School of Chemistry, Chemical Engineering and Life Sciences, Wuhan University of Technology, Wuhan 430070, China.
Department of Zoology, University of Sialkot, Sialkot 51310, Pakistan.
Curr Neuropharmacol. 2023;21(7):1504-1518. doi: 10.2174/1570159X21666221208091805.
Although potassium channelopathies have been linked to a wide range of neurological conditions, the underlying pathogenic mechanism is not always clear, and a systematic summary of clinical manifestation is absent. Several neurological disorders have been associated with alterations of calcium-activated potassium channels (K channels), such as loss- or gain-of-function mutations, post-transcriptional modification, etc. Here, we outlined the current understanding of the molecular and cellular properties of three subtypes of K channels, including big conductance K channels (BK), small conductance K channels (SK), and the intermediate conductance K channels (IK). Next, we comprehensively reviewed the loss- or gain-of-function mutations of each K channel and described the corresponding mutation sites in specific diseases to broaden the phenotypic-genotypic spectrum of K-related neurological disorders. Moreover, we reviewed the current pharmaceutical strategies targeting K channels in K-related neurological disorders to provide new directions for drug discovery in anti-seizure medication.
尽管钾通道病与多种神经疾病有关,但潜在的致病机制并不总是清楚,也缺乏对临床表现的系统总结。几种神经疾病与钙激活钾通道(K 通道)的改变有关,如功能丧失或获得性突变、转录后修饰等。在这里,我们概述了对三种亚型 K 通道(包括大电导 K 通道(BK)、小电导 K 通道(SK)和中间电导 K 通道(IK))的分子和细胞特性的当前理解。接下来,我们全面回顾了每种 K 通道的功能丧失或获得性突变,并描述了特定疾病中相应的突变位点,以拓宽与 K 相关的神经疾病的表型-基因型谱。此外,我们还回顾了目前针对 K 相关神经疾病中 K 通道的药物治疗策略,为抗癫痫药物的药物发现提供了新的方向。
Curr Neuropharmacol. 2023
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