K+ channels play a key role in cellular physiology by regulating the e
fflux of K+ ions, They are the most diverse group of ion channel prote
ins; more than 30 K+ channel genes have been characterized, Regulated
by ATP, voltage, and calcium, multiple K+ channels coexist in the beta
-cell to regulate membrane potential, cell excitability, and insulin s
ecretion, Recent developments at the molecular level have greatly expa
nded our understanding of beta-cell K+ channel structure and function,
especially in regard to the ATP-sensitive K+ channel, the target for
sulfonylurea drugs. Mutations in K+ channel genes underlie diseases as
diverse as persistent hyperinsulinemia of infancy, cardiac long QT sy
ndrome, cerebellar degeneration, and certain ataxias, These discoverie
s have identified new pharmacological targets for possible therapeutic
intervention in the treatment of diabetes.