HCN1

Hyperpolarization-activated cyclic nucleotide-gated potassium channel 1

Score: 0.574 Price: $0.57 Medium Druggability Status: active Wiki: HCN1
๐Ÿง  Neurodegeneration
HYPOTHESES
1
PAPERS
31
KG EDGES
127
DEBATES
1

3D Protein Structure

🧬 HCN1 โ€” PDB 5U6O Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Medium
Score: 0.51
Clinical Stage
Approved
Target Class
Ion Channel
Safety
0.60
Druggability Analysis
Drug Development0.75
Structural Tractability0.85
Target Class0.85
Safety Profile0.60
Key Metrics
PDB Structures:
12
Known Drugs:
1
Approved:
1
In Clinical Trials:
0
Drug Pipeline (1 compounds)
1 Approved
Druggability Rationale: HCN1 represents a moderately promising neurodegeneration drug target, with its ion channel blocking potential demonstrating potential therapeutic utility, particularly given its known role in neuronal excitability and epilepsy-related pathologies. The availability of structural data, including multiple PDB entries and AlphaFold predictions, provides a promising foundation for rational drug design, though the current lack of clinical trials specifically targeting this gene suggests significant translational challenges remain. The existing proof-of-concept with small molecule channel blockers like Ivabradine indicates potential druggability, but more research is needed to validate neurodegeneration-specific therapeutic approaches.
Mechanism: HCN1 encodes a hyperpolarization-activated cyclic nucleotide-gated channel critical for neuronal pacemaking and synaptic integration, with dysregulation linked to hyperexcitability disorders and potential neurodegeneration mechanisms. Specifically, HCN1 channel dysfunction can alter neuronal excitability, synaptic plasticity, and potentially contribute to neuronal death or dysfunction in conditions like epilepsy and neurodegenerative diseases.
Drug Pipeline (1 compounds)
1 Approved
Known Drugs:
Ivabradine (approved) โ€” Heart failure, angina
Structural Data:
PDB (12) โœ“AlphaFold โœ“Cryo-EM โœ“
3U0Z5U6O5U6P6UQF6UQG+7 more
UniProt: A0A0U1RQR7

🧬 3D Protein Structure

🧬 HCN1 — PDB 5U6O Click to expand interactive 3D viewer

Experimental structure from RCSB PDB | Powered by Mol* | Rotate: click+drag | Zoom: scroll

Selectivity & Safety Considerations

HCN channel selectivity is critical due to four isoforms (HCN1-4) with distinct tissue and functional distributions; HCN1 selectivity over cardiac HCN4 is essential to avoid bradycardia and conduction abnormalities seen with Ivabradine. The neuronal predominance of HCN1 versus HCN4's cardiac enrichment provides a favorable selectivity window, though isoform cross-reactivity must be rigorously profiled in preclinical development.

3D Protein Structure

PDB: Open in RCSB AlphaFold model

Interactive 3D viewer powered by RCSB PDB / Mol*. Use mouse to rotate, scroll to zoom.

Clinical Trials (8)

Relevant trials from ClinicalTrials.gov

Active
1
Completed
3
Total Enrollment
502
By Phase
NA: 2 ยท PHASE2: 1 ยท PHASE3: 1 ยท PHASE4: 4
Crossover Study of Propranolol vs Ivabradine in POTS Recruiting
PHASE2 NCT04186286 n=20
Postural Tachycardia Syndrome
Interventions: Ivabradine 4-week course, Propranolol 4-week course, Placebo 4-week course
Sponsor: University of Calgary | Started: 2021-02-01
PeRiOperaTivE CardioproTection With Ivabradine in Non-cardiac Surgery Completed
PHASE4 NCT04436016 n=78
Myocardial Injury, Myocardial Ischemia
Interventions: Ivabradine, Placebo
Sponsor: University Hospital, Geneva | Started: 2020-10-05
Effect of Pharmacological Heart Rate Reduction on Visco-elastic Properties of the Arterial Wall (BRADYVASC) Completed
PHASE3 NCT02584439 n=20
Healthy, Vascular Stiffness, Aging
Interventions: ivabradine, lactose capsule (placebo)
Sponsor: University Hospital, Rouen | Started: 2015-12-03
Effect of Ivabradine on Levcromakalim-Induced Symptoms in Individuals With Migraine Without Aura (ILIM) Completed
NA NCT04853797 n=37
Headache, Migraine Without Aura
Interventions: Levcromakalim, Ivabradine, Placebo
Sponsor: Danish Headache Center | Started: 2021-05-11
Efficacy and Safety on Heart Rate Control With Ivabradine on Cardiogenic Shock Unknown
PHASE4 NCT03437369 n=22
Cardiogenic Shock
Interventions: Ivabradine Oral Tablet, Standard of Care treatment
Sponsor: Hospital Universitario Ramon y Cajal | Started: 2018-05
Effect of Ivabradine on Exercise Capacity After Heart Transplantation Unknown
PHASE4 NCT03405831 n=35
Cardiac Allograft Vasculopathy, Transplanted Heart Complication
Interventions: Ivabradine, Placebo
Sponsor: Finn Gustafsson | Started: 2018-04-17
Clinical Study of CMR to Evaluate the Effect of Ivabradine on the Improvement of Left Ventricular Remodeling in STEMI Pa Unknown
PHASE4 NCT05348057 n=240
Cardiovascular Diseases
Interventions: Ivabradine
Sponsor: Qian geng | Started: 2021-08-01
Early Use of Ivabradine in Heart Failure Unknown
NA NCT03701880 n=50
Heart Failure With Reduced Ejection Frac, Decompensated Heart Failure
Interventions: Ivabradine, Bisoprolol
Sponsor: Ain Shams University | Started: 2018-09-16

Linked Hypotheses (2)

HCN1-Mediated Resonance Frequency Stabilization Therapy0.562
HCN1-Selective Blockade Normalizes Thalamic Rebound Bursting in P/Q Channel Deficiency0.526

Linked Experiments (1)

s:** - Test whether HCN1 knockout specifically in EC layer II accelerates or protects against AD pat0.400

Scoring Dimensions

Portfolio 0.59 (25%) Druggability 0.51 (20%) Evidence 0.54 (20%) Safety 0.60 (15%) Competitive 0.65 (10%) Connectivity 0.60 (10%) 0.574 composite

Knowledge Graph (20)

associated with (5)

HCN1neurodegenerationHCN1HCN4HCN1HCN2HCN4HCN1HCN2HCN1

co discussed (6)

RELNHCN1MAP6HCN1HCN1MCUHCN1IDH2PPARGC1AHCN1
▸ Show 1 more
SLC16A2HCN1

implicated in (4)

HCN1epilepsyHCN1neuropathic painHCN1atrial fibrillationHCN1degenerative disease

inhibits (3)

JUNHCN1HCN1HCN2HCN2HCN1

regulates (2)

HCN1HCN1-Mediated Resonance Frequency Stabilization ThHCN1Tau Propagation

Debate History (1)

Should HCN1 (Hyperpolarization-activated cyclic nucleotide-gated potassium chann2026-04-21