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KCNE2 (Potassium voltage-gated channel subfamily E regulatory subunit 2) is a small, single-pass transmembrane protein that acts as a beta/ancillary subunit for voltage-gated potassium channel complexes, especially those containing the KCNH2 (hERG) alpha subunit in the heart. It modulates channel gating kinetics and stability, influencing the cardiac repolarization phase and overall electrical activity in multiple tissues, including heart, stomach, thyroid, and brain. KCNE2 dysfunction—via inherited mutations or drug interaction—can precipitate long QT syndrome, familial atrial fibrillation, hypothyroidism, gastric pathology, and various metabolic and neurological disorders. KCNE2's clinical relevance stems from its role in arrhythmia susceptibility and its association with genetic and pharmacological risk factors for cardiovascular events
Blockade of hERG (KCNH2)/KCNE2 channel complex by drugs prolongs the cardiac action potential (QT interval), increasing risk for arrhythmia/torsades de pointes Modulation of cardiac repolarization by altering delayed rectifier potassium current (IKr)
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