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Genetic silencing of KCa3.1 inhibits atherosclerosis in ApoE null mice. 基因沉默KCa3.1抑制ApoE缺失小鼠动脉粥样硬化。
IF 3.2 Pub Date : 2025-12-01 Epub Date: 2025-08-03 DOI: 10.1080/19336950.2025.2538864
P Alam, D L Tharp, H J Bowles, L A Grisanti, H Bui, S B Bender, D K Bowles

Increased expression of KCa3.1 has been found in vascular smooth muscle cells (SMC), macrophages, and T cells in atherosclerotic lesions from humans and mice. Pharmacological inhibition of KCa3.1 in limiting atherosclerosis has been demonstrated in mice and pigs, however direct, loss-of-function, i.e. gene silencing, studies are absent. Therefore, we generated KCa3.1-/-Apoe-/- (DKO) mice and assessed lesion development in the brachiocephalic artery (BCA) of DKO versus Apoe-/- mice on a Western diet for 3 months. In BCAs of DKO mice, lesion size and relative stenosis were reduced by ~70% compared to Apoe-/- mice, with no effect on medial or lumen area. Additionally, DKO mice exhibited a significant reduction in macrophage content within plaques compared to Apoe-/- mice, independent of sex. In vitro migration assays showed a significant reduction in migration of bone marrow-derived macrophages (BMDMs) from DKO mice compared to those from Apoe-/- mice. In vitro experiments using rat aortic smooth muscle cells revealed inhibition of PDGF-BB-induced MCP1/Ccl2 expression upon KCa3.1 inhibition, while activation of KCa3.1 further enhanced MCP1/Ccl2 expression. Both in vivo and in vitro analyses showed that silencing KCa3.1 had no significant effect on the collagen content of plaque. RNAseq analysis of BCA samples from DKO and Apoe-/- mice revealed PPAR-dependent signaling as a potential key mediator of the reduction in atherosclerosis due to KCa3.1 silencing. Overall, this study provides the first genetic evidence that KCa3.1 is a critical regulator of atherosclerotic lesion development and composition and provides novel mechanistic insight into the link between KCa3.1 and atherosclerosis.

在人和小鼠动脉粥样硬化病变的血管平滑肌细胞(SMC)、巨噬细胞和T细胞中发现KCa3.1的表达增加。KCa3.1在限制动脉粥样硬化方面的药理抑制作用已在小鼠和猪中得到证实,但没有直接的功能丧失,即基因沉默的研究。因此,我们制造了KCa3.1-/-Apoe-/- (DKO)小鼠,并对DKO与Apoe-/-小鼠的头臂动脉(BCA)病变发展进行了为期3个月的西方饮食评估。与Apoe-/-小鼠相比,DKO小鼠bca的病变大小和相对狭窄减少了约70%,对内侧或管腔面积没有影响。此外,与Apoe-/-小鼠相比,DKO小鼠斑块内巨噬细胞含量显著减少,与性别无关。体外迁移实验显示,与Apoe-/-小鼠相比,DKO小鼠骨髓源性巨噬细胞(bmmdms)的迁移显著减少。大鼠主动脉平滑肌细胞体外实验显示,pdgf - bb诱导的MCP1/Ccl2表达在KCa3.1抑制的基础上受到抑制,而KCa3.1的激活进一步增强了MCP1/Ccl2的表达。体内和体外分析均表明,沉默KCa3.1对斑块胶原含量无显著影响。DKO和Apoe-/-小鼠BCA样本的RNAseq分析显示,ppar依赖性信号是KCa3.1沉默导致动脉粥样硬化减少的潜在关键介质。总的来说,本研究首次提供了遗传证据,证明KCa3.1是动脉粥样硬化病变发展和组成的关键调节因子,并为KCa3.1与动脉粥样硬化之间的联系提供了新的机制见解。
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引用次数: 0
The GluN3-containing NMDA receptors. 含glun3的NMDA受体。
Pub Date : 2025-12-01 Epub Date: 2025-04-16 DOI: 10.1080/19336950.2025.2490308
Kunlong Xiong, Shulei Lou, Zuoyu Lian, Yunlin Wu, Zengwei Kou

