Molecular Medicine I.
Csáki Réka, MSc
KA84WY
Department of Physiology, Semmelweis University
+36304100841
csakireka2@gmail.com
Identification of a Novel KCNA5 Variant Disrupting Kv1.5 Channel Function
Réka Csáki1, Vasile Foris2, Christina A. Eichstaedt3, Alice Dobolyi1, Chandran Nagaraj2, Michael Halank4, Ekkehard Grünig3, Horst Olschewski5, Andrea Olschewski6, Péter Enyedi1
1: Department of Physiology, Semmelweis University
2: Division of Pulmonology, Department of Internal Medicine, Medical University of Graz
3: Center for Pulmonary Hypertension, Thoraxklinik Heidelberg gGmbH at Heidelberg University Hospital, Translational Lung Research Center Heidelberg (TLRC), German Center for Lung Research (DZL), Laboratory for Molecular Diagnostics, Institute of Human Genetics, Heidelberg University
4: Medical Clinic I and Polyclinic I, University Hospital Carl Gustav Carus of the Technical University of Dresden
5: neumology & Experimental Medicine, Sigmund Freud Private University, Department of Infectious Diseases and Respiratory Medicine at Charité – Universitätsmedizin Berlin,
6: Experimental Anaesthesiology, Department of Anaesthesiology and Intensive Care Medicine, Medical University of Graz
Szóbeli
Molecular Medicine I.
English
Molecular Medicine
Introduction
Pulmonary arterial hypertension (PAH) is a severe condition marked by increased small arterial pressure and right heart failure. It may arise from dysfunctional ion channels in pulmonary arterial smooth muscle cells (PASMCs), leading to depolarization, increased vascular tone, and vessel wall remodeling. Potassium ion channels are key regulators of PASMC membrane potential. Previous studies have linked mutations in the voltage-gated K⁺ channel Kv1.5 to PAH. Targeted genetic screening of our international PAH database identified several previously unreported Kv1.5 mutations.
Aims
Our experiments aim to clarify how altered K⁺ channel function contributes to PAH development. In this study we examined how the identified Kv1.5 mutations affect channel function.
Methods
Six identified Kv1.5 channel mutant clones were generated and expressed in Xenopus oocyte and HEK cell model systems. Their electrophysiological properties were studied by two-electrode voltage clamp and patch clamp measurements.
Results
Our findings indicate that among the six variants analysed only the Gly435Arg missense variant showed a significant reduction of 87±1.3% in whole-cell current compared to the wild-type (WT) channel. This variant was also characterized by slower activation and inactivation kinetics. In single channel recordings, conductance remained unaltered, while mutant mean open probability was reduced by at least 50% compared to WT.We hypothesize that the introduced positive charge of arginine may affect channel gating. The Gly435Arg variant was identified in a heterozygous form in a female patient with idiopathic PAH. To investigate whether the mutation has a dominant-negative effect on the channel function, WT and Gly435Arg subunits were linked as dimers to study the effect of the mutation under defined heterozygous conditions. We found a 53±3% reduction in heterotetrameric whole cell current.
Conclusion
This study provides the first evidence of a functionally significant KCNA5 gene variant that markedly impairs Kv1.5 channel function, potentially contributing to the pathogenesis of PAH.
Funding
Supported by the EKÖP-2024-41 New National Excellence Program of the Ministry for Culture and Innovation from the source of the National Research, Development and Innovation Fund, by SE250+ excellence PhD scholarship and by the NKFIH TKP2021-EGA-24.
Semmelweis University
Péter Enyedi M.D., D.Sc
I do not give consent to the publication of my abstract on the website of the congress.
in doctoral studies after complex exam (PhD)
Szabad
elfogadva
szóbeli
nem hagyta jóvá
7416
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16:15