The high-conductance, Ca2+-activated K+ (BK) channel in vascular smooth muscle cells (VSMCs) exerts a vasodilator influence that buffers vascular tone. There is
strong evidence that abnormalities in the number or activity level of the BK channels can trigger vasoconstriction, disrupt
blood flow to critical organs and elevate blood pressure. Indeed, a loss of BK channels has been detected in conditions associated
with accentuated vascular tone, including aging, metabolic syndrome, diabetes, and some forms of hypertension. In these conditions,
the homeostatic efforts of the vasculature to retain normal vascular tone may be compromised by a reduced number of BK channels
and by a loss of the endothelium-derived vasodilator factors that promote channel opening. Owing to its recognized role in
mediating vasodilation, the BK channel is regarded as a therapeutic target for the treatment of aging and age-related cardiovascular
diseases that are associated with abnormal vascular tone.