Kv1.2 Potassium Channel

Kv1.2 钾通道
  • 文章类型: Journal Article
    热稳定的全蝎毒肽和二硫键完全配对的部分降解肽是我国传统蝎毒药材中宝贵的天然肽资源。然而,它们的药理活性在很大程度上是未知的。本研究发现BmKcug1a-P1,一种新型的N端降解肽,在这种药用材料中。BmKcug1a-P1抑制hKv1.2和hKv1.3钾通道,IC50值为2.12±0.27μM和1.54±0.28μM,分别。探讨N端氨基酸丢失对钾通道抑制活性的影响,三种类似物(即,全长BmKcug1a,制备BmKcug1a-P1-D2和BmKcug1a-P1-D4)的BmKcug1a-P1,通过全细胞膜片钳技术验证了其对hKv1.3通道的钾通道抑制活性。有趣的是,全长BmKcug1a对hKv1.3通道的钾通道抑制活性与其N端降解形式(BmKcug1a-P1)相比显着提高,而两个截短类似物的活性(即,BmKcug1a-P1-D2和BmKcug1a-P1-D4)与BmKcug1a-P1相似。广泛的丙氨酸扫描实验确定了键合界面(包括两个关键功能残基,BmKcug1a-P1的Asn30和Arg34)。结构和功能解剖进一步阐明了肽的N末端残基是否位于键合界面,对于确定N末端是否显着影响肽的钾通道抑制活性至关重要。总之,本研究确定了一种新型的N端降解活性肽,来自中国传统蝎子药材的BmKcug1a-P1,阐明了肽的N端如何影响其钾通道抑制活性,有助于中国传统蝎子药材ButhusmartensiiKarsch的全长和降解肽的功能鉴定和分子截断优化。
    Thermally stable full-length scorpion toxin peptides and partially degraded peptides with complete disulfide bond pairing are valuable natural peptide resources in traditional Chinese scorpion medicinal material. However, their pharmacological activities are largely unknown. This study discovered BmKcug1a-P1, a novel N-terminal degraded peptide, in this medicinal material. BmKcug1a-P1 inhibited hKv1.2 and hKv1.3 potassium channels with IC50 values of 2.12 ± 0.27 μM and 1.54 ± 0.28 μM, respectively. To investigate the influence of N-terminal amino acid loss on the potassium channel inhibiting activities, three analogs (i.e., full-length BmKcug1a, BmKcug1a-P1-D2 and BmKcug1a-P1-D4) of BmKcug1a-P1 were prepared, and their potassium channel inhibiting activities on hKv1.3 channel were verified by whole-cell patch clamp technique. Interestingly, the potassium channel inhibiting activity of full-length BmKcug1a on the hKv1.3 channel was significantly improved compared to its N-terminal degraded form (BmKcug1a-P1), while the activities of two truncated analogs (i.e., BmKcug1a-P1-D2 and BmKcug1a-P1-D4) were similar to that of BmKcug1a-P1. Extensive alanine-scanning experiments identified the bonding interface (including two key functional residues, Asn30 and Arg34) of BmKcug1a-P1. Structural and functional dissection further elucidated whether N-terminal residues of the peptide are located at the bonding interface is important in determining whether the N-terminus significantly influences the potassium channel inhibiting activity of the peptide. Altogether, this research identified a novel N-terminal degraded active peptide, BmKcug1a-P1, from traditional Chinese scorpion medicinal material and elucidated how the N-terminus of peptides influences their potassium channel inhibiting activity, contributing to the functional identification and molecular truncation optimization of full-length and degraded peptides from traditional Chinese scorpion medicinal material Buthus martensii Karsch.
