP-sensitive K+ (K-ATP) channels, composed of inward rectifier K+ (Kir)6.x and sulfonylurea receptor (SUR) x subunits, are expressed on cellular plasma membranes. We demonstrate an essential role for SUR2 subunits in trafficking K-ATP channels to an intracellular vesicular compartment. Transfection of Kir6.x/SUR2 subunits into a variety of cell lines (including h9c2 cardiac cells and human coronary artery smooth muscle cells) resulted in trafficking to endosomal/lysosomal compartments, as assessed by immunofluorescence microscopy. By contrast, SUR1/Kir6.x channels efficiently localized to the plasmalemma. The channel turnover rate was similar with SUR1 or SUR2, suggesting that the expression of Kir6/SUR2 proteins in lysosomes is not associated with increased degradation. Surface labeling of hemagglutinin-tagged channels demonstrated that SUR2-containing channels dynamically cycle between endosomal and plasmalemmal compartments. In addition, Kir6.2 and SUR2 subunits were found in both endosomal and sarcolemmal membrane fractions isolated from rat hearts. The balance of these K-ATP channel subunits shifted to the sarcolemmal membrane fraction after the induction of ischemia. The K-ATP channel current density was also increased in rat ventricular myocytes isolated from hearts rendered ischemic before cell isolation without corresponding changes in subunit mRNA expression. We conclude that an intracellular pool of SUR2-containing K-ATP channels exists that is derived by endocytosis from the plasma membrane. In cardiac myocytes, this pool can potentially play a cardioprotective role by serving as a reservoir for modulating surface K-ATP channel density under stress conditions, such as myocardial ischemia.