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Spinal AMPA receptors: Amenable players in central sensitization for chronic pain therapy? 脊髓 AMPA 受体:用于慢性疼痛治疗的中枢敏化作用?
Pub Date : 2021-12-01 DOI: 10.1080/19336950.2021.1885836
Olga Kopach, Nana Voitenko

The activity-dependent trafficking of AMPA receptors (AMPAR) mediates synaptic strength and plasticity, while the perturbed trafficking of the receptors of different subunit compositions has been linked to memory impairment and to causing neuropathology. In the spinal cord, nociceptive-induced changes in AMPAR trafficking determine the central sensitization of the dorsal horn (DH): changes in AMPAR subunit composition compromise the balance between synaptic excitation and inhibition, rendering interneurons hyperexcitable to afferent inputs, and promoting Ca2+ influx into the DH neurons, thereby amplifying neuronal hyperexcitability. The DH circuits become over-excitable and carry out aberrant sensory processing; this causes an increase in pain sensation in central sensory pathways, giving rise to chronic pain syndrome. Current knowledge of the contribution of spinal AMPAR to the cellular mechanisms relating to chronic pain provides opportunities for developing target-based therapies for chronic pain intervention.

依赖于活动的 AMPA 受体(AMPAR)贩运介导了突触强度和可塑性,而不同亚单位组成的受体的贩运紊乱与记忆损伤和神经病理学有关。在脊髓中,痛觉诱导的 AMPAR 贩卖变化决定了背角(DH)的中枢敏化:AMPAR 亚单位组成的变化损害了突触兴奋和抑制之间的平衡,使中间神经元对传入输入过度兴奋,并促进 Ca2+ 流入 DH 神经元,从而放大神经元的过度兴奋性。DH 环路变得过度兴奋,并进行异常的感觉处理;这会导致中枢感觉通路的痛觉增强,从而引发慢性疼痛综合征。目前关于脊髓 AMPAR 对慢性疼痛相关细胞机制的贡献的知识为开发基于靶点的慢性疼痛干预疗法提供了机会。
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引用次数: 0
Nitrergic modulation of ion channel function in regulating neuronal excitability. 离子通道在神经元兴奋性调节中的氮调节作用。
Pub Date : 2021-12-01 DOI: 10.1080/19336950.2021.2002594
Jereme G Spiers, Joern R Steinert

Nitric oxide (NO) signaling in the brain provides a wide range of functional properties in response to neuronal activity. NO exerts its effects through different signaling pathways, namely, through the canonical soluble guanylyl cyclase-mediated cGMP production route and via post-translational protein modifications. The latter pathways comprise cysteine S-nitrosylation and 3-nitrotyrosination of distinct tyrosine residues. Many ion channels are targeted by one or more of these signaling routes, which leads to their functional regulation under physiological conditions or facilities their dysfunction leading to channelopathies in many pathologies. The resulting alterations in ion channel function changes neuronal excitability, synaptic transmission, and action potential propagation. Transient and activity-dependent NO production mediates reversible ion channel modifications via cGMP and S-nitrosylation signaling, whereas more pronounced and longer-term NO production during conditions of elevated oxidative stress leads to increasingly cumulative and irreversible protein 3-nitrotyrosination. The complexity of this regulation and vast variety of target ion channels and their associated functional alterations presents a challenging task in assessing and understanding the role of NO signaling in physiology and disease.

