ATP-sensitive potassium (K-ATP) channels link the metabolic status of the c
ell to the plasma membrane potential and thus play a key role in regulating
cellular excitability. K-ATP channel openers (KCOs) may impact positively
on respiratory disease by suppressing bronchoconstriction, mucus hypersecre
tion, cough and airway hyperreactivity (AHR). A major recent development is
the emergence of KCOs which can obviate experimental AHR at doses which ar
e devoid of cardiovascular effects. This new generation of compounds with s
electivity for the airways may constitute a new class of drugs for the trea
tment of asthma.