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Potassium voltage-gated channel subfamily KQT member 1 and Potassium voltage-gated channel subfamily E member 1 (KCNQ1 (for Potassium voltage-gated channel subfamily KQT member 1) and KCNE1 (for Potassium voltage-gated channel subfamily E member 1). When referencing the functional cardiac complex, the common abbreviation is KCNQ1/KCNE1 or "IKs channel.")

Target
KCNQ1 (for Potassium voltage-gated channel subfamily KQT member 1) and KCNE1 (for Potassium voltage-gated channel subfamily E member 1). When referencing the functional cardiac complex, the common abbreviation is KCNQ1/KCNE1 or "IKs channel."
Molecular classification
Ion channel, Voltage-gated potassium channel, Channel regulatory (KCNE1 as β-subunit/channel accessory protein)
01

Overview

The cardiac **IKs channel** is a protein complex composed of four **KCNQ1** (Potassium voltage-gated channel subfamily KQT member 1) subunits forming the pore and typically two **KCNE1** (Potassium voltage-gated channel subfamily E member 1) subunits acting as regulatory β-subunits[1][2][3]. This complex is a voltage-gated potassium channel critical for **electrical repolarization of cardiomyocytes** during the cardiac action potential and for maintaining ion homeostasis in epithelial tissues and the inner ear[1][2][3][4][5]. In the heart, KCNQ1/KCNE1 activity underlies the “slow delayed rectifier” potassium current (IKs), and mutations or pharmacological inhibition can lead to life-threatening arrhythmias such as long QT syndrome. In the inner ear, these channels maintain potassium balance required for normal hearing. The functional properties of the KCNQ1/KCNE1 complex are distinct from either protein alone; KCNE1 modulates KCNQ1 by slowing activation kinetics, enhancing conductance, and stabilizing the open state. Both genetic mutations and drug interactions with this channel complex are major causes of inherited and acquired arrhythmias[1][2][3][4][5].

Other names
KCNQ1: Kv7.1KVLQT1KCNE1: MinKIKs channel (for the KCNQ1/KCNE1 complex)
02

Mechanism of action

Inhibition of potassium efflux conducted by the KCNQ1/KCNE1 complex, prolonging cardiac action potential and refractory period (antiarrhythmic effect) - In some cases, activation of channel function (fewer examples, investigational)

03

Biological functions

Cardiac action potential repolarizationRegulation of heart rhythmPotassium ion transportInner ear potassium homeostasis (hearing)Epithelial ion transportCell volume and membrane potential regulation
04

Disease associations

Cardiovascular disease: long QT syndrome (LQTS), atrial fibrillation, cardiac arrhythmias, sudden cardiac deathSensorineural deafness (in some congenital syndromes)Other: certain diseases linked to epithelial ion transport dysfunction (e.g., gastrointestinal, renal)
05

Safety considerations

Risk of drug-induced long QT syndrome (torsades de pointes, a form of ventricular tachycardia)Risk of sudden cardiac death with loss-of-function or drug-induced blockadeRisk of deafness in syndromic genetic disordersArrhythmogenic liability with inhibitors, especially in patients with pre-existing mutations
06

Interacting drugs

Class III antiarrhythmic drugs (e.g., dofetilide, sotalol—block IKs current via KCNQ1/KCNE1)

4 more in the full profile.

07

Biomarkers

QT interval on electrocardiogram (ECG) as a biomarker for channel function and arrhythmia risk in LQTSGenetic testing for KCNQ1 and KCNE1 mutations in congenital long QT syndrome

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