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K 相关神经系统疾病:表型谱和治疗指征。

K-Related Neurological Disorders: Phenotypic Spectrum and Therapeutic Indications.

机构信息

School of Chemistry, Chemical Engineering and Life Sciences, Wuhan University of Technology, Wuhan 430070, China.

Department of Zoology, University of Sialkot, Sialkot 51310, Pakistan.

出版信息

Curr Neuropharmacol. 2023;21(7):1504-1518. doi: 10.2174/1570159X21666221208091805.


DOI:10.2174/1570159X21666221208091805
PMID:36503451
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10472807/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd03/10472807/15a38a55a3fd/CN-21-1504_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd03/10472807/3a87ceb2503f/CN-21-1504_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd03/10472807/363df58e46ee/CN-21-1504_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd03/10472807/15a38a55a3fd/CN-21-1504_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd03/10472807/3a87ceb2503f/CN-21-1504_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd03/10472807/363df58e46ee/CN-21-1504_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd03/10472807/15a38a55a3fd/CN-21-1504_F3.jpg

相似文献

[1]
K-Related Neurological Disorders: Phenotypic Spectrum and Therapeutic Indications.

Curr Neuropharmacol. 2023

[2]
Physiological Roles and Therapeutic Potential of Ca Activated Potassium Channels in the Nervous System.

Front Mol Neurosci. 2018-7-30

[3]
Challenges in the Therapeutic Targeting of KCa Channels: From Basic Physiology to Clinical Applications.

Int J Mol Sci. 2024-3-4

[4]
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J Neurosci. 2003-8-20

[5]
TGFbeta1 regulates the gating properties of intermediate-conductance KCa channels in developing parasympathetic neurons.

J Neurophysiol. 1999-9

[6]
Calcium-Activated K Channels (K) and Therapeutic Implications.

Handb Exp Pharmacol. 2021

[7]
Expression of a Diverse Array of Ca2+-Activated K+ Channels (SK1/3, IK1, BK) that Functionally Couple to the Mechanosensitive TRPV4 Channel in the Collecting Duct System of Kidney.

PLoS One. 2016-5-9

[8]
Pharmacology of Small- and Intermediate-Conductance Calcium-Activated Potassium Channels.

Annu Rev Pharmacol Toxicol. 2019-7-23

[9]
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Dev Dyn. 2021-10

[10]
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Biochemistry. 1996-12-17

引用本文的文献

[1]
Potentiation of BKCa channels by cystic fibrosis transmembrane conductance regulator correctors VX-445 and VX-121.

J Clin Invest. 2024-7-2

本文引用的文献

[1]
BK Channel Gating Mechanisms: Progresses Toward a Better Understanding of Variants Linked Neurological Diseases.

Front Physiol. 2021-10-21

[2]
Polymicrogyria in a child with KCNMA1-related channelopathy.

Brain Dev. 2022-2

[3]
Neonatal Diabetes in Patients Affected by Liang-Wang Syndrome Carrying KCNMA1 Variant p.(Gly375Arg) Suggest a Potential Role of Ca and Voltage-Activated K Channel Activity in Human Insulin Secretion.

Curr Issues Mol Biol. 2021-8-31

[4]
L. Prevents Hypobaric Hypoxia-Induced Spatial Memory Deficit Through Small Conductance Calcium-Activated Potassium Channel Inhibition: The Role of ERK/CaMKII/CREB Signaling.

Front Pharmacol. 2021-7-12

[5]
Potassium channels as prominent targets and tools for the treatment of epilepsy.

Expert Opin Ther Targets. 2021-3

[6]
Syndromic disorders caused by gain-of-function variants in KCNH1, KCNK4, and KCNN3-a subgroup of K channelopathies.

Eur J Hum Genet. 2021-9

[7]
Epileptic channelopathies caused by neuronal Kv7 (KCNQ) channel dysfunction.

Pflugers Arch. 2020-7

[8]
Ball-and-chain inactivation in a calcium-gated potassium channel.

Nature. 2020-3-18

[9]
Coronary endothelial dysfunction prevented by small-conductance calcium-activated potassium channel activator in mice and patients with diabetes.

J Thorac Cardiovasc Surg. 2020-12

[10]
The functionally relevant site for paxilline inhibition of BK channels.

Proc Natl Acad Sci U S A. 2019-12-26

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