gain of function

功能增益
  • 文章类型: Journal Article
    编码Nav1.4通道α亚基的SCN4A基因突变,已知会导致神经肌肉疾病,如肌强直或瘫痪。这里,我们研究了两种氨基酸替代的效果,K1302Q和G1306E,在通道的DIII-IV环路中,与肌强直患者中发现的突变相对应。我们结合临床,电生理学,和分子建模数据,以提供在突变通道中运作并最终导致病理的分子机制的整体图景。我们分析了K1302Q替代患者的现有临床数据,据报道,有或没有肌强直表型的成年人,并报告了两名新的G1306E替代患者,出现严重的新生儿阵发性喉痉挛和儿童期肌强直。我们通过在非洲爪的卵母细胞中与β1亚基结合表达Nav1.4α亚基并使用双电极电压钳记录钠电流,对突变通道进行了功能分析。K1302Q变体表现出稳态快速失活的异常电压依赖性,是病理的可能原因。K1302Q不会导致减速快速失活,不同于其他几种肌强直突变,如G1306E。对于这两个突变体来说,我们观察到增加的窗口电流对应于更多的可用于激活的通道。为了阐述我们实验数据的结构原理,我们在野生型Nav1.4的AlphaFold2模型和突变通道的蒙特卡罗最小化模型中探索涉及K/Q1302和E1306的接触.我们的数据提供了缺失的证据来支持将K1302Q变体分类为可能的致病性,并可能被临床医生使用。
    Mutations in SCN4A gene encoding Nav1.4 channel α-subunit, are known to cause neuromuscular disorders such as myotonia or paralysis. Here, we study the effect of two amino acid replacements, K1302Q and G1306E, in the DIII-IV loop of the channel, corresponding to mutations found in patients with myotonia. We combine clinical, electrophysiological, and molecular modeling data to provide a holistic picture of the molecular mechanisms operating in mutant channels and eventually leading to pathology. We analyze the existing clinical data for patients with the K1302Q substitution, which was reported for adults with or without myotonia phenotypes, and report two new unrelated patients with the G1306E substitution, who presented with severe neonatal episodic laryngospasm and childhood-onset myotonia. We provide a functional analysis of the mutant channels by expressing Nav1.4 α-subunit in Xenopus oocytes in combination with β1 subunit and recording sodium currents using two-electrode voltage clamp. The K1302Q variant exhibits abnormal voltage dependence of steady-state fast inactivation, being the likely cause of pathology. K1302Q does not lead to decelerated fast inactivation, unlike several other myotonic mutations such as G1306E. For both mutants, we observe increased window currents corresponding to a larger population of channels available for activation. To elaborate the structural rationale for our experimental data, we explore the contacts involving K/Q1302 and E1306 in the AlphaFold2 model of wild-type Nav1.4 and Monte Carlo-minimized models of mutant channels. Our data provide the missing evidence to support the classification of K1302Q variant as likely pathogenic and may be used by clinicians.
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  • 文章类型: Journal Article
    人类免疫缺陷病毒(HIV-1)基质蛋白p17(p17)从感染的细胞中释放,作为能够使不同细胞的生物活性失调的蛋白质。P17变体(vp17s),更频繁地在有而不是没有淋巴瘤的HIV-1+患者的血浆中检测到,并且其特征在于其C末端区域的氨基酸插入,被发现触发B细胞生长和克隆形成。具有B细胞生长促进活性的Vp17s严重不稳定,然而,在正确折叠的状态下,参考p17(refp17)对B细胞生长和克隆形成没有任何生物活性。然而,refp17的错误折叠是暴露掩蔽的功能表位所必需的,与蛋白酶激活受体1(PAR-1)相互作用,具有B细胞克隆形成性。的确,值得注意的是,二级结构的变化可以强烈影响蛋白质的功能。这里,我们进行了计算研究,以表明vp17s的功能增益与由于二级结构元素的结构修饰和氢键(H键)网络的重排而引起的巨大构象变化有关。特别是,所有克隆vp17s都显示出两个关键残基的脱离,即Trp16和Tyr29,从它们的疏水核心。生物学数据表明,在refp17主链中,Trp16和Tyr29突变为Ala,单独或组合,产生具有B细胞克隆活性的蛋白质。这些数据显示了疏水性成分在维持refp17稳定性方面的关键作用,并确定了新的潜在治疗靶标以抵消HIV-1患者中vp17驱动的淋巴发生。
    The human immunodeficiency virus (HIV-1) matrix protein p17 (p17) is released from infected cells as a protein capable of deregulating the biological activity of different cells. P17 variants (vp17s), more frequently detected in the plasma of HIV-1+ patients with rather than without lymphoma and characterized by amino acids insertions in their C-terminal region, were found to trigger B cell growth and clonogenicity. Vp17s endowed with B-cell-growth-promoting activity are drastically destabilized, whereas, in a properly folded state, reference p17 (refp17) does not exert any biological activity on B cell growth and clonogenicity. However, misfolding of refp17 is necessary to expose a masked functional epitope, interacting with the protease-activated