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Title: A novel epileptic encephalopathy mutation in KCNB1 disrupts Kv2.1 ion selectivity, expression, and localization

Abstract

The epileptic encephalopathies are a group of highly heterogeneous genetic disorders. The majority of disease-causing mutations alter genes encoding voltage-gated ion channels, neurotransmitter receptors, or synaptic proteins. We have identified a novel de novo pathogenic K+ channel variant in an idiopathic epileptic encephalopathy family. Here, we report the effects of this mutation on channel function and heterologous expression in cell lines. We present a case report of infantile epileptic encephalopathy in a young girl, and trio-exome sequencing to determine the genetic etiology of her disorder. The patient was heterozygous for a de novo missense variant in the coding region of the KCNB1 gene, c.1133T>C. The variant encodes a V378A mutation in the α subunit of the Kv2.1 voltage-gated K+ channel, which is expressed at high levels in central neurons and is an important regulator of neuronal excitability. We found that expression of the V378A variant results in voltage-activated currents that are sensitive to the selective Kv2 channel blocker guangxitoxin-1E. These voltage-activated Kv2.1 V378A currents were nonselective among monovalent cations. Striking cell background–dependent differences in expression and subcellular localization of the V378A mutation were observed in heterologous cells. Further, coexpression of V378A subunits and wild-type Kv2.1 subunits reciprocally affects their respectivemore » trafficking characteristics. A recent study reported epileptic encephalopathy-linked missense variants that render Kv2.1 a tonically activated, nonselective cation channel that is not voltage activated. Our findings strengthen the correlation between mutations that result in loss of Kv2.1 ion selectivity and development of epileptic encephalopathy. However, the strong voltage sensitivity of currents from the V378A mutant indicates that the loss of voltage-sensitive gating seen in all other reported disease mutants is not required for an epileptic encephalopathy phenotype. In addition to electrophysiological differences, we suggest that defects in expression and subcellular localization of Kv2.1 V378A channels could contribute to the pathophysiology of this KCNB1 variant.« less

Authors:
 [1];  [2];  [2];  [2];  [2];  [1];  [1];  [1];  [1];  [3];  [4];  [5];  [3];  [5]
  1. Children’s Mercy Hospital, Kansas City, MO (United States)
  2. Univ. of California, Davis, CA (United States). Dept. of Neurobiology, Physiology and Behavior. Dept. of Physiology and Membrane Biology. Dept. of Anesthesiology and Pain Medicine
  3. Children’s Mercy Hospital, Kansas City, MO (United States); University of Missouri, Kansas City, MO (United States)
  4. Children’s Mercy Hospital, Kansas City, MO (United States); Univ. of Missouri, Kansas City, MO (United States)
  5. University of California, Davis, CA (United States)
Publication Date:
Research Org.:
Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States)
Sponsoring Org.:
USDOE Office of Science (SC); Clare Giannini Fund; National Institutes of Health (NIH)
OSTI Identifier:
1625214
Grant/Contract Number:  
AC02-05CH11231; R01 NS042225
Resource Type:
Accepted Manuscript
Journal Name:
Journal of General Physiology
Additional Journal Information:
Journal Volume: 146; Journal Issue: 5; Journal ID: ISSN 0022-1295
Publisher:
Rockefeller University Press
Country of Publication:
United States
Language:
English
Subject:
59 BASIC BIOLOGICAL SCIENCES

Citation Formats

Thiffault, Isabelle, Speca, David J., Austin, Daniel C., Cobb, Melanie M., Eum, Kenneth S., Safina, Nicole P., Grote, Lauren, Farrow, Emily G., Miller, Neil, Soden, Sarah, Kingsmore, Stephen F., Trimmer, James S., Saunders, Carol J., and Sack, Jon T. A novel epileptic encephalopathy mutation in KCNB1 disrupts Kv2.1 ion selectivity, expression, and localization. United States: N. p., 2015. Web. doi:10.1085/jgp.201511444.
Thiffault, Isabelle, Speca, David J., Austin, Daniel C., Cobb, Melanie M., Eum, Kenneth S., Safina, Nicole P., Grote, Lauren, Farrow, Emily G., Miller, Neil, Soden, Sarah, Kingsmore, Stephen F., Trimmer, James S., Saunders, Carol J., & Sack, Jon T. A novel epileptic encephalopathy mutation in KCNB1 disrupts Kv2.1 ion selectivity, expression, and localization. United States. https://doi.org/10.1085/jgp.201511444
Thiffault, Isabelle, Speca, David J., Austin, Daniel C., Cobb, Melanie M., Eum, Kenneth S., Safina, Nicole P., Grote, Lauren, Farrow, Emily G., Miller, Neil, Soden, Sarah, Kingsmore, Stephen F., Trimmer, James S., Saunders, Carol J., and Sack, Jon T. Mon . "A novel epileptic encephalopathy mutation in KCNB1 disrupts Kv2.1 ion selectivity, expression, and localization". United States. https://doi.org/10.1085/jgp.201511444. https://www.osti.gov/servlets/purl/1625214.
@article{osti_1625214,
title = {A novel epileptic encephalopathy mutation in KCNB1 disrupts Kv2.1 ion selectivity, expression, and localization},
author = {Thiffault, Isabelle and Speca, David J. and Austin, Daniel C. and Cobb, Melanie M. and Eum, Kenneth S. and Safina, Nicole P. and Grote, Lauren and Farrow, Emily G. and Miller, Neil and Soden, Sarah and Kingsmore, Stephen F. and Trimmer, James S. and Saunders, Carol J. and Sack, Jon T.},
abstractNote = {The epileptic encephalopathies are a group of highly heterogeneous genetic disorders. The majority of disease-causing mutations alter genes encoding voltage-gated ion channels, neurotransmitter receptors, or synaptic proteins. We have identified a novel de novo pathogenic K+ channel variant in an idiopathic epileptic encephalopathy family. Here, we report the effects of this mutation on channel function and heterologous expression in cell lines. We present a case report of infantile epileptic encephalopathy in a young girl, and trio-exome sequencing to determine the genetic etiology of her disorder. The patient was heterozygous for a de novo missense variant in the coding region of the KCNB1 gene, c.1133T>C. The variant encodes a V378A mutation in the α subunit of the Kv2.1 voltage-gated K+ channel, which is expressed at high levels in central neurons and is an important regulator of neuronal excitability. We found that expression of the V378A variant results in voltage-activated currents that are sensitive to the selective Kv2 channel blocker guangxitoxin-1E. These voltage-activated Kv2.1 V378A currents were nonselective among monovalent cations. Striking cell background–dependent differences in expression and subcellular localization of the V378A mutation were observed in heterologous cells. Further, coexpression of V378A subunits and wild-type Kv2.1 subunits reciprocally affects their respective trafficking characteristics. A recent study reported epileptic encephalopathy-linked missense variants that render Kv2.1 a tonically activated, nonselective cation channel that is not voltage activated. Our findings strengthen the correlation between mutations that result in loss of Kv2.1 ion selectivity and development of epileptic encephalopathy. However, the strong voltage sensitivity of currents from the V378A mutant indicates that the loss of voltage-sensitive gating seen in all other reported disease mutants is not required for an epileptic encephalopathy phenotype. In addition to electrophysiological differences, we suggest that defects in expression and subcellular localization of Kv2.1 V378A channels could contribute to the pathophysiology of this KCNB1 variant.},
doi = {10.1085/jgp.201511444},
journal = {Journal of General Physiology},
number = 5,
volume = 146,
place = {United States},
year = {Mon Oct 26 00:00:00 EDT 2015},
month = {Mon Oct 26 00:00:00 EDT 2015}
}