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  • 文章类型: Journal Article
    膜蛋白作为受体发挥着重要的生理作用,频道,泵,和运输商。尽管它们很重要,然而,低表达水平通常会妨碍膜蛋白的实验表征。我们提出了一种名为mPROSS(https://mPROSS)的自动化和可通过网络访问的设计算法。魏茨曼.AC.il),使用系统发育分析和原子潜力,包括经验亲脂性量表,以提高天然状态的能量。作为一项严格的测试,我们将mPROSS应用于Kv1.2-Kv2.1桨嵌合体电压门控钾通道。四种设计,相对于亲本通道编码9-26个突变,在非洲爪的卵母细胞中具有功能性并维持钾选择性渗透和电压依赖性,全细胞电流密度增加高达14倍。此外,单通道记录显示通道打开概率和单位电导没有显著变化,表明功能表达水平增加而不影响单个通道的活性谱。我们的结果表明,通过一次性设计计算,其他动态通道和受体的表达水平可能会提高。
    Membrane proteins play critical physiological roles as receptors, channels, pumps, and transporters. Despite their importance, however, low expression levels often hamper the experimental characterization of membrane proteins. We present an automated and web-accessible design algorithm called mPROSS (https://mPROSS.weizmann.ac.il), which uses phylogenetic analysis and an atomistic potential, including an empirical lipophilicity scale, to improve native-state energy. As a stringent test, we apply mPROSS to the Kv1.2-Kv2.1 paddle chimera voltage-gated potassium channel. Four designs, encoding 9-26 mutations relative to the parental channel, were functional and maintained potassium-selective permeation and voltage dependence in Xenopus oocytes with up to 14-fold increase in whole-cell current densities. Additionally, single-channel recordings reveal no significant change in the channel-opening probability nor in unitary conductance, indicating that functional expression levels increase without impacting the activity profile of individual channels. Our results suggest that the expression levels of other dynamic channels and receptors may be enhanced through one-shot design calculations.
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  • 文章类型: Journal Article
    针对电压门控钾通道(Kv)复合物成分的自身抗体亚组与免疫治疗反应性临床综合征相关。高患病率和自身抗体直接结合Kv的作用仍然存在,然而,有争议。我们的目标是确定Kv自身抗体结合要求并阐明它们对观察到的免疫应答的贡献。
    通过磷酸化和深度突变扫描研究了来自Kv1.2阳性但32种常见神经系统自身抗原和对照(血清n=18和CSFn=5)的患者队列的血清(n=36)和脑脊液(CSF)(n=12)中的结合表位。在重组细胞上解析了自身抗体特异性和对观察到的免疫应答的贡献,小脑片,和神经纤维。
    研究队列中83%的患者(30/36)共享具有Kv1.2-3反应性的两个主要结合表位中的一个。11%(4/36)的血清样品显示没有结合。指纹图谱解析了两个共享表位的接近相同的序列要求。Kv自身抗体反应针对周围神经中的近缘区和中枢神经系统神经元中的轴突初始节段,并且仅由共享表位介导。
    系统图谱显示两种共有的自身免疫反应,一个主要的Kv1.2-3自身抗体表位出乎意料地普遍存在。这些患者中分子结合要求的保守性表明具有单特异性反应性的统一的自身抗体库。与基于细胞的检测(7/12)相比,基于表位的(10/12)的敏感性增强了其用于检测的用途。确定的免疫显性表位也是组织中可见的主要免疫应答。提示常规筛查的诊断意义和具体价值。
    UNASSIGNED: Subgroups of autoantibodies directed against voltage-gated potassium channel (Kv) complex components have been associated with immunotherapy-responsive clinical syndromes. The high prevalence and the role of autoantibodies directly binding Kv remain, however, controversial. Our objective was to determine Kv autoantibody binding requirements and to clarify their contribution to the observed immune response.
    UNASSIGNED: Binding epitopes were studied in sera (n = 36) and cerebrospinal fluid (CSF) (n = 12) from a patient cohort positive for Kv1.2 but negative for 32 common neurological autoantigens and controls (sera n = 18 and CSF n = 5) by phospho and deep mutational scans. Autoantibody specificity and contribution to the observed immune response were resolved on recombinant cells, cerebellum slices, and nerve fibers.
