ABCC8 p.Phe27Ser

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PMID: 19151370 [PubMed] Pratt EB et al: "Sulfonylurea receptor 1 mutations that cause opposite insulin secretion defects with chemical chaperone exposure."
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107 These mutations are all in the TMD0 of SUR1 (amino acids 1-196) and include G7R, N24K, F27S, R74W, A116P, E128K, and V187D.
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ABCC8 p.Phe27Ser 19151370:107:87
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112 Of the five mutants, G7R, N24K, and F27S had WT-like or slightly increased ATP sensitivity, and either normal or reduced MgADP response that is commonly associated with CHI mutations (Fig. 1) (23).
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141 Scale bars: WT: 200 pA, 10 s; G7R: 200 pA, 10 s; N24K: 20 pA, 10 s; F27S: 50 pA, 10 s. B, quantification of channel response to ATP and MgADP.
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ABCC8 p.Phe27Ser 19151370:141:68
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143 The ATP sensitivity of N24K is significantly higher than WT while the MgADP sensitivity of both N24K and F27S are significantly lower than WT channels (*, p Ͻ 0.05; Student`s t test).
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ABCC8 p.Phe27Ser 19151370:143:105
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PMID: 17575084 [PubMed] Yan FF et al: "Congenital hyperinsulinism associated ABCC8 mutations that cause defective trafficking of ATP-sensitive K+ channels: identification and rescue."
No. Sentence Comment
47 TABLE 1 Genetic and clinical information on patients carrying the CHI mutations Mutation Disease Haplotype Diazoxide response References G7R Focal G7R No 44 N24K Diffuse N24K/R1215W No Not reported F27S Focal F27S No 39 R74W Focal R74W/R1215Q No 39,45,46 E128K Diffuse E128K No Not reported R495Q Diffuse R495Q/R1215Q No 39 E501K Focal E501K No 39 L503P Focal L503P No 44 F686S Focal F686S No 39 G716V* Diffuse G716V/G716V No 47,48 K1337N Not done g3992-9a/K1337N Yes 39 L1350Q Focal L1350Q No 44 S1387F Diffuse S1387F/NA No 9,24 L1390P NA L1390P/NA No Not reported D1472H Diffuse ⌬F1388/D1472H No 39 *Patient was from consanguineous mating and therefore was homozygous for the G716V mutation (48).
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ABCC8 p.Phe27Ser 17575084:47:198
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ABCC8 p.Phe27Ser 17575084:47:209
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94 The first group, including G7R, N24K, F27S, R74W, and E128K, is located in the first transmembrane domain TMD0; the second group, including R495Q, E501K, L503P, F686S, and G716V, is located in the second transmembrane domain TMD1 extending through the first nucleotide binding domain; the third group, including K1337N, L1350Q, S1387F, L1390P, and D1472H, is clustered in the second nucleotide binding domain and the COOH terminus of the protein.
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ABCC8 p.Phe27Ser 17575084:94:38
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118 Results from this assay showed that F27S, R74W, E128K, R495Q, E501K, L503P, F686S, G716V, L1350Q, and D1472H mutant channels had greatly reduced surface expression (Ͻ20% of wild-type level)-whereas G7R and N24K mutant channels displayed modestly decreased surface expression level (Ͼ30% but Ͻ50% of wild-type level) and K1337N, S1378F, and L1390P exhibited normal or mildly reduced expression (Ͼ60% of wild-type level; Fig. 3A).
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130 In Western blots, several mutants, including G7R, N24K, F27S, R74W, and E128K, all located in TMD0, exhibited increased complex-glycosylated SUR1 in cells coexpressing Kir6.2 on overnight treatment with 1 ␮mol/l glibenclamide (Fig. 5A).
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48 TABLE 1 Genetic and clinical information on patients carrying the CHI mutations Mutation Disease Haplotype Diazoxide response References G7R Focal G7R No 44 N24K Diffuse N24K/R1215W No Not reported F27S Focal F27S No 39 R74W Focal R74W/R1215Q No 39,45,46 E128K Diffuse E128K No Not reported R495Q Diffuse R495Q/R1215Q No 39 E501K Focal E501K No 39 L503P Focal L503P No 44 F686S Focal F686S No 39 G716V* Diffuse G716V/G716V No 47,48 K1337N Not done g3992-9a/K1337N Yes 39 L1350Q Focal L1350Q No 44 S1387F Diffuse S1387F/NA No 9,24 L1390P NA L1390P/NA No Not reported D1472H Diffuse èc;F1388/D1472H No 39 *Patient was from consanguineous mating and therefore was homozygous for the G716V mutation (48).
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ABCC8 p.Phe27Ser 17575084:48:198
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ABCC8 p.Phe27Ser 17575084:48:209
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95 The first group, including G7R, N24K, F27S, R74W, and E128K, is located in the first transmembrane domain TMD0; the second group, including R495Q, E501K, L503P, F686S, and G716V, is located in the second transmembrane domain TMD1 extending through the first nucleotide binding domain; the third group, including K1337N, L1350Q, S1387F, L1390P, and D1472H, is clustered in the second nucleotide binding domain and the COOH terminus of the protein.
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ABCC8 p.Phe27Ser 17575084:95:38
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119 Results from this assay showed that F27S, R74W, E128K, R495Q, E501K, L503P, F686S, G716V, L1350Q, and D1472H mutant channels had greatly reduced surface expression (b0d;20% of wild-type level)-whereas G7R and N24K mutant channels displayed modestly decreased surface expression level (b0e;30% but b0d;50% of wild-type level) and K1337N, S1378F, and L1390P exhibited normal or mildly reduced expression (b0e;60% of wild-type level; Fig. 3A).
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PMID: 15562009 [PubMed] Henwood MJ et al: "Genotype-phenotype correlations in children with congenital hyperinsulinism due to recessive mutations of the adenosine triphosphate-sensitive potassium channel genes."
