ABCC8 p.Leu582Val

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PMID: 17919176 [PubMed] Patch AM et al: "Mutations in the ABCC8 gene encoding the SUR1 subunit of the KATP channel cause transient neonatal diabetes, permanent neonatal diabetes or permanent diabetes diagnosed outside the neonatal period."
No. Sentence Comment
86 Nine mutations were observed in more than one proband; R1183W (c.3547C>T) was identified in five probands, R1380C (c.4138C>T) in three probands and the remainder; F132L (c.394T>C), D209E (c.627C>A), T229I (c.686C>T), L582V (c.1744C>G), R826W (c.2476C>T), R1183Q (c.3548G>A) and R1380L (c.4139G>T) were each observed in two probands.
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ABCC8 p.Leu582Val 17919176:86:217
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161 Affected probands and family members can be separated into three distinct groups based T229I/T229I ABCC8 mutations Transient Neonatal Diabetes Mellitus Recessive homozygous mutations R826W (2) H1024Y R1183Q (2) R1183W (5) R1314H R1380C (3) R1380H R1380L (2) D209E D212I D212N R306H V324M C435R L451P L582V (2) Dominant heterozygous mutations Permanent Neonatal Diabetes Mellitus E382K/E382K A1185E/A1185E Mosaic N72S Recessive homozygous or mosaic mutations P45L/G1401R E208K/Y263D T229I/V1523L L438F/M1290V P207S/c.536del4 E1327K+V1523A/ c.1327ins10 Recessive compound heterozygous mutations 1K Dominant heterozygous mutations D209E Q21 L213R L225P(2) I1425V V86A V86G F132L (2) F132V L135P Fig. 2 A diagram illustrating the inheritance of ABCC8 mutations in probands with permanent and transient forms of neonatal diabetes.
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ABCC8 p.Leu582Val 17919176:161:300
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163 Permanent Neonatal Diabetes Mellitus Transient Neonatal Diabetes Mellitus 1 5 10 15 20 25 30 35 39 N72S V86A V86G F132L F132V L135PP45L P207S E208K D209E Q211K L213R L225P T229I Y263D D209E D212I D212N T229I R306H V324M L438F L451P E382K R826W R1183W R1183Q A1185E E1327K R1314H M1290V R1380C R1380H R1380L G1401R V1523A V1523L H1024YC435R L582V I1425V Fig. 3 The location of missense mutations causing neonatal diabetes within the coding sequence of ABCC8.
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ABCC8 p.Leu582Val 17919176:163:340
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176 No neurological features were reported in R1183W/Q A1185E E1327K G1401R V1523A/L NBD1 NBD2 outside membrane inside P45L N72S F132L/V L135P P207S E208K D209E Q211K D212I/N L213R L225P T229I Y263D E382K V86A/G L438F C435R R1380C/H/L L451P R826W TMD0 TMD1 TMD2 R306H V324M L582V H1024Y I1425V R1314H M1290V Fig. 4 A schematic of the membrane topologies of SUR1 showing the location of the ABCC8 missense mutations causing neonatal diabetes.
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ABCC8 p.Leu582Val 17919176:176:270
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PMID: 20922570 [PubMed] Edghill EL et al: "Permanent neonatal diabetes due to activating mutations in ABCC8 and KCNJ11."
No. Sentence Comment
85 One of the most notable R1183W/Q A1185E E1327K G1401R V1523A/L V1524M R1531A NBD1 NBD2 outside membrane inside P45L N72S F132L/V L135P P207S E208K D209E Q211K D212I/N L213R L225P T229I Y263D A269D/N E382K V86A/G R1380C/H/L C435R L438F M1290V L451P R826W R1314H TMD0 TMD1 TMD2 R306H V324M L582V H1024Y I1425V A90V Y356C R521Q N1123D R1153G T1043TfsX74 Fig. 3 Schematic representation of 50 ABCC8 mutations which cause neonatal diabetes.
