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MOG1 Rescues Defective Trafficking of Nav1.5 Mutations in Brugada Syndrome and Sick Sinus Syndrome

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单位: [1]Cleveland Clin, Dept Mol Cardiol, Ctr Cardiovasc Genet, Lerner Res Inst, Cleveland, OH 44195 USA [2]Case Western Reserve Univ, Dept Mol Med, Lerner Coll Med, Cleveland Clin, Cleveland, OH 44106 USA [3]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Wuhan 430074, Peoples R China [4]Ohio State Univ, Coll Pharm, Div Pharmacol, Columbus, OH 43210 USA [5]Huazhong Univ Sci & Technol, Key Lab Mol Biophys, Minist Educ, Coll Life Sci & Technol,Ctr Human Genome Res, Wuhan 430074, Peoples R China
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关键词: cardiac sodium channel Na(v)1 5 cell surface expression ion channel trafficking MOG1 SCN5A

摘要:
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.

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出版当年[2012]版:
大类 | 2 区 医学
小类 | 2 区 心脏和心血管系统
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 心脏和心血管系统
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出版当年[2011]版:
Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
最新[2023]版:
Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

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第一作者单位: [1]Cleveland Clin, Dept Mol Cardiol, Ctr Cardiovasc Genet, Lerner Res Inst, Cleveland, OH 44195 USA [2]Case Western Reserve Univ, Dept Mol Med, Lerner Coll Med, Cleveland Clin, Cleveland, OH 44106 USA
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通讯机构: [1]Cleveland Clin, Dept Mol Cardiol, Ctr Cardiovasc Genet, Lerner Res Inst, Cleveland, OH 44195 USA [2]Case Western Reserve Univ, Dept Mol Med, Lerner Coll Med, Cleveland Clin, Cleveland, OH 44106 USA [*1]Cleveland Clin, Dept Mol Cardiol, Ctr Cardiovasc Genet, Lerner Res Inst, NE40,9500 Euclid Ave, Cleveland, OH 44195 USA
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