Key result
Mutation R219E in the cardiac sodium channel Nav1.5 destabilized the resting state by shortening time to peak current, enhancing activation, and slowing recovery from inactivation.
Why the study?
To understand how salt bridge elimination affects biophysical characteristics of the cardiac sodium channel.
Answers are grounded in this paper and cite their sources.
The R219E mutation alters the gating of the cardiac sodium channel Nav1.5 by destabilizing its resting state, supporting the pathogenicity of related variants in cardiac syndromes.
. To understand how salt bridge elimination affects biophysical characteristics, we generated mutant channel R219E, expressed it in the HEK293-T cells, and employed the patch-clamp method in a whole-cell configuration. Mutation R219E did not change the peak current density but shortened time to the peak current at several potentials, significantly enhanced activation, enhanced steady-state inactivation and steady-state fast inactivation, and slowed recovery from inactivation. Taken together, these data suggest that mutation R219E destabilized the resting state of Nav1.5. Cardiac syndromes associated with mutations R219P/H/C/P or E161Q/K are consistent with the observed changes of biophysical characteristics of mutant channel R219E suggesting pathogenicity of the respective VUSs, as well as ClinVar-reported VUSs involving arginine or glutamate in homologous positions of several Nav1.5 paralogs.
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Kulichik et al. (2025) studied Cardiac sodium channel mutation. Mutation R219E was evaluated on Biophysical characteristics (peak current density, activation, inactivation). Mutation R219E in the cardiac sodium channel Nav1.5 destabilized the resting state by shortening time to peak current, enhancing activation, and slowing recovery from inactivation.
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