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ABCC8 p.Leu582Val 20922570:85:288
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PMID: 18990670 [PubMed] Aittoniemi J et al: "Review. SUR1: a unique ATP-binding cassette protein that functions as an ion channel regulator."
No. Sentence Comment
204 (a) (b) P45L N72S F132L NH2 A90V V86G COOHL135P exoplasmic cytoplasmic Walker A Walker A linker Walker B linker Walker B V324M E382K C435R L438F L582V R826W H1023Y N1122D R1183Q A1185E R1314H E1327K R1380 L I1425V V1524 L P207S E208K Q211K D212I/N L225P T229I Y263D A269D R306H D209E L213R TMD0 TMD1 TMD2 NBD1 NBD2 CL3 linker site 1 site 2 NBD1 NBD2 R826W R1380 L E1327K I1425V V1524 L Figure 5.
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ABCC8 p.Leu582Val 18990670:204:145
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207 (a) (b) P45L N72S F132L NH2 A90V V86G COOH L135P exoplasmic cytoplasmic Walker A Walker A linker Walker B linker Walker B V324M E382K C435R L438F L582V R826W H1023Y N1122D R1183Q A1185E R1314H E1327K R1380 L I1425V V1524 L P207S E208K Q211K D212I/N L225P T229I Y263D A269D R306H D209E L213R TMD0 TMD1 TMD2 NBD1 NBD2 CL3 linker site 1 site 2 NBD1 NBD2 R826W R1380 L E1327K I1425V V1524 L Figure 5.
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ABCC8 p.Leu582Val 18990670:207:146
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PMID: 22210575 [PubMed] Riveline JP et al: "Clinical and metabolic features of adult-onset diabetes caused by ABCC8 mutations."
No. Sentence Comment
49 A pathogenic role for three mutations (C435R, L582V, and R1380H) is very likely, because NDM was diagnosed in family relatives (this study) or reported by other studies (2,4,11).
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ABCC8 p.Leu582Val 22210575:49:46
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57 A pathogenic role for three mutations (C435R, L582V, and R1380H) is very likely, because NDM was diagnosed in family relatives (this study) or reported by other studies (2,4,11).
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ABCC8 p.Leu582Val 22210575:57:46
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PMID: 16885549 [PubMed] Babenko AP et al: "Activating mutations in the ABCC8 gene in neonatal diabetes mellitus."
No. Sentence Comment
43 A homology model26 of the human SUR1 core was used to map the mutant residues.27 Results ABCC8 Mutations in Patients with Permanent or Transient Neonatal Diabetes We identified seven heterozygous ABCC8 mutations in 9 of 34 patients with neonatal diabetes: L213R and I1424V in 2 with permanent neonatal diabetes and C435R, L582V, H1023Y, R1182Q, and R1379C in patients with transient neonatal diabetes.
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ABCC8 p.Leu582Val 16885549:43:322
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48 The L213R, H1023Y, and I1424V were noninherited mutations, as were the L582V and R1379C mutations in one family each.
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ABCC8 p.Leu582Val 16885549:48:4
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ABCC8 p.Leu582Val 16885549:48:71
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49 The L582V and R1397C mutations were also inherited in one family each, as were the C435R and R1182Q mutations.
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ABCC8 p.Leu582Val 16885549:49:4
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67 After identification of the mutations in the patients with permanent neonatal diabetes, glyburide therapy was initiated and found to be successful and insulin was discontinued after 2 days in the proband from Family 12 and after 15 days in the proband from A Permanent Neonatal Diabetes B Transient Neonatal Diabetes NN NN NN NN NN NN NN NNNM NM NM NM NM NMNM NM NM* NM* NA NA NA NA NANANANANA NA NA NA NA Family 12 (L213R) NNNN NM Family 36 (L582V) 16 NN NN NNNM NMNM Family 28 (H1023Y) Family 34 (R1182Q) Family 16 (L582V) Family 17 (R1379C) Family 16 (I1424V) I II III I II III IV V 1 1 2 1 2 3 4 5 2 1 2 1 2 1 2 1 2 3 4 5 6 7 3 1 4 6 NNNN NN NNNM NMNM* Family 13 (C435R) Family 19 (R1379C) Transient Neonatal Diabetes Figure 1.
