Calcium-activated potassium channels are fundamental regulators of neu
ronal excitability, participating in interspike interval and spike-fre
quency adaptation. For targe-conductance calcium-activated potassium (
BK) channels, recent experiments have illuminated the fundamental biop
hysical mechanisms of gating, demonstrating that BK channels are volta
ge gated and calcium modulated. Structurally, BK channels have been sh
own to possess an extracellular amino-terminal domain, different from
other potassium channels. Domains and residues involved in calcium-gat
ing, and perhaps calcium binding itself, have been identified. For sma
ll- and intermediate-conductance calcium-activated potassium channels,
SK and IK channels, clones have only recently become available, and t
hey show that SK channels are a distinct subfamily of potassium channe
ls. The biophysical properties of SK channels demonstrate that kinetic
differences between apamin-sensitive and apamin-insensitive slow afte
rhyperpolarizations are not attributable to intrinsic gating differenc
es between the two subtypes, Interestingly, SK and IK channels may pro
ve effective drug targets for diseases such as myotonic muscular dystr
ophy and sickle cell anemia.