Evidence map›Paper›PMID 29983085›Full record

ArticleChannels (Austin, Tex.)2018

Mexiletine rescues a mixed biophysical phenotype of the cardiac sodium channel arising from the SCN5A mutation, N406K, found in LQT3 patients.

Rou-Mu Hu, David J Tester, Ryan Li, Tianyu Sun, Blaise Z Peterson, Michael J Ackerman, Jonathan C Makielski, Bi-Hua Tan

Open access · goldAbstract read
In one paragraph

Article in Channels (Austin, Tex.), 2018. 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
1.5field-weighted citation impact, top 16% 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, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Unravelling NovelInternational journal of molecular sciences · 2023
    Article
  4. Article
  5. Beneficial effects of chronic mexiletine treatment in a human model of SCN5A overlap syndrome.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
  6. Article
  7. Cardiomyocyte NaBasic research in cardiology · 2021
    Article
  8. Article
  9. Reduced current density, partially rescued by mexiletine, and depolarizing shift in activation of SCN5A W374G channels as a cause of severe form of Brugada syndrome.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2021
    Article
  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

8 authors at 4 institutions in 2 countries.

Rou-Mu Hua Heart Center & Beijing Key Laboratory of Hypertension, Beijing Chaoyang Hospital , Capital Medical University , Beijing , China.
David J Testerc Departments of Medicine, Pediatrics, and Molecular Pharmacology and Experimental Therapeutics , Mayo Clinic , Rochester , MN , USA.
Ryan Lid Departments of Pediatrics, and Cellular & Molecular Physiology , Pennsylvania State University College of Medicine , Hershey , PA , USA.
Tianyu Sund Departments of Pediatrics, and Cellular & Molecular Physiology , Pennsylvania State University College of Medicine , Hershey , PA , USA.
Blaise Z Petersond Departments of Pediatrics, and Cellular & Molecular Physiology , Pennsylvania State University College of Medicine , Hershey , PA , USA.
Michael J Ackermanc Departments of Medicine, Pediatrics, and Molecular Pharmacology and Experimental Therapeutics , Mayo Clinic , Rochester , MN , USA.
Jonathan C Makielskib Division of Cardiovascular Medicine, Department of Medicine , University of Wisconsin , Madison , Wisconsin , USA.
Bi-Hua Tanb Division of Cardiovascular Medicine, Department of Medicine , University of Wisconsin , Madison , Wisconsin , USA.
Pennsylvania State University · USMayo Clinic · USUniversity of Wisconsin–Madison · USBeijing Chao-Yang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIndividual mutations in the SCN5A-encoding cardiac sodium channel α-subunit usually cause a single cardiac arrhythmia disorder, some cause mixed biophysical or clinical phenotypes. Here we report an infant, female patient harboring a N406K mutation in SCN5A with a marked and mixed biophysical phenotype and assess pathogenic mechanisms. METHODS AND

resultsA patient suffered from recurrent seizures during sleep and torsades de pointes with a QTc of 530 ms. Mutational analysis identified a N406K mutation in SCN5A. The mutation was engineered by site-directed mutagenesis and heterologously expressed in HEK293 cells. After 48 hours incubation with and without mexiletine, macroscopic voltage-gated sodium current (I

conclusionSCN5A-N406K channel displays both "gain-of-function" in late I

Indexed as

Anti-Arrhythmia AgentsCardiac Conduction System DiseaseFemaleHEK293 CellsHumansInfantLong QT SyndromeMexiletineMutationNAV1.5 Voltage-Gated Sodium ChannelPhenotypeAnti-Arrhythmia AgentsMexiletineNAV1.5 Voltage-Gated Sodium ChannelSCN5A protein, humanMexiletinemixed phenotypemutationSCN5Asodium channel

Identifiers

PMID29983085
PMCPMC6104686
OpenAlexW2834691078

What OpenQuestion holds

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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.