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ABCC8 p.Leu582Val 16885549:67:443
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ABCC8 p.Leu582Val 16885549:67:518
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42 A homology model26 of the human SUR1 core was used to map the mutant residues.27 Results ABCC8 Mutations in Patients with Permanent or Transient Neonatal Diabetes We identified seven heterozygous ABCC8 mutations in 9 of 34 patients with neonatal diabetes: L213R and I1424V in 2 with permanent neonatal diabetes and C435R, L582V, H1023Y, R1182Q, and R1379C in patients with transient neonatal diabetes.
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ABCC8 p.Leu582Val 16885549:42:322
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47 The L213R, H1023Y, and I1424V were noninherited mutations, as were the L582V and R1379C mutations in one family each.
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ABCC8 p.Leu582Val 16885549:47:71
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66 After identification of the mutations in the patients with permanent neonatal diabetes, glyburide therapy was initiated and found to be successful and insulin was discontinued after 2 days in the proband from Family 12 and after 15 days in the proband from A Permanent Neonatal Diabetes B Transient Neonatal Diabetes NN NN NN NN NN NN NN NN NM NM NM NM NM NM NM NM NM* NM* NA NA NA NA NA NA NA NA NA NA NA NA NA Family 12 (L213R) NN NN NM Family 36 (L582V) 16 NN NN NN NM NM NM Family 28 (H1023Y) Family 34 (R1182Q) Family 16 (L582V) Family 17 (R1379C) Family 16 (I1424V) I II III I II III IV V 1 1 2 1 2 3 4 5 2 1 2 1 2 1 2 1 2 3 4 5 6 7 3 1 4 6 NN NN NN NN NM NM NM* Family 13 (C435R) Family 19 (R1379C) Transient Neonatal Diabetes Figure 1.
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ABCC8 p.Leu582Val 16885549:66:450
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ABCC8 p.Leu582Val 16885549:66:527
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92 Mutation Sex Wk of Gestation Birth Weight At Diagnosis At Metabolic Testing Current Treatment Age Weight Presentation Glucose Age Height Weight Insulin g (percentile) days g mmol/liter yr cm (SD)ߤ kg (percentile) U/kg/day Permanent neonatal diabetes 12 L213R Male 41 3065 (22) 125 5320 Polyuria, polydipsia 28.6 4.75 107.5 (0) 17 (50) 0.12 Glb, 10 mg/day 16 I1424V Male 40 3080 (25) 33 3360 Ketoacidosis 66 16.5 178 (+0.9) 69 (85) 0.88 Glb, 15 mg/day Transient neonatal diabetes 13 C435R Male 40 3040 (25) 32 3575 Polyuria, polydipsia 44.5 4.75 108.8 (+0.5) 17.5 (75) 16 L582V Male 40 3350 (50) 15 3210 Polyuria, polydipsia 51.4 5.25 117 (+1.9) 18.4 (50) 17 R1379C Female 40 2050 (<3) 3 2100 Hyperglycemia 6.9 5.25 114.5 (+1.6) 19.5 (82) 19 R1379C Female 40 2330 (<3) 60 4900 Polyuria, polydipsia 22 15.7 158 (-0.8) 54 (70) 1.2 Glb, 10 mg/day 28 H1023Y Male 40 3400 (55) 21 NA Ketoacidosis 37.8 16 180 (+1.2) 59.5 (60) 0.5 Glp, 10 mg/day 34 R1182Q Male 34 1830 (8) 4 1680 Hyperglycemia 13.6 2 82 (-1.5) 10.3 (8) 36 L582V Male 40 3570 (67) 74 6100 Polyuria, polydipsia 34 1.8 92 (+2) 14 (90) * Glb denotes glyburide, NA not available, and Glp glipizide.