    UNASSIGNED: 83% of the patients (30/36) within the studied cohort shared one out of the two major binding epitopes with Kv1.2-3 reactivity. Eleven percent (4/36) of the serum samples showed no binding. Fingerprinting resolved close to identical sequence requirements for both shared epitopes. Kv autoantibody response is directed against juxtaparanodal regions in peripheral nerves and the axon initial segment in central nervous system neurons and exclusively mediated by the shared epitopes.
    UNASSIGNED: Systematic mapping revealed two shared autoimmune responses, with one dominant Kv1.2-3 autoantibody epitope being unexpectedly prevalent. The conservation of the molecular binding requirements among these patients indicates a uniform autoantibody repertoire with monospecific reactivity. The enhanced sensitivity of the epitope-based (10/12) compared with that of the cell-based detection (7/12) highlights its use for detection. The determined immunodominant epitope is also the primary immune response visible in tissue, suggesting a diagnostic significance and a specific value for routine screening.
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  • 文章类型: Journal Article
    在LGI1依赖性常染色体显性遗传颞叶外侧癫痫的动物模型中,Kv1通道下调,提示他们参与了癫痫的发生.尚未阐明LGI1敲除小鼠中Kv1通道下调的分子基础,并且这种细胞外蛋白的缺失如何诱导Kv1表达的重要修饰仍然未知。在这项研究中,我们通过免疫荧光分析了LGI1敲除小鼠整个海马结构中神经元Kv1.1和Kv1.2分布的修饰。我们表明Kv1下调不限于轴突室,但也发生在体细胞树突区域,并伴随着Kv2表达水平的急剧下降。此外,我们发现,这些Kv通道的下调与破裂模式的显着增加有关。最后,质谱发现了Kv1相互作用组中的关键修饰,这些修饰突出了LGI1敲除动物中Kv1下调的致癫痫意义。
    In animal models of LGI1-dependent autosomal dominant lateral temporal lobe epilepsy, Kv1 channels are downregulated, suggesting their crucial involvement in epileptogenesis. The molecular basis of Kv1 channel-downregulation in LGI1 knock-out mice has not been elucidated and how the absence of this extracellular protein induces an important modification in the expression of Kv1 remains unknown. In this study we analyse by immunofluorescence the modifications in neuronal Kv1.1 and Kv1.2 distribution throughout the hippocampal formation of LGI1 knock-out mice. We show that Kv1 downregulation is not restricted to the axonal compartment, but also takes place in the somatodendritic region and is accompanied by a drastic decrease in Kv2 expression levels. Moreover, we find that the downregulation of these Kv channels is associated with a marked increase in bursting patterns. Finally, mass spectrometry uncovered key modifications in the Kv1 interactome that highlight the epileptogenic implication of Kv1 downregulation in LGI1 knock-out animals.
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  • 文章类型: Case Reports
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  • 文章类型: Journal Article
    背景:已经在少数神经精神疾病病例中描述了针对钾电压门控通道亚家族A成员2(KCNA2)的自身抗体,但是它们的诊断和病理生理作用目前尚不清楚,给医疗实践带来挑战。
    我们回顾性收集了35例基于细胞和基于组织的检测中检测到的KCNA2IgG自身抗体患者的综合临床和临床数据。患者血清和脑脊液(CSF)用于表征抗原,临床血清学相关性,并测定IgG亚类。
    结果:KCNA2自身抗体阳性患者(n=35,发病年龄中位数为65岁,16-83年的范围,74%的男性)主要表现为认知障碍和/或癫痫发作,但也表现为共济失调,步态障碍和人格改变。血清自身抗体属于IgG3和IgG1亚类,滴度范围为1:32至1:10,000。在8/21(38%)患者的CSF和4/96(4.2%)健康献血者的血清中发现了KCNA2IgG。KCNA2自身抗体与哺乳动物大脑的小脑和海马以及周围神经的近区区域的特征性解剖区域结合,但仅与细胞内表位反应。四名KCNA2自身抗体阳性患者的子集对免疫疗法有明显反应,同时转化为血清阴性,特别是那些表现出自身免疫性脑炎表型并接受早期免疫疗法的患者。可用的脑活检显示强烈的免疫细胞侵袭。KCNA2自身抗体与潜在肿瘤的相关性小于10%。
    结论:我们的数据表明KCNA2自身免疫是临床异质性的。未来的研究应确定KCNA2自身抗体是直接致病还是次要发展。应考虑早期免疫疗法,特别是如果CSF中存在自身抗体,或者临床或诊断结果表明炎症正在进行.可疑的临床表型包括自身免疫性脑炎,非典型痴呆,新发癫痫和原因不明的癫痫发作。
    Autoantibodies against the potassium voltage-gated channel subfamily A member 2 (KCNA2) have been described in a few cases of neuropsychiatric disorders, but their diagnostic and pathophysiological role is currently unknown, imposing challenges to medical practice.