N-methyl-D-aspartate receptors (NMDARs) are heterotetrameric ion channels that play crucial roles in brain function. Among all the NMDAR subtypes, GluN1-N3 receptors exhibit unique agonist binding and gating properties. Unlike "conventional" GluN1-N2 receptors, which require both glycine and glutamate for activation, GluN1-N3 receptors are activated solely by glycine. Furthermore, GluN1-N3 receptors display faster desensitization, reduced Ca2+ permeability, and lower sensitivity to Mg2+ blockage compared to GluN1-N2 receptors. Due to these characteristics, GluN1-N3 receptors are thought to play critical roles in eliminating redundant synapses and pruning spines in early stages of brain development. Recent studies have advanced pharmacological tools for specifically targeting GluN1-N3 receptors and provided direct evidence of these glycine-activated excitatory receptors in native brain tissue. The structural basis of GluN1-N3 receptors has also been elucidated through cryo-EM and artificial intelligence. These findings highlight that GluN1-N3 receptors are not only involved in essential brain functions but also present potential targets for drug development.

n -甲基- d -天冬氨酸受体(NMDARs)是一种异四聚体离子通道,在脑功能中起重要作用。在所有NMDAR亚型中,GluN1-N3受体表现出独特的激动剂结合和门控特性。与“传统的”GluN1-N2受体不同,GluN1-N2受体需要甘氨酸和谷氨酸才能激活,而GluN1-N3受体仅由甘氨酸激活。此外,与GluN1-N2受体相比,GluN1-N3受体表现出更快的脱敏,降低Ca2+通透性,对Mg2+阻塞的敏感性较低。由于这些特征,GluN1-N3受体被认为在大脑发育早期消除冗余突触和修剪脊髓中起关键作用。最近的研究已经有了专门针对GluN1-N3受体的先进药理工具,并提供了这些甘氨酸激活的兴奋性受体存在于天然脑组织中的直接证据。GluN1-N3受体的结构基础也已通过冷冻电镜和人工智能被阐明。这些发现强调GluN1-N3受体不仅参与基本的脑功能,而且是药物开发的潜在靶点。
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引用次数: 0
Astrocytic abnormalities in brain-specific Cacna1c-deficient mice: Implications for BBB impairment in neuropsychiatric diseases associated with CACNA1C mutations. 脑特异性CACNA1C缺陷小鼠的星形细胞异常:与CACNA1C突变相关的神经精神疾病的血脑屏障损伤的含义
Pub Date : 2025-12-01 Epub Date: 2025-06-26 DOI: 10.1080/19336950.2025.2523788
Yeojung Koh, Maria Noterman-Soulinthavong, Anusha Bangalore, Uapingena P Kandjoze, Zea Bud, Kamryn L Noel, Hami Lee, Kathryn Franke, Coral J Cintrón-Pérez, Anjali M Rajadhyaksha, Eric B Taylor, Andrew A Pieper

Intronic genetic variants within the CACNA1C gene, which encodes the pore-forming alpha 1c subunit of the Cav1.2 L-type calcium channel, are significant risk factors for a multitude of neuropsychiatric disorders. In most cases, these intronic SNPs have been associated with reduced CACNA1C expression. Here, we demonstrate that targeted genetic deletion of Cacna1c in mouse brain leads to increased astrocyte reactivity, increased expression of aquaporin 4 (AQP4) in astrocytes adjacent to the blood-brain barrier (BBB), and neuroinflammation, including changes in the levels of brain chemokines and inflammatory cytokines. Astrocytes are vital for maintaining BBB integrity, with AQP4 predominantly expressed in astrocytic endfeet where it regulates water balance in the brain. This function is critical to brain health, and deterioration of the BBB is a major feature of virtually all forms of neuropsychiatric disease. Our results highlight a previously unrecognized role for CACNA1C in astrocytes at the BBB, which could be a major factor in how intronic CACNA1C SNPs broadly increase the risk of multiple forms of major neuropsychiatric disease.

