Background-Loss-of-function mutations in Na(v)1.5 cause sodium channelopathies, including Brugada syndrome, dilated cardiomyopathy, and sick sinus syndrome; however, no effective therapy exists. MOG1 increases plasma membrane (PM) expression of Na(v)1.5 and sodium current (I-Na) density, thus we hypothesize that MOG1 can serve as a therapeutic target for sodium channelopathies. Methods and Results-Knockdown of MOG1 expression using small interfering RNAs reduced Na(v)1.5 PM expression, decreased I-Na densities by 2-fold in HEK/Na(v)1.5 cells and nearly abolished I-Na in mouse cardiomyocytes. MOG1 did not affect Na(v)1.5 PM turnover. MOG1 small interfering RNAs caused retention of Na(v)1.5 in endoplasmic reticulum, disrupted the distribution of Na(v)1.5 into caveolin-3-enriched microdomains, and led to redistribution of Na(v)1.5 to noncaveolin-rich domains. MOG1 fully rescued the reduced PM expression and I-Na densities by Na(v)1.5 trafficking-defective mutation D1275N associated with sick sinus syndrome/dilated cardiomyopathy/atrial arrhythmias. For Brugada syndrome mutation G1743R, MOG1 restored the impaired PM expression of the mutant protein and restored I-Na in a heterozygous state (mixture of wild type and mutant Na(v)1.5) to a full level of a homozygous wild-type state. Conclusions-Use of MOG1 to enhance Na(v)1.5 trafficking to PM may be a potential personalized therapeutic approach for some patients with Brugada syndrome, dilated cardiomyopathy, and sick sinus syndrome in the future.
基金:
National Institute of Health grant [R01 HL094498]; China National Basic Research Program (973 program) [2013CB531101]; American Heart Association Scientist Development grant [0630193 N]; American Heart Association NCRP Innovation Research grant [11IRG5570046]
Chakrabarti Susmita,Wu Xiaofen,Yang Zhaogang,et al.MOG1 Rescues Defective Trafficking of Nav1.5 Mutations in Brugada Syndrome and Sick Sinus Syndrome[J].CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY.2013,6(2):392-401.doi:10.1161/CIRCEP.111.000206.
APA:
Chakrabarti, Susmita,Wu, Xiaofen,Yang, Zhaogang,Wu, Ling,Yong, Sandro L....&Chen, Qiuyun.(2013).MOG1 Rescues Defective Trafficking of Nav1.5 Mutations in Brugada Syndrome and Sick Sinus Syndrome.CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY,6,(2)
MLA:
Chakrabarti, Susmita,et al."MOG1 Rescues Defective Trafficking of Nav1.5 Mutations in Brugada Syndrome and Sick Sinus Syndrome".CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY 6..2(2013):392-401