receptor 1 (PAR-1), endowed with B cell clonogenicity. Indeed, it is worth noting that changes in the secondary structure can strongly impact the function of a protein. Here, we performed computational studies to show that the gain of function of vp17s is linked to dramatic conformational changes due to structural modification in the secondary-structure elements and in the rearrangement of the hydrogen bond (H-bond) network. In particular, all clonogenic vp17s showed the disengagement of two critical residues, namely Trp16 and Tyr29, from their hydrophobic core. Biological data showed that the mutation of Trp16 and Tyr29 to Ala in the refp17 backbone, alone or in combination, resulted in a protein endowed with B cell clonogenic activity. These data show the pivotal role of the hydrophobic component in maintaining refp17 stability and identify a novel potential therapeutic target to counteract vp17-driven lymphomagenesis in HIV-1+ patients.
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  • 文章类型: Journal Article
    基因本体论(GO)项目以标准化的方式描述了来自所有生命王国的生物体的基因产物的功能,能够对涉及全基因组分析的实验进行强大的分析。科学文献用于将实验结果转换为GO注释,对基因产物的功能进行系统分类。然而,为了解决这样一个事实,即所有基因中只有一小部分被实验表征,自GO成立以来,已经开发了多种预测方法来分配GO注释。新基因和具有已知功能的基因之间的序列同源性有助于近似这些非表征基因的作用。在这里,我们描述了产生注释的主要序列同源性方法:成对比较(BLAST),蛋白质谱模型(InterPro),和基于系统发育的注释(PAINT)。这些方法中的一些可以用基因组分析管道(BLAST和InterPro2GO)来实现,而油漆由GO财团策划。
    The Gene Ontology (GO) project describes the functions of the gene products of organisms from all kingdoms of life in a standardized way, enabling powerful analyses of experiments involving genome-wide analysis. The scientific literature is used to convert experimental results into GO annotations that systematically classify gene products\' functions. However, to address the fact that only a minor fraction of all genes has been characterized experimentally, multiple predictive methods to assign GO annotations have been developed since the inception of GO. Sequence homologies between novel genes and genes with known functions help to approximate the roles of these non-characterized genes. Here we describe the main sequence homology methods to produce annotations: pairwise comparison (BLAST), protein profile models (InterPro), and phylogenetic-based annotation (PAINT). Some of these methods can be implemented with genome analysis pipelines (BLAST and InterPro2GO), while PAINT is curated by the GO consortium.
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  • 文章类型: Journal Article
    USP25编码泛素特异性蛋白酶25,去泛素化酶家族的关键成员,并参与神经命运测定。尽管先前报道了唐氏综合征的异常表达,USP25在人类疾病中的具体作用尚未确定.在这项研究中,我们对319例(家族)病因不明的全身性癫痫患者进行了基于三重的全外显子组测序.在八个受五个无关家庭的全身性癫痫发作和/或高热性癫痫发作影响的个体中确定了五个杂合USP25变体,包括两个从头和三个共同分离的变体。与东亚人群和gnomAD数据库中的所有人群相比,USP25变体的频率在该人群中显示出明显的高聚集。高热和无热惊厥的平均发病年龄为10个月(婴儿期)和11.8岁(青少年),分别。患者获得了癫痫发作的自由,除了在最后一次随访中偶尔出现夜间癫痫发作。两名患者表现出智力障碍。Usp25在小鼠大脑中普遍表达,分别在胚胎日(E14〜E16)和出生后第21天出现两个峰。同样,USP25在胎儿/儿童早期阶段表达,在人脑中大约12-20岁时出现第二个峰值,与患者婴儿期和青少年期癫痫发作年龄一致。为了研究体内USP25缺乏症的功能影响,我们建立了Usp25敲除小鼠,在戊四氮诱导的癫痫发作试验中,与野生型小鼠相比,癫痫发作易感性增加。为了探索USP25变体的影响,我们采用了多种功能检测。在HEK293T细胞中,严重表型相关变异(p.Gln889Ter)导致mRNA和蛋白质表达显着降低,但形成了稳定的截短二聚体,并增加了去泛素化酶活性和异常的细胞聚集,表示功能增益效应。p.Gln889Ter和p.Leu1045del增加了小鼠大脑的神经元兴奋性,在p.Gln889Ter中具有更高的点火能力。这些功能损害与观察到的表型的严重程度一致,提示基因型-表型相关。因此,观察到USP25与癫痫之间存在中度关联,表明USP25是癫痫的潜在易感基因。我们来自Usp25无效小鼠和患者衍生变体的结果表明,USP25将通过功能丧失或功能获得效应发挥癫痫作用。截短的变体p.Gln889Ter对癫痫具有截然不同的影响。一起,我们的结果强调了USP25杂合变异在癫痫中的重要性,从而突出了USP25在大脑中的关键作用。