No. Sentence Comment
54 Gene Haplotype Calcium (␮U/ml) Leucine (␮U/ml) Glucose (␮U/ml) Tolbutamide (␮U/ml) Diazoxide responsive Diffuse HI 1 SUR1 delF1388/D1472H 6 2 13 -2 No 2 Kir6.2 G134A/P266L 20 3 36 -2 No 3 SUR1 g3992-9a/g1630ϩ1a 11 16 -2 No 4 SUR1 N188S/D1472N 7 1 7 7 No 5 SUR1 R598X/R999X 32 1 72 27 No 6 SUR1 R495Q/R1215Q -2 15 44 30 No 7 SUR1 R74W/R1215Q 52 28 20 98 No 8 SUR1 g3992-9a/K1337N 2 18 39 33 Yes Focal HI 9 SUR1 F27S 17 -1 16 29 No 10 SUR1 F686S 12 2 27 12 No 11 SUR1 E501K 6 3 9 10 No 12 SUR1 3576delg 9 6 9 12 No 13 SUR1 g3992-9a 5 8 25 9 No 14 SUR1 g3992-9a 3 8 40 21 No 15 SUR1 c2924-10a 4 8 67 29 No 16 Kir6.2 A101D 1 8 177 88 No 17 SUR1 R1215W 7 9 15 6 No 18 Kir6.2 R136L 8 10 115 21 No 19 SUR1 g3992-9a 40 15 35 -0.3 No 20 SUR1 6aa insertion in exon 5 6 16 22 15 No 21 SUR1 R1215W 38 47 58 15 No 22 Kir6.2 R301H 16 55 75 14 No Controls (␮U/ml, mean Ϯ SD) KATP HI (n ϭ 7) 28 Ϯ 16 5 Ϯ 8 12 Ϯ 9 4 Ϯ 6 No GDH-HI (n ϭ 7) 2.3 Ϯ 5.4 42 Ϯ 27 120 Ϯ 52 94 Ϯ 56 Yes Normal (n ϭ 6) 3 Ϯ 4 1.4 Ϯ 2.8 56 Ϯ 26 48 Ϯ 32 Yes a To convert insulin (␮U/ml to pmol/liter), multiply by 6.0. identified in other patients.
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ABCC8 p.Phe27Ser 15562009:54:444
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107 Degree of residual channel function in KATP mutations Null Indeterminate Partial SUR1 g3992-9a g1630ϩ1a R598X/R999X delF1388 N188S/D1472N R495Q/R1215Q F27S 3576delg R74W/R1215Q F686S K1337N E501K 6 aa insertion in exon 5 c2924-10a R1215W Kir6.2 G134A/P266L R301H A101D R136L FIG. 1.
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ABCC8 p.Phe27Ser 15562009:107:157
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PMID: 23744072 [PubMed] Chen PC et al: "Carbamazepine as a novel small molecule corrector of trafficking-impaired ATP-sensitive potassium channels identified in congenital hyperinsulinism."
No. Sentence Comment
68 Groups of islets (100 islet equivalents) in each well of a 12-well plate were infected with Ad-tTA (m.o.i., 500), Ad-Kir6.2 (m.o.i., 2000), and either Ad-f-SUR1 (m.o.i., 1000) or mutant Ad-A116P f-SUR1 (m.o.i., 1000) or Ad-F27S f-SUR1 (m.o.i., 500) for 16 h in 0.5 ml of Opti-MEM (Invitrogen) at 37 &#b0;C. The islets were then incubated for an additional 24 h in RPMI 1640 medium with 10% FBS containing either DMSO, glibenclamide, or carbamazepine before being harvested for immunoblotting.
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ABCC8 p.Phe27Ser 23744072:68:223
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78 Immunofluorescence Staining-COSm6 cells transfected with WT Kir6.2 and WT or F27S f-SUR1were plated on coverslips 1 day before the experiment and treated overnight with DMSO, tolbutamide, or carbamazepine.
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ABCC8 p.Phe27Ser 23744072:78:77
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88 Metabolic Labeling and Immunoprecipitation-COSm6 cells were plated on 35-mm dishes and transfected with WT Kir6.2 and F27S f-SUR1.
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ABCC8 p.Phe27Ser 23744072:88:118
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125 At 10 òe;M, the F27S and E128K mutations exhibited the greatest improvement to nearly the level seen with 5 òe;M glibenclamide; R74W, A116P, and V187D showed moderate responses; whereas G7R and N24K, which have less severe processing defects (31), had weak responses (Fig. 1C).
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126 Dose-response relationships were further determined for F27S, A116P, and V187D.
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129 Time Course and Duration of the Carbamazepine Rescue Effect-To characterize the carbamazepine effect further, we determined the time course and duration of the rescue effect using the F27S mutation as an example.
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ABCC8 p.Phe27Ser 23744072:129:184
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136 In surface protein biotinylation experiments, there was a significant increase in biotinylated F27S, A116P, or V187D SUR1 in cells treated with carbamazepine or glibenclamide as compared with cells treated with vehicle alone (Fig. 3A).
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ABCC8 p.Phe27Ser 23744072:136:95
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137 The F27S mutant was further analyzed by surface staining and chemiluminescence assays.
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138 Surface staining of FLAG-tagged (N terminus) SUR1 showed a clear increase in surface expression of the F27S mutant upon Carbamazepine as a Novel KATP Channel Corrector JULY 19, 2013ߦVOLUME 288ߦNUMBER 29 JOURNAL OF BIOLOGICAL CHEMISTRY 20945 carbamazepine treatment, resembling that seen in cells treated with the sulfonylurea drug tolbutamide (Fig. 3B).
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ABCC8 p.Phe27Ser 23744072:138:95
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ABCC8 p.Phe27Ser 23744072:138:103
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139 In addition, we quantified the amount of SUR1 surface expression using a chemiluminescence assay as described under "Materials and Methods" and observed a pronounced increase in surface expression of F27S mutant channels in response to 10 or 50 òe;M carbamazepine treatment (Fig. 3C).