    We retrospectively collected comprehensive clinical and paraclinical data of 35 patients with KCNA2 IgG autoantibodies detected in cell-based and tissue-based assays. Patients\' sera and cerebrospinal fluid (CSF) were used for characterization of the antigen, clinical-serological correlations, and determination of IgG subclasses.
    KCNA2 autoantibody-positive patients (n = 35, median age at disease onset of 65 years, range of 16-83 years, 74 % male) mostly presented with cognitive impairment and/or epileptic seizures but also ataxia, gait disorder and personality changes. Serum autoantibodies belonged to IgG3 and IgG1 subclasses and titers ranged from 1:32 to 1:10,000. KCNA2 IgG was found in the CSF of 8/21 (38 %) patients and in the serum of 4/96 (4.2 %) healthy blood donors. KCNA2 autoantibodies bound to characteristic anatomical areas in the cerebellum and hippocampus of mammalian brain and juxtaparanodal regions of peripheral nerves but reacted exclusively with intracellular epitopes. A subset of four KCNA2 autoantibody-positive patients responded markedly to immunotherapy alongside with conversion to seronegativity, in particular those presenting an autoimmune encephalitis phenotype and receiving early immunotherapy. An available brain biopsy showed strong immune cell invasion. KCNA2 autoantibodies occurred in less than 10 % in association with an underlying tumor.
    Our data suggest that KCNA2 autoimmunity is clinically heterogeneous. Future studies should determine whether KCNA2 autoantibodies are directly pathogenic or develop secondarily. Early immunotherapy should be considered, in particular if autoantibodies occur in CSF or if clinical or diagnostic findings suggest ongoing inflammation. Suspicious clinical phenotypes include autoimmune encephalitis, atypical dementia, new-onset epilepsy and unexplained epileptic seizures.
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  • 文章类型: Journal Article
    摇床钾通道是研究离子通道失活的重要模型,并塑造了我们对N型与C型机制。在描述C型失活的早期工作中,López-Barneo及其同事系统地表征了Shaker残基T449的许多突变,表明该位置是C型失活率的关键决定因素。然而,在大多数密切相关的哺乳动物Kv1通道中,一个持续的谜团是,该位置的残基同一性对响应于长时间去极化的失活速率具有相对适度的影响。在这项研究中,我们报告了测量或引起与C型失活相关的外孔构象变化的替代方法。在外孔中使用战略性取代的半胱氨酸,我们证明Kv1.2V381(相当于振动筛T449)或W366(振动筛W434)的突变显著增加了细胞外应用MTSET修饰的易感性.此外,由于C型失活的协同性质,异聚通道中的Kv1.2组装明显抑制了相邻亚基中这种取代的半胱氨酸的MTSET修饰。Kv1.2残基V381的身份也显着影响在偏向C型失活通道的条件下的功能,即当Na代替K作为渗透离子时,或当通道被N型失活颗粒(例如Kvβ1.2)阻断时。总的来说,我们的发现表明,在哺乳动物Kv1通道中,在某些实验条件下,T449当量残基的身份可以强烈影响函数,即使在长时间去极化过程中对明显的失活有适度的影响。这些发现有助于调和许多Kv1通道与Shaker的实验结果差异。
    Shaker potassium channels have been an essential model for studying inactivation of ion channels and shaped our earliest understanding of N-type vs. C-type mechanisms. In early work describing C-type inactivation, López-Barneo and colleagues systematically characterized numerous mutations of Shaker residue T449, demonstrating that this position was a key determinant of C-type inactivation rate. In most of the closely related mammalian Kv1 channels, however, a persistent enigma has been that residue identity at this position has relatively modest effects on the rate of inactivation in response to long depolarizations. In this study, we report alternative ways to measure or elicit conformational changes in the outer pore associated with C-type inactivation. Using a strategically substituted cysteine in the outer pore, we