Target intelligence / Profile preview

Potassium calcium-activated channel subfamily M regulatory beta subunit 4 (KCNMB4)

Target
KCNMB4
Molecular classification
Ion channel, Regulatory subunit
01

Overview

Potassium calcium-activated channel subfamily M regulatory beta subunit 4 (KCNMB4) is a regulatory auxiliary subunit of the large-conductance voltage- and calcium-activated potassium (BK, KCa1.1) channel complex[1][3]. This subunit modulates the kinetics and calcium sensitivity of the central pore-forming KCNMA1 (BK alpha) subunit, leading to a slowdown in channel activation/deactivation and altered channel responsiveness to intracellular calcium[1][3][4]. KCNMB4 is especially important in neuronal tissues, where it helps shape neuronal excitability and impacts neurotransmission and spike timing[6]. Mutations or altered expression of KCNMB4 have been associated with neurological diseases such as paroxysmal nonkinesigenia dyskinesia and hypomagnesemia[1]. While charybdotoxin and related compounds interact with the channel, KCNMB4 makes the BK channel resistant to nanomolar concentrations of this blocker[3], highlighting its importance in pharmacological responses. KCNMB4 and the broader BK channel complex are being investigated as therapeutic targets in neurological, cardiovascular, and renal disorders due to their key roles in cellular excitability, though specific KCNMB4-targeted drugs are not yet established[2][3].

Other names
Calcium-activated potassium channel subunit beta-4BK channel beta subunit 4BKbeta4Hbeta4Maxi K channel subunit beta-4Slo-beta-4MaxiK channel beta-subunit 4big potassium channel beta subunit 4charybdotoxin receptor subunit beta-4potassium channel subfamily M regulatory beta subunit 4
02

Mechanism of action

Modulation of ion channel gating: Alters calcium sensitivity and voltage range of BK (KCNMA1) channel activation; Shifts channel opening potential, affects kinetics, and pharmacological sensitivity

03

Biological functions

Modulation of calcium-activated potassium (BK, Slo1, KCNMA1) channel functionRegulation of neuronal excitabilityModulation of smooth muscle toneRegulation of neurotransmitter releaseControl of synaptic transmission
04

Disease associations

Neurological/Neuropsychiatric diseaseParoxysmal nonkinesigenic dyskinesia 3Hypomagnesemia 4, renalOther neurological channelopathies
05

Safety considerations

Modulation of neuronal excitability carries risk for seizures, movement disorders, and other neurological side effectsPotential for off-target effects with general BK channel modulators due to wide tissue expression
06

Interacting drugs

Charybdotoxin (acts as a BK channel blocker, although KCNMB4 confers some resistance)

1 more in the full profile.

07

Biomarkers

Altered KCNMB4 expression can be measured as a marker of certain neurological disorders or subtypes of dyskinesiaNot routinely used clinically

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