大脑中的一氧化氮(NO)信号在响应神经元活动时提供了广泛的功能特性。NO通过不同的信号通路发挥作用,即通过典型的可溶性胍基环化酶介导的cGMP产生途径和通过翻译后蛋白修饰。后一种途径包括半胱氨酸s -亚硝基化和不同酪氨酸残基的3-硝基酪氨酸化。许多离子通道被这些信号通路中的一个或多个靶向,这导致它们在生理条件下的功能调节或便利它们的功能障碍导致许多病理中的通道病变。离子通道功能的改变改变了神经元的兴奋性、突触传递和动作电位的传播。瞬时和活性依赖的NO生成通过cGMP和s -亚硝基化信号介导可逆的离子通道修饰,而在氧化应激升高的条件下,更明显和更长期的NO生成导致越来越多的累积和不可逆的蛋白质3-硝基酪氨酸化。这种调控的复杂性和大量的靶离子通道及其相关的功能改变为评估和理解NO信号在生理和疾病中的作用提出了一项具有挑战性的任务。
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引用次数: 5
PANX1 is a potential prognostic biomarker associated with immune infiltration in pancreatic adenocarcinoma: A pan-cancer analysis. PANX1是与胰腺腺癌免疫浸润相关的潜在预后生物标志物:一项泛癌分析。
Pub Date : 2021-12-01 DOI: 10.1080/19336950.2021.2004758
Lingling Bao, Kai Sun, Xuede Zhang

Pannexin 1 (PANX1) channel is a critical ATP-releasing pathway that modulates tumor immunity, progression, and prognosis. However, the roles of PANX1 in different cancers remain unclear. We analyzed the expression of PANX1 in human pan-cancer in the Oncomine and GEPIA2.0 databases. The prognostic value of PANX1 expression was determined using Kaplan-Meier plotter and OncoLnc tools. The correlation between PANX1 and tumor-infiltrating immune cells was investigated using the TIMER 2.0. In addition, the relationship between PANX1 and immunomodulators was explored using TISIDB. Finally, gene set enrichment analysis (GSEA) was performed utilizing LinkedOmics. The results indicated that PANX1 was overexpressed in most cancers compared to normal tissues. The high expression of PANX1 was associated with poor prognosis in multiple tumors, especially in pancreatic adenocarcinoma (PAAD). In addition, PANX1 was correlated with a variety of immunomodulators, such as CD274, IL10, CD276, IL2RA, TAP1, and TAP2. PANX1 expression level was significantly related to infiltration of multiple immune cells in many cancers, including cancer associated fibroblast, macrophage, and neutrophil cells. Further analysis revealed that PANX1 was significantly associated with T cells CD8+ (rho = 0.524, P = 1.94e-13) and Myeloid dendritic cell (rho = 0.564, P = 9.45e-16). GSEA results showed that PANX1 was closely associated with leukocyte cell-cell adhesion, endoplasmic reticulum lumen, ECM-receptor interaction, and Focal adhesion pathways in PAAD. PANX1 expression was higher in pan-cancer samples than in normal tissues. The high expression of PANX1 was associated with poor outcome and immune infiltration in multiple cancers, especially in PAAD.

Pannexin 1 (PANX1)通道是调节肿瘤免疫、进展和预后的关键atp释放途径。然而,PANX1在不同癌症中的作用尚不清楚。我们在Oncomine和GEPIA2.0数据库中分析了PANX1在人类泛癌中的表达。使用Kaplan-Meier绘图仪和肿瘤学工具确定PANX1表达的预后价值。应用TIMER 2.0检测PANX1与肿瘤浸润性免疫细胞的相关性。此外,利用TISIDB探讨了PANX1与免疫调节剂之间的关系。最后,利用LinkedOmics进行基因集富集分析(GSEA)。结果表明,与正常组织相比,PANX1在大多数癌症中过表达。PANX1的高表达与多种肿瘤,尤其是胰腺腺癌(PAAD)的预后不良相关。此外,PANX1与多种免疫调节剂相关,如CD274、IL10、CD276、IL2RA、TAP1和TAP2。PANX1表达水平与多种肿瘤免疫细胞浸润显著相关,包括癌相关成纤维细胞、巨噬细胞和中性粒细胞。进一步分析发现PANX1与T细胞CD8+ (rho = 0.524, P = 1.94e-13)和骨髓树突状细胞(rho = 0.564, P = 9.45e-16)显著相关。GSEA结果显示PANX1与PAAD的白细胞-细胞粘附、内质网管腔、ecm受体相互作用和局灶粘附途径密切相关。PANX1在泛癌组织中的表达高于正常组织。PANX1的高表达与多种癌症的预后不良和免疫浸润相关,尤其是在PAAD中。
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引用次数: 6
Differential expression of GluN2 NMDA receptor subunits in the dorsal horn of male and female rats. GluN2 NMDA受体亚基在雌雄大鼠背角的差异表达。
Pub Date : 2021-12-01 DOI: 10.1080/19336950.2020.1871205
Santa Temi, Christopher Rudyk, Jennifer Armstrong, Jeffrey A Landrigan, Chris Dedek, Natalina Salmaso, Michael E Hildebrand

