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hERG

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(Redirected fromKCNH2)

"IKR" redirects here. For the airline code, seeIKR (ICAO code).
KCNH2
Available structures
PDBOrtholog search:PDBeRCSB
Identifiers
AliasesKCNH2,ERG-1, ERG1, H-ERG, HERG, HERG1, Kv11.1, LQT2, SQT1, potassium voltage-gated channel subfamily H member 2
External IDsOMIM:152427;MGI:1341722;HomoloGene:201;GeneCards:KCNH2;OMA:KCNH2 - orthologs
Orthologs
SpeciesHumanMouse
Entrez

3757

16511

Ensembl

ENSG00000055118

ENSMUSG00000038319

UniProt

Q12809

O35219

RefSeq (mRNA)

NM_000238
NM_001204798
NM_172056
NM_172057

NM_001294162
NM_013569

RefSeq (protein)

NP_000229
NP_001191727
NP_742053
NP_742054

NP_001281091
NP_038597

Location (UCSC)Chr 7: 150.94 – 150.98 MbChr 5: 24.52 – 24.56 Mb
PubMedsearch[3][4]
Wikidata
View/Edit HumanView/Edit Mouse

hERG(thehumanEther-à-go-go-RelatedGene) is a gene (KCNH2) that codes for a protein known asKv11.1,the Alphasubunitof apotassium ion channel.This ion channel (sometimes simply denoted as 'hERG') is best known for its contribution to theelectrical activity of the heart:the hERG channel mediates the repolarizingIKrcurrent in thecardiac action potential,which helps coordinate the heart's beating.

When this channel's ability to conduct electrical current across the cell membrane is inhibited or compromised, either by application of drugs or by rare mutations in some families,[5]it can result in a potentially fatal disorder calledlong QT syndrome.Conversely, genetic mutations that increase the current through these channels can lead to the related inherited heart rhythm disordershort QT syndrome.[6]A number of clinically successful drugs in the market have had the tendency to inhibit hERG, lengthening the QT and potentially leading to a fatalirregularity of the heartbeat(aventricular tachyarrhythmiacalledtorsades de pointes). This has made hERG inhibition an importantantitargetthat must be avoided during drug development.[7]

hERG has also been associated with modulating the functions of some cells of the nervous system[8][9]and with establishing and maintaining cancer-like features in leukemic cells.[10]

Function

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hERG forms the major portion of one of the ion channel proteins (the 'rapid' delayed rectifier current (IKr)) that conducts potassium (K+) ions out of the muscle cells of the heart (cardiac myocytes), and this current is critical in correctly timing the return to the resting state (repolarization) of the cell membrane during the cardiac action potential.[7]Sometimes, when referring to the pharmacological effects of drugs, the terms "hERG channels" andIKrare used interchangeably, but, in the technical sense, "hERG channels" can be made only by scientists in the laboratory; in formal terms, the naturally occurring channels in the body that include hERG are referred to by the name of the electrical current that has been measured in that cell type, so, for example, in the heart, the correct name isIKr.This difference in nomenclature becomes clearer in the controversy as to whether the channels conductingIKrinclude other subunits (e.g., beta subunits[11][12][13]) or whether the channels include a mixture of different types (isoforms) of hERG,[14][15]but, when the originally-discovered form of hERG[16][17][18]is experimentally transferred into cells that previously lacked hERG (i.e.,heterologousexpression), a potassium ion channel is formed, and this channel has many signature features of the cardiac 'rapid' delayed rectifier current (IKr),[18][17][15]includingIKr's inward rectification that results in the channel producing a 'paradoxical resurgent current' in response to repolarization of the membrane.[19]

Structure

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A detailed atomic structure for hERG based onX-ray crystallographyis not yet available, but structures have recently been solved by electron microscopy.[20]In the laboratory theheterologously expressedhERG potassium channel comprises four identical Alpha subunits, which form the channel's pore through theplasma membrane.Each hERG subunit consists of 6 transmembraneAlpha helices,numbered S1-S6, a pore helix situated between S5 and S6, and cytoplasmically locatedN-andC-termini.The S4 helix contains a positively chargedarginineorlysineamino acid residue at every 3rd position and is thought to act as a voltage-sensitive sensor, which allows the channel to respond to voltage changes by changing conformations between conducting and non-conducting states (called 'gating'). Between the S5 and S6 helices, there is an extracellular loop (known as 'the turret') and 'the pore loop', which begins and ends extracellularly but loops into the plasma membrane; the pore loop for each of the hERG subunits in one channel faces into the ion-conducting pore and is adjacent to the corresponding loops of the three other subunits, and together they form the selectivity filter region of the channel pore. The selectivity sequence, SVGFG, is very similar to that contained in bacterialKcsA channels.[7]Although a full crystal structure for hERG is not yet available, a structure has been found for the cytoplasmic N-terminus, which was shown to contain aPAS domain(aminoacid 26–135) that slows the rate of deactivation.[21]

