“Kali” is derived from the Latin word , which means potassium. The suffix “septine” is derived from the Greek word “sepsis” , which means “decay” or “putrefaction”. This suffix was added to distinguish it from the related toxin kalicludine. Kaliseptine was first isolated from the snakelocks anemone, which at the time was called Anemonia sulcata. Kaliseptine is abbreviated as AsKS, which stands for Anemonia sulcata KaliSeptine. The rational nomenclature of kaliseptine is kappa-actitoxin-Avd6a. The first letter Kappa indicates its molecular target, namely a voltage-gated potassium channel. Actitoxin is a neurotoxin derived from the Actiniidae. Avd denotes that it is extracted from Anemonia viridis. Finally, 6a specifies that this was the sixth Acititoxin of which the full-length amino acid sequence was published and that this is the first isoform.
Biochemistry
Kaliseptine is a 36amino acid peptide and contains three disulfide bonds. Kaliseptine shows structural similarities with other sea anemone toxins like Actinia equina K+-channel toxin, Bunodosoma granulifera K+-channel toxin and Stichodactyla helianthus K+-channel toxin. These toxins can be classified as type I voltage-gated potassium channel inhibiting peptides, based on their size and structure. Type I peptide toxins typically consist of 35 to 37 amino acids and show a high rate of homology in amino acid sequence. The residues which are demonstrated to be most essential for potassium channel binding are the adjacent Lys-24 and Tyr-25, which are conserved in all four orthologous peptides. The allosteric effects of this binding have not been reported.
Target
Kaliseptine competitively binds the dendrotoxin receptor domain on the voltage-gated potassium channel KV1.2. The IC50 for inhibition of the KV1.2 K+ channel by kaliseptine is 140 nM as compared to 2.1 nM by DTXI itself. The KV1.2 channel is important for reducing action potential frequency and facilitating repolarisation following an action potential. It is not known whether kaliseptine has any additional targets, like DTXI does.
Mode of action
Kaliseptine has been shown to reduce ion current through the KV1.2 K+ channel during depolarization. Since it has affinity for the DTXI receptor domain, kaliseptine may act on the channel in a similar manner as the agonist DTXI. Whether kaliseptine exerts its action by hindering conformational changes of the KV1.2 channel, is not certain. Evidence was provided that DTXI binds in close proximity to the external mouth of the channel, leading to occlusion of the pore. It is not certain whether this partial occlusion fully explains the inhibiting effect. The exact mechanism by which Kaliseptine alters KV1.2 function is still debated. Kaliseptine is thought to act in conjunction with other neurotoxins present in the snakelocks anemone venom, altogether prolonging the action potential.
Toxicity
Limited in vitro studies were performed on the toxic effects of isolated kaliseptine. The combined venom of the snakelocks anemone is known to be toxic when applied directly onto mammalian hearts. The venom then causes an increase of the action potential duration. When the nematocysts of the snakelocks anemone come into contact with human skin, the venom can cause redness, swelling and pain.
Treatment
There is no known treatment for intoxication with kaliseptine. The suggested treatment for the venom of snakelocks anemone consists of symptomatic treatment and prevention of further nematocystdischarge.
