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The Journal of Neuroscience, March 8, 2006, 26(10):2714-2723; doi:10.1523/JNEUROSCI.2977-05.2006

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Cellular/Molecular
An Epilepsy Mutation in the Sodium Channel SCN1A That Decreases Channel Excitability

Arthur J. Barela,1 * Salina P. Waddy,2 * Jay G. Lickfett,1 Jessica Hunter,3 Aimee Anido,3 Sandra L. Helmers,2 Alan L. Goldin,1 and Andrew Escayg3

1Department of Microbiology and Molecular Genetics, University of California at Irvine, Irvine, California 92697-4025, and Departments of 2Neurology and 3Human Genetics, Emory University School of Medicine, Emory University, Atlanta, Georgia 30322

Correspondence should be address to Andrew Escayg at the above address. Email: aescayg{at}genetics.emory.edu

Mutations in three voltage-gated sodium channel genes, SCN1A, SCN2A, and SCN1B, and two GABAA receptor subunit genes, GABRG2 and GABRD, have been identified in families with generalized epilepsy with febrile seizures plus (GEFS+). A novel mutation, R859C, in the Nav1.1 sodium channel was identified in a four-generation, 33-member Caucasian family with a clinical presentation consistent with GEFS+. The mutation neutralizes a positively charged arginine in the domain 2 S4 voltage sensor of the Nav1.1 channel {alpha} subunit. This residue is conserved in mammalian sodium channels as well as in sodium channels from lower organisms. When the mutation was placed in the rat Nav1.1 channel and expressed in Xenopus oocytes, the mutant channel displayed a positive shift in the voltage dependence of sodium channel activation, slower recovery from slow inactivation, and lower levels of current compared with the wild-type channel. Computational analysis suggests that neurons expressing the mutant channel have higher thresholds for firing a single action potential and for firing multiple action potentials, along with decreased repetitive firing. Therefore, this mutation should lead to decreased neuronal excitability, in contrast to most previous GEFS+ sodium channel mutations, which have changes predicted to increase neuronal firing.

Key words: epilepsy; sodium channel; electrophysiology; mutation; GEFS+; SCN1A


Received July 19, 2005; revised Jan. 20, 2006; accepted Jan. 24, 2006.

Correspondence should be address to Andrew Escayg at the above address. Email: aescayg{at}genetics.emory.edu




This article has been cited by other articles:


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K. M. Kahlig, S. N. Misra, and A. L. George Jr
Impaired Inactivation Gate Stabilization Predicts Increased Persistent Current for an Epilepsy-Associated SCN1A Mutation
J. Neurosci., October 25, 2006; 26(43): 10958 - 10966.
[Abstract] [Full Text] [PDF]



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