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导致遗传性神经元和肌肉通道病的人类电压门控钠离子通道突变会增加钠电流的复发性。

Human voltage-gated sodium channel mutations that cause inherited neuronal and muscle channelopathies increase resurgent sodium currents.

机构信息

Department of Pharmacology and Toxicology, Stark Neurosciences Research Institute, Indiana University School of Medicine, 950 Walnut Street, Indianapolis, Indiana 46202, USA.

出版信息

J Clin Invest. 2010 Jan;120(1):369-78. doi: 10.1172/JCI40801. Epub 2009 Dec 28.


DOI:10.1172/JCI40801
PMID:20038812
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2799199/
Abstract

Inherited mutations in voltage-gated sodium channels (VGSCs; or Nav) cause many disorders of excitability, including epilepsy, chronic pain, myotonia, and cardiac arrhythmias. Understanding the functional consequences of the disease-causing mutations is likely to provide invaluable insight into the roles that VGSCs play in normal and abnormal excitability. Here, we sought to test the hypothesis that disease-causing mutations lead to increased resurgent currents, unusual sodium currents that have not previously been implicated in disorders of excitability. We demonstrated that a paroxysmal extreme pain disorder (PEPD) mutation in the human peripheral neuronal sodium channel Nav1.7, a paramyotonia congenita (PMC) mutation in the human skeletal muscle sodium channel Nav1.4, and a long-QT3/SIDS mutation in the human cardiac sodium channel Nav1.5 all substantially increased the amplitude of resurgent sodium currents in an optimized adult rat-derived dorsal root ganglion neuronal expression system. Computer simulations indicated that resurgent currents associated with the Nav1.7 mutation could induce high-frequency action potential firing in nociceptive neurons and that resurgent currents associated with the Nav1.5 mutation could broaden the action potential in cardiac myocytes. These effects are consistent with the pathophysiology associated with the respective channelopathies. Our results indicate that resurgent currents are associated with multiple channelopathies and are likely to be important contributors to neuronal and muscle disorders of excitability.

摘要

电压门控钠离子通道(VGSCs;或 Nav)中的遗传突变可导致多种兴奋性疾病,包括癫痫、慢性疼痛、肌强直和心律失常。了解致病突变的功能后果可能为理解 VGSCs 在正常和异常兴奋性中的作用提供宝贵的见解。在这里,我们试图验证这样一个假设,即致病突变导致复发性电流增加,这是一种以前未被牵涉到兴奋性疾病的异常钠离子电流。我们证明了人类周围神经元钠离子通道 Nav1.7 中的阵发性极度疼痛障碍(PEPD)突变、人类骨骼肌钠离子通道 Nav1.4 中的先天性肌强直(PMC)突变以及人类心脏钠离子通道 Nav1.5 中的长 QT3/SIDS 突变均显著增加了复发性钠离子电流在优化的成年大鼠源性背根神经节神经元表达系统中的幅度。计算机模拟表明,与 Nav1.7 突变相关的复发性电流可在伤害感受神经元中诱导高频动作电位放电,而与 Nav1.5 突变相关的复发性电流可使心肌细胞中的动作电位变宽。这些效应与各自的通道病相关的病理生理学一致。我们的结果表明,复发性电流与多种通道病有关,并且可能是神经元和肌肉兴奋性疾病的重要贡献者。

相似文献

[1]
Human voltage-gated sodium channel mutations that cause inherited neuronal and muscle channelopathies increase resurgent sodium currents.

J Clin Invest. 2009-12-28

[2]
Increased Resurgent Sodium Currents in Nav1.8 Contribute to Nociceptive Sensory Neuron Hyperexcitability Associated with Peripheral Neuropathies.

J Neurosci. 2019-1-7

[3]
Inhibition of Navβ4 peptide-mediated resurgent sodium currents in Nav1.7 channels by carbamazepine, riluzole, and anandamide.

Mol Pharmacol. 2011-7-25

[4]
Sea-anemone toxin ATX-II elicits A-fiber-dependent pain and enhances resurgent and persistent sodium currents in large sensory neurons.

Mol Pain. 2012-9-15

[5]
Changes of Resurgent Na Currents in the Na1.4 Channel Resulting from an Mutation Contributing to Sodium Channel Myotonia.

Int J Mol Sci. 2020-4-8

[6]
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[7]
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[8]
Distinct repriming and closed-state inactivation kinetics of Nav1.6 and Nav1.7 sodium channels in mouse spinal sensory neurons.

J Physiol. 2003-9-15

[9]
Sodium channels gone wild: resurgent current from neuronal and muscle channelopathies.

J Clin Invest. 2009-12-28

[10]
FHF2 isoforms differentially regulate Nav1.6-mediated resurgent sodium currents in dorsal root ganglion neurons.

Pflugers Arch. 2017-2

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[2]
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[3]
Molecular determinants of resurgent sodium currents mediated by Navβ4 peptide and A-type FHFs.

Front Mol Neurosci. 2024-10-2

[4]
A Reinterpretation of the Relationship between Persistent and Resurgent Sodium Currents.

J Neurosci. 2024-7-17

[5]
Special electromyographic features in a child with paramyotonia congenita: A case report and review of literature.

World J Clin Cases. 2024-1-26

[6]
A Reinterpretation of the Relationship Between Persistent and Resurgent Sodium Currents.

bioRxiv. 2024-6-1

[7]
Resurgent current in context: Insights from the structure and function of Na and K channels.

Biophys J. 2024-7-16

[8]
Cold and warmth intensify pain-linked sodium channel gating effects and persistent currents.

J Gen Physiol. 2023-9-4

[9]
Structure of human Na1.6 channel reveals Na selectivity and pore blockade by 4,9-anhydro-tetrodotoxin.

Nat Commun. 2023-2-23

[10]
Local hyperexcitability of C-nociceptors may predict responsiveness to topical lidocaine in neuropathic pain.

PLoS One. 2022

本文引用的文献

[1]
Transfection of rat or mouse neurons by biolistics or electroporation.

Nat Protoc. 2009

[2]
Voltage-clamp and current-clamp recordings from mammalian DRG neurons.

Nat Protoc. 2009

[3]
Paroxysmal extreme pain disorder mutations within the D3/S4-S5 linker of Nav1.7 cause moderate destabilization of fast inactivation.

J Physiol. 2008-9-1

[4]
Functional properties and differential neuromodulation of Na(v)1.6 channels.

Mol Cell Neurosci. 2008-8

[5]
Oxidation of multiple methionine residues impairs rapid sodium channel inactivation.

Pflugers Arch. 2008-9

[6]
Mutation of sodium channel SCN3A in a patient with cryptogenic pediatric partial epilepsy.

Neurosci Lett. 2008-3-5

[7]
From genes to pain: Na v 1.7 and human pain disorders.

Trends Neurosci. 2007-11

[8]
A Nav1.7 channel mutation associated with hereditary erythromelalgia contributes to neuronal hyperexcitability and displays reduced lidocaine sensitivity.

J Physiol. 2007-6-15

[9]
The nondystrophic myotonias.

Neurotherapeutics. 2007-4

[10]
Cardiac sodium channel dysfunction in sudden infant death syndrome.

Circulation. 2007-1-23

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