KCNK2

Potassium two pore domain channel subfamily K member 2

Score: 0.730 Price: $0.73 Medium Druggability Status: active Wiki: KCNK2
๐Ÿง  Neurodegeneration
HYPOTHESES
2
PAPERS
55
KG EDGES
293
DEBATES
0

3D Protein Structure

🧬 KCNK2 โ€” PDB 6CIR Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Medium
Score: 0.58
Clinical Stage
Approved
Target Class
Ion Channel
Safety
0.50
Druggability Analysis
Drug Development1.00
Structural Tractability0.85
Target Class0.85
Safety Profile0.50
Key Metrics
PDB Structures:
26
Known Drugs:
5
Approved:
4
In Clinical Trials:
0
Drug Pipeline (5 compounds)
4 Approved ยท 1 Preclinical
Therapeutic Areas:
Neurodegenerative diseases (Alzheimer's, Parkinson's) Neuropathic pain Depression and anxiety disorders Epilepsy and seizure disorders Stroke and ischemic neuroprotection Sleep disorders
Druggability Rationale: KCNK2 (TREK-1) represents a highly promising druggable target for neurodegeneration, with existing small molecule modulators demonstrating potential neuroprotective mechanisms. The structural resolution and multiple known pharmacological agents like fluoxetine and quinidine suggest a robust opportunity for targeted intervention, particularly given the potassium channel's role in neuronal excitability and potential neuroprotective signaling. The availability of high-resolution structural data and multiple existing compounds provides a strong foundation for further neurotherapeutic development.
Mechanism: KCNK2 encodes a two-pore domain potassium channel (TREK-1) that regulates neuronal excitability, membrane potential, and cellular responsiveness to mechanical and chemical stimuli in the central nervous system. In neurodegeneration, TREK-1 modulation can influence neuronal survival, mitochondrial function, and potentially mitigate oxidative stress and excitotoxicity through precise potassium conductance regulation.
Drug Pipeline (5 compounds)
4 Approved ยท 1 Preclinical
Known Drugs:
Fluoxetine (approved)
Halothane (approved)
Quinidine (approved)
Bupivacaine (approved)
ML335 (preclinical)
Structural Data:
PDB (26) โœ“AlphaFold โœ“Cryo-EM โ€”
4TWK6CQ66CQ86CQ96W7B+21 more
UniProt: C9JXY2
Binding Pocket Analysis:

KCNK2 features a conserved interfacial ligand-binding pocket located between the inner and outer transmembrane helices, accessible to small molecules in both open and closed conformational states. The binding site accommodates diverse chemical scaffolds (evidenced by fluoxetine, local anesthetics, and antiarrhythmics), suggesting an allosteric modulation mechanism rather than a canonical orthosteric site, enabling both positive and negative modulatory effects.

🧬 3D Protein Structure

🧬 KCNK2 — PDB 6CIR Click to expand interactive 3D viewer

Experimental structure from RCSB PDB | Powered by Mol* | Rotate: click+drag | Zoom: scroll

Selectivity & Safety Considerations

Selectivity represents a significant challenge given KCNK2's structural homology to other K2P family members (KCNK1, KCNK3, KCNK4), which share similar pharmacophores and binding architectures. Off-target activity on related K2P channels could lead to unexpected cardiovascular or respiratory effects; ML335 and next-generation modulators must be carefully profiled against the full K2P subfamily to ensure isoform selectivity.

3D Protein Structure

PDB: Open in RCSB AlphaFold model

Interactive 3D viewer powered by RCSB PDB / Mol*. Use mouse to rotate, scroll to zoom.