Genetics

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Loss-of-function mutations in this channel may lead tolong QT syndrome(LQT2), while gain-of-function mutations may lead toshort QT syndrome.Both clinical disorders stem from ion channel dysfunction (so-calledchannelopathies) that can lead to the risk of potentially fatal cardiacarrhythmias(e.g.,torsades de pointes), due to repolarization disturbances of the cardiac action potential.[18][22]There are far more hERG mutations described for long QT syndrome than for short QT syndrome.[5]

Drug interactions

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This channel is also sensitive to drug binding, as well as decreased extracellular potassium levels, both of which can result in decreased channel function and drug-induced(acquired) long QT syndrome.Among the drugs that can cause QT prolongation, the more common ones include antiarrhythmics (especially Class 1A and Class III), anti-psychotic agents, and certain antibiotics (including quinolones and macrolides).[7]

Although there exist other potential targets for cardiac adverse effects, the vast majority of drugs associated with acquired QT prolongation are known to interact with the hERG potassium channel. One of the main reasons for this phenomenon is the larger inner vestibule of the hERG channel, thus providing more space for many different drug classes to bind and block this potassium channel.[23]

hERG containing channels are blocked byamiodarone,and it does prolong the QT interval, but its multiple other antiarrhythmic effects prevent this from causing torsades de pointes.[24]

Thioridazinecauses peculiarly severe QTc prolongation by blocking hERG and was withdrawn by the manufacturer for this reason.

Drug development considerations

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Due to the documented potential of QT-interval-prolonging drugs, the United States Food and Drug Administration issued recommendations for the establishment of a cardiac safety profile during pre-clinical drug development: ICH S7B.[25]The nonclinical evaluation of the potential for delayed ventricular repolarization (QT interval prolongation) by human pharmaceuticals, issued as CHMP/ICH/423/02, adopted by CHMP in May 2005. Preclinical hERG studies should be accomplished inGLPenvironment.

Naming

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The hERG gene was first named and described in a paper by Jeff Warmke and Barry Ganetzky, then both at theUniversity of Wisconsin–Madison.[16]The hERG gene is the human homolog of theEther-à-go-gogene found in theDrosophilafly;Ether-à-go-gowas named in the 1960s by William D. Kaplan and William E. Trout, III, while at theCity of HopeHospital inDuarte, California.When flies with mutations in theEther-à-go-gogene are anaesthetised withether,their legs start to shake, like the dancing at the then popularWhisky a Go Gonightclub inWest Hollywood, California.[26]

Interactions

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HERG has been shown tointeractwith the 14-3-3 epsilon protein, encoded byYWHAE.[27]