demonstrate that mutation of Kv1.2 V381 (equivalent to Shaker T449) or W366 (Shaker W434) markedly increases susceptibility to modification by extracellularly applied MTSET. Moreover, due to the cooperative nature of C-type inactivation, Kv1.2 assembly in heteromeric channels markedly inhibits MTSET modification of this substituted cysteine in neighboring subunits. The identity of Kv1.2 residue V381 also markedly influences function in conditions that bias channels toward C-type inactivation, namely when Na+ is substituted for K+ as the permeant ion or when channels are blocked by an N-type inactivation particle (such as Kvβ1.2). Overall, our findings illustrate that in mammalian Kv1 channels, the identity of the T449-equivalent residue can strongly influence function in certain experimental conditions, even while having modest effects on apparent inactivation during long depolarizations. These findings contribute to reconciling differences in experimental outcomes in many Kv1 channels vs. Shaker.
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  • 文章类型: Journal Article
    两个KCNA2变体(p。在患有癫痫和发育迟缓的儿科患者中发现了H310Y和p.H310R)。KCNA2编码KV1.2通道亚基,调节神经元的兴奋性.KV1.2功能的获得和丧失都会导致癫痫,排除了变异效应的预测;虽然H310在整个KV通道超家族中是保守的,它在很大程度上被研究不足。我们研究了异源表达的两种变体,通过免疫细胞化学,人KV1.2通道,电生理学和电压钳荧光法。尽管影响了同一频道,在同一位置,并与严重的神经系统疾病相关,这两种变体对KV1.2功能表达具有截然相反的作用。p.H310Y变体产生了“函数的双重增益”,增加细胞表面的运输和活动,延迟通道关闭。我们发现后者是由于氢键的形成,该氢键稳定了电压传感器域的活性状态。此外,H310Y消除了KVβ1亚基对KV1.2的球和链失活,增强功能增益。相比之下,p.H310R导致“双重功能丧失”,通过多种阻碍运输和抑制电压依赖性通道开放来降低表面水平。我们讨论了KV通道生物发生和功能的含义,疾病相关变异的紧急热点,和癫痫发生机制。关键点:KCNA2编码KV1.2电压激活的亚基,K+选择性离子通道,调节神经元的电信号。我们表征了患有发育迟缓和癫痫的患者的两种KCNA2变体。两种变体都影响位置H310,在KV通道中高度保守。p.H310Y变体导致\'函数双增益\',增加KV1.2通道活性和细胞表面KV1.2亚基的数量。H310Y消除了KVβ1亚基对KV1.2的球和链(N型)失活,增强功能获得表型。p.H310R变体导致“双重功能丧失”,减少细胞表面KV1.2亚基的存在,并抑制电压依赖性通道的开放。由于H310Y稳定了电压传感器活性构象并消除了N型失活,它可以作为功能和药理研究的研究工具。
    Two KCNA2 variants (p.H310Y and p.H310R) were discovered in paediatric patients with epilepsy and developmental delay. KCNA2 encodes KV 1.2-channel subunits, which regulate neuronal excitability. Both gain and loss of KV 1.2 function cause epilepsy, precluding the prediction of variant effects; and while H310 is conserved throughout the KV -channel superfamily, it is largely understudied. We investigated both variants in heterologously expressed, human KV 1.2 channels by immunocytochemistry, electrophysiology and voltage-clamp fluorometry. Despite affecting the same channel, at the same position, and being associated with severe neurological disease, the two variants had diametrically opposite effects on KV 1.2 functional expression. The p.H310Y variant produced \'dual gain of function\', increasing both cell-surface trafficking and activity, delaying channel closure. We found that the latter is due to the formation of a hydrogen bond that stabilizes the active state of the voltage-sensor domain. Additionally, H310Y abolished \'ball and chain\' inactivation of KV 1.2 by KV β1 subunits, enhancing gain of function. In contrast, p.H310R caused \'dual loss of function\', diminishing surface levels by multiple impediments to trafficking and inhibiting voltage-dependent channel opening. We discuss the implications for KV -channel biogenesis and function, an emergent hotspot for disease-associated variants, and mechanisms of epileptogenesis. KEY POINTS: KCNA2 encodes the subunits