Evidence map›Paper›PMID 20638934›Full record

ArticleHeart rhythm2010

Novel KCNA5 mutation implicates tyrosine kinase signaling in human atrial fibrillation.

Tao Yang, Ping Yang, Dan M Roden, Dawood Darbar

Open access · greenAbstract read
In one paragraph

Article in Heart rhythm, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

40 citing papers in PubMed, 84 citations in OpenAlex.

  1. Review
  2. Oxidative stress and atrial fibrillation.Journal of molecular and cellular cardiology · 2024
    Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Ultrarapid Delayed Rectifier KFrontiers in cell and developmental biology · 2020
    Article
  13. Article
  14. Rate-Dependent Role of IBiophysical journal · 2017
    Article
  15. Article
  16. Article
  17. Genotype influence in responses to therapy for atrial fibrillation.Expert review of cardiovascular therapy · 2016
    Review
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Tao YangDepartment of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee 37323-6602, USA.
Ping Yang
Dan M Roden
Dawood Darbar
Vanderbilt University · US

Funding

PHARMACOGENOMICS OF ARRHYTHMIA THERAPYU01HL065962 · NHLBI · VANDERBILT UNIVERSITY · PI RODEN, DAN M · 2001 to 2009
$24.8M
Pharmacogenomics of Arrhythmia TherapyU19HL065962 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RODEN, DAN M · 2010 to 2014
$17.4M
MODULATION OF CARDIAC REPOLARIZATIONR01HL049989 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RODEN, DAN M · 1994 to 2015
$5.2M
Positional Cloning and Candidate Gene Approach to Familial Atrial FibrillationR01HL092217 · NHLBI · VANDERBILT UNIVERSITY · PI DARBAR, DAWOOD · 2009 to 2017
$2.9M
QT Interval Remodeling in Atrial FibrillationR01HL085690 · NHLBI · VANDERBILT UNIVERSITY · PI DARBAR, DAWOOD · 2008 to 2012
$1.9M
NHLBI NIH HHS HL49989NHLBI NIH HHS HL65962NHLBI NIH HHS HL92217NHLBI NIH HHS R01 HL049989NHLBI NIH HHS R01 HL085690NHLBI NIH HHS R01 HL092217NHLBI NIH HHS U01 HL065962NHLBI NIH HHS U19 HL065962
6 · The paper itself

Abstract

backgroundEmerging evidence has strongly implicated hereditary determinants for atrial fibrillation (AF). Loss-of-function mutations in KCNA5 encoding the ultrarapid delayed rectifier potassium current I(Kur) have been identified in AF families.

objectiveThe purpose of this study was to determine the clinical and biophysical phenotypes in a KCNA5 mutation with deletion of 11 amino acids in the N-terminus of the protein, which was identified in patients with lone AF.

methodsPatients with AF confirmed by ECG were prospectively enrolled in the Vanderbilt AF Registry, which comprises clinical and genetic databases. A KCNA5 mutation was generated by mutagenesis for electrophysiologic characterization.

resultsWe identified a novel 33-bp coding region deletion in two Caucasian probands. One proband was part of a kindred that included four other members with AF, and all were mutation carriers. The mutation results in deletion of 11 amino acids in the N-terminus of the protein, a proline-rich region as a binding site for Src homology 3 (SH3) domains associated with Src-family protein tyrosine kinase (TK) pathway. In transfected cells, the mutant caused approximately 60% decreased I(Kur) versus wild-type (WT) (75 +/- 8 pA/pF vs 180 +/- 15 pA/pF, P <.01) and dominant-negative effect on WT current (105 +/- 10 pA/pF, P <.01). Pretreatment with the Src inhibitor PP2 prevented v-Src TK from 90% suppressed WT current. In contrast, the mutant channel displayed no response to v-Src TK.

conclusionOur data implicate abnormal atrial repolarization control due to variable TK signaling as a mechanism in familial AF and thereby suggest a role for modulation of this pathway in AF and its treatment.

Indexed as

Genetic Predisposition to DiseaseMutationSignal TransductionAdolescentAdultAtrial FibrillationDNAElectrocardiographyFemaleFollow-Up StudiesHumansKv1.5 Potassium ChannelMalePatch-Clamp TechniquesPedigreePolymerase Chain ReactionDNAKCNA5 protein, humanKv1.5 Potassium ChannelProtein-Tyrosine Kinasesfamilial atrial fibrillationgeneticsKCNA5 channeltyrosine kinasevariants

Identifiers

PMID20638934
PMCPMC2932792
OpenAlexW2075408652

What OpenQuestion holds

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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.