Target intelligence / Profile preview

Cardiac Transient Outward Potassium Channel (I_to)

Target
I_to
Molecular classification
Ion Channel, Voltage-gated Potassium Channel
01

Overview

The cardiac transient outward potassium channel is responsible for generating the transient outward potassium current (I_to) in heart muscle cells (cardiomyocytes). This current plays a crucial role during phase 1 of the cardiac action potential, contributing to the initial rapid repolarization that follows depolarization. The movement of potassium ions (K+) from inside to outside the cell through these channels causes a brief outward current that helps shape the action potential waveform and influences subsequent calcium entry and contraction. The fast component (I_to,f) is formed by Kv4.2 (KCND2) and/or Kv4.3 (KCND3) alpha subunits, often co-assembled with accessory proteins such as KChIP2 and DPP6. The slow component (I_to,s) is composed primarily of Kv1.4 (KCNA4) subunits. Reduced I_to,f density is observed in failing hearts and chronic atrial fibrillation; it also plays a role in arrhythmogenic conditions like Brugada syndrome.

Other names
ItoIto1Transient Outward Potassium Current
02

Mechanism of action

Potassium channel blockade

03

Biological functions

Action potential shapingRegulation of calcium influxCardiac repolarization
04

Disease associations

ArrhythmiaHypertrophyBrugada SyndromeAtrial FibrillationHeart Failure
05

Safety considerations

Potential for pro-arrhythmic effectsDrug-induced QT prolongation
06

Interacting drugs

4-Aminopyridine (4-AP)

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