N-methyl-D-aspartate receptors (NMDARs) are excitatory ionotropic glutamate receptors expressed throughout the CNS, including in the spinal dorsal horn. The GluN2 subtypes of NMDAR subunit, which include GluN2A, GluN2B, and GluN2D in the dorsal horn, confer NMDARs with structural and functional variability, enabling heterogeneity in synaptic transmission and plasticity. Despite essential roles for NMDARs in physiological and pathological pain processing, the distribution and function of these specific GluN2 isoforms across dorsal horn laminae remain poorly understood. Surprisingly, there is a complete lack of knowledge of GluN2 expression in female rodents. We, therefore, investigated the relative expression of specific GluN2 variants in the dorsal horn of lumbar (L4/L5) spinal cord from both male and female rats. In order to detect synaptic GluN2 isoforms, we used pepsin antigen-retrieval to unmask these highly cross-linked protein complexes. We found that GluN2B and GluN2D are preferentially localized to the pain-processing superficial regions of the dorsal horn in males, while only GluN2B is predominantly localized to the superficial dorsal horn of female rats. The GluN2A subunit is diffusely localized to neuropil throughout the dorsal horn of both males and females, while GluN2B and GluN2D immunolabelling are found both in the neuropil and on the soma of dorsal horn neurons. Finally, we identified an unexpected enhanced expression of GluN2B in the medial division of the superficial dorsal horn, but in males only. These sex-specific localization patterns of GluN2-NMDAR subunits across dorsal horn laminae have significant implications for the understanding of divergent spinal mechanisms of pain processing.

n -甲基- d -天冬氨酸受体(NMDARs)是一种兴奋性的嗜离子性谷氨酸受体,表达于整个中枢神经系统,包括脊髓背角。NMDAR亚基的GluN2亚型,包括GluN2A、GluN2B和GluN2D,使NMDAR具有结构和功能的可变性,从而实现突触传递和可塑性的异质性。尽管NMDARs在生理和病理疼痛加工中发挥重要作用,但这些特异性GluN2亚型在背角椎板上的分布和功能仍然知之甚少。令人惊讶的是,对GluN2在雌性啮齿动物中的表达完全缺乏了解。因此,我们研究了雄性和雌性大鼠腰椎背角(L4/L5)脊髓特异性GluN2变异的相对表达。为了检测突触GluN2亚型,我们使用胃蛋白酶抗原检索来揭示这些高度交联的蛋白复合物。我们发现GluN2B和GluN2D优先定位于雄性大鼠的痛觉加工浅表区域,而只有GluN2B主要定位于雌性大鼠的浅表背角。GluN2A亚基广泛分布于雄性和雌性的整个背角神经节上,而GluN2B和GluN2D免疫标记在神经节和背角神经元的胞体上均有发现。最后,我们发现GluN2B在浅表背角内侧的表达出乎意料地增强,但仅在雄性中。GluN2-NMDAR亚基在背角椎板上的这些性别特异性定位模式对理解疼痛加工的不同脊柱机制具有重要意义。
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引用次数: 0
Selective Targeting of Nav1.7 with Engineered Spider Venom-Based Peptides. 用基于蜘蛛毒液的工程肽选择性靶向 Nav1.7。
Pub Date : 2021-12-01 DOI: 10.1080/19336950.2020.1860382
Robert A Neff, Alan D Wickenden

