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PMID: 17584766
Proks P, Shimomura K, Craig TJ, Girard CA, Ashcroft FM
Mechanism of action of a sulphonylurea receptor SUR1 mutation (F132L) that causes DEND syndrome.
Hum Mol Genet. 2007 Aug 15;16(16):2011-9. Epub 2007 Jun 21.,
[PubMed]
Sentences
No.
Mutations
Sentence
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0
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:0:63
status:
NEW
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Mechanism of action of a sulphonylurea receptor SUR1 mutation (
F132L
) that causes DEND syndrome Peter Proks{ , Kenju Shimomura{ , Tim J. Craig, Heidi de Wet, Christophe A.J. Girard and Frances M. Ashcroft* University Laboratory of Physiology, Oxford University, Oxford OX1 3PT, UK Received April 23, 2007; Revised and Accepted June 10, 2007 Activating mutations in the genes encoding the ATP-sensitive potassium (KATP) channel subunits Kir6.2 and SUR1 are a common cause of neonatal diabetes.
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1
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:1:80
status:
NEW
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Here, we analyse the molecular mechanism of action of the heterozygous mutation
F132L
, which lies in the first set of transmembrane helices (TMD0) of SUR1.
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3
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:3:17
status:
NEW
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We show that the
F132L
mutation reduces the ATP sensitivity of KATP channels indirectly, by altering the intrinsic gating of the channel.
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5
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:5:4
status:
NEW
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The
F132L
mutation disrupts the physical interaction between Kir6.2 and TMD0, but does not alter the plasmalemma channel density.
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33
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:33:69
status:
NEW
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Recently, we identified the first gain-of-function mutation in SUR1 (
F132L
) that causes DEND syndrome and showed that it exhibits reduced inhibition by MgATP (17).
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44
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:44:32
status:
NEW
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This suggests that mutations in
F132L
associated with ND may influence the sensitivity of the channel to MgATP indirectly, by altering the single-channel kinetics.
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46
ABCC8 p.Leu225Pro
X
ABCC8 p.Leu225Pro 17584766:46:57
status:
NEW
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Furthermore, changes in gating were not observed for the
L225P
mutation that also lies within TMD0 (19).
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47
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:47:63
status:
NEW
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In this paper, we examine the molecular mechanism by which the
F132L
mutation in SUR1 influences KATP channel inhibition by ATP.
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50
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:50:8
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:50:134
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NEW
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RESULTS
F132L
alters the intrinsic gating of KATP channels The aim of this paper is to determine the molecular mechanism by which the
F132L
mutation reduces the ATP sensitivity of the KATP channel.
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52
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:52:36
status:
NEW
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We first compared the effect of the
F132L
mutation in SUR1 on the kinetics of single KATP channel currents.
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55
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:55:4
status:
NEW
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The
F132L
mutation dramatically increased the burst duration and reduced the time spent in the interburst intervals.
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58
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:58:44
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:58:168
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:58:169
status:
NEW
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The intrinsic open probability (PO) of SUR1-
F132L
channels was significantly greater (P , 0.05) than that of wild-type channels, being 0.72 + 0.03 (n ¼ 8) for SUR1
-F132L
, compared with 0.26 + 0.03 (n ¼ 6) for SUR1 channels.
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59
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:59:60
status:
NEW
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These differences in channel kinetics suggest that the SUR1-
F132L
mutation influences KATP channel ATP sensitivity indirectly, via changes in channel gating, as is found for some Kir6.2 mutations.
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60
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:60:34
status:
NEW
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Because all patients carrying the
F132L
mutation are heterozygotes, their pancreatic beta-cells will contain a mixture of wild-type and mutant SUR1.
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64
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:64:162
status:
NEW
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Because the channels in the heterozygous population will have different PO, we compared the mean PO of the heterozygous channel population with that of homomeric
F132L
channels (see Materials and Methods for details).
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69
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:69:134
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:69:183
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NEW
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Single-channel currents recorded at 260 mV from inside-out membrane patches excised from oocytes expressing Kir6.2/SUR1, Kir6.2/ SUR1-
F132L
, Kir6.2DC, Kir6.2DC/TMD0 and Kir6.2DC/TMD0-
F132L
.
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72
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:72:44
status:
NEW
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There was a further increase in PO when the
F132L
mutation was introduced into TMD0 (to 0.82 + 0.02; n ¼ 6).
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73
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:73:128
status:
NEW
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These results confirm that the first five transmembrane domains of SUR1 modulate the gating of Kir6.2 (22-24) and show that the
F132L
mutation enhances this effect.
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74
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:74:15
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:74:100
status:
NEW
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Effects of the
F132L
mutation on the ATP sensitivity of SUR1 channels To explore the effects of the
F132L
mutation further, we compared the ATP sensitivity of KATP channels composed of Kir6.2 and either wild-type or mutant SUR1.
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78
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:78:28
status:
NEW
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The ATP sensitivity of SUR1-
F132L
mutant channels was further decreased in the presence of 2 mM Mg2+ (Fig. 2B).
