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Sodium permeable and “hypersensitive” TREK‐1 channels cause ventricular tachycardia

In a patient with right ventricular outflow tract (RVOT) tachycardia, we identified a heterozygous point mutation in the selectivity filter of the stretch‐activated K(2P) potassium channel TREK‐1 (KCNK2 or K(2P)2.1). This mutation introduces abnormal sodium permeability to TREK‐1. In addition, mutan...

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Detalles Bibliográficos
Autores principales: Decher, Niels, Ortiz‐Bonnin, Beatriz, Friedrich, Corinna, Schewe, Marcus, Kiper, Aytug K, Rinné, Susanne, Seemann, Gunnar, Peyronnet, Rémi, Zumhagen, Sven, Bustos, Daniel, Kockskämper, Jens, Kohl, Peter, Just, Steffen, González, Wendy, Baukrowitz, Thomas, Stallmeyer, Birgit, Schulze‐Bahr, Eric
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5376757/
https://www.ncbi.nlm.nih.gov/pubmed/28242754
http://dx.doi.org/10.15252/emmm.201606690
Descripción
Sumario:In a patient with right ventricular outflow tract (RVOT) tachycardia, we identified a heterozygous point mutation in the selectivity filter of the stretch‐activated K(2P) potassium channel TREK‐1 (KCNK2 or K(2P)2.1). This mutation introduces abnormal sodium permeability to TREK‐1. In addition, mutant channels exhibit a hypersensitivity to stretch‐activation, suggesting that the selectivity filter is directly involved in stretch‐induced activation and desensitization. Increased sodium permeability and stretch‐sensitivity of mutant TREK‐1 channels may trigger arrhythmias in areas of the heart with high physical strain such as the RVOT. We present a pharmacological strategy to rescue the selectivity defect of the TREK‐1 pore. Our findings provide important insights for future studies of K(2P) channel stretch‐activation and the role of TREK‐1 in mechano‐electrical feedback in the heart.