Evidence map›Paper›PMID 10930446›Full record

ArticleThe Journal of clinical investigation2000

A double mutation in families with periodic paralysis defines new aspects of sodium channel slow inactivation.

S Bendahhou, T R Cummins, A F Hahn, S Langlois, S G Waxman, L J Ptácek

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in The Journal of clinical investigation, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Skeletal muscle na channel disorders.Frontiers in pharmacology · 2011
    Article
  6. Genotype-phenotype correlation and therapeutic rationale in hyperkalemic periodic paralysis.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2007
    Review
  7. An epilepsy mutation in the sodium channel SCN1A that decreases channel excitability.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2006
    Article
  8. Inherited disorders of voltage-gated sodium channels.The Journal of clinical investigation · 2005
    Review
  9. Periodic paralysis: understanding channelopathies.Current neurology and neuroscience reports · 2002
    Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

S BendahhouHoward Hughes Medical Institute, Eccles Institute of Human Genetics, University of Utah, Salt Lake City, Utah 84112, USA.
T R Cummins
A F Hahn
S Langlois
S G Waxman
L J Ptácek
Paralyzed Veterans of America · USHoward Hughes Medical Institute · USUniversity of British Columbia · CAUniversity of Utah · USWestern University · CA

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Jared P Rutter · 1986 to 2026
$72.6M
VIRAL DAMAGE TO BRAIN AND NEUROMUSCULAR SYSTEMM01RR000064 · NCRR · UNIVERSITY OF UTAH · PI SWOBODA, KATHRYN J. · 1985 to 2008
$21.7M
NCI NIH HHS 5P30CA42014NCI NIH HHS P30 CA042014NCRR NIH HHS M01 RR000064NCRR NIH HHS M01-RR000064
6 · The paper itself

Abstract

Hyperkalemic periodic paralysis (HyperKPP) is an autosomal dominant skeletal muscle disorder caused by single mutations in the SCN4A gene, encoding the human skeletal muscle voltage-gated Na(+) channel. We have now identified one allele with two novel mutations occurring simultaneously in the SCN4A gene. These mutations are found in two distinct families that had symptoms of periodic paralysis and malignant hyperthermia susceptibility. The two nucleotide transitions predict phenylalanine 1490-->leucine and methionine 1493-->isoleucine changes located in the transmembrane segment S5 in the fourth repeat of the alpha-subunit Na(+) channel. Surprisingly, this mutation did not affect fast inactivation parameters. The only defect produced by the double mutant (F1490L-M1493I, expressed in human embryonic kidney 293 cells) is an enhancement of slow inactivation, a unique behavior not seen in the 24 other disease-causing mutations. The behavior observed in these mutant channels demonstrates that manifestation of HyperKPP does not necessarily require disruption of slow inactivation. Our findings may also shed light on the molecular determinants and mechanism of Na(+) channel slow inactivation and help clarify the relationship between Na(+) channel defects and the long-term paralytic attacks experienced by patients with HyperKPP.

Indexed as

Point MutationAdultAllelesAmino Acid SequenceBase SequenceCell LineDNA PrimersFemaleHumansIon Channel GatingKineticsMaleMalignant HyperthermiaMiddle AgedMolecular Sequence DataNAV1.4 Voltage-Gated Sodium ChannelDNA PrimersNAV1.4 Voltage-Gated Sodium ChannelSCN4A protein, humanSodium Channel BlockersSodium Channels

Identifiers

PMID10930446
PMCPMC314328
OpenAlexW2117073110

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.