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84
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:84:11
status:
NEW
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Effects of
F132L
mutation on the nucleotide activation Because MgATP and MgADP interact with both the NBDs of SUR1, as well as with Kir6.2, it is not easy to separate the stimulatory (via SUR1) and inhibitory (via Kir6.2) effects of these nucleotides.
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87
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:87:38
status:
NEW
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A potential problem, however, is that
F132L
channels have a high intrinsic open probability, which makes it difficult to detect whether Mg-nucleotides cause channel activation.
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92
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:92:177
status:
NEW
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Top: KATP currents recorded in response to successive voltage ramps from 2110 to +100 mV in an inside-out patch excised from an oocyte expressing Kir6.2/SUR1 or homKir6.2/ SUR1-
F132L
channels, as indicated.
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94
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:94:270
status:
NEW
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Bottom: (A) Mean relationship between [ATP] and KATP conductance (G), expressed relative to the conductance in the absence of nucleotide (GC) for Kir6.2/ SUR1 (open circle, n = 6), and heterozygous (filled circle, n = 6) or homomeric (filled square, n = 12) Kir6.2/SUR1-
F132L
channels.
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98
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:98:263
status:
NEW
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(B) Mean relationship between [MgATP] and KATP conductance (G), expressed relative to the conductance in the absence of nucleotide (GC) for Kir6.2/SUR1 (open circle, n = 7), and heterozygous (filled circle, n = 7) or homomeric (filled square, n = 10) Kir6.2/SUR1-
F132L
channels.
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107
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:107:70
status:
NEW
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Thus, these data suggest that MgGDP activation may be enhanced by the
F132L
mutation in SUR1.
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109
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:109:11
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:109:166
status:
NEW
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Effects of
F132L
mutation on the ATP sensitivity of TMD0 channels We next compared the ATP sensitivity of Kir6.2DC/TMD0 channels with heterozygous and homomeric TMD0-
F132L
channels (Fig. 4).
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113
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:113:4
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:113:151
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:113:169
status:
NEW
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The
F132L
mutation further reduced the ATP sensitivity of Kir6.2DC/TMD0 channels (Fig. 4A): the IC50 for ATP inhibition was 2.1 and 4.2 mM for hetTMD0-
F132L
and homTMD0-
F132L
channels, respectively (Table 1).
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115
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:115:64
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:115:82
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NEW
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This was not only true for wild-type TMD0, but also for hetTMD0-
F132L
and homTMD0-
F132L
(Table 1).
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118
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:118:132
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:118:159
status:
NEW
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The pedestal was of similar magnitude in both the absence and presence of Mg2+ , being 10% for wild-type channel, 25% for hetTMD0-
F132L
and 40% for homTMD0-
F132L
channels at 10 mM ATP.
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119
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:119:4
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:119:97
status:
NEW
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The
F132L
mutation disrupts the interaction between TMD0 and Kir6.2 Our results suggest that the
F132L
mutation may influence KATP channel gating by altering the interaction between SUR1 and Kir6.2.
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122
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:122:82
status:
NEW
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Xenopus oocytes were co-injected with Kir6.2DC-HA and either wild-type TMD0, TMD0-
F132L
or a mixture of both (to simulate heterozygosity).
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124
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:124:4
status:
NEW
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The
F132L
mutation reduced the binding of TMD0 to Kir6.2 by 90% (P , 0.001), indicating that F132 is crucial for this interaction.
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125
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:125:32
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:125:147
status:
NEW
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Heterozygous expression of TMD0-
F132L
led to an 75% reduction in binding (Fig. 5A), but this was not significantly different from that of homTMD0-
F132L
(P ¼ 0.28).
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128
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:128:20
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:128:45
status:
NEW
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Mean hetKir6.2/SUR1-
F132L
and homKir6.2/SUR1-
F132L
currents recorded in the presence of 200 mM ATPgAA and 200 mM ATPgAA+100 mM MgGDP, as indicated.
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132
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:132:229
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:132:235
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:132:296
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:132:304
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:132:429
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:132:441
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:132:506
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:132:520
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:132:666
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:132:682
status:
NEW
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Values of IC50 for ATP inhibition of various KATP channels in both Mg2þ -containing and Mg2þ -free solutions Channel IC50 Mg2þ -free 2 mM Mg2þ Kir6.2/SUR1 7 + 1 mM (n ¼ 7) 14 + 1 mM (n ¼ 7) hetKir6.2
/SUR1
-
F132L
30 + 1 mM (n ¼ 7) 122 + 23 mM (n ¼ 8) homKir6
.2/SU
R1-
F132L
51 + 7 mM (n ¼ 8) 910 + 180 mM (n ¼ 10) Kir6.2DC/TMD0 700 + 65 mM (n ¼ 6) 603 + 32 mM (n ¼ 6) hetKi
r6.2D
C/TMD0-
F132L
2.10 + 0.16 mM (n ¼ 6) 2.57 + 0.13 mM (n ¼ 6) hom
Kir6.
