Mechanism of KATP hyperactivity and sulfonylurea tolerance due to a diabetogenic mutation in L0 helix of sulfonylurea receptor 1 (ABCC8)

FEBS Lett. 2011 Nov 16;585(22):3555-9. doi: 10.1016/j.febslet.2011.10.020. Epub 2011 Oct 19.

Abstract

Activating mutations in different domains of the ABCC8 gene-coded sulfonylurea receptor 1 (SUR1) cause neonatal diabetes. Here we show that a diabetogenic mutation in an unexplored helix preceding the ABC core of SUR1 dramatically increases open probability of (SUR1/Kir6.2)(4) channel (KATP) by reciprocally changing rates of its transitions to and from the long-lived, inhibitory ligand-stabilized closed state. This kinetic mechanism attenuates ATP and sulfonylurea inhibition, but not Mg-nucleotide stimulation, of SUR1/Kir6.2. The results suggest a key role for L0 helix in KATP gating and together with previous findings from mutant KATP clarify why many patients with neonatal diabetes require high doses of sulfonylureas.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • ATP-Binding Cassette Transporters / chemistry
  • ATP-Binding Cassette Transporters / genetics*
  • ATP-Binding Cassette Transporters / metabolism
  • Animals
  • Cricetinae
  • Diabetes Mellitus / genetics
  • Diabetes Mellitus / metabolism*
  • Humans
  • Ion Channel Gating
  • KATP Channels / chemistry
  • KATP Channels / genetics
  • KATP Channels / metabolism*
  • Kinetics
  • Ligands
  • Models, Molecular
  • Mutation*
  • Potassium Channels, Inwardly Rectifying / chemistry
  • Potassium Channels, Inwardly Rectifying / genetics*
  • Potassium Channels, Inwardly Rectifying / metabolism
  • Protein Conformation
  • Receptors, Drug / chemistry
  • Receptors, Drug / genetics*
  • Receptors, Drug / metabolism
  • Sulfonylurea Compounds / pharmacology*
  • Sulfonylurea Receptors

Substances

  • ABCC8 protein, human
  • ATP-Binding Cassette Transporters
  • KATP Channels
  • Kir6.2 channel
  • Ligands
  • Potassium Channels, Inwardly Rectifying
  • Receptors, Drug
  • Sulfonylurea Compounds
  • Sulfonylurea Receptors