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Variable K(+) channel subunit dysfunction in inherited mutations of KCNA1.

Abstract
Mutations of KCNA1, which codes for the K(+) channel subunit hKv1.1, are associated with the human autosomal dominant disease episodic ataxia type 1 (EA1). Five recently described mutations are associated with a broad range of phenotypes: neuromyotonia alone or with seizures, EA1 with seizures, or very drug-resistant EA1. Here we investigated the consequences of each mutation for channel assembly, trafficking, gating and permeation. We related data obtained from co-expression of mutant and wild-type hKv1.1 to the results of expressing mutant-wild-type fusion proteins, and combined electrophysiological recordings in Xenopus oocytes with a pharmacological discrimination of the contribution of mutant and wild-type subunits to channels expressed at the membrane. We also applied confocal laser scanning microscopy to measure the level of expression of either wild-type or mutant subunits tagged with green fluorescent protein (GFP). R417stop truncates most of the C-terminus and is associated with severe drug-resistant EA1. Electrophysiological and pharmacological measurements indicated that the mutation impairs both tetramerisation of R417stop with wild-type subunits, and membrane targeting of heterotetramers. This conclusion was supported by confocal laser scanning imaging of enhanced GFP (EGFP)-tagged hKv1.1 subunits. Co-expression of R417stop with wild-type hKv1.2 subunits yielded similar results to co-expression with wild-type hKv1.1. Mutations associated with typical EA1 (V404I) or with neuromyotonia alone (P244H) significantly affected neither tetramerisation nor trafficking, and only altered channel kinetics. Two other mutations associated with a severe phenotype (T226R, A242P) yielded an intermediate result. The phenotypic variability of KCNA1 mutations is reflected in a wide range of disorders of channel assembly, trafficking and kinetics.
AuthorsRuth Rea, Alexander Spauschus, Louise H Eunson, Michael G Hanna, Dimitri M Kullmann
JournalThe Journal of physiology (J Physiol) Vol. 538 Issue Pt 1 Pg. 5-23 (Jan 01 2002) ISSN: 0022-3751 [Print] England
PMID11773313 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • KCNA1 protein, human
  • Kv1.2 Potassium Channel
  • Potassium Channel Blockers
  • Potassium Channels
  • Potassium Channels, Voltage-Gated
  • Kv1.1 Potassium Channel
  • Tetraethylammonium
Topics
  • Animals
  • Electrophysiology
  • Female
  • Fluorescence
  • Humans
  • Kinetics
  • Kv1.1 Potassium Channel
  • Kv1.2 Potassium Channel
  • Models, Biological
  • Mutation (physiology)
  • Oocytes
  • Patch-Clamp Techniques
  • Potassium Channel Blockers (pharmacology)
  • Potassium Channels (drug effects, genetics, physiology)
  • Potassium Channels, Voltage-Gated
  • Protein Processing, Post-Translational
  • Reference Values
  • Tetraethylammonium (pharmacology)
  • Xenopus laevis

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