Abstract | BACKGROUND AND OBJECTIVE: METHODS: A long-term exercise test (ET) was conducted based on the McManis method. Whole-cell currents were recorded using patch clamp, and the HEK293 cells were transfected with wild-type or/and mutant Kir2.6 cDNA. RESULTS: A de novo conserved heterozygous mutation in Kir2.6, G169R, was found in a hypokalemic periodic paralysis patient. ET led to a decrease in the amplitude of compound muscle action potential (CMAP) by 64%. Patch clamp results showed that the potassium inward and outward current densities of the G169R mutant were, respectively, reduced by 65.6% and 84.7%; for co-expression with wild type, which more closely resembles the physiological conditions in vitro, the inward and outward current densities decreased, respectively, by 48.2% and 47.4%. CONCLUSIONS: A novel KCNJ18 mutation, G169R, was first reported to be associated with hypokalemic periodic paralysis without hyperthyroidism. Electrophysiological results demonstrated a significant functional defect of this mutant, which may predispose patients with this mutation to paralysis. SIGNIFICANCE:
|
Authors | Jinfan Zheng, Zonglai Liang, Ying Hou, Fuchen Liu, Yuanyuan Hu, Pengfei Lin, Chuanzhu Yan |
Journal | Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology
(Clin Neurophysiol)
Vol. 127
Issue 6
Pg. 2503-8
(06 2016)
ISSN: 1872-8952 [Electronic] Netherlands |
PMID | 27178871
(Publication Type: Journal Article)
|
Copyright | Copyright © 2016 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved. |
Chemical References |
- KCNJ18 protein, human
- Potassium Channels, Inwardly Rectifying
|
Topics |
- Action Potentials
- Adult
- Animals
- COS Cells
- Chlorocebus aethiops
- HEK293 Cells
- Humans
- Male
- Mutation
- Paralysis, Hyperkalemic Periodic
(genetics)
- Potassium Channels, Inwardly Rectifying
(genetics)
|