Abstract
BACKGROUND: Fetal origin of adult cardiovascular disease is one of the most pressing public concerns and economic problem in modern life. Maternal cigarette smoking/nicotine abuse increases the risk of cardiovascular disease in offspring. However, the underlying mechanisms and theranostics remain unclear. We hypothesized that fetal and neonatal nicotine exposure enhances microRNA-181a (miR-181a) which targets large-conductance Ca(2+)-activated K(+) (BK(Ca)) channels, resulting in increased coronary vascular tone in adult offspring. METHODS: Nicotine or saline was administered to pregnant rats via subcutaneous osmotic minipumps from gestational day 4 until postnatal day 10. Experiments were conducted in adult (~6 month old) male offspring. RESULTS: Nicotine enhanced pressure-induced coronary vascular tone, which was abrogated by BK(Ca) channel blocker. Nicotine selectively attenuated coronary BK(Ca) β1 but not α subunit expression. Functionally, nicotine suppressed BK(Ca) current density and inhibited BK(Ca) activator NS1619-induced coronary relaxations. Furthermore, activation of BK(Ca) increased coronary flow and improved heart ischemia/reperfusion-induced infarction. Nicotine selectively enhanced miR-181a expression. MiR-181a mimic inhibited BK(Ca) β1 expression/channel current and decreased NS1619-induced coronary relaxation. Antioxidant eliminated the difference of BK(Ca) current density between the saline and nicotine-treated groups and partially restored NS1619-induced relaxation in nicotine group. MiR-181a antisense decreased vascular tone and eliminated the differences between nicotine exposed and control groups. CONCLUSION: Fetal and neonatal nicotine exposure-mediated miR-181a overexpression plays an important role in nicotine-enhanced coronary vascular tone via epigenetic down-regulation of BK(ca) channel mechanism, which provides a potentially novel therapeutic molecular target of miR-181a/BK(ca) channels for the treatment of coronary heart ischemic disease.