2DC/TMD0-
F132L
4.20 + 1.05 mM (n ¼ 6) 6.05 + 0.94 mM (n ¼ 6) A possible explanation for the reduced physical interaction between TMD0 and SUR1
produ
ced by the
F132L
mutation is that the interaction is state-dependent, occurring only when the channel is in the closed state.
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139
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:139:35
status:
NEW
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Thus, we next examined whether the
F132L
mutation altered surface expression of the KATP channel complex.
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141
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:141:122
status:
NEW
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Co-expression with SUR1/TMD0 enhanced surface expression of both Kir6.2 and Kir6.2DC: however, this was unaffected by the
F132L
mutation (Fig. 6).
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142
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:142:83
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:142:210
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:142:232
status:
NEW
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DISCUSSION Molecular mechanism of action Single-channel analysis revealed that the
F132L
mutation dramatically enhances the burst duration and the intrinsic open probability (PO) of both homomeric Kir6.2/ SUR1-
F132L
and Kir6.2/TMD0-
F132L
channels.
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143
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:143:6
status:
NEW
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Thus,
F132L
is a gating mutation that alters the ATP-sensitivity of the KATP channel indirectly, via stabilization of the channel open state (30,34).
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149
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:149:34
status:
NEW
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Our results further show that the
F132L
mutation impairs this physical association.
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152
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:152:137
status:
NEW
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Top: KATP currents recorded at 260 mV in an inside-out patch excised from an oocyte expressing Kir6.2DC/TMD0 or homozygous Kir6.2DC/TMD0-
F132L
channels.
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154
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:154:273
status:
NEW
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Bottom: (A) Mean relationship between [ATP] and KATP conductance (G), expressed relative to the conductance in the absence of nucleotide (GC) for Kir6.2DC /TMD0 (open circle, n = 6) and heterozygous (filled circle, n = 6) or homomeric (filled square, n = 6) Kir6.2DC /TMD0-
F132L
channels.
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158
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:158:268
status:
NEW
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(B) Mean relationship between [MgATP] and KATP conductance (G), expressed relative to the conductance in the absence of nucleotide (GC) for Kir6.2DC /TMD0 (open circle, n = 5) and heterozygous (filled circle, n = 7) or homomeric (filled square, n = 10) Kir6.2DC /TMD0-
F132L
channels.
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165
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:165:12
status:
NEW
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Because the
F132L
mutation markedly affected channel gating, whether in TMD0 or full-length SUR1, the physical association of these two subunits may be required for the modulation of Kir6.2 kinetics by SUR1.
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169
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:169:12
status:
NEW
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Because the
F132L
mutation increases the PO of Kir6.2/TMD0 channels even further, it appears that there may be an additional inhibitory effect of TMD0 that is abolished by mutation of F132.
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172
ABCC8 p.Leu225Pro
X
ABCC8 p.Leu225Pro 17584766:172:169
status:
NEW
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This idea is also in agreement with the fact that there are many disease-causing mutations in this region and that they do not all act in the same way: for example, the
L225P
mutation does not alter single-channel gating (19).
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175
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:175:63
status:
NEW
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Although we cannot rule out an allosteric effect, the fact the
F132L
mutation greatly reduces the physical interaction between Kir6.2 and TMD0 suggests that the intracellular loop within which F132 lies must be in close proximity to the cytoplasmic domains of Kir6.2.
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176
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:176:156
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:176:234
status:
NEW
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Heterozygosity and nucleotide sensitivity Our results demonstrate that both the ATP and MgATP concentration-inhibition curves for heterozygous Kir6.2/ SUR1-
F132L
channels are intermediate between those of wild-type and homKir6.2/SUR1-
F132L
channels.
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178
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:178:80
status:
NEW
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(A) Co-immunoprecipitation of FLAG-tagged TMD0 and Kir6.2DC, using wild-type or
F132L
TMD0 and wild-type Kir6.2DC.
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192
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:192:76
status:
NEW
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ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:192:101
status:
NEW
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Mg2+ produced a dramatic reduction in the ATP sensitivity of homKir6.2/SUR1-
F132L
and hetKir6.2/SUR1-
F132L
channels.
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195
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:195:160
status:
NEW
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This suggests that the mechanism by which nucleotide binding/hydrolysis at the NBDs of SUR1 is translated in opening of the Kir6.2 pore is also enhanced by the
F132L
mutation.
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204
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:204:225
status:
NEW
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It is not yet clear if there is an overlap between the ATP sensitivity of the two phenotypes (DEND and I-DEND) and whether additional factors present in patients may further enhance the severity of the syndrome caused by the
F132L
mutation.
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248
ABCC8 p.Phe132Leu
X
ABCC8 p.Phe132Leu 17584766:248:129
status:
NEW
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Co-immunoprecipitation of TMD0 and Kir6.2 Oocytes were injected with 5 ng of Kir6.2DC mRNA and 5 ng of either TMD0, mutant TMD0 (
F132L
or C166S) or a 50:50 mix of wild-type and mutant TMD0 mRNAs.
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