IntroductionAmong the different factors exerting an influence on the activity of the different classes of potassium (K + ) channels, a rise in the intracellular concentration of free calcium ions causes the activation of a family of channels, known as calcium-activated channels. Calcium-activated K + channels are further classified into three principal subtypes on the basis of their biophysical single channel conductance: probably, the most studied subtype is represented by the large-conductance calcium-activated K + channels, also known as BK, BK Ca or Maxi-K channels. Besides their calcium-dependent activation, BK channels possess also a voltage-operated mechanism, and this peculiarity accounts for the highly effective role of feed-back regulation against the rise of intracellular Ca 2+ and membrane depolarisation, promoting a massive outward flow of K + ions and leading to a membrane hyperpolarisation, i. e., to a stabilisation of the cell [1].As far as molecular structure is concerned, the BK channel is a tetrameric protein complex formed by four a subunits, shaping the channel pore.
AbstractLarge-conductance calcium-activated potassium channels, also known as BK or Maxi-K channels, occur in many types of cell, including neurons and myocytes, where they play an essential role in the regulation of cell excitability and function. These properties open a possible role for BK-activators (also called BK-openers) and/or BK-blockers as effective therapeutic agents for different neurological, urological, respiratory and cardiovascular diseases. The synthetic benzimidazolone derivatives NS004 and NS1619 are the pioneer BK-activators and have represented the reference models which led to the design of several novel and heterogeneous synthetic BK-openers, while very few synthetic BK-blockers have been reported. Even today, the research towards identifying new BK-modulating agents is proceeding with great impetus and is giving an ever-increasing number of new molecules. Among these, also a handsome number of natural BK-modulator compounds, belonging to different structural classes, has appeared in the literature. The goal of this paper is to provide a possible simple classification of the broad structural heterogeneity of the natural BK-activating agents (terpenes, phenols, flavonoids) and blockers (alkaloids and peptides), and a concise overview of their chemical and pharmacological properties as well as potential therapeutic applications.