Key result
The novel KCNJ2 p.Y145C sequence variant caused a significant loss-of-function in Kir2.1 channel currents compared to wild type (-0.17 nA vs -4.5 nA, p<0.01), explaining the Andersen-Tawil syndrome phenotype.
Absolute Event Rate: -0.17% vs -4.5%
p-value: p=<0.01
The novel KCNJ2 sequence variant p.Y145C causes a loss-of-function in the Kir2.1 channel, explaining the clinical phenotypes of Andersen-Tawil syndrome in affected patients.
p.Y145C impairs Kir2.1 current in vitro; leaves open causal role in human Andersen-Tawil syndrome.
BACKGROUND: Mutations in the KCNJ2 gene encoding the ion channel Kir2.1 have been linked to the Andersen-Tawil syndrome (ATS). Molecular genetic screening performed in a family exhibiting clinical ATS phenotypes unmasked a novel sequence variant (c.434A > G, p.Y145C) in this gene. The aim of this study was to investigate the effect of this variant on Kir2.1 ion channel functionality. METHODS: Mutant as well as wild type GFP tagged Kir2.1 channels were expressed in HEK293 cells. In order to examine the effect of the new variant, electrophysiological measurements were performed using patch clamp technique. Cellular localization of the mutant in comparison to the wild type ion channel was analyzed by confocal laser scanning microscopy. RESULTS: The currents of cells expressing only mutant channels or a mixture of wild type and mutant were significantly reduced compared to those expressing wild type (WT) channels (p < 0.01). Whereas WT expressing cells exhibited at -120 mV an averaged current of -4.5 ± 1.9 nA, the mutant generates only a current of -0.17 ± 0.07 nA. A co-expression of mutant and WT channel generates only a partial rescue of the WT current. Confocal laser scanning microscopy indicated that the novel variant is not interfering with synthesis and/or protein trafficking. CONCLUSIONS: The detected sequence variant causes loss-of-function of the Kir2.1 channel and explains the clinical phenotypes observed in Andersen-Tawil syndrome patients.
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Scheiper et al. (2017) studied Andersen-Tawil syndrome (n=5). KCNJ2 p.Y145C sequence variant vs. Wild type KCNJ2 was evaluated on Kir2.1 channel current at -120 mV in HEK293 cells (p=<0.01). The novel KCNJ2 p.Y145C sequence variant caused a significant loss-of-function in Kir2.1 channel currents compared to wild type (-0.17 nA vs -4.5 nA, p<0.01), explaining the Andersen-Tawil syndrome phenotype.
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