Potassium Channelopathies and Gastrointestinal Ulceration

• Published in: Gut and liver Vol. 10; no. 6; pp. 881 - 889
• Main Authors: Han, Jaeyong, Lee, Seung Hun, Giebisch, Gerhard, Wang, Tong
• Format: Journal Article
• Language: English
• Published: Korea (South) Editorial Office of Gut and Liver 01-11-2016; Gastroenterology Council for Gut and Liver; 거트앤리버 소화기연관학회협의회
• Subjects: Animals; Anti-Arrhythmia Agents - adverse effects; Channelopathies; Colon - metabolism; Gastrointestinal Diseases - metabolism; Gastrointestinal Diseases - pathology; gastrointestinal tract; Gastrointestinal Tract - metabolism; Gastrointestinal Tract - pathology; h+/k+-atpase; Humans; Mice; Nicorandil - adverse effects; Peptic Ulcer - metabolism; Peptic Ulcer - pathology; potassium channels; Potassium Channels - physiology; Review; Ulcer - metabolism; Ulcer - pathology; ulceration; 내과학; Gastrointestinal tract; Potassium channels; Ulceration; H⁺/K⁺-ATPase
• ISSN: 1976-2283; 2005-1212
• DOI: 10.5009/gnl15414

Potassium channels and transporters maintain potassium homeostasis and play significant roles in several different biological actions via potassium ion regulation. In previous decades, the key revelations that potassium channels and transporters are involved in the production of gastric acid and the regulation of secretion in the stomach have been recognized. Drugs used to treat peptic ulceration are often potassium transporter inhibitors. It has also been reported that potassium channels are involved in ulcerative colitis. Direct toxicity to the intestines from nonsteroidal anti-inflammatory drugs has been associated with altered potassium channel activities. Several reports have indicated that the long-term use of the antianginal drug Nicorandil, an adenosine triphosphate-sensitive potassium channel opener, increases the chances of ulceration and perforation from the oral to anal regions throughout the gastrointestinal (GI) tract. Several of these drug features provide further insights into the role of potassium channels in the occurrence of ulceration in the GI tract. The purpose of this review is to investigate whether potassium channelopathies are involved in the mechanisms responsible for ulceration that occurs throughout the GI tract.