CACNA1C基因中的内含子遗传变异是多种神经精神疾病的重要危险因素,CACNA1C基因编码Cav1.2 l型钙通道的成孔α 1c亚基。在大多数情况下,这些内含子snp与CACNA1C表达减少有关。在这里,我们证明了在小鼠大脑中靶向基因缺失Cacna1c导致星形胶质细胞反应性增加,血脑屏障(BBB)附近星形胶质细胞中水通道蛋白4 (AQP4)的表达增加,以及神经炎症,包括脑趋化因子和炎症细胞因子水平的变化。星形胶质细胞对于维持血脑屏障的完整性至关重要,AQP4主要在星形胶质细胞终足表达,在那里它调节大脑中的水平衡。这种功能对大脑健康至关重要,血脑屏障的恶化是几乎所有形式的神经精神疾病的主要特征。我们的研究结果强调了以前未被认识到的CACNA1C在血脑卒中星形细胞中的作用,这可能是CACNA1C内含子snp广泛增加多种形式的主要神经精神疾病风险的主要因素。
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引用次数: 0
Mechanotransduction mechanisms in human erythrocytes: Fundamental physiology and clinical significance. 人红细胞的机械转导机制:基本生理学和临床意义。
IF 3.2 Pub Date : 2025-12-01 Epub Date: 2025-09-10 DOI: 10.1080/19336950.2025.2556105
Lennart Kuck, Lars Kaestner, Stéphane Egée, Virgilio L Lew, Michael J Simmonds

The hallmarks of mechanosensitive ion channels have been observed for half a century in various cell lines, although their mechanisms and molecular identities remained unknown until recently. Identification of the bona fide mammalian mechanosensory Piezo channels resulted in an explosion of research exploring the translation of mechanical cues into biochemical signals and dynamic cell morphology responses. One of the Piezo isoforms - Piezo1 - is integral in the erythrocyte (red blood cell; RBC) membrane. The exceptional flexibility of RBCs and the absence of intracellular organelles provides a unique mechanical and biochemical environment dictating specific Piezo1-functionality. The Piezo1-endowed capacity of RBCs to sense the mechanical forces acting upon them during their continuous traversal of the circulatory system has solidified a brewing step-change in our fundamental understanding of RBC biology in health and disease; that is, RBCs are not biologically inert but rather capable of complex dynamic cellular signaling. Although several lines of investigation have unearthed various regulatory mechanisms of signaling pathway activation by RBC-Piezo1, these independent studies have not yet been synthesized into a cohesive picture. The aim of the present review is to thus summarize the progress in elucidating how Piezo1 functions in the unique cellular environment of RBCs, challenge classical views of this enucleated cell, and provoke developments for future work.