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ABCC8 p.Phe27Ser 23744072:139:4
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ABCC8 p.Phe27Ser 23744072:139:200
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142 To test this, we conducted metabolic pulse-chase experiments to monitor the kinetics of F27S mutant SUR1 maturation from the core-glycosylated to the complex-glycosylated band in cells treated with carbamazepine or the vehicle DMSO.
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ABCC8 p.Phe27Ser 23744072:142:88
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145 Note that the low maturation efficiency of SUR1 from the core-glycosylated to the complex-glycosylated form observed in the carbamazepine-treated F27S mutant (b03;20% of pulse-labeled SUR1) is similar to the value obtained previously for WT SUR1 in experiments where pulse-labeled SUR1 was chased for up to 24 h (29, 30, 36).
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171 A, COSm6 cells were transiently transfected with WT Kir6.2 and WT or F27S mutant SUR1 cDNAs and treated with 10 or 50 òe;M carbamazepine (C) or 5 òe;M glibenclamide (G) for 0, 1, 2, 4, 6, 10, 12, or 16 h. Panel i, blots showing cells treated with glibenclamide or carbamazepine for 1 h (left) when an effect on the upper band signal was first detected and for 6 h (right) when the effect began to plateau.
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176 WT without any treatment and F27S mutant treated with DMSO (0.1%) for 16 h are shown for comparison.
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181 F27S treated with DMSO for 16 h is shown for comparison.
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186 We chose the F27S mutant for this analysis because it exhibited the greatest response to rescue by carbamazepine and has been shown previously to have WT-like gating properties (31).
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ABCC8 p.Phe27Ser 23744072:186:13
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187 In F27S-transfected cells treated overnight with 10 òe;M carbamazepine, metabolic inhibition induced only a low level of efflux similar to that seen in vehicle-treated cells.
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ABCC8 p.Phe27Ser 23744072:187:3
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189 This result indicates that carbamazepine does prevent rescued F27S channels from being activated by metabolic inhibition.
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ABCC8 p.Phe27Ser 23744072:189:3
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191 A progressive increase in efflux through rescued F27S channels over a 40-min period was observed with longer washout; the efflux level was nearly comparable with that seen in WT channels with 60-min washout (Fig. 6B).
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ABCC8 p.Phe27Ser 23744072:191:49
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202 *, p b0d; 0.001 comparing F27S vehicle with various treatment groups by one-way analysisofvariancewithBonferroniposthoctest.ErrorbarsrepresentS.E.Unt, untransfected cells.
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204 Carbamazepine increases F27S mutant channel surface expression by improving processing and maturation of the channel complex during biogenesis.
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205 A, COSm6 cells transfected with F27S SUR1 and WT Kir6.2 were pulse-labeled with Tran35 S-Label for an hour and chased for 0-4 h in regular medium.
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211 *, p b0d; 0.001 by Student`s t test. Error bars represent S.E. Carbamazepine as a Novel KATP Channel Corrector 20948 JOURNAL OF BIOLOGICAL CHEMISTRY VOLUME 288ߦNUMBER 29ߦJULY 19, 2013 at SEMMELWEIS UNIV OF MEDICINE on December , upon extensive washout (b03;1 h), physiological function of rescued surface F27S channels was recovered nearly completely.
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213 We tested this idea by examining the effects of carbamazepine and the KATP channel opener diazoxide on F27S channels using the 86 Rbaf9; assay.
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ABCC8 p.Phe27Ser 23744072:213:103
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215 However, combination of metabolic inhibitors and 200 òe;M diazoxide resulted in a significantly higher efflux through the F27S channels in cells treated overnight with 10 òe;M carbamazepine compared with cells treated with vehicle alone without washout (Fig. 6C).
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ABCC8 p.Phe27Ser 23744072:215:103
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217 To ensure that diazoxide and carbamazepine can be co-administered without compromising the rescue effect of carbamazepine, we compared the processing efficiency of F27S SUR1 in cells treated overnight with diazoxide, carbamazepine, or both together.
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ABCC8 p.Phe27Ser 23744072:217:126
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219 Our results show that although diazoxide abolished the chaperoning effect of either glibenclamide or tolbutamide it did not interfere with the ability of carbamazepine to correct the processing defect of F27S SUR1 (Fig. 6D).
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ABCC8 p.Phe27Ser 23744072:219:164
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223 We used human islets and beta-cells as well as rat insulinoma INS-1 cells for these experiments. Human islets obtained through the Integrated Islet Distribution Program were co-infected overnight with adenoviruses carrying Kir6.2 and WT, F27S, or A116P f-SUR1 cDNAs.
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ABCC8 p.Phe27Ser 23744072:223:238
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226 As was observed in COSm6 cells, overnight glibenclamide and carbamazepine treatments led to a marked increase in the upper SUR1 band in the F27S mutant and an obvious albeit weaker increase in the upper band in the A116P mutant in whole islet lysates (Fig. 7A, panel i).
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ABCC8 p.Phe27Ser 23744072:226:140
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234 A, Western blot of SUR1 from COSm6 cells transfected with F27S SUR1 and WT Kir6.2 and treated with carbamazepine (CBZ), chloroquine (Chloroq), or both for 16 h (upper panel) or carbamazepine, Ly294002, or both for 16 h (lower panel) as indicated.
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236 B, Western blot of SUR1 from COSm6 cells transfected with F27S SUR1 and WT Kir6.2 and treated with carbamazepine or rapamycin (Rapa) or Liaf9; , both of which are autophagy inducers, for 16 h as indicated.
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237 Carbamazepine as a Novel KATP Channel Corrector JULY 19, 2013ߦVOLUME 288ߦNUMBER 29 JOURNAL OF BIOLOGICAL CHEMISTRY 20949 Together, these results demonstrate that carbamazepine effectively improved the processing and surface expression of the F27S and A116P SUR1 trafficking-impaired mutant KATP channels in pancreatic beta-cells.
