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Potassium voltage-gated channel subfamily KQT member 2 (KCNQ2) (KCNQ2)

Target
KCNQ2
Molecular classification
Ion channel, Voltage-gated potassium channel, Kv7 family
01

Overview

Potassium voltage-gated channel subfamily KQT member 2 (KCNQ2), also known as Kv7.2, is a critical protein that forms voltage-gated potassium channels primarily in the central nervous system. While it frequently heteromerizes with KCNQ3 to form the M-current, KCNQ2 can also form functional homomeric channels that play a significant role in regulating neuronal excitability (UniProt P48522; IUPHAR/BPS Guide to Pharmacology). These channels mediate a slow-activating and non-inactivating potassium current that stabilizes the resting membrane potential and limits repetitive action potential firing (PubMed: 25200625). Mutations in the KCNQ2 gene are a primary cause of neonatal epilepsy, ranging from Benign Familial Neonatal Convulsions (BFNC) to severe developmental and epileptic encephalopathies (KCNQ2-DEE) (StatPearls: KCNQ2-Related Epilepsy). Pharmacologically, KCNQ2 is a major target for anticonvulsant drugs like retigabine, which act as positive allosteric modulators to open the channel and reduce neuronal overactivity. Current drug development focuses on highly selective KCNQ2/3 openers, such as XEN1101, to treat refractory epilepsy and neuropathic pain while minimizing off-target effects like urinary retention or sedation.

Other names
Kv7.2Potassium channel subunit alpha Kv7.2KQT-like 2BFNCEBFN1KCNA11ENB1
02

Mechanism of action

Positive allosteric modulation (channel opening) to increase potassium efflux and hyperpolarize the neuronal membrane, thereby reducing hyperexcitability.

03

Biological functions

Regulation of neuronal excitabilityMaintenance of resting membrane potentialM-current formationAction potential repolarizationControl of repetitive firing
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Disease associations

EpilepsyBenign Familial Neonatal Convulsions (BFNC)KCNQ2-related developmental and epileptic encephalopathy (KCNQ2-DEE)Neuropathic painMyokymia
05

Safety considerations

CNS side effects (dizziness, somnolence, fatigue)Urinary retention (due to cross-reactivity with KCNQ4/5)Retinal pigmentation and skin discoloration (specific to retigabine)Potential for cardiac QT interval effects if selectivity for KCNQ1 is poor
06

Interacting drugs

Retigabine

8 more in the full profile.

07

Biomarkers

KCNQ2 pathogenic variants (genetic testing)Burst-suppression EEG patternM-current density measurements

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