    USP25 encodes ubiquitin-specific proteases 25, a key member of deubiquitinating enzyme family and is involved in neural fate determination. Although abnormal expression in Down\'s syndrome was reported previously, the specific role of USP25 in human diseases has not been defined. In this study, we performed trio-based whole exome sequencing in a cohort of 319 cases (families) with generalized epilepsy of unknown etiology. Five heterozygous USP25 variants including two de novo and three co-segregated variants were determined in eight individuals affected by generalized seizures and/or febrile seizures from five unrelated families. The frequency of USP25 variants showed a significantly high aggregation in this cohort compared to the East Asian population and all populations in the gnomAD database. The mean onset ages of febrile and afebrile seizures were 10 months (infancy) and 11.8 years (juvenile), respectively. The patients achieved seizure freedom except one had occasional nocturnal seizures at the last follow-up. Two patients exhibited intellectual disability. Usp25 was ubiquitously expressed in mouse brain with two peaks on embryonic days (E14‒E16) and postnatal day 21, respectively. Similarly, USP25 expressed in fetus/early childhood stage with a second peak at approximately 12‒20 years old in human brain, consistent with the seizure onset age at infancy and juvenile in the patients. To investigate the functional impact of USP25 deficiency in vivo, we established Usp25 knock-out mice, which showed increased seizure susceptibility compared to wild-type mice in pentylenetetrazol-induced seizure test. To explore the impact of USP25 variants, we employed multiple functional detections. In HEK293T cells, the severe phenotype associated variant (p.Gln889Ter) led to a significant reduction of mRNA and protein expressions but formed a stable truncated dimers with increment of deubiquitinating enzyme activities and abnormal cellular aggregations, indicating a gain-of-function effect. The p.Gln889Ter and p.Leu1045del increased neuronal excitability in mice brain, with a higher firing ability in p.Gln889Ter. These functional impairments align with the severity of the observed phenotypes, suggesting a genotype-phenotype correlation. Hence, a moderate association between USP25 and epilepsy was noted, indicating USP25 is potentially a predisposing gene for epilepsy. Our results from Usp25 null mice and the patient-derived variants indicated that USP25 would play epileptogenic role via loss-of-function or gain-of-function effects. The truncated variant p.Gln889Ter would have profoundly different effect on epilepsy. Together, our results underscore the significance of USP25 heterozygous variants in epilepsy, thereby highlighting the critical role of USP25 in the brain.
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  • 文章类型: Journal Article
    目的:STAT1是在经典JAK/STAT途径中起作用的转导和转录调节因子。除了慢性皮肤粘膜念珠菌病,细菌感染是STAT1功能获得(GOF)突变患者的常见病.这些患者通常表现出B细胞亚群的偏斜;然而,STAT1-GOF突变对B细胞介导的体液免疫的影响仍未被研究.目前还不清楚这些IgG在正常范围内的患者是否需要定期静脉注射免疫球蛋白(IVIG)治疗。
    方法:纳入11例患者(携带9种不同的STAT1-GOF突变)。进行报告分析和免疫印迹分析以确认STAT1突变。流式细胞术,深度测序,ELISA,和ELISpot进行评估STAT1-GOF对体液免疫的影响。
    结果:所有患者均表现出磷酸化-STAT1和总STAT1蛋白水平升高,两名患者携带新的突变。体外测定显示这两个新的突变是GOF突变。3例总IgG水平正常的患者接受常规IVIG输注,从而有效控制细菌感染。4例显示百日咳毒素特异性抗体的亲和力和特异性受损,伴随着类别转换记忆B细胞的产生减少。患者的免疫球蛋白重链(IGH)库也被破坏,再加上转换的Ig转录本的体细胞超突变频率显着降低。
    结论:STAT1-GOF突变破坏B细胞区室和倾斜IGH特征,导致抗体的亲和力和抗原特异性受损和复发性细菌感染。常规IVIG治疗可以控制患者的这些感染,即使是那些总IgG水平正常的人。
    OBJECTIVE: STAT1 is a transduction and transcriptional regulator that functions within the classical JAK/STAT pathway. In addition to chronic mucocutaneous candidiasis, bacterial infections are a common occurrence in patients with STAT1 gain-of-function (GOF) mutations. These patients often exhibit skewing of B cell subsets; however, the impact of STAT1-GOF mutations on B cell-mediated humoral immunity remains largely unexplored. It is also unclear whether these patients with IgG within normal range require regular intravenous immunoglobulin (IVIG) therapy.
