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pubmed-article:12695286pubmed:abstractTextMany long-QT syndrome (LQTS) mutations in the cardiac Na+ channel result in a gain of function due to a fraction of channels that fail to inactivate (burst), leading to sustained current (Isus) during depolarization. However, some Na+ channel mutations that are causally linked to cardiac arrhythmia do not result in an obvious gain of function as measured using standard patch-clamp techniques. An example presented here, the SCN5A LQTS mutant I1768V, does not act to increase Isus (<0.1% of peak) compared with wild-type (WT) channels. In fact, it is difficult to reconcile the seemingly innocuous kinetic alterations in I1768V as measured during standard protocols under steady-state conditions with the disease phenotype.lld:pubmed
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pubmed-article:12695286pubmed:dateRevised2011-7-22lld:pubmed
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pubmed-article:12695286pubmed:articleTitleNon-equilibrium gating in cardiac Na+ channels: an original mechanism of arrhythmia.lld:pubmed
pubmed-article:12695286pubmed:affiliationDepartment of Pharmacology, Columbia University College of Physicians and Surgeons, 630 W 168th St, New York, NY 10032, USA.lld:pubmed
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pubmed-article:12695286pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
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