Target intelligence / Profile preview

Acetylcholine-Regulated Inwardly Rectifying Potassium Channel (I_KACh)

Target
I_KACh
Molecular classification
Ion channel, Potassium channel, G protein-coupled inwardly rectifying potassium channel (GIRK)
01

Overview

The acetylcholine-regulated inwardly rectifying potassium channel mediates key parasympathetic effects on cardiac rhythm through direct activation via muscarinic receptors. Its dysregulation contributes importantly to atrial fibrillation pathophysiology. Pharmacologic inhibition represents a promising avenue for developing safer antiarrhythmic therapies focused on atria-specific targets.

Other names
Acetylcholine-gated K+ channelMuscarinic K+ channelGIRK4/Kir3.4Acetylcholine-activated potassium channel
02

Mechanism of action

Activation by G protein βγ subunits released upon acetylcholine binding to muscarinic M2 receptors, leading to increased potassium permeability and hyperpolarization.

03

Biological functions

Regulation of membrane potentialRegulation of heart rateParasympathetic signaling
04

Disease associations

Atrial fibrillationArrhythmiaSleep-disordered breathing-related AF
05

Safety considerations

Potential for ventricular proarrhythmic effects (less than other antiarrhythmics)
06

Interacting drugs

XAF-1407

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