Target intelligence / Profile preview

Potassium channel protein hERG subunit alpha (hERG (also Kv11.1))

Target
hERG (also Kv11.1)
Molecular classification
Ion channel, Voltage-gated potassium channel, Channel protein
01

Overview

The **potassium channel protein hERG subunit alpha** is the alpha subunit of a voltage-gated potassium channel encoded by the *KCNH2* gene (also called Kv11.1). It is best known for its **critical role in cardiac action potential repolarization**, mediating the rapid delayed rectifier potassium current (I_Kr), which is essential for the timing and termination of the heart's electrical signal. Blockade or mutation of this channel can lead to potentially fatal heart rhythm disorders, most famously long QT syndrome, and many marketed drugs have been withdrawn or had warnings because of unintended inhibition of hERG. The channel is composed of four alpha subunits, each spanning the membrane six times (S1–S6 regions), with specialized structures dedicated to voltage sensing and ion selectivity. Beyond the heart, hERG is also expressed in the nervous system and various cancer cell lines, where its roles are less defined but may relate to cellular excitability and proliferation. Because inadvertent blockade by pharmaceuticals poses a serious pro-arrhythmic risk, **hERG is both a key therapeutic target and an important antitarget in drug safety pharmacology**[1][3][4][5][6].

Other names
Human ether-à-go-go-related gene product alpha subunitKCNH2 (gene symbol)Kv11.1Ether-à-go-go-related gene potassium channelhERG1
02

Mechanism of action

Drug block: Many drugs bind within the central cavity or hydrophobic pocket of the hERG channel, physically occluding potassium flow and prolonging repolarization of the cardiac action potential. QT interval prolongation: Blockade leads to prolongation of action potential duration, resulting in QT interval prolongation on ECG.

03

Biological functions

Cardiac action potential repolarizationControl of cardiac QT intervalSignal transduction (electrical signaling in the heart)Regulation of cell membrane potentialModulation of cellular excitabilityMaintenance of cancer-like features in certain leukemic cells
04

Disease associations

Cardiovascular disease (notably long QT syndrome, short QT syndrome, arrhythmias)Cancer ("cancer-like" features in leukemic and some tumor cells)Other (potential neurological roles in brain)
05

Safety considerations

Drug-induced arrhythmia (notably torsades de pointes, a potentially fatal ventricular tachyarrhythmia)Long QT syndrome (LQTS)Sudden cardiac death risk with hERG channel blockadeUnintentional drug interactions: Many non-cardiac drugs can block hERG and pose hidden cardiac risks
06

Interacting drugs

Dofetilide

7 more in the full profile.

07

Biomarkers

QT interval on electrocardiogram (ECG) (prolongation is a clinical biomarker of hERG block)Genetic testing for KCNH2 mutations (diagnosis of congenital long QT syndrome)

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