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The ATP-sensitive potassium (KATP) channel in pancreatic beta cells is a hetero-octameric complex composed of four Kir6.2 (KCNJ11) and four SUR1 (ABCC8) subunits. It couples cellular metabolism to electrical activity and insulin secretion. Increased intracellular ATP closes the channel, leading to depolarization and insulin release. Sulfonylureas bind to SUR1, mimicking the effect of ATP and stimulating insulin secretion. Mutations in KCNJ11 or ABCC8 can cause neonatal diabetes or congenital hyperinsulinism.
Sulfonylureas bind to SUR1, closing the KATP channel and depolarizing the beta cell, leading to insulin secretion.
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