Clinical Trials (8)

Relevant trials from ClinicalTrials.gov

Active
3
Completed
5
Total Enrollment
1,363
By Phase
NA: 1 ยท PHASE1: 4 ยท PHASE3: 1 ยท PHASE4: 1 ยท Unknown: 1
Predicting Treatment Outcomes in Refractory Constipation Through Brain Connectivity Evaluation Recruiting
Unknown NCT06221722 n=150
Constipation - Functional, Refractory Constipation, Fluoxetine
Interventions: BOLD-fMRI, Regular treatment of functional constipa, fluoxetine
Sponsor: Xijing Hospital of Digestive Diseases | Started: 2023-11-01
Evaluation of Fluoxetine for Refractory Constipation With Somatic Symptom Disorder Features Not Yet Recruiting
PHASE1 NCT06506136 n=194
Refractory Constipation, Somatic Symptom Disorder (DSM-5), Functional Constipation (FC)
Interventions: Fluoxetine, Placebo
Sponsor: Zhifeng Zhao, PhD | Started: 2025-09-01
Assessment of PENG Block as a Part of Multimodal Analgesia Following Hip Surgeries. Active Not Recruiting
NA NCT06916000 n=50
Anesthesia
Interventions: Pericapsular nerve group (PENG) block, Patients will receive only other multimo
Sponsor: Ain Shams University | Started: 2024-06-27
A Comparison of Antiarrhythmic Drug Therapy and Radio Frequency Catheter Ablation in Patients With Paroxysmal Atrial Fib Completed
PHASE4 NCT00540787 n=112
Paroxysmal Atrial Fibrillation
Interventions: Radiofrequency ablation, antiarrhythmic , Amiodarone, flecainide, propafenone, qui, ThermoCool Radiofrequency Catheter
Sponsor: Biosense Webster, Inc. | Started: 2003-08-01
Assessment of the Efficacy, Safety, and Tolerability of AVP-786 (Deudextromethorphan Hydrobromide [d6-DM]/Quinidine Sulf Completed
PHASE3 NCT03393520 n=601
Agitation in Patients With Dementia of t
Interventions: Placebo, AVP-786
Sponsor: Otsuka Pharmaceutical Development & Commercialization, Inc. | Started: 2017-10-13
A Study of the Effect of Multiple Doses of Itraconazole and Fluoxetine on the Pharmacokinetics of a Single Dose of RO528 Completed
PHASE1 NCT01967979 n=28
Healthy Volunteer
Interventions: RO5285119, fluoxetine, itraconazole
Sponsor: Hoffmann-La Roche | Started: 2013-10
Study in Healthy Volunteers to Investigate the Effects of Quinidine on the Pharmacokinetics of NKTR-118 Completed
PHASE1 NCT01533155 n=214
Drug Induced Constipation
Interventions: Nektar 118, Quinidine, Quinidine placebo
Sponsor: AstraZeneca | Started: 2012-03
A Study to Investigate the Effect of Food on Balcinrenone/Dapagliflozin Pharmacokinetics in Fed and Fasted State and Pha Completed
PHASE1 NCT06979388 n=14
Healthy Participants
Interventions: balcinrenone/ dapagliflozin, quinidine
Sponsor: AstraZeneca | Started: 2025-05-20

Linked Hypotheses (1)

Aquaporin-4 Polarization Enhancement via TREK-1 Channel Modulation0.437

Linked Experiments (0)

No linked experiments

Scoring Dimensions

Portfolio 0.76 (25%) Druggability 0.58 (20%) Evidence 0.63 (20%) Safety 0.50 (15%) Competitive 0.70 (10%) Connectivity 0.90 (10%) 0.730 composite

Knowledge Graph (20)

activates (1)

KCNK2 โ†’ CELL_PROLIFERATION

associated with (2)

KCNK2 โ†’ neurodegeneration
KCNK2 โ†’ MDD

co discussed (13)

KCNK2 โ†’ TET2
KCNK2 โ†’ PIEZO1
KCNK2 โ†’ P2RX7
KCNK2 โ†’ DGAT1
KCNK2 โ†’ C3
...and 8 more

interacts with (1)

KCNK2 โ†’ PIEZO1

regulates (3)

KCNK2 โ†’ MMP2
KCNK2 โ†’ MMP9
KCNK2 โ†’ ANTIDEPRESSANT_RESPONSE

Debate History (0)

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