Benign familial neonatal convulsions caused by altered gating of KCNQ2/KCNQ3 potassium channels

J Neurosci. 2002 Jan 15;22(2):RC199. doi: 10.1523/JNEUROSCI.22-02-j0003.2002.

Abstract

The muscarinic-regulated potassium current (M-current), formed by the heteromeric assembly of subunits encoded by the KCNQ2 and KCNQ3 genes, is a primary regulator of neuronal excitability; this regulation is accomplished by impeding repetitive firing and causing spike-frequency adaptation. Mutations in KCNQ2 or KCNQ3 cause benign familial neonatal convulsions (BFNC), a rare autosomal-dominant generalized epilepsy of newborns, by reducing the maximal current carried by the M-channels without affecting ion selectivity or gating properties. Here we show that KCNQ2/KCNQ3 channels carrying a novel BFNC-causing mutation leading to an arginine to tryptophan substitution in the voltage-sensing S4 domain of KCNQ2 subunits (R214W) displayed slower opening and faster closing kinetics and a decreased voltage sensitivity with no concomitant changes in maximal current or plasma membrane expression. These results suggest that mutation-induced gating alterations of the M-current may cause epilepsy in neonates.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amino Acid Substitution
  • Animals
  • Cell Membrane / metabolism
  • Cells, Cultured
  • Epilepsy, Benign Neonatal / epidemiology
  • Epilepsy, Benign Neonatal / etiology*
  • Epilepsy, Benign Neonatal / physiopathology*
  • Gene Expression
  • Genes, Dominant / genetics
  • Humans
  • Ion Channel Gating* / physiology
  • Italy / epidemiology
  • KCNQ2 Potassium Channel
  • KCNQ3 Potassium Channel
  • Microinjections
  • Mutagenesis, Site-Directed
  • Mutation
  • Oocytes / cytology
  • Oocytes / metabolism
  • Patch-Clamp Techniques
  • Pedigree
  • Potassium / metabolism
  • Potassium Channels / genetics*
  • Potassium Channels / metabolism
  • Potassium Channels, Voltage-Gated
  • Protein Structure, Tertiary / physiology
  • Protein Subunits
  • Structure-Activity Relationship
  • Xenopus

Substances

  • KCNQ2 Potassium Channel
  • KCNQ2 protein, human
  • KCNQ3 Potassium Channel
  • KCNQ3 protein, human
  • Potassium Channels
  • Potassium Channels, Voltage-Gated
  • Protein Subunits
  • Potassium