of KV 1.2 voltage-activated, K+ -selective ion channels, which regulate electrical signalling in neurons. We characterize two KCNA2 variants from patients with developmental delay and epilepsy. Both variants affect position H310, highly conserved in KV channels. The p.H310Y variant caused \'dual gain of function\', increasing both KV 1.2-channel activity and the number of KV 1.2 subunits on the cell surface. H310Y abolished \'ball and chain\' (N-type) inactivation of KV 1.2 by KV β1 subunits, enhancing the gain-of-function phenotype. The p.H310R variant caused \'dual loss of function\', diminishing the presence of KV 1.2 subunits on the cell surface and inhibiting voltage-dependent channel opening. As H310Y stabilizes the voltage-sensor active conformation and abolishes N-type inactivation, it can serve as an investigative tool for functional and pharmacological studies.
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  • 文章类型: Journal Article
    神经损伤引起的背根神经节(DRG)初级感觉神经元基因表达的变化是神经性疼痛发生的分子基础。转录因子调节基因表达。在这项研究中,我们检查了早期B细胞因子1(EBF1),转录因子,DRG参与了坐骨神经慢性压迫性损伤(CCI)引起的神经性疼痛。EBF1仅分布在神经元核中,并在单个DRG神经元中与细胞质/膜Kv1.2共表达。单侧CCI后,同侧腰椎(L)3/4DRGs中Ebf1mRNA和蛋白的表达呈时间依赖性下调。通过将表达全长Ebf1mRNA的腺相关病毒5显微注射到同侧L3/4DRG中来挽救这种下调,逆转了CCI诱导的DRGKv1.2表达的降低,并减轻了机械的发展和维持,热和冷的超敏反应。相反,通过将表达AAV5的Ebf1shRNA显微注射到单侧L3/4DRGs中模拟DRGEBF1的下调,导致同侧L3/4DRGs中Kv1.2表达减少,自发性疼痛和对机械的增强反应,幼稚小鼠的热和冷刺激。机械上,EBF1不仅与Kcna2基因(编码Kv1.2)启动子结合,而且直接激活其活性。CCI降低了同侧L3/4DRGs中EBF1与Kcna2启动子的结合。我们的发现表明,DRGEBF1下调可能通过失去与Kcna2启动子的结合并随后在初级感觉神经元中沉默Kv1.2表达而导致神经性疼痛。外源性EBF1施用可通过挽救DRGKv1.2表达来减轻神经性疼痛。
    Nerve injury-induced alternations of gene expression in primary sensory neurons of the dorsal root ganglion (DRG) are molecular basis of neuropathic pain genesis. Transcription factors regulate gene expression. In this study, we examined whether early B cell factor 1 (EBF1), a transcription factor, in the DRG, participated in neuropathic pain caused by chronic constriction injury (CCI) of the sciatic nerve. EBF1 was distributed exclusively in the neuronal nucleus and coexpressed with cytoplasmic/membrane Kv1.2 in individual DRG neurons. The expression of Ebf1 mRNA and protein was time-dependently downregulated in the ipsilateral lumbar (L) 3/4 DRGs after unilateral CCI. Rescuing this downregulation through microinjection of the adeno-associated virus 5 expressing full-length Ebf1 mRNA into the ipsilateral L3/4 DRGs reversed the CCI-induced decrease of DRG Kv1.2 expression and alleviated the development and maintenance of mechanical, heat and cold hypersensitivities. Conversely, mimicking the downregulation of DRG EBF1 through microinjection of AAV5-expressing Ebf1 shRNA into unilateral L3/4 DRGs produced a reduction of Kv1.2 expression in the ipsilateral L3/4 DRGs, spontaneous pain, and the enhanced responses to mechanical, heat and cold stimuli in naive mice. Mechanistically, EBF1 not only bound to the Kcna2 gene (encoding Kv1.2) promoter but also directly activated its activity. CCI decreased the EBF1 binding to the Kcna2 promoter in the ipsilateral L3/4 DRGs. Our findings suggest that DRG EBF1 downregulation contributes to neuropathic pain likely by losing its binding to Kcna2 promoter and subsequently silencing Kv1.2 expression in primary sensory neurons. Exogenous EBF1 administration may mitigate neuropathic pain by rescuing DRG Kv1.2 expression.
