Evidence map›Paper›PMID 26801742›Full record

ArticleJournal of molecular and cellular cardiology2016

A novel NaV1.5 voltage sensor mutation associated with severe atrial and ventricular arrhythmias.

Hong-Gang Wang, Wandi Zhu, Ronald J Kanter, Jonathan R Silva, Christina Honeywell, Robert M Gow, Geoffrey S Pitt

Open access · greenAbstract readCase Reports
In one paragraph

Article in Journal of molecular and cellular cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Biophysical mechanisms of myocardium sodium channelopathies.Pflugers Archiv : European journal of physiology · 2024
    Review
  4. Article
  5. Article
  6. Review
  7. Functional Characterization of Two Novel Mutations inInternational journal of molecular sciences · 2021
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Dysfunctional Nav1.5 channels due to SCN5A mutations.Experimental biology and medicine (Maywood, N.J.) · 2018
    Review
  13. Review
  14. Review
  15. Mechanisms of noncovalent β subunit regulation of NaThe Journal of general physiology · 2017
    Article
  16. Potential new mechanisms of pro-arrhythmia in arrhythmogenic cardiomyopathy: focus on calcium sensitive pathways.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2017
    Review
  17. HumanFrontiers in physiology · 2017
    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

7 authors at 4 institutions in 2 countries.

Hong-Gang WangDivision of Cardiology, Department of Medicine, Duke University Medical Center, Durham, NC, United States; Ion Channel Research Unit, Duke University Medical Center, Durham, NC, United States.
Wandi ZhuDepartment of Biomedical Engineering, Washington University in St. Louis, United States.
Ronald J KanterDivision of Cardiology, Nicklaus Children's Hospital, Miami, FL, United States.
Jonathan R SilvaDepartment of Biomedical Engineering, Washington University in St. Louis, United States.
Christina HoneywellDepartment of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Canada.
Robert M GowDepartment of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Canada.
Geoffrey S PittDivision of Cardiology, Department of Medicine, Duke University Medical Center, Durham, NC, United States; Ion Channel Research Unit, Duke University Medical Center, Durham, NC, United States; Department of Neurobiology, Duke University Medical Center, Durham, NC, United States. Electronic address: geoffrey.pitt@duke.edu.
Children's Hospital of Eastern Ontario · CADuke University · USWashington University in St. Louis · USMiami Children's Hospital · US

Funding

Calcium regulation and dysregulation of cardiac ion channelsR01HL071165 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI PITT, GEOFFREY S · 2002 to 2017
$5.2M
Calmodulin regulation of Na+ channels in neurons and cardiomyocytesR01HL122967 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI MARX, STEVEN O, PITT, GEOFFREY S · 2015 to 2018
$2.1M
Structural studies of NaV1.5 and functional implications.R01HL112918 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI PITT, GEOFFREY S · 2013 to 2016
$1.5M
NHLBI NIH HHS HL071165NHLBI NIH HHS R01 HL071165NHLBI NIH HHS R01 HL112918NHLBI NIH HHS R01 HL122967
6 · The paper itself

Abstract

backgroundInherited autosomal dominant mutations in cardiac sodium channels (NaV1.5) cause various arrhythmias, such as long QT syndrome and Brugada syndrome. Although dozens of mutations throughout the protein have been reported, there are few reported mutations within a voltage sensor S4 transmembrane segment and few that are homozygous. Here we report analysis of a novel lidocaine-sensitive recessive mutation, p.R1309H, in the NaV1.5 DIII/S4 voltage sensor in a patient with a complex arrhythmia syndrome. METHODS AND

resultsWe expressed the wild type or mutant NaV1.5 heterologously for analysis with the patch-clamp and voltage clamp fluorometry (VCF) techniques. p.R1309H depolarized the voltage-dependence of activation, hyperpolarized the voltage-dependence of inactivation, and slowed recovery from inactivation, thereby reducing the channel availability at physiologic membrane potentials. Additionally, p.R1309H increased the "late" Na(+) current. The location of the mutation in DIIIS4 prompted testing for a gating pore current. We observed an inward current at hyperpolarizing voltages that likely exacerbates the loss-of-function defects at resting membrane potentials. Lidocaine reduced the gating pore current.

conclusionsThe p.R1309H homozygous NaV1.5 mutation conferred both gain-of-function and loss-of-function effects on NaV1.5 channel activity. Reduction of a mutation-induced gating pore current by lidocaine suggested a therapeutic mechanism.

Indexed as

Arrhythmias, CardiacBrugada SyndromeCardiac Conduction System DiseaseHeart Conduction SystemHumansInfantLidocaineMaleMembrane PotentialsMutationNAV1.5 Voltage-Gated Sodium ChannelPatch-Clamp TechniquesLidocaineNAV1.5 Voltage-Gated Sodium ChannelSCN5A protein, humanAtrial arrhythmiaGating pore currentNa(V)1.5R1309H mutationS4 segmentVentricular arrhythmiaVoltage sensor

Identifiers

PMID26801742
PMCPMC4789166
OpenAlexW2281374119

What OpenQuestion holds

Textmetadata
LicenceTDM
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.