A fundamental mechanism that drives the propagation of electrical signals in the nervous system is the activation of voltage-gated sodium channels. The sodium channel subtype Nav1.7 is critical for the transmission of pain-related signaling, with gain-of-function mutations in Nav1.7 resulting in various painful pathologies. Loss-of-function mutations cause complete insensitivity to pain and anosmia in humans that otherwise have normal nervous system function, rendering Nav1.7 an attractive target for the treatment of pain. Despite this, no Nav1.7 selective therapeutic has been approved for use as an analgesic to date. Here we present a summary of research that has focused on engineering peptides found in spider venoms to produce Nav1.7 selective antagonists. We discuss the progress that has been made on various scaffolds from different venom families and highlight the challenges that remain in the effort to produce a Nav1.7 selective, venom-based analgesic.

驱动神经系统中电信号传播的一个基本机制是激活电压门控钠通道。钠通道亚型 Nav1.7 对于疼痛相关信号的传递至关重要,Nav1.7 的功能增益突变会导致各种疼痛病症。功能缺失突变会导致神经系统功能正常的人对疼痛和嗅觉障碍完全不敏感,从而使 Nav1.7 成为治疗疼痛的一个有吸引力的靶点。尽管如此,迄今为止还没有一种 Nav1.7 选择性疗法被批准用作镇痛剂。在此,我们总结了有关将蜘蛛毒液中的肽工程化以生产 Nav1.7 选择性拮抗剂的研究。我们讨论了在不同毒液家族的各种支架上取得的进展,并强调了在生产 Nav1.7 选择性毒液型镇痛药方面仍然存在的挑战。
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引用次数: 0
More than a pore: How voltage-gated calcium channels act on different levels of neuronal communication regulation. 超过一个孔:电压门控钙通道如何作用于不同水平的神经元通讯调节。
Pub Date : 2021-12-01 DOI: 10.1080/19336950.2021.1900024
Jennifer Heck, Ana Carolina Palmeira Do Amaral, Stephan Weißbach, Abderazzaq El Khallouqi, Arthur Bikbaev, Martin Heine

Voltage-gated calcium channels (VGCCs) represent key regulators of the calcium influx through the plasma membrane of excitable cells, like neurons. Activated by the depolarization of the membrane, the opening of VGCCs induces very transient and local changes in the intracellular calcium concentration, known as calcium nanodomains, that in turn trigger calcium-dependent signaling cascades and the release of chemical neurotransmitters. Based on their central importance as concierges of excitation-secretion coupling and therefore neuronal communication, VGCCs have been studied in multiple aspects of neuronal function and malfunction. However, studies on molecular interaction partners and recent progress in omics technologies have extended the actual concept of these molecules. With this review, we want to illustrate some new perspectives of VGCCs reaching beyond their function as calcium-permeable pores in the plasma membrane. Therefore, we will discuss the relevance of VGCCs as voltage sensors in functional complexes with ryanodine receptors, channel-independent actions of auxiliary VGCC subunits, and provide an insight into how VGCCs even directly participate in gene regulation. Furthermore, we will illustrate how structural changes in the intracellular C-terminus of VGCCs generated by alternative splicing events might not only affect the biophysical channel characteristics but rather determine their molecular environment and downstream signaling pathways.

电压门控钙通道(VGCC)代表了钙通过可兴奋细胞(如神经元)质膜流入的关键调节因子。VGCC的开放由膜的去极化激活,诱导细胞内钙浓度(称为钙纳米结构域)发生非常短暂的局部变化,进而触发钙依赖性信号级联和化学神经递质的释放。基于VGCC作为兴奋-分泌耦合以及神经元通信的协调器的核心重要性,已经从神经元功能和功能障碍的多个方面对其进行了研究。然而,对分子相互作用伙伴的研究和组学技术的最新进展扩展了这些分子的实际概念。通过这篇综述,我们想说明VGCC超越其作为质膜中钙渗透孔的功能的一些新观点。因此,我们将讨论VGCC在与ryanodine受体的功能复合物中作为电压传感器的相关性,辅助VGCC亚基的通道非依赖性作用,并深入了解VGCC如何直接参与基因调控。此外,我们将说明由选择性剪接事件产生的VGCC细胞内C末端的结构变化如何不仅影响生物物理通道特性,而且决定其分子环境和下游信号通路。
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引用次数: 0
Functional modulation of the human voltage-gated sodium channel NaV1.8 by auxiliary β subunits. 辅助 β 亚基对人类电压门控钠通道 NaV1.8 的功能调节。
Pub Date : 2021-12-01 DOI: 10.1080/19336950.2020.1860399
S T Nevin, N Lawrence, A Nicke, R J Lewis, D J Adams

