Target intelligence / Profile preview

Big potassium channel (BK channel)

Target
BK channel
Molecular classification
Ion channel, Calcium-activated potassium channel, Potassium channel, Large-conductance ion channel, Voltage-gated ion channel
01

Overview

The big potassium channel, also known as the BK channel, is a large-conductance, calcium- and voltage-activated potassium channel encoded by the KCNMA1 gene (alias Slo1). It is widely expressed in both excitable and non-excitable tissues, including neurons, muscle, vascular smooth muscle, kidney, and secretory epithelia[1][3][5]. The channel has a unique ability to integrate changes in membrane potential and intracellular calcium concentration to control the efflux of potassium ions, thereby regulating cellular excitability, neurotransmitter release, muscle contraction, and vascular tone[1][3][5]. Structurally, the channel is a tetramer of α-subunits, each containing a voltage-sensing domain, a pore-gated domain, and a cytosolic calcium-sensing domain; auxiliary β and γ subunits further modulate its functional properties[1][3][5]. Aberrant BK channel function is implicated in several diseases, notably epilepsy, hypertension, stroke, and bladder dysfunction, and it is considered a promising but challenging target for drug development due to its tissue distribution and regulatory complexity[1][2][5].

Other names
BKCaMaxi-Kslo1KCa1.1Large-conductance calcium-activated potassium channel
02

Mechanism of action

Channel blocker (inhibitor), Channel activator (agonist), Modulation of channel gating by voltage or calcium, Alters potassium ion efflux, Hyperpolarizes cell membrane, Attenuates hyperexcitability, Promotes smooth muscle relaxation

03

Biological functions

Membrane repolarizationRegulation of neuronal excitabilityModulation of muscle contractilityRegulation of neurotransmitter releaseVascular tone regulationAirway smooth muscle relaxationGastrointestinal motility regulationCircadian rhythm modulation
04

Disease associations

EpilepsyHypertensionStrokeOveractive bladderCardiovascular diseaseSensory impairmentAsthmaFragile X syndrome (research model)Cancer (potential, limited evidence)Cognitive deficitsAlcohol-related behavior
05

Safety considerations

Low selectivity of early drug candidates leading to off-target effectsLimited clinical efficacy of experimental drugs (e.g., BMS-204352 failed in clinical trials)Potential for channel overactivation or blockade to disrupt normal physiological functions (e.g., blood pressure, neuronal firing)Possible safety challenges in targeting ubiquitous channels
06

Interacting drugs

BMS-204352 (BK channel agonist, experimental)

4 more in the full profile.

07

Biomarkers

None widely established; genetic association (KCNMA1 mutations for epilepsy/sensory impairment)functional assays for channel activity in vascular or neuronal tissues

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