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254 F27S cells were treated overnight (O.N.) with 10 òe;M carbamazepine, and carbamazepine was removed 15, 30, or 60 min (washout) prior to incubation with metabolic inhibitors.
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258 *, p b0d; 0.001 comparing F27S vehicle (Veh) with various treatment groups by one-way analysis of variance with Bonferroni post hoc test. Error bars represent S.E. D, Western blots show the effects of different drug combinations on the processing efficiency of F27S SUR1 co-expressed with WT Kir6.2 in COSm6 cells.
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260 Note that although diazoxide nearly abolished the rescue effect of glibenclamide or tolbutamide it had no effect on the ability of carbamazepine to correct the processing defect of F27S SUR1.
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265 A, panel i, representative SUR1 blots from uninfected human islets (probed with anti-SUR1 antibody) and human islets infected with adenoviruses carrying WT Kir6.2 and WT or F27S or A116P mutant f-SUR1 cDNAs (probed with anti-FLAG antibody) and treated with DMSO, 5 òe;M glibenclamide (Glib), or 10 òe;M carbamazepine (CBZ) for 16 h. Panel ii, representative whole-cell patch clamp recordings measuring KATP current density in control and drug-treated human beta-cells infected with the F27S mutant viruses (recordings are from two cells with similar membrane capacitance of b03;10 picofarads (pF)).
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290 This suggests that diazoxide may antagonize the inhibitory effect of carbamazepine to potentiate the function of rescued F27S channels.
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296 Feasibility of the carbamazepine and diazoxide combination therapy strategy is further supported by our finding that the two drugs can be co-applied to cells without compromising the ability of carbamazepine to rescue the trafficking defects of the F27S mutant (Fig. 6D).
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301 Although our study focused mostly on one mutation (F27S) that responded well to carbamazepine, there are many additional congenital hyperinsulinism-associated SUR1 TMD0 mutations waiting to be tested (4).
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69 Groups of islets (100 islet equivalents) in each well of a 12-well plate were infected with Ad-tTA (m.o.i., 500), Ad-Kir6.2 (m.o.i., 2000), and either Ad-f-SUR1 (m.o.i., 1000) or mutant Ad-A116P f-SUR1 (m.o.i., 1000) or Ad-F27S f-SUR1 (m.o.i., 500) for 16 h in 0.5 ml of Opti-MEM (Invitrogen) at 37 &#b0;C. The islets were then incubated for an additional 24 h in RPMI 1640 medium with 10% FBS containing either DMSO, glibenclamide, or carbamazepine before being harvested for immunoblotting.
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79 Immunofluorescence Staining-COSm6 cells transfected with WT Kir6.2 and WT or F27S f-SUR1were plated on coverslips 1 day before the experiment and treated overnight with DMSO, tolbutamide, or carbamazepine.
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89 Metabolic Labeling and Immunoprecipitation-COSm6 cells were plated on 35-mm dishes and transfected with WT Kir6.2 and F27S f-SUR1.
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127 At 10 òe;M, the F27S and E128K mutations exhibited the greatest improvement to nearly the level seen with 5 òe;M glibenclamide; R74W, A116P, and V187D showed moderate responses; whereas G7R and N24K, which have less severe processing defects (31), had weak responses (Fig. 1C).
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128 Dose-response relationships were further determined for F27S, A116P, and V187D.
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131 Time Course and Duration of the Carbamazepine Rescue Effect-To characterize the carbamazepine effect further, we determined the time course and duration of the rescue effect using the F27S mutation as an example.
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140 Surface staining of FLAG-tagged (N terminus) SUR1 showed a clear increase in surface expression of the F27S mutant upon Carbamazepine as a Novel KATP Channel Corrector JULY 19, 2013ߦVOLUME 288ߦNUMBER 29 JOURNAL OF BIOLOGICAL CHEMISTRY 20945 carbamazepine treatment, resembling that seen in cells treated with the sulfonylurea drug tolbutamide (Fig. 3B).
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141 In addition, we quantified the amount of SUR1 surface expression using a chemiluminescence assay as described under "Materials and Methods" and observed a pronounced increase in surface expression of F27S mutant channels in response to 10 or 50 òe;M carbamazepine treatment (Fig. 3C).
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144 To test this, we conducted metabolic pulse-chase experiments to monitor the kinetics of F27S mutant SUR1 maturation from the core-glycosylated to the complex-glycosylated band in cells treated with carbamazepine or the vehicle DMSO.
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147 Note that the low maturation efficiency of SUR1 from the core-glycosylated to the complex-glycosylated form observed in the carbamazepine-treated F27S mutant (b03;20% of pulse-labeled SUR1) is similar to the value obtained previously for WT SUR1 in experiments where pulse-labeled SUR1 was chased for up to 24 h (29, 30, 36).
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173 A, COSm6 cells were transiently transfected with WT Kir6.2 and WT or F27S mutant SUR1 cDNAs and treated with 10 or 50 òe;M carbamazepine (C) or 5 òe;M glibenclamide (G) for 0, 1, 2, 4, 6, 10, 12, or 16 h. Panel i, blots showing cells treated with glibenclamide or carbamazepine for 1 h (left) when an effect on the upper band signal was first detected and for 6 h (right) when the effect began to plateau.
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178 WT without any treatment and F27S mutant treated with DMSO (0.1%) for 16 h are shown for comparison.
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183 F27S treated with DMSO for 16 h is shown for comparison.
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188 We chose the F27S mutant for this analysis because it exhibited the greatest response to rescue by carbamazepine and has been shown previously to have WT-like gating properties (31).
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193 A progressive increase in efflux through rescued F27S channels over a 40-min period was observed with longer washout; the efflux level was nearly comparable with that seen in WT channels with 60-min washout (Fig. 6B).
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ABCC8 p.Phe27Ser 23744072:193:49
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206 Carbamazepine increases F27S mutant channel surface expression by improving processing and maturation of the channel complex during biogenesis.
