Target intelligence / Profile preview

Potassium inwardly rectifying channel subfamily J member 10 (Kir4.1)

Target
Kir4.1
Molecular classification
Ion channel, Potassium channel, Inwardly rectifying potassium channel
01

Overview

Potassium inwardly rectifying channel subfamily J member 10 (Kir4.1) is a tetrameric ion channel encoded by the KCNJ10 gene that allows potassium ions to enter cells more easily than exit, contributing to the maintenance of the negative resting membrane potential, extracellular potassium buffering, and general potassium homeostasis in excitable and non-excitable tissues[5][7]. Kir4.1 is primarily expressed in astrocytes in the brain (where it is crucial for potassium and glutamate clearance), in the distal convoluted tubules of the kidney (involved in potassium recycling), and in the stria vascularis of the inner ear (critical for hearing)[5]. Mutations or dysfunction in this gene/channel are implicated in epilepsy, ataxia, sensorineural deafness, tubulopathies (EAST/SeSAME syndrome), and can also play a role in cancer and other pathologies[5][6][2]. It is a validated therapeutic target for disorders involving neuronal excitability, renal ion transport, and hearing, but targeting Kir4.1 carries significant risk of neurological, auditory, and renal side effects due to its broad physiological roles[2][5][6]. Experimental inhibitors such as VU6036720 have been developed and may help further elucidate its therapeutic potential[1].

Other names
KCNJ10Kir4.1ATP-sensitive inward rectifier potassium channel 10Inward rectifier potassium channel 4.1
02

Mechanism of action

Inhibition reduces potassium conductance, depolarizes membrane potential, and disrupts potassium buffering, contributing to excitability and impaired homeostasis. Modulation alters neuronal and glial cell excitability and can affect kidney and ear function.

03

Biological functions

Regulation of resting membrane potentialPotassium ion homeostasis and bufferingControl of cellular excitabilityRegulation of extracellular potassium concentration in the brainMyelination in glial cellsFormation of endolymph (fluid in inner ear)Potassium recycling in the kidneyRegulation of glutamate clearanceCell volume regulation
04

Disease associations

EpilepsyAtaxiaSensorineural deafnessTubulopathy (part of EAST/SeSAME syndrome)Cancer (as a deregulated gene in some tumors)Electrolyte imbalanceHearing impairmentNeurodevelopmental disorders (e.g., Rett syndrome)
05

Safety considerations

Risk of seizures and neurological symptoms with functional inhibition or loss-of-function mutationsHearing loss (sensorineural deafness) and severe electrolyte disturbances with mutation or channel blockadePotential for cardiac, renal, and CNS side effects if targeted systemically
06

Interacting drugs

VU6036720 (experimental Kir4.1/5.1 inhibitor)

2 more in the full profile.

07

Biomarkers

KCNJ10 gene mutations (for EAST/SeSAME syndrome diagnosis)Kir4.1 expression (in glia for epilepsy, in kidney for tubulopathies)

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