Much more than a leak: structure and function of K2P-channels

Over the last decade, we have seen an enormous increase in the number of experimental studies on two-pore-domain potassium channels (K-2P-channels). The collection of reviews and original articles compiled for this special issue of Pflugers Archiv aims to give an up-to-date summary of what is known about the physiology and pathophysiology of K-2P-channels. This introductory overview briefly describes the structure of K-2P-channels and their function in different organs. Its main aim is to provide some background information for the 19 reviews and original articles of this special issue of Pflugers Archiv. It is not intended to be a comprehensive review; instead, this introductory overview focuses on some unresolved questions and controversial issues, such as: Do K-2P-channels display voltage-dependent gating? Do K-2P-channels contribute to the generation of action potentials? What is the functional role of alternative translation initiation? Do K-2P-channels have one or two or more gates? We come to the conclusion that we are just beginning to understand the extremely complex regulation of these fascinating channels, which are often inadequately described as 'leak channels'.