Target intelligence / Profile preview

Cardiac potassium channel protein

Molecular classification
Ion channel, Voltage-gated potassium channel, Delayed rectifier potassium channel (for subtypes like KCNQ1, hERG), Inward-rectifying potassium channel (for subtypes like Kir6.2)
01

Overview

Cardiac potassium channel proteins form a large family of transmembrane ion channels highly expressed in cardiac tissue. They are integral membrane proteins assembled as tetramers around a central pore, with each subunit containing six transmembrane helices (notably S4 as the voltage sensor, S5/S6 and pore loop as the ion-conducting region). These channels mediate the outward flow of potassium ions, driving repolarization and termination of the cardiac action potential, which is critical for normal cardiac rhythm. There are multiple subtypes, including voltage-gated potassium channels (e.g., KCNQ1 for IKs, KCNH2/hERG for IKr, and Kir6.2 for IKATP), each contributing to different phases of the cardiac action potential and subject to distinct regulation and pharmacology. Mutations or drug-induced dysfunction in these channels are major causes of cardiac arrhythmias and represent a significant concern for drug safety testing and cardiovascular therapeutics

Other names
Cardiac K+ channelCardiac potassium channelCardiac KV channelCardiac voltage-gated potassium channelCardiac delayed rectifier potassium channelCardiac KCNQ1 (for one major subtype)Cardiac hERG channel (for another major subtype)Cardiac IKs channelCardiac IKr channel
02

Mechanism of action

Blockade of K+ channel (prolongs repolarization, antiarrhythmic effect) Modulation of channel opening/closing (gating modulation) Prolongation of cardiac action potential duration Modulation by protein kinase A (PKA) phosphorylation

03

Biological functions

Membrane repolarization during cardiac action potentialRegulation of cardiac electrical activity and excitabilitySetting and restoring resting membrane potentialShaping the duration of the cardiac action potentialControlling cardiac rhythmicity
04

Disease associations

Cardiovascular disease (arrhythmia, long QT syndrome, atrial fibrillation)Sudden cardiac deathHeart failureOther (involvement in channelopathies)
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Safety considerations

Risk of Torsades de Pointes and other lethal ventricular arrhythmias due to channel blockade (especially hERG/Kv11.1 inhibition)Off-target effects on other cardiac currentsVariable channel effects based on genetic background, age, sex, or disease state
06

Interacting drugs

Amiodarone

8 more in the full profile.

07

Biomarkers

QT interval on ECG (indicator for channel function)Genetic screening for KCNQ1, KCNH2, and other channel gene mutations in inherited arrhythmias

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