G protein-coupled inwardly-rectifying potassium channel

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G protein-coupled inwardly-rectifying potassium channels (GIRKs) are a family of potassium channels which are regulated by G proteins. These channels are essential for maintaining the resting membrane potential and controlling neuronal excitability and heart rate. GIRK channels are activated by the binding of G protein beta gamma subunits (Gβγ) released during the activation of G protein-coupled receptors (GPCRs), including receptors for neurotransmitters and hormones.

Structure[edit | edit source]

GIRK channels are tetramers, composed of four GIRK subunits. There are several types of GIRK subunits (GIRK1-4 in humans), which can combine to form heterotetramers or homotetramers, although the functional channels in neurons and cardiac cells are usually heterotetramers. Each subunit has two membrane-spanning domains, with both the N- and C-termini located intracellularly. The channels' activity is regulated by direct binding of Gβγ subunits and by phospholipids in the cell membrane, such as phosphatidylinositol 4,5-bisphosphate (PIP2).

Function[edit | edit source]

GIRK channels play a crucial role in the physiology of various tissues. In the heart, they contribute to the slowing of the heart rate in response to activation of the vagus nerve. In the brain, they are involved in controlling neuronal excitability and are activated by various neurotransmitters through GPCRs, such as the acetylcholine receptor in the parasympathetic nervous system and the dopamine receptor in the central nervous system.

Activation of GIRK channels leads to the influx of K+ ions into the cell, making the inside of the cell more negative and moving the membrane potential closer to the equilibrium potential of potassium. This hyperpolarization of the cell membrane makes neurons less likely to fire action potentials and reduces cardiac cell excitability, thus slowing the heart rate.

Clinical Significance[edit | edit source]

GIRK channels have been implicated in various clinical conditions. Abnormal GIRK function has been associated with addiction, epilepsy, pain, anxiety, and heart arrhythmias. Drugs that target GIRK channels are being explored as potential treatments for these conditions. For example, selective GIRK channel modulators could provide a new approach to treat drug addiction or certain types of cardiac arrhythmias by specifically altering GIRK channel activity.

Research[edit | edit source]

Research on GIRK channels continues to uncover their complex roles in cellular signaling and physiology. Studies using genetic models and pharmacological tools have been instrumental in understanding how GIRK channels contribute to health and disease. Ongoing research aims to develop drugs that can selectively target specific types of GIRK channels, offering the promise of new therapeutic options for a range of disorders.

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Contributors: Prab R. Tumpati, MD