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Deletion of the Kv2.1 delayed rectifier potassium channel leads to neuronal and behavioral hyperexcitability: Kv2.1 deletion and hyperexcitability
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Frequency-dependent regulation of rat hippocampal somato-dendritic excitability by the K + channel subunit Kv2.1
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Axon initial segment dysfunction in epilepsy: Axon initial segment dysfunction in epilepsy
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The Role of Voltage-Gated Potassium Channels Kv2.1 and Kv2.2 in the Regulation of Insulin and Somatostatin Release from Pancreatic Islets
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The Kv2.1 K+ channel targets to the axon initial segment of hippocampal and cortical neurons in culture and in situ
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Extending the KCNQ2 encephalopathy spectrum: Clinical and neuroimaging findings in 17 patients
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Induction of stable ER-plasma-membrane junctions by Kv2.1 potassium channels
journal, April 2015

  • Fox, P. D.; Haberkorn, C. J.; Akin, E. J.
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Polarized Axonal Surface Expression of Neuronal KCNQ Potassium Channels Is Regulated by Calmodulin Interaction with KCNQ2 Subunit
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Works referencing / citing this record:

Precision physiology and rescue of brain ion channel disorders
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Noncanonical Ion Channel Behaviour in Pain
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Kv2.1 voltage‐gated potassium channels in developmental perspective
journal, September 2019

  • Jędrychowska, Justyna; Korzh, Vladimir
  • Developmental Dynamics, Vol. 248, Issue 12
  • DOI: 10.1002/dvdy.114

Potassium Channel Gain of Function in Epilepsy: An Unresolved Paradox
journal, March 2018


Kv2 potassium channels form endoplasmic reticulum/plasma membrane junctions via interaction with VAPA and VAPB
journal, June 2018

  • Johnson, Ben; Leek, Ashley N.; Solé, Laura
  • Proceedings of the National Academy of Sciences, Vol. 115, Issue 31
  • DOI: 10.1073/pnas.1805757115

Models for discovery of targeted therapy in genetic epileptic encephalopathies
journal, September 2017

  • Maljevic, Snezana; Reid, Christopher A.; Petrou, Steven
  • Journal of Neurochemistry, Vol. 143, Issue 1
  • DOI: 10.1111/jnc.14134

Spectrum of K V 2.1 Dysfunction in KCNB1 ‐Associated Neurodevelopmental Disorders
journal, October 2019

  • Kang, Seok Kyu; Vanoye, Carlos G.; Misra, Sunita N.
  • Annals of Neurology, Vol. 86, Issue 6
  • DOI: 10.1002/ana.25607

Monogenic disorders that mimic the phenotype of Rett syndrome
journal, January 2018


A molecular rheostat: Kv2.1 currents maintain or suppress repetitive firing in motoneurons
journal, June 2019

  • Romer, Shannon H.; Deardorff, Adam S.; Fyffe, Robert E. W.
  • The Journal of Physiology, Vol. 597, Issue 14
  • DOI: 10.1113/jp277833

Oxidation of KCNB1 potassium channels triggers apoptotic integrin signaling in the brain
journal, April 2017


Kv2 channels create endoplasmic reticulum / plasma membrane junctions: a brief history of Kv2 channel subcellular localization
journal, January 2019


Noncanonical Ion Channel Behaviour in Pain
journal, September 2019

  • Ciotu, Cosmin I.; Tsantoulas, Christoforos; Meents, Jannis
  • International Journal of Molecular Sciences, Vol. 20, Issue 18
  • DOI: 10.3390/ijms20184572