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ABCC8 p.Phe27Ser 23744072:206:24
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207 A, COSm6 cells transfected with F27S SUR1 and WT Kir6.2 were pulse-labeled with Tran35 S-Label for an hour and chased for 0-4 h in regular medium.
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ABCC8 p.Phe27Ser 23744072:207:32
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221 Our results show that although diazoxide abolished the chaperoning effect of either glibenclamide or tolbutamide it did not interfere with the ability of carbamazepine to correct the processing defect of F27S SUR1 (Fig. 6D).
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ABCC8 p.Phe27Ser 23744072:221:204
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225 We used human islets and beta-cells as well as rat insulinoma INS-1 cells for these experiments. Human islets obtained through the Integrated Islet Distribution Program were co-infected overnight with adenoviruses carrying Kir6.2 and WT, F27S, or A116P f-SUR1 cDNAs.
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ABCC8 p.Phe27Ser 23744072:225:238
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228 As was observed in COSm6 cells, overnight glibenclamide and carbamazepine treatments led to a marked increase in the upper SUR1 band in the F27S mutant and an obvious albeit weaker increase in the upper band in the A116P mutant in whole islet lysates (Fig. 7A, panel i).
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ABCC8 p.Phe27Ser 23744072:228:140
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238 B, Western blot of SUR1 from COSm6 cells transfected with F27S SUR1 and WT Kir6.2 and treated with carbamazepine or rapamycin (Rapa) or Liaf9; , both of which are autophagy inducers, for 16 h as indicated.
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ABCC8 p.Phe27Ser 23744072:238:58
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239 Carbamazepine as a Novel KATP Channel Corrector JULY 19, 2013ߦVOLUME 288ߦNUMBER 29 JOURNAL OF BIOLOGICAL CHEMISTRY 20949 Together, these results demonstrate that carbamazepine effectively improved the processing and surface expression of the F27S and A116P SUR1 trafficking-impaired mutant KATP channels in pancreatic beta-cells.
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ABCC8 p.Phe27Ser 23744072:239:255
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256 F27S cells were treated overnight (O.N.) with 10 òe;M carbamazepine, and carbamazepine was removed 15, 30, or 60 min (washout) prior to incubation with metabolic inhibitors.
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ABCC8 p.Phe27Ser 23744072:256:0
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262 Note that although diazoxide nearly abolished the rescue effect of glibenclamide or tolbutamide it had no effect on the ability of carbamazepine to correct the processing defect of F27S SUR1.
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ABCC8 p.Phe27Ser 23744072:262:181
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267 A, panel i, representative SUR1 blots from uninfected human islets (probed with anti-SUR1 antibody) and human islets infected with adenoviruses carrying WT Kir6.2 and WT or F27S or A116P mutant f-SUR1 cDNAs (probed with anti-FLAG antibody) and treated with DMSO, 5 òe;M glibenclamide (Glib), or 10 òe;M carbamazepine (CBZ) for 16 h. Panel ii, representative whole-cell patch clamp recordings measuring KATP current density in control and drug-treated human beta-cells infected with the F27S mutant viruses (recordings are from two cells with similar membrane capacitance of b03;10 picofarads (pF)).
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ABCC8 p.Phe27Ser 23744072:267:173
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ABCC8 p.Phe27Ser 23744072:267:494
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292 This suggests that diazoxide may antagonize the inhibitory effect of carbamazepine to potentiate the function of rescued F27S channels.
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ABCC8 p.Phe27Ser 23744072:292:121
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298 Feasibility of the carbamazepine and diazoxide combination therapy strategy is further supported by our finding that the two drugs can be co-applied to cells without compromising the ability of carbamazepine to rescue the trafficking defects of the F27S mutant (Fig. 6D).
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ABCC8 p.Phe27Ser 23744072:298:249
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303 Although our study focused mostly on one mutation (F27S) that responded well to carbamazepine, there are many additional congenital hyperinsulinism-associated SUR1 TMD0 mutations waiting to be tested (4).
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ABCC8 p.Phe27Ser 23744072:303:51
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PMID: 16357843 [PubMed] Suchi M et al: "Molecular and immunohistochemical analyses of the focal form of congenital hyperinsulinism."
No. Sentence Comment
93 KATP mutationsa Nuclear labeling of p57kip2 Microsatellite marker analysis at 11p15 Remarks on histology Lesion Islets in normal area 1 g3992-9a/  + ND 2 R1494Q/  + ND 3 V21D/  + ND 4 g3992-9a/  + ND 5 3576 del g/ Small lesion + ND 6 R74W/  Small normal area and weak Loss of maternal allele 7 C717X/  + Loss of maternal allele 8 1874 del c/  + ND 9 Q954X/  + ND 10 g3992-9g/  + Loss of maternal allele 11 E501K/  + Loss of maternal allele 12 R136Lb /  Weak Loss of maternal allele 13 c2924-9a/  + Loss of maternal allele Focal lesion occupies large area of pancreas 14 g3992-9a/  + ND 15 3084 del g/  + ND 16 R302Hb /  + Loss of maternal allele 17 g3992-9a/  + ND 18 536-539 del atgg/  + ND 19 R1215W/  + Loss of maternal allele 20 R999X/  + ND 21 L1350Q/  + ND 22 G1401R/  Weak Loss of maternal allele 23 g2041-21a/  + Loss of maternal allele 24 G7R/  Weak Loss of maternal allele 25 g3992-9a/  + Loss of maternal allele Rare nonadjacent large islet cell nuclei 26 g3992-9a/  + ND 27 Q954X/  + ND 28 delF1388/  + ND 29 Q472X/  + ND 30 G40Db /  + Loss of maternal allele 31 S116Pb /  + ND 32 g3992-9a/  + ND 33 g2116+1t, nonmaternal  + ND 34 A101Db , nonmaternal  Small normal area Loss of maternal allele Focal lesion occupies large area of pancreas 35 F27S, nonmaternal  Weak Loss of maternal allele 36 G1379R, nonmaternal  + ND 37 1631 del t, nonmaternal  + ND 38 R1215W, nonmaternal  + Loss of maternal allele 39 L503P, nonmaternal  + Loss of maternal allele 40 F686S, de novo  + Loss of maternal allele 41 1332+4 del c, maternalc  + Loss of maternal allele 42 /  + Loss of maternal allele 43 /  + ND 44 / Small lesion + Loss of maternal allele 45 /  + Loss of maternal allele 46 /  + Loss of maternal allele 47 /  + ND 48 /  + Loss of maternal allele 49 /  + ND 50 ND  + ND 51 ND  + ND 52 ND  + Loss of maternal allele Rare nonadjacent large islet cell nuclei 53 ND  + Loss of maternal allele Focal lesion occupies large area of pancreas All 10 pancreatic specimens studied from patients with diffuse hyperinsulinism did not show loss of p57kip2 labeling of the islet cell nuclei (data not shown).