机械敏感离子通道的特征已经在各种细胞系中观察了半个世纪,尽管它们的机制和分子特性直到最近才为人所知。真正的哺乳动物机械感觉压电通道的鉴定导致了探索机械信号转化为生化信号和动态细胞形态反应的研究的爆炸式增长。压电异构体之一- Piezo1 -在红细胞(红细胞;RBC)膜中是不可或缺的。红细胞的特殊灵活性和细胞内细胞器的缺失提供了一个独特的机械和生化环境,决定了特定的piezo1功能。红细胞在循环系统的连续穿越过程中感知作用在它们身上的机械力的piezo1赋予的能力已经巩固了我们对健康和疾病中红细胞生物学的基本理解的酝酿变化;也就是说,红细胞不是生物惰性的,而是能够进行复杂的动态细胞信号传导。尽管一些研究已经揭示了RBC-Piezo1激活信号通路的各种调节机制,但这些独立的研究尚未综合成一个有凝聚力的画面。本综述的目的是总结在阐明Piezo1如何在红细胞独特的细胞环境中发挥作用方面的进展,挑战这种去核细胞的经典观点,并为未来的工作带来发展。
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引用次数: 0
Graded activation of mutant K41C-KCNE1:KCNQ1 channel complexes by mefenamic acid. 甲胺酸对突变体K41C-KCNE1:KCNQ1通道复合物的分级激活
IF 3.2 Pub Date : 2025-12-01 Epub Date: 2025-07-29 DOI: 10.1080/19336950.2025.2539494
Yundi Wang, Magnus Chan, Marc Pourrier, Jodene Eldstrom, David Fedida

The IKs current formed by the co-assembly of KCNE1 and KCNQ1 plays an important role in cardiac repolarization. Mefenamic acid, an NSAID, is known to enhance IKs currents and has in turn been suggested as a therapeutic starting point for the development of compounds for the treatment of long QT syndrome. Our previous examinations of mefenamic acid's action revealed that residue K41 on KCNE1 was critical for mefenamic acid's activating effect on fully KCNE1 saturated, and partially saturated IKs channel complexes. The present study extends our previous work by incorporating the K41C-KCNE1 mutation into individual subunits to destabilize local mefenamic acid binding and explore how many of the remaining mefenamic acid-bound WT KCNE1-KCNQ1 subunits are required to support the activating action of the drug. Our results show that the potency of mefenamic acid action is reduced by the presence of K41C-KCNE1 subunits in a graded and stoichiometric, but non-linear manner. Modeling results are consistent with the idea that WT IKs subunits, in the presence of mefenamic acid, precede activation of K41C-IKs subunits due to their augmented voltage sensor kinetics.

KCNE1和KCNQ1共同组装形成的IKs电流在心脏复极化中起重要作用。甲非那明酸,一种非甾体抗炎药,已知能增强IKs电流,因此被建议作为开发治疗长QT综合征的化合物的治疗起点。我们之前对甲氧胺酸作用的研究表明,KCNE1上的残基K41是甲氧胺酸激活KCNE1完全饱和和部分饱和IKs通道复合物的关键。本研究扩展了我们之前的工作,将K41C-KCNE1突变纳入到单个亚基中,以破坏局部甲氧胺酸结合的稳定性,并探索剩余的甲氧胺酸结合WT KCNE1-KCNQ1亚基需要多少才能支持药物的激活作用。我们的研究结果表明,K41C-KCNE1亚基的存在以梯度和化学计量的非线性方式降低了甲氧胺酸作用的效力。建模结果与以下观点一致:在甲胺酸存在的情况下,WT IKs亚基由于其增强的电压传感器动力学而先于K41C-IKs亚基激活。
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引用次数: 0
Calcium handling remodeling in dilated cardiomyopathy: From molecular mechanisms to targeted therapies. 扩张型心肌病的钙处理重塑:从分子机制到靶向治疗。
Pub Date : 2025-12-01 Epub Date: 2025-06-16 DOI: 10.1080/19336950.2025.2519545
Yuhan Wang, Tingting Zhou, Jiajing Zhao, Hongjun Zhu, Xiaodong Tan, Jiahao Chen, Zhuojun Zhang, Lijuan Shen, Shu Lu

