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The Journal of Neuroscience, June 15, 1999, 19(12):4762-4771
Activation and Inactivation of the Voltage-Gated Sodium Channel:
Role of Segment S5 Revealed by a Novel Hyperkalaemic Periodic Paralysis
Mutation
Saïd
Bendahhou1,
Theodore R.
Cummins2, 3,
Rabi
Tawil4,
Stephen G.
Waxman2, 3, and
Louis J.
Ptácek1
1 Howard Hughes Medical Institute, Eccles Institute of
Human Genetics, University of Utah, Salt Lake City, Utah 84112, 2 Departments of Neurology and Pharmacology, Yale
University School of Medicine, New Haven, Connecticut 06510, 3 Neuroscience Research Center, Veterans Administration
Medical Center, West Haven, Connecticut 06516, and
4 Department of Neurology, University of Rochester,
Rochester, New York 14642
Hyperkalaemic periodic paralysis, paramyotonia congenita, and
potassium-aggravated myotonia are three autosomal dominant skeletal muscle disorders linked to the SCN4A gene encoding the
-subunit of the human voltage-sensitive sodium channel. To date,
~20 point mutations causing these disorders have been described. We
have identified a new point mutation, in the SCN4A gene,
in a family with a hyperkalaemic periodic paralysis phenotype. This
mutation predicts an isoleucine-to-phenylalanine substitution at
position 1495 located in the transmembrane segment S5 in the fourth
homologous domain of the human -subunit sodium channel. Introduction
of the I1495F mutation into the wild-type channels disrupted the macroscopic current inactivation decay and shifted both steady-state activation and inactivation to the hyperpolarizing direction. The
recovery from fast inactivation was slowed, and there was no effect on
channel deactivation. Additionally, a significant enhancement of slow
inactivation was observed in the I1495F mutation. In contrast, the
T704M mutation, a hyperkalaemic periodic paralysis mutation located in
the cytoplasmic interface of the S5 segment of the second domain, also
shifted activation in the hyperpolarizing direction but had little
effect on fast inactivation and dramatically impaired slow
inactivation. These results, showing that the I1495F and T704M
hyperkalaemic periodic paralysis mutations both have profound effects
on channel activation and fast-slow inactivation, suggest that the S5
segment maybe in a location where fast and slow inactivation converge.
Key words:
Na channel; SCN4A; disorders; activation; slow
inactivation; expression
Copyright © 1999 Society for Neuroscience 0270-6474/99/19124762-10$05.00/0
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