liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Cannabidiol inhibits both human KV7.1 and KV7.1/KCNE1 channels through distinct sites
Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Biomedical and Clinical Sciences, The Division of Cell and Neurobiology. KTH Royal Inst Technol, Sweden.
Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Biomedical and Clinical Sciences, The Division of Cell and Neurobiology.ORCID iD: 0000-0002-2852-7547
Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Biomedical and Clinical Sciences, The Division of Cell and Neurobiology.
Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Biomedical and Clinical Sciences, The Division of Cell and Neurobiology.
Show others and affiliations
2026 (English)In: Acta Pharmacologica Sinica, ISSN 1671-4083, E-ISSN 1745-7254Article in journal (Refereed) Epub ahead of print
Abstract [en]

Several essential physiological systems express voltage-gated potassium channels within the KV7 family (comprising KV7.1-7.5), sometimes also co-assembled with auxiliary subunits in the KCNE family (comprising KCNE1-5). An ongoing challenge to KV7 drug development is creating subtype-selective compounds to limit adverse effects. Prior work has shown that the antiepileptic cannabidiol (CBD), a pan-KV7 modulator, inhibits cardiac- and epithelia-associated KV7.1 and KV7.1/KCNE1 channels, while activating neuronal KV7 subtypes (KV7.2-7.5). However, little is known about the binding sites through which CBD mediates inhibitory effects on KV7.1 and KV7.1/KCNE1, limiting insight towards the development of selective KV7 modulators. To address this knowledge gap, we used a combination of the Chai-1 artificial intelligence model (to generate CBD binding site predictions in human KV7.1 and KV7.1/KCNE1 channels), site-directed mutagenesis and electrophysiology of these channels expressed in Xenopus laevis oocytes (to corroborate CBD binding site predictions), and molecular dynamics simulations (to study the biophysical mechanisms underlying CBD binding). We found that CBD binds to two unique sites within KV7.1 and KV7.1/KCNE1. In KV7.1 alone, CBD was bound to an intrasubunit S5-S6 pore domain binding site; referred to as the S5-S6 site. In KV7.1/KCNE1, the addition of the KCNE1 subunit created a novel binding site for CBD, sandwiched between two KV7.1 subunits and one KCNE1 subunit; referred to here as the S6-S5'-E1 site. Molecular dynamics simulations showed that CBD binding to the S6-S5'-E1 KV7.1/KCNE1 site closes off the KV7.1 S5-S6 site. A sequence comparison between KV7 channels revealed key amino acid differences at both the S5-S6 and S6-S5'-E1 sites relative to neuronal KV7s. These support the notion that CBD binds differently in KV7.1 and KV7.1/KCNE1 channels in accordance with its unique inhibitory pharmacological effects on these channels compared to the activating effect in neuronal KV7s. Thus, we provide support for KV7.1 and KV7.1/KCNE1 being inhibited by CBD via distinct binding sites, which can guide future research focused on the rational development of drugs that avoid inhibitory effects on KV7.1 and KV7.1/KCNE1 channels or utilize these sites to modulate channel activity.

Place, publisher, year, edition, pages
NATURE PUBL GROUP , 2026.
Keywords [en]
electrophysiology; molecular modelling; binding site; cannabidiol; KCNQ1; KCNE1
National Category
Pharmaceutical Sciences
Identifiers
URN: urn:nbn:se:liu:diva-221938DOI: 10.1038/s41401-025-01742-0ISI: 001705141200001PubMedID: 41776084Scopus ID: 2-s2.0-105032158460OAI: oai:DiVA.org:liu-221938DiVA, id: diva2:2046651
Note

