Target intelligence / Profile preview

Cardiac delayed rectifier potassium channel

Molecular classification
Ion channel, Voltage-gated potassium channel, Delayed rectifier potassium channel
01

Overview

Cardiac delayed rectifier potassium channels are a group of voltage-gated potassium channels critical for mediating outward potassium currents during the plateau and repolarization phases of the cardiac action potential, thereby controlling action potential duration and the refractory period in cardiomyocytes. The main subtypes are the rapidly activating IKr (Kv11.1/hERG), slowly activating IKs (KCNQ1/KCNE1), and the atrial-specific IKur (Kv1.5). They are essential determinants of cardiac repolarization, and disruption—either by genetic mutation or drug-induced blockade—can lead to serious arrhythmias including long QT syndrome and sudden cardiac death. Clinically, these channels are targeted by several antiarrhythmic drugs but are also commonly implicated in drug-induced arrhythmias.

Other names
IKr channelIKs channelKv11.1 channelhERG channelKCNQ1/KCNE1 channelKv7.1 channelKv1.5 channelIKur channel
02

Mechanism of action

Channel blockade prolonging action potential duration (antiarrhythmic); Channel activation increasing repolarization to correct prolonged QT (experimental/novel approach)

03

Biological functions

Cardiac repolarizationAction potential modulationRegulation of cardiac excitability
04

Disease associations

Cardiovascular diseaseCardiac arrhythmia (including atrial fibrillation, ventricular tachyarrhythmia, Long QT syndrome)
05

Safety considerations

QT interval prolongationRisk of Torsades de Pointes (life-threatening arrhythmia)Proarrhythmia potential of blockers
06

Interacting drugs

Dofetilide

5 more in the full profile.

07

Biomarkers

Long QT interval (QTc prolongation on ECG)Action potential duration (APD) in cardiac myocytes

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