Calcium ions play a crucial role in cardiac excitation-contraction (EC) coupling, and disruptions in Ca2+ homeostasis are a key factor in the development of dilated cardiomyopathy (DCM). This review aims to systematically analyze how structural and functional remodeling of Ca2+-handling proteins drives DCM progression and to evaluate therapeutic strategies targeting these pathways. The movement of intracellular Ca2+, which is regulated by transporters like SERCA2a, ryanodine receptor 2 (RYR2), and L-type Ca2+ channels, affects the heart's contraction and relaxation. In DCM, both structural and functional changes in the Ca2+-handling machinery-including t-tubule remodeling, modifications to RYR2, and dysregulation of SERCA2a and phospholamban (PLN)-disrupt Ca2+ cycling, worsening systolic dysfunction and ventricular dilation. For instance, reduced affinity of SERCA2a for Ca2+ due to imbalances in the PLN-SERCA2a interaction impairs the heart's ability to reuptake Ca2+ during diastole. Meanwhile, abnormalities in RYR2 contribute to arrhythmogenic Ca2+ leaks. Targeting these pathways for treatment has two main challenges: too much Ca2+ modulation can cause arrhythmias, while insufficient correction may fail to improve heart contractility. Precision interventions demand structurally resolved targets, such as stabilizing RYR2 closed states or enhancing SERCA2a activity via gene therapy, to address DCM's heterogeneous pathophysiology. Emerging strategies leveraging t-tubule restoration or isoform-specific L-type channel modulation show promise in normalizing Ca2+ transients and halting adverse remodeling. This review compiles evidence that connects changes in EC coupling components to the progression of DCM and emphasizes the potential benefits of restoring Ca2+ balance as a treatment. By integrating molecular insights with clinical phenotypes, structurally informed Ca2+-targeted therapies could pave the way for personalized DCM management, balancing efficacy with minimized off-target effects.

钙离子在心脏兴奋-收缩(EC)耦合中起着至关重要的作用,Ca2+稳态的破坏是扩张型心肌病(DCM)发展的关键因素。本综述旨在系统分析Ca2+处理蛋白的结构和功能重塑如何驱动DCM进展,并评估针对这些途径的治疗策略。细胞内Ca2+的运动受转运蛋白如SERCA2a、ryanodine受体2 (RYR2)和l型Ca2+通道的调节,影响心脏的收缩和舒张。在DCM中,Ca2+处理机制的结构和功能变化——包括t小管重塑、RYR2修饰、SERCA2a和磷蛋白(PLN)的失调——都会破坏Ca2+循环,加剧收缩功能障碍和心室扩张。例如,由于PLN-SERCA2a相互作用的不平衡,SERCA2a对Ca2+的亲和力降低,损害了心脏在舒张期再摄取Ca2+的能力。同时,RYR2异常导致心律失常的Ca2+泄漏。针对这些途径进行治疗有两个主要挑战:过多的Ca2+调节可能导致心律失常,而不充分的纠正可能无法改善心脏收缩性。精确的干预需要结构上解决的目标,如稳定RYR2关闭状态或通过基因治疗增强SERCA2a活性,以解决DCM的异质性病理生理。利用t小管恢复或同种异型特异性l型通道调制的新兴策略在正常化Ca2+瞬态和停止不利重构方面显示出希望。本综述收集了EC偶联成分变化与DCM进展相关的证据,并强调了恢复Ca2+平衡作为一种治疗方法的潜在益处。通过将分子洞察与临床表型相结合,结构知情的Ca2+靶向治疗可以为个性化DCM管理铺平道路,平衡疗效与最小化脱靶效应。
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引用次数: 0
Expression of Concern. 表达关心。
IF 3.2 Pub Date : 2025-12-01 Epub Date: 2025-10-09 DOI: 10.1080/19336950.2025.2570092
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引用次数: 0
Molecular mechanisms of function deficiencies in KCNQ1 variants associated with Jervell and Lange-Nielsen syndrome. 与Jervell和Lange-Nielsen综合征相关的KCNQ1变异的功能缺陷的分子机制
IF 3.2 Pub Date : 2025-12-01 Epub Date: 2025-10-28 DOI: 10.1080/19336950.2025.2580177
Xueqi Pan, Yu Xu, Zhenzhen Tan, Mingshun Lu

