Cholesterol intake and statin use regulate neuronal G protein-gated inwardly rectifying potassium channels.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
high-cholesterol diet | increase | hippocampal CA1 region cholesterol levels | rat model | - | increased | #1 |
high-cholesterol diet | increase | neuronal GIRK currents | rat model | - | increased | #2 |
cholesterol depletion in vitro | decrease | hippocampal CA1 region cholesterol levels | - | - | reversed | #3 |
cholesterol depletion in vitro | decrease | neuronal GIRK currents | - | - | reversed | #4 |
atorvastatin | decrease | high-cholesterol diet effects on neuronal cholesterol content | rat model | - | countered | #5 |
atorvastatin | decrease | high-cholesterol diet effects on GIRK currents | rat model | - | countered | #6 |
cholesterol enrichment in vitro | increase | atorvastatin effects on neuronal cholesterol content | - | - | reversed | #7 |
cholesterol enrichment in vitro | increase | atorvastatin effects on GIRK currents | - | - | reversed | #8 |
Cholesterol, a critical component of the cellular plasma membrane, is essential for normal neuronal function. Cholesterol content is highest in the brain, where most cholesterol is synthesized de novo; HMG-CoA reductase controls the synthesis rate. Despite strict control, elevated blood cholesterol levels are common and are associated with various neurological disorders. G protein-gated inwardly rectifying potassium (GIRK) channels mediate the actions of inhibitory brain neurotransmitters. Loss of GIRK function enhances neuron excitability; gain of function reduces neuronal activity. However, the effect of dietary cholesterol or HMG-CoA reductase inhibition (i.e., statin therapy) on GIRK function remains unknown. Using a rat model, we compared the effects of a high-cholesterol versus normal diet both with and without atorvastatin, a widely prescribed HMG-CoA reductase inhibitor, on neuronal GIRK currents. The high-cholesterol diet increased hippocampal CA1 region cholesterol levels and correspondingly increased neuronal GIRK currents. Both phenomena were reversed by cholesterol depletion in vitro. Atorvastatin countered the high-cholesterol diet effects on neuronal cholesterol content and GIRK currents; these effects were reversed by cholesterol enrichment in vitro. Our findings suggest that high-cholesterol diet and atorvastatin therapy affect ion channel function in the brain by modulating neuronal cholesterol levels.