Key result
Small-molecule modulators can inhibit or enhance M-type K+ currents, showing potential as therapeutic strategies for disorders linked to KV7x or KCNQx channel mutations.
Small-molecule modulators of M-type K+ channels offer potential pharmacological strategies for treating disorders linked to KV7x or KCNQx mutations.
The core subunits of the KV7.2, KV7.3, and KV7.5 channels, encoded by the KCNQ2, KCNQ3, and KCNQ5 genes, are expressed across various cell types and play a key role in generating the M-type K+ current (IK(M)). This current is characterized by an activation threshold at low voltages and displays slow activation and deactivation kinetics. Variations in the amplitude and gating kinetics of IK(M) can significantly influence membrane excitability. Notably, IK(M) demonstrates distinct voltage-dependent hysteresis when subjected to prolonged isosceles-triangular ramp pulses. In this review, we explore various small-molecule modulators that can either inhibit or enhance the amplitude of IK(M), along with their perturbations on its gating kinetics and voltage-dependent hysteresis. The inhibitors of IK(M) highlighted here include bisoprolol, brivaracetam, cannabidiol, nalbuphine, phenobarbital, and remdesivir. Conversely, compounds such as flupirtine, kynurenic acid, naringenin, QO-58, and solifenacin have been shown to enhance IK(M). These modulators show potential as pharmacological or therapeutic strategies for treating certain disorders linked to gain-of-function or loss-of-function mutations in M-type K+ (KV7x or KCNQx) channels.
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Lu et al. (2025) conducted a review in Disorders linked to mutations in M-type K+ (KV7x or KCNQx) channels. Small-molecule modulators of M-type K+ currents was evaluated. Small-molecule modulators can inhibit or enhance M-type K+ currents, showing potential as therapeutic strategies for disorders linked to KV7x or KCNQx channel mutations.
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