    METHODS: Eleven patients (harboring nine different STAT1-GOF mutations) were enrolled. Reporter assays and immunoblot analyses were performed to confirm STAT1 mutations. Flow cytometry, deep sequencing, ELISA, and ELISpot were conducted to assess the impact of STAT1-GOF on humoral immunity.
    RESULTS: All patients exhibited increased levels of phospho-STAT1 and total STAT1 protein, with two patients carrying novel mutations. In vitro assays showed that these two novel mutations were GOF mutations. Three patients with normal total IgG levels received regular IVIG infusions, resulting in effective control of bacterial infections. Four cases showed impaired affinity and specificity of pertussis toxin-specific antibodies, accompanied by reduced generation of class-switched memory B cells. Patients also had a disrupted immunoglobulin heavy chain (IGH) repertoire, coupled with a marked reduction in the somatic hypermutation frequency of switched Ig transcripts.
    CONCLUSIONS: STAT1-GOF mutations disrupt B cell compartments and skew IGH characteristics, resulting in impaired affinity and antigen-specificity of antibodies and recurrent bacterial infections. Regular IVIG therapy can control these infections in patients, even those with normal total IgG levels.
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  • 文章类型: Journal Article
    超家族(SF)1解旋酶的单体,大肠杆菌Rep和UvrD,可以沿着单链(ss)DNA定向移位,但必须被激活才能充当解旋酶。在没有附属因素的情况下,解旋酶活性需要Rep和UvrD同源二聚化。SF1解旋酶的ssDNA结合位点含有与DNA碱基堆叠的保守芳族氨基酸(Rep中的Trp250和UvrD中的Trp256)。在这里,我们显示该Trp到Ala的突变消除了Rep和UvrD中的解旋酶活性。代表(W250A)和UvrD(W256A)仍然可以二聚化,结合DNA,和单体仍然保留ATP依赖性ssDNA转位酶活性,尽管比野生型单体低10倍的速率和更低的加工性。尽管wtRep单体和Rep(W250A)单体本身都不具有解旋酶活性,使用集成和单分子方法,我们显示解旋酶活性是在形成Rep(W250A)/wtRep异源二聚体时实现的。缺乏ATP酶的Rep单体不能激活wtRep单体,这表明在Rep异源二聚体的两个亚基中都需要ATP酶活性。我们发现大肠杆菌UvrD及其等效突变体(UvrD(W256A))的结果相同。重要的是,Rep(W250A)不能激活wtUvrD单体,UvrD(W256A)不能激活wtRep单体,表明解旋酶活性需要特定的二聚体相互作用。我们还通过仅存在于Rep二聚体内的Trp荧光信号证明二聚体内的亚基通讯,但不是单体。这些结果与提出的二聚体解旋酶活性的亚基转换机制有关。
    Monomers of the Superfamily (SF) 1 helicases, E. coli Rep and UvrD, can translocate directionally along single stranded (ss) DNA, but must be activated to function as helicases. In the absence of accessory factors, helicase activity requires Rep and UvrD homo-dimerization. The ssDNA binding sites of SF1 helicases contain a conserved aromatic amino acid (Trp250 in Rep and Trp256 in UvrD) that stacks with the DNA bases. Here we show that mutation of this Trp to Ala eliminates helicase activity in both Rep and UvrD. Rep(W250A) and UvrD(W256A) can still dimerize, bind DNA, and monomers still retain ATP-dependent ssDNA translocase activity, although with ∼10-fold lower rates and lower processivities than wild type monomers. Although neither wtRep monomers nor Rep(W250A) monomers possess helicase activity by themselves, using both ensemble and single molecule methods, we show that helicase activity is achieved upon formation of a Rep(W250A)/wtRep hetero-dimer. An ATPase deficient Rep monomer is unable to activate a wtRep monomer indicating that ATPase activity is needed in both subunits of the Rep hetero-dimer. We find the same results with E. coli UvrD and its equivalent mutant (UvrD(W256A)). Importantly, Rep(W250A) is unable to activate a wtUvrD monomer and UvrD(W256A) is unable to activate a wtRep monomer indicating that specific dimer interactions are required for helicase activity. We also demonstrate subunit communication within the dimer by virtue of Trp fluorescence signals that only are present within the Rep dimer, but not the monomers. These results bear on proposed subunit switching mechanisms for dimeric helicase activity.
