ML277 specifically enhances the fully activated open state of KCNQ1 by modulating VSD-pore coupling.

Hou, Panpan; Shi, Jingyi; White, Kelli McFarland; Gao, Yuan; Cui, Jianmin · Elife · 2019

basic_science · Level V

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Abstract

Upon membrane depolarization, the KCNQ1 potassium channel opens at the intermediate (IO) and activated (AO) states of the stepwise voltage-sensing domain (VSD) activation. In the heart, KCNQ1 associates with KCNE1 subunits to form I<sub>Ks</sub> channels that regulate heart rhythm. KCNE1 suppresses the IO state so that the I<sub>Ks</sub> channel opens only to the AO state. Here, we tested modulations of human KCNQ1 channels by an activator ML277 in <i>Xenopus</i> oocytes. It exclusively changes the pore opening properties of the AO state without altering the IO state, but does not affect VSD activation. These observations support a distinctive mechanism responsible for the VSD-pore coupling at the AO state that is sensitive to ML277 modulation. ML277 provides insights and a tool to investigate the gating mechanism of KCNQ1 channels, and our study reveals a new strategy for treating long QT syndrome by specifically enhancing the AO state of native I<sub>Ks</sub> currents.

Medical subject headings