Target intelligence / Profile preview

Hyperpolarization-activated Cyclic Nucleotide-gated ion channel 2 (HCN2)

Target
HCN2
Molecular classification
Ion channel, Voltage-gated ion channel, Cyclic nucleotide-regulated channel, Potassium channel, Sodium channel
01

Overview

Hyperpolarization-activated Cyclic Nucleotide-gated ion channel 2 (HCN2) is a voltage-gated cation channel that mediates the hyperpolarization-activated current, often referred to as the 'funny' current (If) in the heart or the h-current (Ih) in the brain [6, 9, 11]. Unlike most voltage-gated channels, HCN2 opens upon membrane hyperpolarization and is further modulated by the binding of cyclic nucleotides, such as cAMP, which shifts its activation threshold to more depolarized potentials [6, 13]. It is highly expressed in the thalamus, cortex, and peripheral sensory neurons, where it plays a fundamental role in maintaining the resting membrane potential and regulating rhythmic neuronal firing [3, 15]. In pathological contexts, HCN2 has been identified as a critical 'pacemaker for pain,' particularly in neuropathic and inflammatory states where its sensitization by cAMP leads to spontaneous firing in nociceptive fibers [5, 13]. Furthermore, genetic variants in the HCN2 gene are linked to several forms of epilepsy and severe neurodevelopmental disorders, including febrile seizures and developmental encephalopathy [16, 17]. This makes HCN2 a significant therapeutic target for the development of selective analgesics and anticonvulsants that aim to stabilize neuronal excitability by modulating the channel's gating properties [13, 20].

Other names
BCNG-2BCNG2HAC-1Potassium/sodium hyperpolarization-activated cyclic nucleotide-gated channel 2Hyperpolarization activated cyclic nucleotide gated potassium and sodium channel 2EIG17FEB2GEFSP11
02

Mechanism of action

HCN channel blocker, HCN channel inhibitor, HCN channel partial agonist

03

Biological functions

Regulation of membrane potentialGeneration of pacemaker current (Ih/If)Modulation of neuronal excitabilityNociceptive signalingDendritic integrationSynaptic transmission regulation
04

Disease associations

Neuropathic painInflammatory painEpilepsy (Febrile seizures, Idiopathic generalized epilepsy)Cardiac arrhythmiaAffective disorder (Depression)Developmental and epileptic encephalopathy
05

Safety considerations

Bradycardia (due to cross-reactivity with HCN4)Visual disturbances (phosphenes, due to HCN expression in retina)Potential CNS side effects on mood and learningAlterations in cardiac rhythm
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Interacting drugs

Ivabradine

4 more in the full profile.

07

Biomarkers

HCN2 gene variants (e.g., p.Arg324His)I(h) current densityHCN2 mRNA expression levels in sensory neurons

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