Genetic Discovery of ATP-Sensitive K+ Channels in Cardiovascular Diseases

Circ Arrhythm Electrophysiol. 2019 May;12(5):e007322. doi: 10.1161/CIRCEP.119.007322.

Abstract

The ATP-sensitive K+ (KATP) channels are hetero-octameric protein complexes comprising 4 pore-forming (Kir6.x) subunits and 4 regulatory sulfonylurea receptor (SURx) subunits. They are prominent in myocytes, pancreatic β cells, and neurons and link cellular metabolism with membrane excitability. Using genetically modified animals and genomic analysis in patients, recent studies have implicated certain ATP-sensitive K+ channel subtypes in physiological and pathological processes in a variety of cardiovascular diseases. In this review, we focus on the causal relationship between ATP-sensitive K+ channel activity and pathophysiology in the cardiovascular system, particularly from the perspective of genetic changes in human and animal models.

Keywords: cardiovascular diseases; cardiovascular system; heart failure; neuron; sulfonylurea receptor.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Action Potentials
  • Animals
  • Cardiovascular Diseases / genetics*
  • Cardiovascular Diseases / metabolism
  • Cardiovascular Diseases / physiopathology
  • Disease Models, Animal
  • Genetic Predisposition to Disease
  • Genetic Variation*
  • Humans
  • KATP Channels / genetics*
  • KATP Channels / metabolism
  • Phenotype
  • Potassium / metabolism*
  • Risk Factors
  • Sulfonylurea Receptors / genetics*
  • Sulfonylurea Receptors / metabolism

Substances

  • KATP Channels
  • Sulfonylurea Receptors
  • Potassium