Target intelligence / Profile preview

Potassium voltage-gated channel subfamily H member 5 (KCNH5)

Target
KCNH5
Molecular classification
Ion channel, Voltage-gated potassium channel, Delayed rectifier potassium channel, Channel protein
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Overview

Potassium voltage-gated channel subfamily H member 5 (KCNH5) is a pore-forming (alpha) subunit of a voltage-gated delayed rectifier potassium channel, also known as Kv10.2 or EAG2. It mediates outward-rectifying potassium currents activated by membrane depolarization, with slow activation kinetics and little or no inactivation. KCNH5 channels, widely expressed in the brain and other tissues, play crucial roles in regulating neuronal excitability, neurotransmitter and hormone release, cardiac repolarization, and cell volume. Pathogenic mutations in KCNH5 have been associated with early-onset epileptic encephalopathies, developmental delays, and autism spectrum disorder. Antiepileptic drugs, including valproic acid, lamotrigine, and others, are reported to control seizures in patients carrying KCNH5 mutations, though no specific modulators of KCNH5 are clinically available. Evidence also suggests KCNH5 may contribute to cancer biology, but its role in oncology requires further validation.

Other names
EAG2hEAG2Kv10.2H-EAG2ether-à-go-go 2voltage-gated delayed rectifier potassium channel KCNH5ether-a-go-go-related potassium channel 2
02

Mechanism of action

Enhancement or stabilization of neuronal potassium currents (indirectly, via symptom control in epilepsy) Inhibition of seizure propagation by modifying neuronal excitability (through non-specific AEDs)

03

Biological functions

Regulation of neurotransmitter releaseModulation of neuronal excitabilityCardiac functionHormone secretionEpithelial electrolyte transportControl of cell volumeOutward potassium ion conductance (membrane repolarization)
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Disease associations

Developmental and epileptic encephalopathy (DEE112)Epileptic encephalopathiesAutism spectrum disorder (ASD)Developmental delaySeizure disordersPossible roles in cancer (e.g. renal cell carcinoma, melanoma, pancreatic cancer, medulloblastoma)
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Safety considerations

Potential neurodevelopmental and neuropsychiatric comorbidities (autism, developmental delay)Therapeutic challenges with seizure control and unknown long-term neurological impacts of targeting this channel
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Interacting drugs

Valproic acid

4 more in the full profile.

07

Biomarkers

Pathogenic KCNH5 mutation (e.g., c.980G>A (p.R327H), c.962G>A (p.S321N), c.2020-4A>G (splicing)) for diagnostic and potentially prognostic purposes in epilepsy and neurodevelopmental disorders

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