Target intelligence / Profile preview

Potassium voltage-gated channel subfamily E member 1 (KCNE1)

Target
KCNE1
Molecular classification
Ion channel (ancillary/regulatory subunit), Voltage-gated potassium channel β-subunit
01

Overview

Potassium voltage-gated channel subfamily E member 1 (KCNE1) is a single-span transmembrane β-subunit that modulates the function of the KCNQ1 (Kv7.1) voltage-gated potassium channel. In the cardiac tissue, KCNE1 associates with KCNQ1 to form the IKs channel complex, which generates the slow delayed rectifier potassium current essential for the repolarization phase of the cardiac action potential. Mutations in KCNE1 or its alpha subunit partner KCNQ1 can result in cardiac arrhythmias, notably long QT syndrome and Jervell and Lange-Nielsen syndrome, sometimes accompanied by sensorineural deafness due to impaired potassium homeostasis. KCNE1 slows the channel's activation and changes conductance properties, thus regulating electrical signaling in excitable cells and affecting heart rate, neuronal excitability, and epithelial electrolyte transport. Drugs such as chromanol 293B and benzodiazepine L7 interact with the IKs complex, and KCNE1 is an important therapeutic and pharmacological target for managing QT interval abnormalities. Safety concerns center on arrhythmogenic risks and the potential for sudden cardiac death if the channel is abnormally modulated.

Other names
MinKIsKJLNS2LQT5Delayed rectifier potassium channel subunit IsKIKs producing slow voltage-gated potassium channel subunit beta MinkMinimal potassium channelJervell and Lange-Nielsen syndrome 2Long QT syndrome 5ISKJLNSLQT2/5cardiac delayed rectifier potassium channel proteindelayed rectifier potassium channel subunit IsKpotassium channel, voltage gated subfamily E regulatory beta subunit 1potassium voltage-gated channel, Isk-related subfamily, member 1voltage gated potassium channel accessory subunit
02

Mechanism of action

Blockade or inhibition of IKs current (by chromanol 293B, benzodiazepine L7). Modulation of channel gating kinetics and amplitude through β-subunit regulation.

03

Biological functions

Cardiac action potential repolarization (IKs current)Modulation of KCNQ1 potassium channels (delayed rectifier current)Maintenance of endolymph potassium homeostasisRegulation of channel activation kinetics
04

Disease associations

Cardiovascular disease (Long QT syndrome, arrhythmias, Jervell and Lange-Nielsen syndrome)Deafness (syndromic, Jervell and Lange-Nielsen syndrome)
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Safety considerations

Risk of cardiac arrhythmias and sudden death with inherited or acquired channel dysfunctionRisk of electrolyte imbalanceRisk of deafness (in syndromic cases)QT interval prolongation (monitoring required for drugs modulating IKs current)
06

Interacting drugs

Chromanol 293B

2 more in the full profile.

07

Biomarkers

KCNE1 mutations (for patient stratification in Long QT syndrome and Jervell and Lange-Nielsen syndrome)Prolonged QT interval (ECG finding associated with KCNE1 dysfunction)

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