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ABCC8 p.Phe27Ser 16357843:93:1320
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PMID: 23695995 [PubMed] Zhou Q et al: "Engineered Kir6.2 mutations that correct the trafficking defect of K(ATP) channels caused by specific SUR1 mutations."
No. Sentence Comment
16 Of the three TMD0 mutations tested, F27S and A116P showed a clear upper band in addition to the lower immature band in the E203K//Q52E background; by contrast, the same trafficking mutations placed in the background without the E203K//Q52E mutations only exhibited the lower band (Fig. 2), indicating the proteins were retained in the ER as reported previously.25,26 Another TMD0 mutation, E128K, as well as three other previously identified, congenital hyperinsulinism-causing SUR1 trafficking mutations outside of TMD0 (R495Q, F686S and L1350Q),25 however, showed no improvement in their processing efficiency when combined with E203K//Q52E (data not shown).
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ABCC8 p.Phe27Ser 23695995:16:36
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21 Positions of SUR1-E203 and Kir6.2-Q52 residues (open squares) as well as the two TMD0 trafficking mutations F27S and A116P (open circles) are indicated.
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ABCC8 p.Phe27Ser 23695995:21:108
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25 E203K//Q52E mutation pair in correcting the processing defect of F27S and A116P.
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ABCC8 p.Phe27Ser 23695995:25:65
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26 This scenario differs somewhat from that observed for gating regulation whereby E203K-SUR1 does not affect channel ATP-sensitivity and Q52E-Kir6.2 increases ATP-sensitivity by ~5-fold but E203K//Q52E increases ATP-sensitivity by ~100-fold.21 Moreover, while crosslinking of E203C//Q52C induces channel closure21 it does not appear to rescue the trafficking defect caused by F27S, at least under the experimental conditions we have tested.
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ABCC8 p.Phe27Ser 23695995:26:374
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30 Although the precise mechanism underlying our findings remains to be determined, the charge-dependence of the effect of Q52-Kir6.2 mutation on F27S-SUR1 processing leads us to speculate that the negative charge at this position may not shown).
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ABCC8 p.Phe27Ser 23695995:30:143
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31 Note in the case of Q52K-Kir6.2, the pairing with E203 residue in SUR1 would represent a reverse-switch of charge at the two positions in relation to the E203K//Q52E mutation pair, and yet unlike E203K//Q52E, E203//Q52K failed to correct the trafficking defect caused by F27S and A116P.
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ABCC8 p.Phe27Ser 23695995:31:271
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32 These results suggest that correction of the trafficking defects of F27S and A116P in the E203K//Q52E background is unlikely a consequence of electrostatic interactions between amino acids at the 203-SUR1 and 52-Kir6.2 positions, and that a negatively charged amino acid at position 52 of Kir6.2 is the major driving factor for expression rescue.
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ABCC8 p.Phe27Ser 23695995:32:68
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36 Analysis of the contribution from individual mutations revealed that the processing defect caused by F27S-SUR1 is little affected by E203K-SUR1 but is significantly alleviated by the Q52E and D mutations in Kir6.2 alone.
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ABCC8 p.Phe27Ser 23695995:36:101
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39 Close physical proximity of the two residues is further supported by the observation that in inside-out patch-clamp recording of E203C-SUR1// Q52C-Kir6.2 channels, application of the oxidizing reagent H2 O2 to induce disulfide bond formation locked the channels in a closed state that was reversible by the reducing agent dithiothreotol.21 Given this, we considered the possibility that cross-linking of E203C//Q52C may rescue the folding/assembly defect caused by F27S- or A116P-SUR1 by stabilizing the mutant SUR1-Kir6.2 interface at this location.
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ABCC8 p.Phe27Ser 23695995:39:465
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40 We attempted to test this hypothesis by treating cells expressing F27S/E203C//Q52C with H2 O2 .
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ABCC8 p.Phe27Ser 23695995:40:66
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41 While we were able to observe a crosslinked SUR1-Kir6.2 species on immunoblots within 10 min of H2 O2 exposure, no significant correction of the F27S processing defect was detected even after 30 min or overnight H2 O2 exposure (data not shown).
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ABCC8 p.Phe27Ser 23695995:41:145
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44 Next, we tested the role of individual E203K-SUR1 or Q52E-Kir6.2 mutations in F27S-SUR1 mutant processing.
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ABCC8 p.Phe27Ser 23695995:44:78
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45 Surprisingly, while the E203K-SUR1 mutation had little effect on F27S-SUR1 processing, co-expression of F27S-SUR1 with Q52E-Kir6.2 was sufficient to increase the upper F27S-SUR1 band, and surface F27S-SUR1 detected by surface biotinylation was nearly as abundant as F27S/E203K//Q52E (Fig. 3A).
