Towards the Development of AgoKirs: New Pharmacological Activators to Study K<sub>ir</sub>2.x Channel and Target Cardiac Disease

Inward rectifier potassium ion channels (I<sub>K1</sub>-channels) of the K<sub>ir</sub>2.x family are responsible for maintaining a stable negative resting membrane potential in excitable cells, but also play a role in processes of non-excitable tissues, such as bone developm...

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Main Authors: Laura van der Schoor, Emma J. van Hattum, Sophie M. de Wilde, Netanja I. Harlianto, Aart-Jan van Weert, Meye Bloothooft, Marcel A. G. van der Heyden
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/21/16/5746
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author Laura van der Schoor
Emma J. van Hattum
Sophie M. de Wilde
Netanja I. Harlianto
Aart-Jan van Weert
Meye Bloothooft
Marcel A. G. van der Heyden
author_facet Laura van der Schoor
Emma J. van Hattum
Sophie M. de Wilde
Netanja I. Harlianto
Aart-Jan van Weert
Meye Bloothooft
Marcel A. G. van der Heyden
author_sort Laura van der Schoor
collection DOAJ
description Inward rectifier potassium ion channels (I<sub>K1</sub>-channels) of the K<sub>ir</sub>2.x family are responsible for maintaining a stable negative resting membrane potential in excitable cells, but also play a role in processes of non-excitable tissues, such as bone development. I<sub>K1</sub>-channel loss-of-function, either congenital or acquired, has been associated with cardiac disease. Currently, basic research and specific treatment are hindered by the absence of specific and efficient K<sub>ir</sub>2.x channel activators. However, twelve different compounds, including approved drugs, show off-target I<sub>K1</sub> activation. Therefore, these compounds contain valuable information towards the development of agonists of K<sub>ir</sub> channels, AgoKirs. We reviewed the mechanism of I<sub>K1</sub> channel activation of these compounds, which can be classified as direct or indirect activators. Subsequently, we examined the most viable starting points for rationalized drug development and possible safety concerns with emphasis on cardiac and skeletal muscle adverse effects of AgoKirs. Finally, the potential value of AgoKirs is discussed in view of the current clinical applications of potentiators and activators in cystic fibrosis therapy.
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spelling doaj.art-bd7fef4d775241e28ee91b6e5c18aa202023-11-20T09:44:44ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672020-08-012116574610.3390/ijms21165746Towards the Development of AgoKirs: New Pharmacological Activators to Study K<sub>ir</sub>2.x Channel and Target Cardiac DiseaseLaura van der Schoor0Emma J. van Hattum1Sophie M. de Wilde2Netanja I. Harlianto3Aart-Jan van Weert4Meye Bloothooft5Marcel A. G. van der Heyden6Honours Program CRU+ Bachelor, University Medical Center Utrecht, Heidelberglaan 100, 3584 CM Utrecht, The NetherlandsHonours Program CRU+ Bachelor, University Medical Center Utrecht, Heidelberglaan 100, 3584 CM Utrecht, The NetherlandsHonours Program CRU+ Bachelor, University Medical Center Utrecht, Heidelberglaan 100, 3584 CM Utrecht, The NetherlandsHonours Program CRU+ Bachelor, University Medical Center Utrecht, Heidelberglaan 100, 3584 CM Utrecht, The NetherlandsHonours Program CRU+ Bachelor, University Medical Center Utrecht, Heidelberglaan 100, 3584 CM Utrecht, The NetherlandsDepartment of Medical Physiology, Division of Heart & Lungs, University Medical Center Utrecht, Yalelaan 50, 3584 CM Utrecht, The NetherlandsDepartment of Medical Physiology, Division of Heart & Lungs, University Medical Center Utrecht, Yalelaan 50, 3584 CM Utrecht, The NetherlandsInward rectifier potassium ion channels (I<sub>K1</sub>-channels) of the K<sub>ir</sub>2.x family are responsible for maintaining a stable negative resting membrane potential in excitable cells, but also play a role in processes of non-excitable tissues, such as bone development. I<sub>K1</sub>-channel loss-of-function, either congenital or acquired, has been associated with cardiac disease. Currently, basic research and specific treatment are hindered by the absence of specific and efficient K<sub>ir</sub>2.x channel activators. However, twelve different compounds, including approved drugs, show off-target I<sub>K1</sub> activation. Therefore, these compounds contain valuable information towards the development of agonists of K<sub>ir</sub> channels, AgoKirs. We reviewed the mechanism of I<sub>K1</sub> channel activation of these compounds, which can be classified as direct or indirect activators. Subsequently, we examined the most viable starting points for rationalized drug development and possible safety concerns with emphasis on cardiac and skeletal muscle adverse effects of AgoKirs. Finally, the potential value of AgoKirs is discussed in view of the current clinical applications of potentiators and activators in cystic fibrosis therapy.https://www.mdpi.com/1422-0067/21/16/5746inward rectifier channelK<sub>ir</sub>2agonistI<sub>K1</sub>Andersen syndromeheart failure
spellingShingle Laura van der Schoor
Emma J. van Hattum
Sophie M. de Wilde
Netanja I. Harlianto
Aart-Jan van Weert
Meye Bloothooft
Marcel A. G. van der Heyden
Towards the Development of AgoKirs: New Pharmacological Activators to Study K<sub>ir</sub>2.x Channel and Target Cardiac Disease
International Journal of Molecular Sciences
inward rectifier channel
K<sub>ir</sub>2
agonist
I<sub>K1</sub>
Andersen syndrome
heart failure
title Towards the Development of AgoKirs: New Pharmacological Activators to Study K<sub>ir</sub>2.x Channel and Target Cardiac Disease
title_full Towards the Development of AgoKirs: New Pharmacological Activators to Study K<sub>ir</sub>2.x Channel and Target Cardiac Disease
title_fullStr Towards the Development of AgoKirs: New Pharmacological Activators to Study K<sub>ir</sub>2.x Channel and Target Cardiac Disease
title_full_unstemmed Towards the Development of AgoKirs: New Pharmacological Activators to Study K<sub>ir</sub>2.x Channel and Target Cardiac Disease
title_short Towards the Development of AgoKirs: New Pharmacological Activators to Study K<sub>ir</sub>2.x Channel and Target Cardiac Disease
title_sort towards the development of agokirs new pharmacological activators to study k sub ir sub 2 x channel and target cardiac disease
topic inward rectifier channel
K<sub>ir</sub>2
agonist
I<sub>K1</sub>
Andersen syndrome
heart failure
url https://www.mdpi.com/1422-0067/21/16/5746
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