Jervell and Lange-Nielsen syndrome (JLNS) is characterized by congenital bilateral sensorineural hearing loss, a prolonged QT interval (QTc) on an electrocardiogram (ECG), and a high incidence of sudden death in childhood. More than 90% of JLNS cases are associated with variants in the potassium voltage-gated channel subfamily Q member 1 gene, KCNQ1 (Kv7.1). Herein, eighteen identified JLNS-related KCNQ1 variants were examined, including I145S, Y148S, G168R, Y171X, S182R, G186D, R190Q, G269D, G272D, A302V, G306V, V307V, S333F, A344A, F351L, K422S, T587M, and R594Q. Using an integrative method, we systematically characterized the biophysical properties, functional, and membrane trafficking of KCNQ1 variants distributed in different structural domains of the channel. The results demonstrated that all the variants resulted in functional deficiencies, with impaired localization in the plasma membrane being the most common cause. Although many variants exhibited normal cell surface expression consistent with protein stability, structural simulation analysis revealed that these KCNQ1 variants disrupt either KCNQ1-KCNE1 or KCNQ1-calmodulin (CaM) interaction, leading to channel dysfunction. These finding provide significant implications for the future treatment and prevention of JLNS.

Jervell - Lange-Nielsen综合征(JLNS)的特点是先天性双侧感音神经性听力丧失,心电图QT间期(QTc)延长,儿童期猝死发生率高。超过90%的JLNS病例与钾电压门控通道亚家族Q成员1基因KCNQ1 (Kv7.1)的变异有关。本文研究了18个与jlns相关的KCNQ1变异,包括I145S、Y148S、G168R、Y171X、S182R、G186D、R190Q、G269D、G272D、A302V、G306V、V307V、S333F、A344A、F351L、K422S、T587M和R594Q。利用综合方法,我们系统地表征了分布在该通道不同结构域的KCNQ1变体的生物物理特性、功能和膜运输。结果表明,所有的变异都会导致功能缺陷,其中质膜定位受损是最常见的原因。尽管许多变异表现出与蛋白质稳定性一致的正常细胞表面表达,但结构模拟分析显示,这些KCNQ1变异破坏KCNQ1- kcne1或KCNQ1-钙调蛋白(CaM)的相互作用,导致通道功能障碍。这些发现对今后JLNS的治疗和预防具有重要意义。
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引用次数: 0
Gating modulation and potentiation of amiodarone blockage of the Kv10.1 potassium channel bu KB130015, an amiodarone derived molecule. 胺碘酮对Kv10.1钾通道阻断的门控调制和增强——胺碘酮衍生分子KB130015。
IF 3.2 Pub Date : 2025-12-01 Epub Date: 2025-11-25 DOI: 10.1080/19336950.2025.2588916
Froylán Gómez-Lagunas, Carolina Barriga-Montoya

Kv10.1 is a voltage-gated K+ channel whose structure-function relationships remain incompletely understood, and whose ectopic expression is linked to tumorigenesis. We have recently shown that the antiarrhythmic drug amiodarone inhibits both the K+ current and the characteristic Cole-Moore shift of Kv10.1. Here, we examined whether the amiodarone derivative KB130015 similarly modulates Kv10.1 function. Low micromolar concentrations of KB130015 markedly accelerated current activation across all tested holding potentials and fully abolished the Cole-Moore shift. The t12 reduction induced by KB130015 was voltage independent. KB130015 also slowed channel deactivation to a similar extent at all voltages and shifted the G-V relationship toward more negative potentials without altering its slope. Despite these pronounced gating effects, current amplitude increased only slightly and showed minimal dependence on KB130015 concentration. Notably, KB130015 enhanced the inhibitory effect of amiodarone on K+ current. These results identify KB130015 as a potent modulator of Kv10.1 gating that also potentiates amiodarone-mediated inhibition.