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ABCC8 p.Phe27Ser 23695995:45:65
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ABCC8 p.Phe27Ser 23695995:45:104
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ABCC8 p.Phe27Ser 23695995:45:168
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ABCC8 p.Phe27Ser 23695995:45:196
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ABCC8 p.Phe27Ser 23695995:45:266
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46 Moreover, we found that while Q52D-Kir6.2 similarly improved the processing and surface expression of F27S-SUR1, Q52K-Kir6.2 did not (Fig. 3B).
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ABCC8 p.Phe27Ser 23695995:46:102
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48 The E203K//Q52E mutation pair suppresses the processing defect caused by the F27S or A116P SUR1 mutation.
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ABCC8 p.Phe27Ser 23695995:48:77
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PMID: 24399968 [PubMed] Martin GM et al: "Pharmacological rescue of trafficking-impaired ATP-sensitive potassium channels."
No. Sentence Comment
218 Mutation Domain Rescue Rescue Gating References by SU by CBZ property SUR1 G7R TMD0 Yes Yes Normal Yan et al., 2007 N24K TMD0 Yes Yes Normal Yan et al., 2007 F27S TMD0 Yes Yes Normal Yan et al., 2007 R74W TMD0 Yes Yes ATP-insensitive Yan et al., 2007 A116P TMD0 Yes Yes Normal Yan et al., 2004 E128K TMD0 Yes Yes ATP-insensitive Yan et al., 2007 V187D TMD0 Yes Yes Normal Yan et al., 2004 R495Q TMD1 Yes Yes Unknown Yan et al., 2007 E501K TMD1 Yes Yes Unknown Yan et al., 2007 L503P TMD1 No No Unknown Yan et al., 2007 F686S NBD1 No No Unknown Yan et al., 2007 G716V NBD1 No No Unknown Yan et al., 2007 E1324K TMD2 N.D.3 N.D.
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ABCC8 p.Phe27Ser 24399968:218:158
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286 Interestingly, a recent study by Zhou et al. showed that a point mutation in Kir6.2, Q52E, located in the N-terminus of the protein just before the slide helix, partially compensated for the trafficking defects caused by SUR1-TMD0 mutations F27S and A116P, indicating that altered molecular interactions with Kir6.2 can overcome impaired channel folding/assembly caused by TMD0 mutations (Zhou et al., 2013).
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ABCC8 p.Phe27Ser 24399968:286:241
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PMID: 24849284 [PubMed] Zhou Q et al: "Carbamazepine inhibits ATP-sensitive potassium channel activity by disrupting channel response to MgADP."
No. Sentence Comment
14 Mutations that render channels less sensitive to ATP inhibition, or more sensitive to MgADP stimulation, cause neonatal diabetes and in some cases also DEND syndrome.3,12-14 By contrast, mutations which render channels unresponsive to the stimulatory effect of MgADP result in loss of channel function and are frequently found in patients with congenital hyperinsulinism, which is characterized by persistent insulin secretion despite life-threatening hypoglycemia.15,16 Aside from gating defects, channel biogenesis and trafficking defects which prevent expression of functional channels in the b2;-cell plasma membrane are also major causes of congenital hyperinsulinism.17 Sulfonylureas such as tolbutamide and glibenclamide inhibit KATP channel activity to stimulate insulin secretion and are thus effective in treating type II diabetes as well as some cases of neonatal diabetes/ DEND syndrome caused by hyperactive KATP channels.3 The inhibitory effect of sulfonylureas on KATP channel activity is largely attributed to an inhibition of channel response to MgADP.18 In addition to inhibiting channel activity, sulfonylureas have been shown to act as KATP channel pharmacological chaperones and correct trafficking defects caused by a subset of mutations in SUR1, specifically those in the first transmembrane domain TMD0.19,20 We have previously shown that mutant channels rescued to the cell surface by the high-affinity sulfonylurea glibenclamide are unable to open in response to metabolic inhibition in intact cells as assessed by 86 Rb+ efflux assays.19 Closer examination by inside-out patch-clamp recording revealed that the rescued channels failed to respond to MgADP, likely because the drug remained bound to the channel even after extensive washout.19 However, a lower affinity sulfonylurea tolbutamide could be washed out from rescued surface channels to recover channel response to MgADP and to allow channels to open upon metabolic inhibition in 86 Rb+ efflux assays.19,20 In a recent study, we identified carbamazepine as a novel KATP channel 'corrector` able to rescue trafficking defects caused by the same set of TMD0 mutations rescued by sulfonylureas.21 Interestingly, functional analysis of a SUR1-TMD0 trafficking mutant, F27S, showed that channels rescued to the cell surface by carbamazepine also failed to open upon metabolic inhibition.21 However, mutant channel activity gradually recovered as carbamazepine was washed out, with activity near the level observed in wild-type (WT) channels after 90 min washout.21 In this study, we investigated how carbamazepine affects KATP channel gating to prevent rescued channels from opening in metabolically stressed cells.
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ABCC8 p.Phe27Ser 24849284:14:2253
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17 We therefore determined the response of carbamazepine-rescued F27S mutant channels to ATP and ADP by inside-out patch-clamp recording.
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ABCC8 p.Phe27Ser 24849284:17:62
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19 Note although the F27S mutation severely hinders channel trafficking to the cell surface, sufficient currents (~10% of averaged WT channel current amplitude) can be detected in a small number of cells to allow analysis of ATP and MgADP sensitivity.
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ABCC8 p.Phe27Ser 24849284:19:18
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20 Compared with WT channels, mutant F27S channels exhibited comparable sensitivity to ATP inhibition and MgADP stimulation (Fig. 1), indicating that the F27S mutation per se does not have a significant effect on channel response to intracellular nucleotides.
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ABCC8 p.Phe27Ser 24849284:20:34
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ABCC8 p.Phe27Ser 24849284:20:151
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21 Next, we recorded F27S mutant channels from cells treated overnight with Figure 1.
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ABCC8 p.Phe27Ser 24849284:21:18
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22 The F27S mutation in SUR1 does not alter KATP channel gating property.
