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Large conductance calcium-activated potassium channel (alpha subunit) (BK channel (or BKCa, KCa1.1, Slo1))

Target
BK channel (or BKCa, KCa1.1, Slo1)
Molecular classification
Ion channel, Potassium channel, Calcium-activated potassium channel, Voltage-gated potassium channel
01

Overview

The **large conductance calcium-activated potassium channel (BK channel; also called Maxi-K, BKCa, KCa1.1, or Slo1)** is a voltage- and calcium-activated ion channel that enables rapid efflux of potassium ions in response to membrane depolarization and/or increased intracellular calcium levels. Structurally, it comprises four α subunits encoded by the KCNMA1 gene, each with seven transmembrane segments, and may associate with regulatory β and γ subunits, which modulate channel kinetics and pharmacology. BK channels are ubiquitously expressed in neuronal, muscle, and secretory cells, acting as integrators of electrical and calcium signals to regulate processes such as membrane repolarization, neurotransmitter release, smooth muscle tone, and circadian rhythms. Dysfunction or pharmacological targeting of BK channels is implicated in several diseases including hypertension, stroke, epilepsy, certain cancers (notably breast cancer), and overactive bladder, making them significant therapeutic targets under investigation.

Other names
Maxi-K channelBKCa channelSlo1KCa1.1 channelbig potassium channelhigh-conductance calcium-activated potassium channelKCNMA1 (gene encoding the alpha subunit)
02

Mechanism of action

Channel blockers inhibit potassium efflux, enhance cellular excitability, affect cell cycle and proliferation (notably in cancer models) Channel activators increase potassium efflux, hyperpolarize membrane, reduce neurotransmitter release, relax smooth muscle, anti-excitotoxic/neuroprotective Peptide toxins block the pore directly (e.g., charybdotoxin, iberiotoxin) Small molecule activators/agonists shift channel activation to more negative voltages or potentiate Ca2+ response

03

Biological functions

Regulation of membrane potentialControl of neuronal excitabilityRegulation of neurotransmitter releaseSmooth muscle tone regulation (e.g., bladder, vasculature)Cell signaling integration (voltage and Ca2+ sensing)Modulation of circadian rhythms
04

Disease associations

Cardiovascular disease (e.g., hypertension, stroke)Neurodegenerative disease (e.g., epilepsy, cognitive disorders, paroxysmal dyskinesia)Cancer (e.g., breast cancer)Urological conditions (e.g., overactive bladder, urinary incontinence, erectile dysfunction)Other (e.g., mood disorders, alcohol response)
05

Safety considerations

Channel inhibition or gain/loss of function may cause neurological effects (e.g., epilepsy, paroxysmal dyskinesia)Broad expression may lead to off-target cardiovascular or smooth muscle effectsDose-limiting toxicity with some antagonists (e.g., penitrem A can cause neurological toxicity at higher doses, associated with tremorgenic syndrome)Failed efficacy in stroke despite channel activation (BMS-204352)
06

Interacting drugs

Penitrem A (antagonist)

5 more in the full profile.

07

Biomarkers

BK channel (KCNMA1) expression (in cancer or tissue subtypes)Possibly p27 (G1 arrest marker upregulated by antagonist in cancer cells)

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