Kv10.1是一种电压门控的K+通道,其结构-功能关系尚不完全清楚,其异位表达与肿瘤发生有关。我们最近发现抗心律失常药物胺碘酮抑制K+电流和Kv10.1的特征性Cole-Moore移位。在这里,我们研究了胺碘酮衍生物KB130015是否类似地调节Kv10.1的功能。低微摩尔浓度的KB130015显著加速了所有测试保持电位的电流激活,并完全消除了Cole-Moore位移。KB130015诱导的t1 / 2还原与电压无关。KB130015在所有电压下也以相似的程度减缓通道失活,并在不改变斜率的情况下将G-V关系转向更负的电位。尽管存在这些明显的门控效应,但电流振幅仅轻微增加,并且对KB130015浓度的依赖性最小。KB130015明显增强了胺碘酮对K+电流的抑制作用。这些结果确定KB130015是Kv10.1门控的有效调节剂,也增强了胺碘酮介导的抑制。
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引用次数: 0
SCN3A-related neurodevelopmental disorder: Clinical case reports and biophysical characterization. scn3a相关神经发育障碍:临床病例报告和生物物理特征
IF 3.2 Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1080/19336950.2025.2580175
Mohammad-Reza Ghovanloo, Cynthia Gershome, Robin van der Lee, Britt Drogemoller, Linhua Zhang, Allison Matthews, Ingrid Blydt-Hansen, Sarah M Nikkel, Michelle Demos, Wyeth W Wasserman, Colin J Ross, Clara D van Karnebeek, Peter C Ruben

SCN3A, the gene encoding the voltage-gated sodium channel, Nav1.3, plays a critical role in early neuronal development. Although traditionally considered a neonatal channel, emerging evidence has linked SCN3A mutations to a spectrum of neurodevelopmental disorders. Here, we report two clinical cases involving rare SCN3A variants: one with a de novo p.L209P mutation and another with compound heterozygous p.N52H and p.E1809K variants. Whole-exome sequencing and clinical phenotyping revealed overlapping features of global developmental delay, hypotonia, structural brain abnormalities, and, in one case, epilepsy and dystonia. To evaluate their functional impact, we expressed each mutant independently in CHO cells co-transfected with β1 subunits and performed whole-cell patch-clamp electrophysiology. p.N52H reduced current density and hyperpolarized activation, suggesting mixed gain- and loss-of-function effects. p.L209P selectively hyperpolarized the activation curve, while p.E1809K altered fast inactivation and accelerated recovery kinetics. These findings demonstrate that SCN3A variants can disrupt excitability through diverse biophysical mechanisms. Our study expands the clinical and functional landscape of SCN3A-related disorders and underscores the importance of variant-level characterization to guide diagnosis and future therapeutic strategies.

编码电压门控钠通道Nav1.3的基因SCN3A在早期神经元发育中起着关键作用。尽管传统上被认为是新生儿通道,但新出现的证据已将SCN3A突变与一系列神经发育障碍联系起来。在这里,我们报告了两个涉及罕见SCN3A变异的临床病例:一个是新生的p.L209P突变,另一个是复合杂合的p.N52H和p.E1809K变异。全外显子组测序和临床表型分析揭示了整体发育迟缓、张力低下、结构性脑异常以及一例癫痫和肌张力障碍的重叠特征。为了评估它们的功能影响,我们在共转染β1亚基的CHO细胞中独立表达了每个突变体,并进行了全细胞膜片钳电生理实验。p.N52H降低了电流密度和超极化激活,表明混合增益和功能丧失效应。p.L209P选择性超极化活化曲线,而p.E1809K改变快速失活和加速恢复动力学。这些发现表明SCN3A变异可以通过多种生物物理机制破坏兴奋性。我们的研究扩展了scn3a相关疾病的临床和功能领域,并强调了变异水平表征对指导诊断和未来治疗策略的重要性。
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Channels (Austin, Tex.)
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