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The ATP-sensitive potassium (KATP) channel in pancreatic beta cells is a hetero-octameric protein complex composed of four Kir6.2 and four SUR1 subunits. It couples cellular metabolism to electrical activity, regulating insulin secretion in response to changes in intracellular ATP and ADP levels. It is a key target for sulfonylurea drugs used to treat type 2 diabetes and is implicated in neonatal diabetes and congenital hyperinsulinism.
Sulfonylureas bind to SUR1 subunit, closing the KATP channel, leading to membrane depolarization and insulin release. ATP inhibits the channel. MgADP activates the channel.
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