Referenced in: none

Automatically associated channels: Kir1.1 , Kir4.1 , Kir5.1

Title: KCNJ10 mutations display differential sensitivity to heteromerisation with KCNJ16.

Authors: Sophie Parrock, Sofia Hussain, Naomi Issler, Ann-Marie Differ, Nicholas Lench, Stefano Guarino, Michiel J S Oosterveld, Mandy Keijzer-Veen, Eva Brilstra, Hester van Wieringen, A Yvette Konijnenberg, Sarah Amin-Rasip, Simona Dumitriu, Enriko Klootwijk, Nine Knoers, Detlef Bockenhauer, Robert Kleta, Anselm A Zdebik

Journal, date & volume: Nephron Physiol, 2013 , 123, 7-14

PubMed link: http://www.ncbi.nlm.nih.gov/pubmed/24193250

Abstract
Mutations in the inwardly-rectifying K(+)-channel KCNJ10/Kir4.1 cause autosomal recessive EAST syndrome (epilepsy, ataxia, sensorineural deafness and tubulopathy). KCNJ10 is expressed in the distal convoluted tubule of the kidney, stria vascularis of the inner ear and brain glial cells. Patients diagnosed clinically with EAST syndrome were genotyped and mutations in KCNJ10 were studied functionally.Patient DNA was amplified and sequenced, and new mutations were identified. Mutant and wild-type KCNJ10 constructs were cloned and heterologously expressed in Xenopus oocytes. Whole-cell K(+) currents were measured by 2-electrode voltage clamping and channel expression was analysed by Western blotting.We identified 3 homozygous mutations in KCNJ10 (p.F75C, p.A167V and p.V91fs197X), with mutation p.A167V previously reported in a compound heterozygous state. Oocytes expressing wild-type human KCNJ10 showed inwardly rectified currents, which were significantly reduced in all of the mutants (p < 0.001). Specific inhibition of KCNJ10 currents by Ba(2+) demonstrated a large residual function in p.A167V only, which was not compatible with causing disease. However, co-expression with KCNJ16 abolished function in these heteromeric channels almost completely.This study provides an explanation for the pathophysiology of the p.A167V KCNJ10 mutation, which had previously not been considered pathogenic on its own. These findings provide evidence for the functional cooperation of KCNJ10 and KCNJ16. Thus, in vitro ascertainment of KCNJ10 function may necessitate co-expression with KCNJ16.