A1152D mutation of the Na+ channel causes paramyotoniacongenita and emphasizes the role of DIII/S4-S5 linker in fast inactivation

Author(s): Bouhours M, Luce S, Sternberg D, Willer JC, Fontaine B, et al.

Abstract

Missense mutations in the human skeletal muscle Na+ channel alpha subunit (hSkM1) are responsible for a number of muscle excitability disorders. Among them, paramyotonia congenita (PC) is characterized by episodes of muscle stiffness induced by cold and aggravated by exercise. We have identified a new PC-associated mutation, which substitutes aspartic acid for a conserved alanine in the S4-S5 linker of domain III (A1152D). This residue is of particular interest since its homologue in the rat brain type II Na+ channel has been suggested as an essential receptor site for the fast inactivation particle. To identify the biophysical changes induced by the A1152D mutation, we stably expressed hSkM1 mutant or wild-type (WT) channels in HEK293 (human embryonic kidney) cells, and recorded whole-cell Na+ currents with the patch-clamp technique. Experiments were performed both at 21 and 11 degrees C to better understand the sensitivity to cold of paramyotonia. The A1152D mutation disrupted channel fast inactivation. In comparison to the WT, mutant channels inactivated with slower kinetics and displayed a 5 mV depolarizing shift in the voltage dependence of the steady-state. The other noticeable defect of A1152D mutant channels was an accelerated rate of deactivation from the inactivated state. Decreasing temperature by 10 degrees C amplified the differences in channel gating kinetics between mutant and WT, and unveiled differences in both the sustained current and channel deactivation from the open state. Overall, cold-exacerbated mutant defects may result in a sufficient excess of Na+ influx to produce repetitive firing and myotonia. In the light of previous reports, our data point to functional as well as phenotypic differences between mutations of conserved S4-S5 residues in domains II and III of the human skeletal muscle Na+ channel.

Similar Articles

Sodium channelopathies of skeletal muscle result from gain or loss of function

Author(s): Jurkat-Rott K, Holzherr B, Fauler M, Lehmann-Horn F

The skeletal muscle sodium and chloride channel diseases

Author(s): Hudson AJ, Ebers GC, Bulman DE

Primary structure of the adult human skeletal muscle voltage-dependent sodium channel

Author(s): George AL Jr, Komisarof J, Kallen RG, Barchi RL

A cluster of hydrophobic amino acid residues required for fast Na(+)-channel inactivation

Author(s): West JW, Patton DE, Scheuer T, Wang Y, Goldin AL, et al.

Cooperative effect of S4-S5 loops in domains D3 and D4 on fast inactivation of the Na+ channel

Author(s): Popa MO, Alekov AK, Bail S, Lehmann-Horn F, Lerche H

Sodium channel mutations in paramyotoniacongenita uncouple inactivation from activation

Author(s): Chahine M, George AL Jr, Zhou M, Ji S, Sun W, et al.

Sodium channel mutations in paramyotoniacongenita exhibit similar biophysical phenotypes in vitro

Author(s): Yang N, Ji S, Zhou M, Ptácek LJ, Barchi RL, et al.

Thr1313Met mutation in skeletal muscle sodium channels in a Japanese family with paramyotoniacongenita

Author(s): Kinoshita M, Sasaki R, Nagano T, Matsuda A, Nakamura S, et al.

Voltage-gated ion channels and hereditary disease

Author(s): Lehmann-Horn F, Jurkat-Rott K