Key result
Mutations in Kv7.2/Kv7.3 channels (K526N and R333Q) impaired trafficking and surface expression, suggesting that trafficking disruption can lead to pathology regardless of macroscopic ionic flow.
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Disruption of CaM-dependent or CaM-independent trafficking of Kv7.2/Kv7.3 channels can lead to pathology regardless of macroscopic ionic flow consequences.
Heteromers of Kv7.2/Kv7.3 subunits constitute the main substrate of the neuronal M-current that limits neuronal hyper-excitability and firing frequency. Calmodulin (CaM) binding is essential for surface expression of Kv7 channels, and disruption of this interaction leads to diseases ranging from mild epilepsy to early onset encephalopathy. In this study, we addressed the impact of a charge neutralizing mutation located at the periphery of helix B (K526N). We found that, CaM binding and surface expression was impaired, although current amplitude was not altered. Currents were reduced at a faster rate after activation of a voltage-dependent phosphatase, suggesting that phosphatidylinositol-4,5-bisphosphate (PIP2) binding was weaker. In contrast, a charge neutralizing mutation located at the periphery of helix A (R333Q) did not affect CaM binding, but impaired trafficking and led to a reduction in current amplitude. Taken together, these results suggest that disruption of CaM-dependent or CaM-independent trafficking of Kv7.2/Kv7.3 channels can lead to pathology regardless of the consequences on the macroscopic ionic flow through the channel.
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Alaimo et al. (2018) studied Epilepsy and early onset encephalopathy. K526N and R333Q mutations in Kv7.2/Kv7.3 channels was evaluated on CaM binding, surface expression, and current amplitude. Mutations in Kv7.2/Kv7.3 channels (K526N and R333Q) impaired trafficking and surface expression, suggesting that trafficking disruption can lead to pathology regardless of macroscopic ionic flow.
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