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23 (A) Representative recordings testing MgADP responses of WT and F27S channels expressed in COSm6 cells without overnight carbamazepine treatment.
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ABCC8 p.Phe27Ser 24849284:23:64
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25 There is no statistical significance in MgADP response between F27S and WT channels.
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29 As the MgADP stimulatory effect is crucial for KATP channels to open upon glucose deprivation,15,16 this explains why carbamazepine-rescued F27S mutant channels were unable to open upon metabolic inhibition, as observed in our previous study.21 Interestingly, washout of carbamazepine by incubating cells in fresh media without the drug for 2 h prior to recording recovered the channel`s response to MgADP, suggesting carbamazepine impairs MgADP response.
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ABCC8 p.Phe27Ser 24849284:29:140
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31 As observed in the F27S mutant, WT channels recorded from cells treated overnight with carbamazepine also had little MgADP response; upon washout for more than 2 h, the MgADP response recovered to nearly the extent seen in channels not previously exposed to carbamazepine (Fig. 2).
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ABCC8 p.Phe27Ser 24849284:31:19
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34 We found that both WT and F27S mutant channels from cells treated overnight with carbamazepine also exhibited greatly reduced response to diazoxide; and again, after washout, diazoxide response recovered to the level comparable to that reported previously for WT channels (Fig. 3).
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ABCC8 p.Phe27Ser 24849284:34:26
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43 (A) Representative inside-out patch-clamp recordings testing MgADP responses of WT and F27S channels expressed in COSm6 cells treated overnight with 10 &#b5;M carbamazepine with (right) or without (left) 2 h of washout prior to recording.
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ABCC8 p.Phe27Ser 24849284:43:87
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61 (A) Representative inside-out patch-clamp recordings testing diazoxide responses of WT and F27S channels expressed in cells treated overnight with 10 &#b5;M carbamazepine with (right) or without (left) 2 h of washout prior to recording.
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ABCC8 p.Phe27Ser 24849284:61:91
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PMID: 25637631 [PubMed] Devaraneni PK et al: "Structurally distinct ligands rescue biogenesis defects of the KATP channel complex via a converging mechanism."
No. Sentence Comment
117 The F27S SUR1-TMD0 mutation previously shown to respond to GBC and CBZ rescue (22) was used as an example.
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ABCC8 p.Phe27Ser 25637631:117:4
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120 By contrast, only the immature band was observed in cells co-expressing F27S-SUR1 and Kir6.2, a defect that was efficiently corrected by GBC and CBZ.
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ABCC8 p.Phe27Ser 25637631:120:72
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136 Remarkably, both single binding mutations alone and the double binding mutation also rendered CBZ ineffective in rescuing F27S (Fig. 2C).
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ABCC8 p.Phe27Ser 25637631:136:122
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148 TMD0 trafficking mutations F27S, A116P, and V187D used in the study as well as the ER retention motif RKR are also shown.
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ABCC8 p.Phe27Ser 25637631:148:27
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150 For comparison, WT control (WT-SUR1 af9; WT-Kir6.2) and F27S in WT-SUR1 background (F27S-SUR1 af9; WT-Kir6.2) with or without drugtreatmentwasincludedineachblot.Tubulinblotsservedasloadingcontrols.Thefilledandopencirclesinthisandsubsequentblotsindicatethecomplex- and core-glycosylated SUR1 proteins, respectively.
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ABCC8 p.Phe27Ser 25637631:150:59
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ABCC8 p.Phe27Ser 25637631:150:87
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189 Using F27S-SUR1, we found that whereas processing of the mutant SUR1 in cells co-expressing WT-Kir6.2 was fully normalized by both drugs, as evidenced by the abundant upper band, this was not the case when F27S-SUR1 was co-expressed with èc;N30-Kir6.2, where the upper band in the drug-treated cells was barely detectable (Fig. 4A).
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ABCC8 p.Phe27Ser 25637631:189:6
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ABCC8 p.Phe27Ser 25637631:189:206
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216 A, effects of Kir6.2 Nand C-terminal deletions on pharmacological rescue of trafficking-defective SUR1-TMD0 mutant F27S.
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ABCC8 p.Phe27Ser 25637631:216:115
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217 Shown are SUR1 blots of cells expressing F27S-SUR1 along with WT-, èc;N30-, or èc;C25-Kir6.2 and treated overnight with DMSO (0.1%) (V), 5 òe;M GBC (G), or 10 òe;M CBZ (C).
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ABCC8 p.Phe27Ser 25637631:217:41
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219 C, Kir6.2 blots from cells co-expressing WTor F27S-SUR1 and WTor èc;N30-Kir6.2 and treated with DMSO, 5 òe;M GBC, or 10 òe;M CBZ.
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ABCC8 p.Phe27Ser 25637631:219:46
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243 D, Kir6.2Y12AzF cross-links to F27S-SUR1 only in cells treated overnight with 5 òe;M GBC to rescue the trafficking defect caused by F27S.
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ABCC8 p.Phe27Ser 25637631:243:31
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ABCC8 p.Phe27Ser 25637631:243:136
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249 We then tested whether pharmacological chaperones will induce cross-linking of Kir6.2 to the TMD0-SUR1 trafficking mutant F27S.
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ABCC8 p.Phe27Ser 25637631:249:122
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307 Our observation that in the absence of pharmacological chaperones, F27S-SUR1 fails to confer cross-linking suggests that F27S disrupts SUR1-Kir6.2 interactions, perhaps due to misfolding of TMD0.
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ABCC8 p.Phe27Ser 25637631:307:67
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ABCC8 p.Phe27Ser 25637631:307:121
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312 It is worth noting that we have recently found that substitution of glutamine at the N-terminal amino acid position 52 of Kir6.2 by glutamate or aspartate suppresses the processing defect caused by F27S or A116P mutations in the TMD0 of SUR1 (67), consistent with a model of coupled conformational maturation between SUR1 and Kir6.2.
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ABCC8 p.Phe27Ser 25637631:312:198
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