Inhibitors

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See also

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References

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  1. ^abcGRCh38: Ensembl release 89: ENSG00000055118–Ensembl,May 2017
  2. ^abcGRCm38: Ensembl release 89: ENSMUSG00000038319–Ensembl,May 2017
  3. ^"Human PubMed Reference:".National Center for Biotechnology Information, U.S. National Library of Medicine.
  4. ^"Mouse PubMed Reference:".National Center for Biotechnology Information, U.S. National Library of Medicine.
  5. ^abHedley PL, Jørgensen P, Schlamowitz S, Wangari R, Moolman-Smook J, Brink PA, et al. (November 2009)."The genetic basis of long QT and short QT syndromes: a mutation update".Human Mutation.30(11): 1486–1511.doi:10.1002/humu.21106.PMID19862833.S2CID19122696.
  6. ^Bjerregaard P (August 2018). "Diagnosis and management of short QT syndrome".Heart Rhythm.15(8): 1261–1267.doi:10.1016/j.hrthm.2018.02.034.PMID29501667.S2CID4519580.
  7. ^abcdSanguinetti MC, Tristani-Firouzi M (March 2006). "hERG potassium channels and cardiac arrhythmia".Nature.440(7083): 463–469.Bibcode:2006Natur.440..463S.doi:10.1038/nature04710.PMID16554806.S2CID929837.
  8. ^Chiesa N, Rosati B, Arcangeli A, Olivotto M, Wanke E (June 1997)."A novel role for HERG K+ channels: spike-frequency adaptation".The Journal of Physiology.501(Pt 2): 313–318.doi:10.1111/j.1469-7793.1997.313bn.x.PMC1159479.PMID9192303.
  9. ^Overholt JL, Ficker E, Yang T, Shams H, Bright GR, Prabhakar NR (2002). "Chemosensing at the Carotid Body".Oxygen Sensing.Advances in Experimental Medicine and Biology. Vol. 475. pp. 241–248.doi:10.1007/0-306-46825-5_22.ISBN978-0-306-46367-9.PMID10849664.
  10. ^Arcangeli A (2005). "Expression and Role of hERG Channels in Cancer Cells".The hERG Cardiac Potassium Channel: Structure, Function and Long QT Syndrome.Novartis Foundation Symposia. Vol. 266. pp. 225–32, discussion 232–4.doi:10.1002/047002142X.ch17.ISBN9780470021408.PMID16050271.
  11. ^Weerapura M, Nattel S, Chartier D, Caballero R, Hébert TE (April 2002)."A comparison of currents carried by HERG, with and without coexpression of MiRP1, and the native rapid delayed rectifier current. Is MiRP1 the missing link?".The Journal of Physiology.540(Pt 1): 15–27.doi:10.1113/jphysiol.2001.013296.PMC2290231.PMID11927665.
  12. ^Abbott GW, Goldstein SA (March 2002)."Disease-associated mutations in KCNE potassium channel subunits (MiRPs) reveal promiscuous disruption of multiple currents and conservation of mechanism".FASEB Journal.16(3): 390–400.doi:10.1096/fj.01-0520hyp.PMID11874988.S2CID26205057.
  13. ^Abbott GW, Sesti F, Splawski I, Buck ME, Lehmann MH, Timothy KW, et al. (April 1999)."MiRP1 forms IKr potassium channels with HERG and is associated with cardiac arrhythmia".Cell.97(2): 175–187.doi:10.1016/S0092-8674(00)80728-X.PMID10219239.S2CID8507168.
  14. ^Jones EM, Roti Roti EC, Wang J, Delfosse SA, Robertson GA (October 2004)."Cardiac IKr channels minimally comprise hERG 1a and 1b subunits".The Journal of Biological Chemistry.279(43): 44690–44694.doi:10.1074/jbc.M408344200.PMID15304481.
  15. ^abRobertson GA, Jones EM, Wang J (2005). "Gating and Assembly of Heteromeric hERG1a/1b Channels UnderlyingIKrin the Heart ".The hERG Cardiac Potassium Channel: Structure, Function and Long QT Syndrome.Novartis Foundation Symposia. Vol. 266. pp. 4–15, discussion 15–8, 44–5.CiteSeerX10.1.1.512.5443.doi:10.1002/047002142X.ch2.ISBN9780470021408.PMID16050259.
  16. ^abWarmke JW, Ganetzky B (April 1994)."A family of potassium channel genes related to eag in Drosophila and mammals".Proceedings of the National Academy of Sciences of the United States of America.91(8): 3438–3442.Bibcode:1994PNAS...91.3438W.doi:10.1073/pnas.91.8.3438.PMC43592.PMID8159766.
  17. ^abTrudeau MC, Warmke JW, Ganetzky B, Robertson GA (July 1995). "HERG, a human inward rectifier in the voltage-gated potassium channel family".Science.269(5220): 92–95.Bibcode:1995Sci...269...92T.doi:10.1126/science.7604285.PMID7604285.
  18. ^abcSanguinetti MC, Jiang C, Curran ME, Keating MT (April 1995)."A mechanistic link between an inherited and an acquired cardiac arrhythmia: HERG encodes the IKr potassium channel".Cell.81(2): 299–307.doi:10.1016/0092-8674(95)90340-2.PMID7736582.S2CID240044.
  19. ^Robertson GA (March 2000)."LQT2: amplitude reduction and loss of selectivity in the tail that wags the HERG channel".Circulation Research.86(5): 492–493.doi:10.1161/01.res.86.5.492.PMID10720408.
  20. ^Wang W, MacKinnon R (April 2017)."Cryo-EM Structure of the Open Human Ether-à-go-go-Related K+Channel hERG ".Cell.169(3): 422–430.e10.doi:10.1016/j.cell.2017.03.048.PMC5484391.PMID28431243.
  21. ^Morais Cabral JH, Lee A, Cohen SL, Chait BT, Li M, Mackinnon R (November 1998)."Crystal structure and functional analysis of the HERG potassium channel N terminus: a eukaryotic PAS domain".Cell.95(5): 649–655.doi:10.1016/S0092-8674(00)81635-9.PMID9845367.S2CID15090987.
  22. ^Moss AJ, Zareba W, Kaufman ES, Gartman E, Peterson DR, Benhorin J, et al. (February 2002). "Increased risk of arrhythmic events in long-QT syndrome with mutations in the pore region of the human ether-a-go-go-related gene potassium channel".Circulation.105(7): 794–799.doi:10.1161/hc0702.105124.PMID11854117.S2CID2616052.
  23. ^Milnes JT, Crociani O, Arcangeli A, Hancox JC, Witchel HJ (July 2003)."Blockade of HERG potassium currents by fluvoxamine: incomplete attenuation by S6 mutations at F656 or Y652".British Journal of Pharmacology.139(5): 887–898.doi:10.1038/sj.bjp.0705335.PMC1573929.PMID12839862.
  24. ^"Amiodarone".Drugbank.Retrieved2019-05-28.
  25. ^"S7B Nonclinical Evaluation of the Potential for Delayed Ventricular Repolarization (QT Interval Prolongation) by Human Pharmaceuticals"(PDF).Food and Drug Administration.6 May 2020.
  26. ^Kaplan WD, Trout WE (February 1969)."The behavior of four neurological mutants of Drosophila".Genetics.61(2): 399–409.doi:10.1093/genetics/61.2.399.PMC1212165.PMID5807804.
  27. ^Kagan A, Melman YF, Krumerman A, McDonald TV (April 2002)."14-3-3 amplifies and prolongs adrenergic stimulation of HERG K+ channel activity".The EMBO Journal.21(8): 1889–1898.doi:10.1093/emboj/21.8.1889.PMC125975.PMID11953308.

Further reading

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