KN-93 Phosphate is an effective, cell-membrane permeable, and selective inhibitor of Ca2+/calmodulin-dependent protein kinase II (CaMKII) with an IC50 value of 0.37μM[1, 2]. KN-93 Phosphate inhibits the rapid component of the delayed rectifier potassium current (IKr) in mammalian cardiomyocytes[3]. KN-93 Phosphate induces nuclear translocation of histone deacetylase 4 (HDAC4), thereby promoting fatty acid oxidation in myocardial infarction[4].
In vitro, treatment of LX-2 human hepatic stellate cells with KN-93 Phosphate (0-50μM) for 24h decreased cell viability and the expression of cell cycle regulatory proteins p53 and p21 in a dose-dependent manner[5]. Treatment of NMDA-induced neuronal cells with KN-93 Phosphate (1μM) significantly reduced cell apoptosis, LDH release, and intracellular calcium concentration[6].
In vivo, 21-day treatment of Parkinson's disease rats with KN-93 Phosphate (2μg, 5μg) via striatal injection significantly alleviated levodopa-induced motor dysfunction, reduced phosphorylation levels of GluR1 in the nucleus accumbens, and decreased the expression levels of glutamate decarboxylase 1 (Gad1) and Nur77 (NR4A1, an orphan receptor of the nuclear receptor superfamily)[7].
References:
[1] Anderson M E, Braun A P, Wu Y, et al. KN-93 Phosphate, an inhibitor of multifunctional Ca++/calmodulin-dependent protein kinase, decreases early afterdepolarizations in rabbit heart[J]. The Journal of pharmacology and experimental therapeutics, 1998, 287(3): 996-1006.
[2] Agulló L, Garcia-Dorado D, Escalona N, et al. Membrane association of nitric oxide-sensitive guanylyl cyclase in cardiomyocytes[J]. Cardiovascular research, 2005, 68(1): 65-74.
[3] Hegyi B, Chen-Izu Y, Jian Z, et al. KN-93 Phosphate inhibits IKr in mammalian cardiomyocytes[J]. Journal of Molecular and Cellular Cardiology, 2015, 89: 173-176.
[4] Zhao J, Li L, Wang X, et al. KN-93 Phosphate promotes HDAC4 nucleus translocation to promote fatty acid oxidation in myocardial infarction[J]. Experimental Cell Research, 2024, 438(2): 114050.
[5] An P, Zhu J Y, Yang Y, et al. KN-93 Phosphate, a specific inhibitor of CaMKII inhibits human hepatic stellate cell proliferation in vitro[J]. World Journal of Gastroenterology: WJG, 2007, 13(9): 1445.
[6] Liu X, Ma C, Xing R, et al. The calmodulin-dependent protein kinase II inhibitor KN-93 Phosphate protects rat cerebral cortical neurons from N-methyl-D-aspartic acid-induced injury☆[J]. Neural Regeneration Research, 2013, 8(2): 111-120.
[7] Yang X, Wu N, Song L, et al. Intrastriatal injections of KN-93 Phosphate ameliorates levodopa-induced dyskinesia in a rat model of Parkinson’s disease[J]. Neuropsychiatric disease and treatment, 2013: 1213-1220.
