The voltage-gated sodium channel Nav1.8 mediates the tetrodotoxin-resistant (TTX-R) Na+ current in nociceptive primary sensory neurons, which has an important role in the transmission of painful stimuli. Here, we describe the functional modulation of the human Nav1.8 α-subunit in Xenopus oocytes by auxiliary β subunits. We found that the β3 subunit down-regulated the maximal Na+ current amplitude and decelerated recovery from inactivation of hNav1.8, whereas the β1 and β2 subunits had no such effects. The specific regulation of Nav1.8 by the β3 subunit constitutes a potential novel regulatory mechanism of the TTX-R Na+ current in primary sensory neurons with potential implications in chronic pain states. In particular, neuropathic pain states are characterized by a down-regulation of Nav1.8 accompanied by increased expression of the β3 subunit. Our results suggest that these two phenomena may be correlated, and that increased levels of the β3 subunit may directly contribute to the down-regulation of Nav1.8. To determine which domain of the β3 subunit is responsible for the specific regulation of hNav1.8, we created chimeras of the β1 and β3 subunits and co-expressed them with the hNav1.8 α-subunit in Xenopus oocytes. The intracellular domain of the β3 subunit was shown to be responsible for the down-regulation of maximal Nav1.8 current amplitudes. In contrast, the extracellular domain mediated the effect of the β3 subunit on hNav1.8 recovery kinetics.

电压门控钠通道 Nav1.8 在痛觉初级感觉神经元中介导抗河豚毒素(TTX-R)的 Na+ 电流,它在疼痛刺激的传递中起着重要作用。在这里,我们描述了人 Nav1.8 α 亚基在爪蟾卵母细胞中受到辅助 β 亚基的功能调节。我们发现,β3 亚基下调了 hNav1.8 的最大 Na+ 电流幅度,并使其从失活中恢复的速度减慢,而 β1 和 β2 亚基则没有这种影响。β3亚基对Nav1.8的特异性调节构成了初级感觉神经元中TTX-R Na+电流的一种潜在的新型调节机制,对慢性疼痛状态具有潜在的影响。特别是,神经病理性疼痛状态的特点是 Nav1.8 下调,同时 β3 亚基表达增加。我们的研究结果表明,这两种现象可能相互关联,β3 亚基水平的增加可能直接导致 Nav1.8 的下调。为了确定β3亚基的哪个结构域负责对hNav1.8的特定调控,我们创建了β1和β3亚基的嵌合体,并将它们与hNav1.8 α-亚基共同表达在爪蟾卵母细胞中。结果表明,β3 亚基的胞内结构域是下调最大 Nav1.8 电流振幅的原因。相反,β3 亚基的胞外结构域介导了对 hNav1.8 恢复动力学的影响。
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引用次数: 0
A pan-cancer analysis revealed the role of the SLC16 family in cancer. 一项泛癌症分析揭示了SLC16家族在癌症中的作用。
Pub Date : 2021-12-01 DOI: 10.1080/19336950.2021.1965422
Jun Li, Jiaheng Xie, Dan Wu, Liang Chen, Zetian Gong, Rui Wu, Yiming Hu, Jiangning Zhao, Yetao Xu

Cancer is one of the serious diseases that endanger human health and bring a heavy burden to world economic development. Although the current targeted therapy and immunotherapy have achieved initial results, the emergence of drug resistance shows that the existing research is far from enough. In recent years, the tumor microenvironment has been found to be an important condition for tumor development and has profound research value. The SLC16 family is a group of monocarboxylic acid transporters involved in cancer metabolism and the formation of the tumor microenvironment. However, there have been no generalized cancer studies in the SLC16 family. In this study, we conducted a pan-cancer analysis of the SLC16 family. The results showed that multiple members of the SLC16 family could be used as prognostic indicators for many tumors, and were associated with immune invasion and tumor stem cells. Therefore, the SLC16 family has extensive exploration value in the future.