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  • 文章类型: Journal Article
    KCNT1基因编码钠激活钾通道Slack(KCNT1,KNa1.1),神经元兴奋性的调节器。人类的功能增益突变导致皮层网络过度兴奋,癫痫发作,和严重的智力残疾。使用表达Slack-R455H突变的小鼠模型,我们发现,在兴奋性和抑制性皮质神经元中,Na依赖性K(KNa)和电压依赖性钠(NaV)电流均增加。这些增加的电流,然而,增强兴奋性神经元的放电,但抑制抑制性神经元的放电。我们进一步表明,NaV通道亚基的表达,特别是NaV1.6的水平上调,并且两种神经元类型的轴突初始节段和轴突NaV免疫染色的长度都增加。我们对KNa电流和NaV通道表达的协调调节的研究可能为理解和治疗癫痫和其他神经系统疾病提供了途径。
    The KCNT1 gene encodes the sodium-activated potassium channel Slack (KCNT1, KNa1.1), a regulator of neuronal excitability. Gain-of-function mutations in humans cause cortical network hyperexcitability, seizures, and severe intellectual disability. Using a mouse model expressing the Slack-R455H mutation, we find that Na+-dependent K+ (KNa) and voltage-dependent sodium (NaV) currents are increased in both excitatory and inhibitory cortical neurons. These increased currents, however, enhance the firing of excitability neurons but suppress that of inhibitory neurons. We further show that the expression of NaV channel subunits, particularly that of NaV1.6, is upregulated and that the length of the axon initial segment and of axonal NaV immunostaining is increased in both neuron types. Our study on the coordinate regulation of KNa currents and the expression of NaV channels may provide an avenue for understanding and treating epilepsies and other neurological disorders.
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    文章类型: Journal Article
    功能增益是指遗传修饰以增强生物制剂的某些性质。“两用研究”指的是以造福人类为主要目标的实验,但如果误用可能会造成伤害。所以,例如,出于利他原因正在进行基因改造(GM)的病毒可能变得更易传播或对疫苗或抗菌药物产生抗性.这种转基因病毒具有生物恐怖主义潜力。《联合国生物武器公约》尚未得到普遍批准,10个国家不是该公约的签署国。在某些司法管辖区,对此类实验的控制受到各种控制,但在澳大利亚,这些实验受到《基因技术法案2000》(Cth)的良好监管。2007年国家卫生安全法(Cth)和1976年犯罪(生物武器)法(Cth)。欧洲和美国对此类实验的控制不太精确。在美国和欧洲,有一些例子违反了包含正在进行包括遗传修饰在内的研究的微生物的安全规定。这威胁到实验室工作人员和更广泛社区的健康和安全。
    Gain of Function refers to genetic modification to enhance certain properties of a biological agent. \"Dual use research\" refers to experiments which have a primary goal of benefitting humanity, but which could produce harm if misapplied. So, for example, a virus which was being genetically modified (GM) for altruistic reasons might become more transmissible or resistant to vaccines or antimicrobial medications. Such a GM virus has bioterrorism potential. The UN Biological Weapons Convention has not been universally approved and 10 States are not signatories to the Convention. The control of such experiments is variously controlled in certain jurisdictions but in Australia these experiments are well regulated through the Gene Technology Act 2000 (Cth), the National Health Security Act 2007 (Cth) and the Crimes (Biological Weapons) Act 1976 (Cth). The controls on such experiments in Europe and the United States are less precise. There are examples in the United States and Europe where the security provisions to contain microorganisms undergoing research including genetic modification have been breached. This threatens the health and safety of laboratory workers and the wider community.
