Source:http://linkedlifedata.com/resource/pubmed/id/12673799
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2003-4-3
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pubmed:abstractText |
Congenital long QT syndrome type 3 (LQT3) is caused by mutations in the gene SCN5A encoding the alpha-subunit of the cardiac Na(+) channel (Nav1.5). Functional studies of SCN5A mutations in the linker between domains III and IV, and more recently the C-terminus, have been shown to alter inactivation gating. Here we report a novel LQT3 mutation, L619F (LF), located in the domain I-II linker. In an infant with prolonged QTc intervals, mutational analysis identified a heterozygous missense mutation (L619F) in the domain I-II linker of the cardiac Na(+) channel. Wild-type (WT) and mutant channels were studied by whole-cell patch-clamp analysis in transiently expressed HEK cells. LF channels increase maintained Na(+) current (0.79 pA/pF for LF; 0.26 pA/pF for WT) during prolonged depolarization. We found a +5.8mV shift in steady state inactivation in LF channels compared to WT (WT, V(1/2)=-64.0 mV; LF, V(1/2)=-58.2 mV). The positive shift of inactivation, without a corresponding shift in activation, increases the overlap window current in LF relative to WT (1.09 vs. 0.58 pA/pF), as measured using a positive voltage ramp protocol (-100 to +50 mV in 2s). The increase in window current, combined with an increase in non-inactivating Na(+) current, may act to prolong the AP plateau and is consistent with the disease phenotype observed in patients. Moreover, the defective inactivation imposed by the L619F mutation implies a role for the I-II linker in the Na(+) channel inactivation process.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
1098-1004
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pubmed:author | |
pubmed:copyrightInfo |
Copyright 2003 Wiley-Liss, Inc.
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pubmed:issnType |
Electronic
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pubmed:volume |
21
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
552
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pubmed:dateRevised |
2011-7-22
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pubmed:meshHeading |
pubmed-meshheading:12673799-Binding Sites,
pubmed-meshheading:12673799-Cell Line,
pubmed-meshheading:12673799-DNA,
pubmed-meshheading:12673799-DNA Mutational Analysis,
pubmed-meshheading:12673799-Humans,
pubmed-meshheading:12673799-Ion Channel Gating,
pubmed-meshheading:12673799-Long QT Syndrome,
pubmed-meshheading:12673799-Membrane Potentials,
pubmed-meshheading:12673799-Mutagenesis, Site-Directed,
pubmed-meshheading:12673799-Mutation,
pubmed-meshheading:12673799-Mutation, Missense,
pubmed-meshheading:12673799-Patch-Clamp Techniques,
pubmed-meshheading:12673799-Sodium Channels,
pubmed-meshheading:12673799-Transfection
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pubmed:year |
2003
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pubmed:articleTitle |
A novel mutation L619F in the cardiac Na+ channel SCN5A associated with long-QT syndrome (LQT3): a role for the I-II linker in inactivation gating.
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pubmed:affiliation |
Department of Cardiology, Cardiovascular Research Institute Maastricht, The Netherlands.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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