Mutations in KCNK4 that Affect Gating Cause a Recognizable Neurodevelopmental Syndrome
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Mutations in KCNK4 that Affect Gating Cause a Recognizable Neurodevelopmental Syndrome. / Bauer, Christiane K; Calligari, Paolo; Radio, Francesca Clementina; Caputo, Viviana; Dentici, Maria Lisa; Falah, Nadia; High, Frances; Pantaleoni, Francesca; Barresi, Sabina; Ciolfi, Andrea; Pizzi, Simone; Bruselles, Alessandro; Person, Richard; Richards, Sarah; Cho, Megan T; Claps Sepulveda, Daniela J; Pro, Stefano; Battini, Roberta; Zampino, Giuseppe; Digilio, Maria Cristina; Bocchinfuso, Gianfranco; Dallapiccola, Bruno; Stella, Lorenzo; Tartaglia, Marco.
in: AM J HUM GENET, Jahrgang 103, Nr. 4, 04.10.2018, S. 621-630.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Mutations in KCNK4 that Affect Gating Cause a Recognizable Neurodevelopmental Syndrome
AU - Bauer, Christiane K
AU - Calligari, Paolo
AU - Radio, Francesca Clementina
AU - Caputo, Viviana
AU - Dentici, Maria Lisa
AU - Falah, Nadia
AU - High, Frances
AU - Pantaleoni, Francesca
AU - Barresi, Sabina
AU - Ciolfi, Andrea
AU - Pizzi, Simone
AU - Bruselles, Alessandro
AU - Person, Richard
AU - Richards, Sarah
AU - Cho, Megan T
AU - Claps Sepulveda, Daniela J
AU - Pro, Stefano
AU - Battini, Roberta
AU - Zampino, Giuseppe
AU - Digilio, Maria Cristina
AU - Bocchinfuso, Gianfranco
AU - Dallapiccola, Bruno
AU - Stella, Lorenzo
AU - Tartaglia, Marco
N1 - Copyright © 2018 American Society of Human Genetics. Published by Elsevier Inc. All rights reserved.
PY - 2018/10/4
Y1 - 2018/10/4
N2 - Aberrant activation or inhibition of potassium (K+) currents across the plasma membrane of cells has been causally linked to altered neurotransmission, cardiac arrhythmias, endocrine dysfunction, and (more rarely) perturbed developmental processes. The K+ channel subfamily K member 4 (KCNK4), also known as TRAAK (TWIK-related arachidonic acid-stimulated K+ channel), belongs to the mechano-gated ion channels of the TRAAK/TREK subfamily of two-pore-domain (K2P) K+ channels. While K2P channels are well known to contribute to the resting membrane potential and cellular excitability, their involvement in pathophysiological processes remains largely uncharacterized. We report that de novo missense mutations in KCNK4 cause a recognizable syndrome with a distinctive facial gestalt, for which we propose the acronym FHEIG (facial dysmorphism, hypertrichosis, epilepsy, intellectual disability/developmental delay, and gingival overgrowth). Patch-clamp analyses documented a significant gain of function of the identified KCNK4 channel mutants basally and impaired sensitivity to mechanical stimulation and arachidonic acid. Co-expression experiments indicated a dominant behavior of the disease-causing mutations. Molecular dynamics simulations consistently indicated that mutations favor sealing of the lateral intramembrane fenestration that has been proposed to negatively control K+ flow by allowing lipid access to the central cavity of the channel. Overall, our findings illustrate the pleiotropic effect of dysregulated KCNK4 function and provide support to the hypothesis of a gating mechanism based on the lateral fenestrations of K2P channels.
AB - Aberrant activation or inhibition of potassium (K+) currents across the plasma membrane of cells has been causally linked to altered neurotransmission, cardiac arrhythmias, endocrine dysfunction, and (more rarely) perturbed developmental processes. The K+ channel subfamily K member 4 (KCNK4), also known as TRAAK (TWIK-related arachidonic acid-stimulated K+ channel), belongs to the mechano-gated ion channels of the TRAAK/TREK subfamily of two-pore-domain (K2P) K+ channels. While K2P channels are well known to contribute to the resting membrane potential and cellular excitability, their involvement in pathophysiological processes remains largely uncharacterized. We report that de novo missense mutations in KCNK4 cause a recognizable syndrome with a distinctive facial gestalt, for which we propose the acronym FHEIG (facial dysmorphism, hypertrichosis, epilepsy, intellectual disability/developmental delay, and gingival overgrowth). Patch-clamp analyses documented a significant gain of function of the identified KCNK4 channel mutants basally and impaired sensitivity to mechanical stimulation and arachidonic acid. Co-expression experiments indicated a dominant behavior of the disease-causing mutations. Molecular dynamics simulations consistently indicated that mutations favor sealing of the lateral intramembrane fenestration that has been proposed to negatively control K+ flow by allowing lipid access to the central cavity of the channel. Overall, our findings illustrate the pleiotropic effect of dysregulated KCNK4 function and provide support to the hypothesis of a gating mechanism based on the lateral fenestrations of K2P channels.
KW - Journal Article
U2 - 10.1016/j.ajhg.2018.09.001
DO - 10.1016/j.ajhg.2018.09.001
M3 - SCORING: Journal article
C2 - 30290154
VL - 103
SP - 621
EP - 630
JO - AM J HUM GENET
JF - AM J HUM GENET
SN - 0002-9297
IS - 4
ER -