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  • 文章类型: Journal Article
    分子光开关的使用几乎已经扩展到纯化学和应用化学的每个领域,因为它们在最小尺度上对物质的行为提供了非凡的控制水平。光开关具有至少两种具有不同结构和/或电子学的不同状态,并且需要它们的核心发色团结构的进一步功能化以针对特定应用定制它们。在这项工作中,我们提出了一个不同的概念,用于生成和使用分子光开关。它不仅允许同时建立光致变色和功能化,而且还具有非光致变色前体材料的完全可回收性。使用高产和可逆的铵盐形成,在对称前体中引入官能团,同时在结构中建立了强大的电子推挽特性。所得的去对称化导致有效的光切换容量,并且随后可以通过简单的加热步骤完全去除官能团,以回收前体用于另一官能化循环。我们最后通过两个连续的闭环功能化/光开关/恢复步骤证明了该概念的可行性。这个概念在任何化学研究和应用驱动领域提供了巨大的潜力,特别是对于创建响应式可重复编程材料,无背景光开关标签,可持续化学
    The use of molecular photoswitches has spread to virtually every field of pure and applied chemistry because of the extraordinary level of control they provide over the behavior of matter at the smallest scales. Photoswitches possess at least two different states with distinct structures and/or electronics and further functionalization of their core chromophore structures is needed to tailor them for a specific application. In this work we present a different concept for the generation and use of molecular photoswitches. It allows not only simultaneous establishment of photochromism and functionalization, but also full recyclability of a non-photochromic precursor material. Using a high-yielding and reversible ammonium salt formation, a functional group is introduced into a symmetric precursor while at the same time a strong electronic push-pull character is established in the structure. The resulting desymmetrization leads to efficient photoswitching capacity and the functional group can be fully removed subsequently by a simple heating step recovering the precursor for another functionalization round. We finally demonstrate feasibility of this concept over two consecutive closed loop functionalization/photoswitching/recovery steps. This concept offers great potential in any chemical research and application driven area but especially for the creation of responsive reprogrammable materials, no-background photoswitch labeling, and sustainable chemistry.
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  • 文章类型: Journal Article
    基因检测对遗传性心律失常性信道病至关重要;然而,遗传变异的临床解释仍然具有挑战性.不完全外显率,寡基因,多基因或多因素形式的信道病进一步使变体解释复杂化。我们确定了KCNQ1/p。D446E变异在2/63例长QT综合征患者中,比公共数据库更频繁30倍。因此,我们表征了在HEK293细胞中与β亚基minK共表达这些等位基因的野生型和突变型IKs的生物物理表型。KCNQ1p.446E纯合性在基础条件下显着将IKs电压依赖性转移到超极化电位(功能获得),但在8Br-cAMP存在下未能将电压依赖性转移到超极化电位(功能丧失),蛋白激酶A激活剂。基础IKs激活动力学在基因型之间没有差异,但是为了回应8Br-cAMP,IKs446E/E(纯合)激活动力学在最正电位下较慢。蛋白质建模预测446EKv7.1四聚体通道向稳定的开放状态的转变较慢。总之,生物物理和建模证据表明,KCNQ1p.D446E变体具有复杂的功能后果,包括功能的获得和丧失,提示作为功能性风险等位基因对心律失常表型的发病机理有贡献。
    Genetic testing is crucial in inherited arrhythmogenic channelopathies; however, the clinical interpretation of genetic variants remains challenging. Incomplete penetrance, oligogenic, polygenic or multifactorial forms of channelopathies further complicate variant interpretation. We identified the KCNQ1/p.D446E variant in 2/63 patients with long QT syndrome, 30-fold more frequent than in public databases. We thus characterized the biophysical phenotypes of wildtype and mutant IKs co-expressing these alleles with the β-subunit minK in HEK293 cells. KCNQ1 p.446E homozygosity significantly shifted IKs voltage dependence to hyperpolarizing potentials in basal conditions (gain of function) but failed to shift voltage dependence to hyperpolarizing potentials (loss of function) in the presence of 8Br-cAMP, a protein kinase A activator. Basal IKs activation kinetics did not differ among genotypes, but in response to 8Br-cAMP, IKs 446 E/E (homozygous) activation kinetics were slower at the most positive potentials. Protein modeling predicted a slower transition of the 446E Kv7.1 tetrameric channel to the stabilized open state. In conclusion, biophysical and modelling evidence shows that the KCNQ1 p.D446E variant has complex functional consequences including both gain and loss of function, suggesting a contribution to the pathogenesis of arrhythmogenic phenotypes as a functional risk allele.
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