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ABCC8 p.Leu582Val 16885549:92:577
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ABCC8 p.Leu582Val 16885549:92:1021
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PMID: 17389331 [PubMed] Vaxillaire M et al: "New ABCC8 mutations in relapsing neonatal diabetes and clinical features."
No. Sentence Comment
34 Eleven patients are of French origin, four are Spanish (16), and one (KS-L582V) (Table 1) is from Turkey.
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ABCC8 p.Leu582Val 17389331:34:73
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39 The two other mutations, L582V (c.1744CϾG) and R1182Q (c.3545GϾA), had been previously described by our group in three independent families with TND cases (13).
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ABCC8 p.Leu582Val 17389331:39:25
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50 In the families with E208K, L582V, and R825W mutations, the fathers carried the mutation in the heterozygous state, whereas the A269D mutation in the NJ family was inherited from the mother (Table 1).
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ABCC8 p.Leu582Val 17389331:50:28
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51 The R1182Q and V1523M mutations were not identified in either parent, consistent with de novo mutations.
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ABCC8 p.Leu582Val 17389331:51:28
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66 Probands SGM-E208K, KS-L582V, and LM-R825W have a mutation inherited from their fathers and proband NJ-A269D from her mother (Table 1).
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ABCC8 p.Leu582Val 17389331:66:23
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67 In families with the L582V, R825W, and A269D mutations, glucose tolerance tests were performed in the fathers and mother, who were found to be free from diabetes.
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ABCC8 p.Leu582Val 17389331:67:21
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68 However, the father of KS-L582V has an A1C just above the upper limit of normal, which may suggest minimal glucose disposal disturbances.
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ABCC8 p.Leu582Val 17389331:68:21
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69 In the case of the father of SGM-E208K, glucose intolerance was documented during the oral glucose tolerance test.
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ABCC8 p.Leu582Val 17389331:69:26
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77 In the ND-SUR1 patients, an apparently mild phenotype, i.e., without neurological features, is observed in the TND families, except in a few cases presenting with PND (13) TABLE1 ClinicalfeaturesinneonataldiabeticpatientsscreenedpositiveforABCC8mutations Patient SGMGKKSLMCNCDDLNJ MutationE208KV324ML582VR825WR1182QR1379HV1523MA269D SexFemaleMaleMaleFemaleFemaleMaleMaleFemale TypeofdiabetesTNDTNDTNDTNDTNDTNDPND Notyet known Atbirth Weight(g/percentile)1,790/321,660/Ͻ33,250/282,300/Ͻ32,930/103,150/432,710/312,390/Ͻ3 Gestationweek33.53739394138.53739 Atpresentation Age(days)1112361013426766 Weight(g)1,7904,2904,3002,5203,0003,6903,6605,100 PresentationGlucose monitoring KetoacidosisKetoacidosisGlucose monitoring WeightlossKetoacidosisKetoacidosisKetoaciduria Glucose(mmol/l)12.424.160.516.824.164.23627.5 Autoantibodies00000000 Insulindose(units⅐kg-1 ⅐day-1 )0.1012.400.300.720.502.500.72 PancreasultrasonographyNANANNNNNN Currentstatus Age(months)712728134833188.7 Height(cm/SD)63/-1.6134.5/-0.790.2/0.672.5/-0.4101.2/0.296/184/1.370/0.8 Weight(kg/percentile)6.15/323.6/Ͻ313.5/759.62/5614.9/5017.5/Ͼ9711/318.52/50 Diabetes(yes[ϩ],no[-])-ϩ(9)*----ϩϩ Insulindose(units⅐kg-1 ⅐day-1 )00†00000.600.62 A1Catlastexamination(%)4.56.05.15.05.45.05.58.9 Neurologicalfeatures MuscleweaknessNoNoNoNoNoNoNoNo MotordevelopmentaldelayNoNoNoNoNoNoNoNo EpilepsyNoNoNoNoNoNoNoNo MentaldevelopmentaldelayNoNoNoNoNoNoNoNo SpeechdevelopmentaldelayNoYesNoNoNoYesNoNo DysmorphicfeaturesNoNoNoNoNoNoNoNo OtherfeaturesNoNoNoNoNoHyperkinesia, troubleof feeding behavior NoHypotonia ParentwithamutationFatherNone‡FatherFatherNoneNone‡NoneMother Glucosetolerance§IGT-NN---N Ageatexamination(year)41-3129---25 A1Catlastexamination(%)¶5.4-6.1NA---5.2 BMIatlastexamination(kg/m2 )27-2422---NA *Ageatrelapse,inyear.