癌症是危害人类健康和给世界经济发展带来沉重负担的重大疾病之一。虽然目前的靶向治疗和免疫治疗已经取得了初步的成果,但耐药性的出现表明,现有的研究还远远不够。近年来,人们发现肿瘤微环境是肿瘤发生发展的重要条件,具有深远的研究价值。SLC16家族是一组参与肿瘤代谢和肿瘤微环境形成的单羧酸转运体。然而,在SLC16家族中还没有广泛的癌症研究。在本研究中,我们对SLC16家族进行了泛癌分析。结果表明,SLC16家族的多个成员可作为多种肿瘤的预后指标,并与免疫侵袭和肿瘤干细胞相关。因此,SLC16家族在未来具有广泛的勘探价值。
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引用次数: 16
Solute carrier transporter superfamily member SLC16A1 is a potential prognostic biomarker and associated with immune infiltration in skin cutaneous melanoma. 溶质载体转运体超家族成员 SLC16A1 是一种潜在的预后生物标志物,并与皮肤黑色素瘤的免疫浸润有关。
Pub Date : 2021-12-01 DOI: 10.1080/19336950.2021.1953322
Jiaheng Xie, Zhechen Zhu, Yuan Cao, Shujie Ruan, Ming Wang, Jingping Shi

Melanoma is a type of cancer with a relatively poor prognosis. The development of immunotherapy for the treatment of patients with melanoma has drawn considerable attention in recent years. It is of great clinical significance to identify novel promising prognostic biomarkers and to explore their roles in the immune microenvironment. The solute carrier (SLC) superfamily is a group of transporters predominantly expressed on the cell membrane and are involved in substance transport. SLC16A1 is a member of the SLC family, participating in the transport of lactate, pyruvate, amino acids, ketone bodies, etc. The role of SLC16A1 in tumor immunity has been recently elucidated, while its role in melanoma remains unclear. In this study, bioinformatics analysis was performed to explore the role of SLC16A1 in melanoma. The results showed that high SLC16A1 expression was correlated with decreased overall survival in patients with melanoma. The genes co-expressed with SLC16A1 were significantly enriched in metabolic regulation, protein ubiquitination, and substance localization. Moreover, SLC16A1 was correlated with the infiltration of immune cells. In conclusion, SLC16A1 is a robust prognostic biomarker for melanoma and may be used as a novel target in immunotherapy.

黑色素瘤是一种预后相对较差的癌症。近年来,用于治疗黑色素瘤患者的免疫疗法的发展引起了广泛关注。发现新的有希望的预后生物标志物并探索它们在免疫微环境中的作用具有重要的临床意义。溶质载体(SLC)超家族是一组主要在细胞膜上表达的转运体,参与物质转运。SLC16A1 是 SLC 家族的一员,参与乳酸、丙酮酸、氨基酸、酮体等物质的转运。SLC16A1 在肿瘤免疫中的作用最近已被阐明,但其在黑色素瘤中的作用仍不清楚。本研究通过生物信息学分析,探讨了 SLC16A1 在黑色素瘤中的作用。结果显示,SLC16A1的高表达与黑色素瘤患者总生存率的下降相关。与SLC16A1共表达的基因在代谢调节、蛋白质泛素化和物质定位方面明显富集。此外,SLC16A1 还与免疫细胞的浸润相关。总之,SLC16A1是黑色素瘤强有力的预后生物标志物,可作为免疫疗法的新靶点。
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引用次数: 0
The clinical and genetic heterogeneity analysis of five families with primary periodic paralysis. 五个原发性周期性麻痹家族的临床和遗传异质性分析。
Pub Date : 2021-12-01 DOI: 10.1080/19336950.2020.1857980
Quanquan Wang, Zhe Zhao, Hongrui Shen, Qi Bing, Nan Li, Jing Hu

