The Mutation P.T613a in the Pore Helix of the Kv 11.1 Potassium Channel is Associated with Long Qt Syndrome

TY - JOUR

T1 - The Mutation P.T613a in the Pore Helix of the Kv 11.1 Potassium Channel is Associated with Long Qt Syndrome

AU - Poulsen, Kristian L

AU - Hotait, Mostafa

AU - Calloe, Kirstine

AU - Klaerke, Dan A

AU - Rebeiz, Abdallah

AU - Nemer, Georges

AU - Tejada, Maria A

AU - Refaat, Marwan M

N1 - © 2015 Wiley Periodicals, Inc.

PY - 2015/11

Y1 - 2015/11

N2 - Background Loss-of-function mutations in the voltage gated potassium channel Kv11.1 have been associated with the Long QT Syndrome (LQTS) type 2. We identified the p.T613A mutation in Kv11.1 in a family with LQTS. T613A is located in the outer part of the pore helix, a structure that is involved in C-type inactivation. Here we characterize the effect of p.T613A on the functional properties of KV11.1. Methods The p.T613A mutation was introduced into KV11.1 (T613A). Wild-type KV11.1 (WT) and T613A were expressed in Xenopus laevis oocytes and characterized by two-electrode-voltage-clamp. Results T613A currents were reduced to <20% of WT currents and T613A induced a minor negative shift in half maximal rectification, indicating that the voltage-dependent onset on inactivation occurred at more negative voltages compared to WT. Co-expression of T613A with WT revealed intermediate phenotype and there was no dominant negative effect of T613A. Conclusion These findings suggest that p.T613A causes a loss-of-function of Kv11.1. This results in a reduced repolarizing reserve which may result in LQTS2 and sudden cardiac death.

AB - Background Loss-of-function mutations in the voltage gated potassium channel Kv11.1 have been associated with the Long QT Syndrome (LQTS) type 2. We identified the p.T613A mutation in Kv11.1 in a family with LQTS. T613A is located in the outer part of the pore helix, a structure that is involved in C-type inactivation. Here we characterize the effect of p.T613A on the functional properties of KV11.1. Methods The p.T613A mutation was introduced into KV11.1 (T613A). Wild-type KV11.1 (WT) and T613A were expressed in Xenopus laevis oocytes and characterized by two-electrode-voltage-clamp. Results T613A currents were reduced to <20% of WT currents and T613A induced a minor negative shift in half maximal rectification, indicating that the voltage-dependent onset on inactivation occurred at more negative voltages compared to WT. Co-expression of T613A with WT revealed intermediate phenotype and there was no dominant negative effect of T613A. Conclusion These findings suggest that p.T613A causes a loss-of-function of Kv11.1. This results in a reduced repolarizing reserve which may result in LQTS2 and sudden cardiac death.

U2 - 10.1111/pace.12693

DO - 10.1111/pace.12693

M3 - Journal article

C2 - 26173150

SN - 0147-8389

VL - 38

SP - 1304

EP - 1309

JO - Pacing and Clinical Electrophysiology

JF - Pacing and Clinical Electrophysiology

IS - 11

ER -