†PatientGK-V324Mwassuccessfullyswitchedtoglibenclamide(gliburide)attheageof9.5years(currentdose2.5mg/day;weight25kg).‡Onlythemotherwas screenedforthemutation;thefatherofGK-V324Mdied,andnoinformationisavailableonthebiologicalfatherofCD-R1379H.§Assessedbyanoralglucosetolerancetest.¶Upperlimit ofnormalvaluesforA1C:5.6%.IGT,impairedglucosetolerance;N,normal;NA,notavailable.
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ABCC8 p.Leu582Val 17389331:77:321
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84 We believe that those mutations (A269D, L582V, and R825W) are not polymorphisms, as they were shown to be absent from a large number of euglycemic subjects.
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ABCC8 p.Leu582Val 17389331:84:40
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85 Moreover, one of these mutations, L582V, has been shown to cosegregate with diabetes in one previously published family (13).
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ABCC8 p.Leu582Val 17389331:85:34
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35 Eleven patients are of French origin, four are Spanish (16), and one (KS-L582V) (Table 1) is from Turkey.
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ABCC8 p.Leu582Val 17389331:35:73
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40 The two other mutations, L582V (c.1744Cb0e;G) and R1182Q (c.3545Gb0e;A), had been previously described by our group in three independent families with TND cases (13).
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ABCC8 p.Leu582Val 17389331:40:25
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87 Strikingly, some of the parents of the probands (two fathers and one mother) are carriers of an ABCC8 mutation likely to be responsible for neonatal diabetes in their children and, despite this, have normal glucose tolerance as shown in an oral glucose tolerance test. We believe that those mutations (A269D, L582V, and R825W) are not polymorphisms, as they were shown to be absent from a large number of euglycemic subjects.
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ABCC8 p.Leu582Val 17389331:87:309
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88 Moreover, one of these mutations, L582V, has been shown to cosegregate with diabetes in one previously published family (13).
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ABCC8 p.Leu582Val 17389331:88:34
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PMID: 18346985 [PubMed] Tarasov AI et al: "A rare mutation in ABCC8/SUR1 leading to altered ATP-sensitive K+ channel activity and beta-cell glucose sensing is associated with type 2 diabetes in adults."
No. Sentence Comment
83 (E), wild type; (F), Y356C; (f), K1521N; (Ⅺ), H1023Y; (Œ), R248Q; (‚), L582V; (ૺ), R1379C.
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ABCC8 p.Leu582Val 18346985:83:88
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88 A: Currents from inside-out patches excised from HEK293 cells overexpressing recombinant Kir6.2/SUR1-wild type (WT), Kir6.2/SUR1-Y356C, and Kir6.2/SUR1-L582V in Mg2؉ -containing (left) and Mg2؉ -free (right) solution.
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ABCC8 p.Leu582Val 18346985:88:152
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94 D: MgATP concentration-inhibition curves for wild-type and Kir6.2/SUR1-L582V KATP channels.
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ABCC8 p.Leu582Val 18346985:94:71
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95 E: ATP (Mg2؉ -free) concentration-inhibition curves for wild-type and Kir6.2/SUR1-L582V KATP channels.
