Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\27226610
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Biol+Chem
2016 ; 291
(29
): 15332-41
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Investigating the Mechanism by Which Gain-of-function Mutations to the ?1 Glycine
Receptor Cause Hyperekplexia
#MMPMID27226610
Zhang Y
; Bode A
; Nguyen B
; Keramidas A
; Lynch JW
J Biol Chem
2016[Jul]; 291
(29
): 15332-41
PMID27226610
show ga
Hyperekplexia is a rare human neuromotor disorder caused by mutations that impair
the efficacy of glycinergic inhibitory neurotransmission. Loss-of-function
mutations in the GLRA1 or GLRB genes, which encode the ?1 and ? glycine receptor
(GlyR) subunits, are the major cause. Paradoxically, gain-of-function GLRA1
mutations also cause hyperekplexia, although the mechanism is unknown. Here we
identify two new gain-of-function mutations (I43F and W170S) and characterize
these along with known gain-of-function mutations (Q226E, V280M, and R414H) to
identify how they cause hyperekplexia. Using artificial synapses, we show that
all mutations prolong the decay of inhibitory postsynaptic currents (IPSCs) and
induce spontaneous GlyR activation. As these effects may deplete the chloride
electrochemical gradient, hyperekplexia could potentially result from reduced
glycinergic inhibitory efficacy. However, we consider this unlikely as the
depleted chloride gradient should also lead to pain sensitization and to a
hyperekplexia phenotype that correlates with mutation severity, neither of which
is observed in patients with GLRA1 hyperekplexia mutations. We also rule out
small increases in IPSC decay times (as caused by W170S and R414H) as a possible
mechanism given that the clinically important drug, tropisetron, significantly
increases glycinergic IPSC decay times without causing motor side effects. A
recent study on cultured spinal neurons concluded that an elevated intracellular
chloride concentration late during development ablates ?1? glycinergic synapses
but spares GABAergic synapses. As this mechanism satisfies all our
considerations, we propose it is primarily responsible for the hyperekplexia
phenotype.