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  • 文章类型: Journal Article
    KCNA1(Kv1.1)基因的功能缺失突变导致1型发作性共济失调(EA1),一种以小脑功能障碍为特征的神经系统疾病,共济失调发作,持续的肌强直伴骨骼肌疼痛痉挛,和癫痫。目前用于EA1治疗的精准医学是不可行的,因为没有一种药物能够增强含Kv1.1通道的活性并抵消由KCNA1突变引起的功能缺陷。这里,我们发现尼氟灭酸(NFA),目前规定的镇痛和抗炎药在临床上具有良好的安全性,增强Kv1.1通道的活性。NFA通过增强通道开放概率来增加Kv1.1电流幅度,在通道打开和门控电荷运动的电压依赖性中引起超极化偏移,减慢关闭门控电流衰减。NFA对同聚Kv1.2和异聚Kv1.1/Kv1.2通道都有类似的作用,在大多数大脑结构中形成。我们表明,通过它的增强作用,NFA减轻了Kv1.1中EA1突变诱导的功能缺陷,并恢复了小脑突触传递,浦肯野细胞可用性,和精确的射击。此外,NFA改善了EA1敲入小鼠模型的运动性能,并恢复了Shaker(Kv1.1)突变果蝇果蝇(Sh5)的神经肌肉传递和攀爬能力。凭借其多重行动,NFA具有作为EA1的有效的基于单分子的治疗剂的强大潜力,并且作为药物发现的有价值的模型。
    Loss-of-function mutations in the KCNA1(Kv1.1) gene cause episodic ataxia type 1 (EA1), a neurological disease characterized by cerebellar dysfunction, ataxic attacks, persistent myokymia with painful cramps in skeletal muscles, and epilepsy. Precision medicine for EA1 treatment is currently unfeasible, as no drug that can enhance the activity of Kv1.1-containing channels and offset the functional defects caused by KCNA1 mutations has been clinically approved. Here, we uncovered that niflumic acid (NFA), a currently prescribed analgesic and anti-inflammatory drug with an excellent safety profile in the clinic, potentiates the activity of Kv1.1 channels. NFA increased Kv1.1 current amplitudes by enhancing the channel open probability, causing a hyperpolarizing shift in the voltage dependence of both channel opening and gating charge movement, slowing the OFF-gating current decay. NFA exerted similar actions on both homomeric Kv1.2 and heteromeric Kv1.1/Kv1.2 channels, which are formed in most brain structures. We show that through its potentiating action, NFA mitigated the EA1 mutation-induced functional defects in Kv1.1 and restored cerebellar synaptic transmission, Purkinje cell availability, and precision of firing. In addition, NFA ameliorated the motor performance of a knock-in mouse model of EA1 and restored the neuromuscular transmission and climbing ability in Shaker (Kv1.1) mutant Drosophila melanogaster flies (Sh5). By virtue of its multiple actions, NFA has strong potential as an efficacious single-molecule-based therapeutic agent for EA1 and serves as a valuable model for drug discovery.
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