Identification of a KCNE2 gain-of-function mutation in patients with familial atrial fibrillation

Yiqing Yang, Min Xia, Qingfeng Jin, Saïd Bendahhou, Jingyi Shi, Yiping Chen, Bo Liang, Jie Lin, Yi Liu, Ban Liu, Qinshu Zhou, Dongwei Zhang, Rong Wang, Ning Ma, Xiaoyan Su, Kaiya Niu, Yan Pei, Wenyuan Xu, Zhaopeng Chen, Haiying WanJianmin Cui, Jacques Barhanin, Yihan Chen

341 Citations (Scopus)

Abstract

Atrial fibrillation (AF) is the most common cardiac arrhythmia encountered in clinical practice. We first reported an S140G mutation of KCNQ1, an alpha subunit of potassium channels, in one Chinese kindred with AF. However, the molecular defects and cellular mechanisms in most patients with AF remain to be identified. We evaluated 28 unrelated Chinese kindreds with AF and sequenced eight genes of potassium channels (KCNQ1, HERG, KCNE1, KCNE2, KCNE3, KCNE4, KCNE5, and KCNJ2). An arginine-to-cysteine mutation at position 27 (R27C) of KCNE2, the beta subunit of the KCNQ1-KCNE2 channel responsible for a background potassium current, was found in 2 of the 28 probands. The mutation was present in all affected members in the two kindreds and was absent in 462 healthy unrelated Chinese subjects. Similar to KCNQ1 S140G, the mutation had a gain-of-function effect on the KCNQ1-KCNE2 channel; unlike long QT syndrome-associated KCNE2 mutations, it did not alter HERG-KCNE2 current. The mutation did not alter the functions of the HCN channel family either. Thus, KCNE2 R27C is a gain-of-function mutation associated with the initiation and/or maintenance of AF.
Original languageEnglish
JournalAmerican Journal of Human Genetics
Volume75
Issue number5
Pages (from-to)899-905
Number of pages7
ISSN0002-9297
DOIs
Publication statusPublished - 2004

Keywords

  • Animals
  • Atrial Fibrillation
  • Base Sequence
  • COS Cells
  • Cercopithecus aethiops
  • China
  • Electrocardiography
  • Female
  • Humans
  • Ion Transport
  • Male
  • Middle Aged
  • Molecular Sequence Data
  • Mutation, Missense
  • Pedigree
  • Potassium
  • Potassium Channels
  • Potassium Channels, Voltage-Gated
  • Sequence Analysis, DNA
  • Transfection

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