TY - JOUR A1 - Scheiper-Welling, Stefanie A1 - Zuccolini, Paolo A1 - Rauh, Oliver A1 - Beckmann, Britt-Maria A1 - Geisen, Christof A1 - Moroni, Anna A1 - Thiel, Gerhard A1 - Kauferstein, Silke T1 - Characterization of an N-terminal Nav1.5 channel variant – a potential risk factor for arrhythmias and sudden death? T2 - BMC Medical Genetics N2 - Background: Alterations in the SCN5A gene encoding the cardiac sodium channel Nav1.5 have been linked to a number of arrhythmia syndromes and diseases including long-QT syndrome (LQTS), Brugada syndrome (BrS) and dilative cardiomyopathy (DCM), which may predispose to fatal arrhythmias and sudden death. We identified the heterozygous variant c.316A > G, p.(Ser106Gly) in a 35-year-old patient with survived cardiac arrest. In the present study, we aimed to investigate the functional impact of the variant to clarify the medical relevance. Methods: Mutant as well as wild type GFP tagged Nav1.5 channels were expressed in HEK293 cells. We performed functional characterization experiments using patch-clamp technique. Results: Electrophysiological measurements indicated, that the detected missense variant alters Nav1.5 channel functionality leading to a gain-of-function effect. Cells expressing S106G channels show an increase in Nav1.5 current over the entire voltage window. Conclusion: The results support the assumption that the detected sequence aberration alters Nav1.5 channel function and may predispose to cardiac arrhythmias and sudden cardiac death. KW - Arrhythmia syndromes KW - Sudden death KW - Cardiac arrest KW - SCN5A KW - Functional characterization Y1 - 2020 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/80736 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-807366 SN - 1471-2350 N1 - The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. N1 - The peer review history for this article is available at: https://bmcmedgenet.biomedcentral.com/articles/10.1186/s12881-020-01170-3/peer-review. N1 - Open Access funding enabled and organized by Projekt DEAL. VL - 21 IS - 1, art. 227 SP - 1 EP - 9 PB - BioMed Central ; Springer CY - London ; Berlin ; Heidelberg ER -