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ABCC8 p.Leu582Val 18346985:95:88
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120 To test whether the mutations associated with type 2 diabetes might affect stimulus-secretion coupling in beta-cells, we next measured the sensitivity to ATP of recombinant KATP channels carrying SUR-Y356C, -R248Q, and -K1521N and compared these to the ATP sensitivity of TND-associated mutants (4), L582V, H1023Y, and R1379C.
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ABCC8 p.Leu582Val 18346985:120:300
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132 Given the limited magnitude of the type 2 diabetes-associated mutant`s effects, we used a TND-associated SUR1 mutation, L582V (4), as a positive control.
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ABCC8 p.Leu582Val 18346985:132:120
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140 Heterozygous channels expressing SUR1-L582V (hetL582V) were also more ATP sensitive than homozygous SUR1-L582V channels (homL582V): IC50 ϭ 869 ␮mol/l and IC50 ϭ 1,140 ␮mol/l for het582V and hom582V, respectively (Fig. 2A and D) (Table 1).
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ABCC8 p.Leu582Val 18346985:140:38
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ABCC8 p.Leu582Val 18346985:140:105
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147 Thus, the gain-of-function effect of L582V mutation was mediated via Mg2ϩ -dependent activation, while the effect of Y356C apparently occurred through a different mechanism.
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ABCC8 p.Leu582Val 18346985:147:37
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152 Similarly, the cytoplasmic disposition of SUR1-L582V was not different from that of the wild-type SUR1 (Fig. 3E).
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ABCC8 p.Leu582Val 18346985:152:47
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153 Interestingly, we did note a tendency toward lower cell surface expression of SUR1-L582V (Fig. 3F) versus wild type.
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ABCC8 p.Leu582Val 18346985:153:83
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158 We therefore studied the effect on these two phenomena of the Y356C and L582V mutations in SUR1.
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ABCC8 p.Leu582Val 18346985:158:72
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177 TABLE 2 Parameters of ATP inhibition for KATP channels with mutant SUR1 subunit IC50 WT Y356C L582V ЉheteroЉ ЉhomoЉ ЉheteroЉ ЉhomoЉ 2 Mg2ϩ mmol/l 24 Ϯ 3 (5) 61 Ϯ 11 (10)* 95 Ϯ 9 (10)* 869 Ϯ 48 (6)* 1140 Ϯ 346 (6)* 0 Mg2ϩ mmol/l 8 Ϯ 1 (6) 25 Ϯ 5 (7)* 38 Ϯ 8 (8)* 17 Ϯ 3 (5)† 17 Ϯ 3 (6)† Data are means Ϯ SE (number of experiments).
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ABCC8 p.Leu582Val 18346985:177:94
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198 A, C, and E: Representative confocal images of cells expressing the SUR1 (wild-type [A], Y356C [C], and L582V [E]) subunit alone.
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ABCC8 p.Leu582Val 18346985:198:104
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200 B, D, and F: Representative images of cells expressing SUR1 (wild-type [B], Y356C [D], and L582V [F]) subunits together with Kir6.2.
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ABCC8 p.Leu582Val 18346985:200:91
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210 We observed that two mutations (Y356C and L582V) that are associated with phenotypes of different severity in heterozygous patients cause different shifts in the ATP sensitivity of the KATP channel (Fig. 2B and D).
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ABCC8 p.Leu582Val 18346985:210:42
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221 Thus, the Y356C mutant lead to a substantially less marked inhibition of glucose-induced [Ca2ϩ ]cyt increase than L582V (Fig. 5B).
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ABCC8 p.Leu582Val 18346985:221:120
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248 In contrast to Y356C, the activatory effect of mutations L582V (Fig. 3D) and H1023Y (4) was not observed under Mg2ϩ -free conditions, suggesting that these mutations exert their effects via the SUR1 NBDs.
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ABCC8 p.Leu582Val 18346985:248:57
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