Funding Agencies|Linkoeping University

Available from: 2026-03-17 Created: 2026-03-17 Last updated: 2026-08-28
In thesis
1. Phytocannabinoid modulation of Kv7 voltage-gated potassium channels
Open this publication in new window or tab >>Phytocannabinoid modulation of Kv7 voltage-gated potassium channels
2026 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Kv7 channels are a set of five evolutionarily closely related voltage-gated potassium channels (Kv7.1-Kv7.5) that underpin diverse physiological functions, such as cardiac rhythm (Kv7.1/KCNE1), hearing (Kv7.4) and neuronal excitability (Kv7.2-5). Finding strategies to selectively target these channels provides novel opportunities for drug development. The antiseizure drug cannabidiol (CBD) has been shown to inhibit Kv7.1/KCNE1 but activate Kv7.2/Kv7.3. To investigate how CBD and potentially other phytocannabinoids elicit these effects on the channel and ligand level, electrophysiological and computational methods were employed. For the pharmacological description of phytocannabinoids, the automated planar patch clamp (APC) technique with Kv7-CHO-cell lines, and the two-electrode voltage clamp technique with Xenopus laevis oocytes transiently expressing Kv7 channels, were used. Coarse-grained simulations or Chai-1, an AI-method, predicted possible binding sites; experimental mutagenesis of Kv7 channels in oocytes was used to test these predictions. To determine which moieties were critical for phytocannabinoid effects, APC data was related to phytocannabinoid chemical structures alongside testing of semi-synthetic cannabinoids in oocytes. Our findings showed that CBD’s action on Kv7 channels can be broadly divided into three categories: augmentation (Kv7.4, Kv7.5, Kv7.4/Kv7.5, Kv7.3/Kv7.5), potentiation (Kv7.2, Kv7.3, Kv7.2/Kv7.3) and inhibition (Kv7.1, Kv7.1/KCNE1). Actions of other phytocannabinoids could also be subdivided along these categories, with exceptions. For the inhibited channels, we posited separate CBD binding sites in Kv7.1 and Kv7.1/KCNE1. For the potentiated Kv7.2 and augmented Kv7.4 channels, we proposed a similar binding site which overlapped with that of another antiseizure drug. This site was later confirmed independently for Kv7.2 along with an adjacent site. Our data suggests that this adjacent site might also exist in Kv7.4. On the ligand level, chirality and alkyl-chain length informed how CBD acted on Kv7.2/Kv7.3 and Kv7.4 channels but not Kv7.1/KCNE1. Modifications to the CBD structure as semi-synthetic cannabinoids revealed that CBD is likely already optimal for Kv7.4 activation. In conclusion, this work provides novel insights into how the antiseizure drug CBD and other phytocannabinoids modulate Kv7 channels, and how these insights might be used for the development of Kv7 subtype-selective drugs. It also provides new insights into the putative mechanisms of action underlying both the therapeutic effects and side effects of clinically used phytocannabinoids. 

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2026. p. 71
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 2049
Keywords
KCNQ, Phytocannabinoid, Cannabidiol, Electrophysiology
National Category
Neurosciences
Identifiers
urn:nbn:se:liu:diva-227174 (URN)10.3384/9789181185713 (DOI)9789181185706 (ISBN)9789181185713 (ISBN)
Public defence
2026-09-29, Belladonna, Building 511, Campus US, Linköping, 13:00 (English)
Opponent
Supervisors
Note

Funding agencies: The Swedish Research Council (VR 2021-01885) and the European Union’s Horizon 2020 research and innovation program (grant agreement No. 850622)

Available from: 2026-08-28 Created: 2026-08-28 Last updated: 2026-08-28Bibliographically approved

Open Access in DiVA

fulltext(6067 kB)32 downloads
File information
File name FULLTEXT01.pdfFile size 6067 kBChecksum SHA-512
b6cd2b20751452527104de72b157d5772b1dadf7cc1c998434b191979b4d11fdcbbc3b6e2db8b5bb4527affcb5eceea9eba208b0dcbeccf5b40bfd2d707bacbf
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Search in DiVA

By author/editor
Kusay, AliPökl, MichaelHiniesto Iñigo, IreneSridhar, AkshayLiin, Sara
By organisation
Faculty of Medicine and Health SciencesThe Division of Cell and Neurobiology
In the same journal
Acta Pharmacologica Sinica
Pharmaceutical Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 114 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf