Wulff Heike, Castle Neil A, Pardo Luis A
Department of Pharmacology, University of California, Davis, 451 Health Sciences Drive, GBSF Room 3502, Davis, California 95616, USA.
Nat Rev Drug Discov. 2009 Dec;8(12):982-1001. doi: 10.1038/nrd2983.
The human genome encodes 40 voltage-gated K(+) channels (K(V)), which are involved in diverse physiological processes ranging from repolarization of neuronal and cardiac action potentials, to regulating Ca(2+) signalling and cell volume, to driving cellular proliferation and migration. K(V) channels offer tremendous opportunities for the development of new drugs to treat cancer, autoimmune diseases and metabolic, neurological and cardiovascular disorders. This Review discusses pharmacological strategies for targeting K(V) channels with venom peptides, antibodies and small molecules, and highlights recent progress in the preclinical and clinical development of drugs targeting the K(V)1 subfamily, the K(V)7 subfamily (also known as KCNQ), K(V)10.1 (also known as EAG1 and KCNH1) and K(V)11.1 (also known as HERG and KCNH2) channels.
人类基因组编码40种电压门控钾离子通道(K(V)),这些通道参与多种生理过程,从神经元和心脏动作电位的复极化,到调节Ca(2+)信号传导和细胞体积,再到驱动细胞增殖和迁移。K(V)通道为开发治疗癌症、自身免疫性疾病以及代谢、神经和心血管疾病的新药提供了巨大机遇。本综述讨论了用毒液肽、抗体和小分子靶向K(V)通道的药理学策略,并重点介绍了靶向K(V)1亚家族、K(V)7亚家族(也称为KCNQ)、K(V)10.1(也称为EAG1和KCNH1)和K(V)11.1(也称为HERG和KCNH2)通道的药物在临床前和临床开发方面的最新进展。