In this issue of Molecular Pharmacology (p. 665), Pannacione et al. provide evidence of a role for the voltage-gated potassium channel ␣ subunit Kv3.4 and its ancillary subunit MiRP2 in -amyloid (A) peptide-mediated neuronal death. The MiRP2-Kv3.4 channel complex-previously found to be important in skeletal myocyte physiology-is now argued to be a molecular correlate of the transient outward potassium current up-regulated by A peptide, considered a significant step in the etiology of Alzheimer's disease. The authors conclude that MiRP2 and Kv3.4 are up-regulated by A peptide in a nuclear factor B-dependent fashion at the transcriptional level, and the sea anemone toxin BDS-I is shown to protect against A peptidemediated cell death by specific blockade of Kv3.4-generated current. The findings lend weight to the premise that specific channels, such as MiRP2-Kv3.4, could hold promise as future therapeutic targets in Alzheimer's disease and potentially other neurodegenerative disorders.The etiology of Alzheimer's disease (AD) remains unknown. Pathological hallmarks include cortical neuron loss, proteinaceous senile plaques, and neurofibrillary tangles. According to the -amyloid (or A) hypothesis, A peptide-the main constituent of plaques-is considered to be linked to the selective neurodegeneration seen in AD. Although much progress has been made in characterizing the neurotoxic effects of A, the mechanism by which it induces neuronal death remains unknown (Pallà s and Camins, 2006).Potassium ion (K ϩ ) efflux is a critical step in the apoptosis of many cell types in response to a range of proapoptotic stimuli (Yu, 2003). Recent evidence points to an increase in voltage-gated potassium (Kv) channel current in the etiology of A-induced neuronal apoptosis; however, the molecular mechanism by which K ϩ current is up-regulated and the subunit identity of the Kv channels involved are still under debate (see below). Kv channel pore-forming (␣) subunits are generated by a numerous and functionally diverse family of genes, with ϳ40 known members in the human genome.Each ␣ subunit contains six transmembrane domains, a voltage sensor, and pore elements; four ␣ subunits coassemble to form the functional tetramer. In vivo, Kv channels are each regulated by a host of possible non-pore-forming subunits with either cytoplasmic or transmembrane disposition; some are regulatory proteins that also modulate other protein types; others are dedicated Kv channel ancillary subunits (McCrossan and Abbott, 2004).Although mutations in several Kv channel ␣ and ancillary subunit genes are associated with inherited human diseases-referred to as "channelopathies"-the massive number of different Kv channel subtypes that can potentially arise from the matrix of possible ␣-␣ and ␣-ancillary subunit interactions has thus far hampered identification of the precise molecular entities in the large majority of both physiological Kv currents and suspected Kv channel-related disorders.AD is no exception. Ramsden et al. (2001) noted that ...