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Biophysical Journal 73: 1896-1903 (1997)
© 1997 the Biophysical Society

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Defective fast inactivation recovery and deactivation account for sodium channel myotonia in the I1160V mutant.

J E Richmond, D VanDeCarr, D E Featherstone, A L George, Jr and P C Ruben

Department of Biology, University of Utah, Salt Lake City 84112, USA.

ABSTRACT

The skeletal muscle sodium channel mutant I1160V cosegregates with a disease phenotype producing myotonic discharges (observed as muscle stiffness) that are worsened by elevated K+ levels but unaffected by cooling. The I1160V alpha-subunit was co-expressed with the beta1-subunit in Xenopus oocytes. An electrophysiological characterization was undertaken to examine the underlying biophysical characteristics imposed by this mutation. Two abnormalities were found. 1) The voltage dependence of steady-state fast inactivation was reduced in I1160V, which resulted in faster rates of closed-state fast inactivation onset and recovery in I1160V compared with wild-type channels. 2) The rates of deactivation were slower in I1160V than in wild-type channels. Using a computer-simulated model, the combination of both defects elicited myotonic runs under conditions of elevated K+, consistent with the observed phenotype of the mutant.




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