To explore the clinical and genetic characteristics of five families with primary periodic paralysis (PPP). We reviewed clinical manifestations, laboratory results, electrocardiogram, electromyography, muscle biopsy, and genetic analysis from five families with PPP. Five families with PPP included: hypokalemic periodic paralysis type 1 (HypoPP1, CACNA1S, 1/5), hypokalemic periodic paralysis type 2 (HypoPP2, SCN4A, 2/5), normokalemic periodic paralysis (NormoPP, SCN4A, 1/5), and Andersen-Tawil syndrome (ATS, KCNJ2, 1/5). The basic clinical manifestations of five families were consistent with PPP, presenting with paroxysmal muscle weakness, with or without abnormal serum potassium. ATS was accompanied by ventricular arrhythmias, and skeletal and craniofacial anomalies, developing with a permanent fixed myopathy later. The electromyography showed diffuse myopathic discharge, and muscle biopsy showed tubular aggregates. Genetic testing revealed five families with PPP carried CACNA1S (R1242S), SCN4A (R675Q, T704M), and KCNJ2 (R218Q) respectively. The novel heterozygous R1242S mutation in CACNA1S caused a conformational change in the protein structure, and the amino acid of this mutation site was highly conserved among different species. SCN4A mutations led to two phenotypes of HypoPP2 and NormoPP. PPPs are autosomal dominant disorders of ion channel dysfunction characterized by episodic flaccid muscle weakness secondary to abnormal sarcolemmal excitability. PPPs are caused by mutations in skeletal muscle calcium channel CaV1.1 gene (CACNA1S), sodium channel NaV1.4 gene (SCN4A), and potassium channels Kir2.1, Kir3.4 genes (KCNJ2, KCNJ5), including HypoPP1, HypoPP2, NormoPP, HyperPP, and ATS, which have significant clinical and genetic heterogeneity. Diagnosis is based on the characteristic clinical presentation then confirmed by genetic testing.

探讨五个原发性周期性麻痹(PPP)家族的临床和遗传特征。我们回顾了五个 PPP 家族的临床表现、实验室结果、心电图、肌电图、肌肉活检和基因分析。五个 PPP 家族包括:低钾周期性麻痹 1 型(HypoPP1,CACNA1S,1/5)、低钾周期性麻痹 2 型(HypoPP2,SCN4A,2/5)、常钾周期性麻痹(NormoPP,SCN4A,1/5)和安德森-塔维尔综合征(ATS,KCNJ2,1/5)。五个家族的基本临床表现与 PPP 一致,表现为阵发性肌无力,伴有或不伴有血清钾异常。ATS伴有室性心律失常、骨骼和颅面畸形,后来发展为永久性固定肌病。肌电图显示弥漫性肌病放电,肌肉活检显示管状聚集。基因检测显示,5 个 PPP 家族分别携带 CACNA1S(R1242S)、SCN4A(R675Q、T704M)和 KCNJ2(R218Q)。CACNA1S的新型杂合R1242S突变导致蛋白质结构发生构象变化,该突变位点的氨基酸在不同物种间高度保守。SCN4A 突变导致了 HypoPP2 和 NormoPP 两种表型。PPPs是一种常染色体显性离子通道功能障碍疾病,其特征是继发于肌浆兴奋性异常的阵发性弛缓性肌无力。PPPs 由骨骼肌钙通道 CaV1.1 基因(CACNA1S)、钠通道 NaV1.4 基因(SCN4A)和钾通道 Kir2.1、Kir3.4 基因(KCNJ2、KCNJ5)突变引起,包括 HypoPP1、HypoPP2、NormoPP、HyperPP 和 ATS,具有显著的临床和遗传异质性。诊断的依据是特征性的临床表现,然后通过基因检测加以确认。
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引用次数: 0
期刊
Channels (Austin, Tex.)
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