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Voltage-gated potassium channel subunits Kv7.2, Kv7.3, and Kv7.5 (Kv7.2 (KCNQ2), Kv7.3 (KCNQ3), Kv7.5 (KCNQ5))

Target
Kv7.2 (KCNQ2), Kv7.3 (KCNQ3), Kv7.5 (KCNQ5)
Molecular classification
Ion channel, Voltage-gated potassium channel (Kv channel), Transmembrane protein
01

Overview

Kv7.2, Kv7.3, and Kv7.5 are subunits of the voltage-gated potassium channel family encoded by KCNQ2, KCNQ3, and KCNQ5, respectively. These subunits co-assemble—most commonly as heterotetramers of Kv7.2/Kv7.3 or Kv7.3/Kv7.5—to form functional ion channels in the plasma membrane of neurons and other excitable cells. Kv7 channels are crucial for the generation of the M-current, a slowly activating, non-inactivating K⁺ current that regulates neuronal excitability by stabilizing the resting membrane potential and limiting repetitive neuronal firing[1][3][5]. Kv7 channel dysfunction, most often through genetic mutations, is implicated in a spectrum of neurological diseases, primarily early-onset epilepsies and neurodevelopmental disorders. Kv7 channels are the targets of drugs such as retigabine, which act as openers to increase channel activity and reduce neuronal excitability. These channels are widely expressed in the nervous system, and their pharmacological modulation presents both opportunities and challenges for neurological therapeutics, particularly regarding safety profiles and off-target effects[5][2][6].

Other names
KCNQ2KCNQ3KCNQ5M-channelM-current channelvoltage-gated potassium channel subunitsKCNQ channels
02

Mechanism of action

Positive allosteric modulation (channel openers activate the channel, shifting voltage dependence to facilitate opening)[2][5]. Stabilization of neuronal resting potential to reduce hyperexcitability[2][5]. Inhibition of channel (rare, negatively modulating drugs or pathogenic mutations)[2].

03

Biological functions

Regulation of neuronal excitabilityControl of action potential firingMaintenance of resting membrane potentialModulation of afterhyperpolarization in neuronsControl of cardiac repolarization (for certain isoforms)
04

Disease associations

EpilepsyNeurodevelopmental disordersDeafness (for some isoforms)Cardiac arrhythmia (for some isoforms)EncephalopathyNeuropathic painOther neurological disorders
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Safety considerations

Retigabine: skin discoloration, retinal pigmentation, urinary retention, central nervous system side effectsPotential risk of cardiac arrhythmia (usually associated with Kv7.1, not with Kv7.2/7.3/7.5)[5][2]
06

Interacting drugs

Retigabine (ezogabine)

4 more in the full profile.

07

Biomarkers

KCNQ2, KCNQ3, and KCNQ5 gene mutations as biomarkers in genetic epilepsy and encephalopathiesElectroencephalogram (EEG) abnormalities in channelopathy patients

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