Article ; Online: Erythromelalgia caused by the missense mutation p.Arg220Pro in an alternatively spliced exon of SCN9A (NaV1.7).
2023 Volume 33, Issue 2, Page(s) 103–109
Abstract: Erythromelalgia (EM), is a familial pain syndrome characterized by episodic 'burning' pain, warmth, and erythema. EM is caused by monoallelic variants in SCN9A, which encodes the voltage-gated sodium channel (NaV) NaV1.7. Over 25 different SCN9A ... ...
Abstract | Erythromelalgia (EM), is a familial pain syndrome characterized by episodic 'burning' pain, warmth, and erythema. EM is caused by monoallelic variants in SCN9A, which encodes the voltage-gated sodium channel (NaV) NaV1.7. Over 25 different SCN9A mutations attributed to EM have been described to date, all identified in the SCN9A transcript utilizing exon 6N. Here we report a novel SCN9A missense variant identified in seven related individuals with stereotypic episodes of bilateral lower limb pain presenting in childhood. The variant, XM_011511617.3:c.659G>C;p.(Arg220Pro), resides in the exon 6A of SCN9A, an exon previously shown to be selectively incorporated by developmentally regulated alternative splicing. The mutation is located in the voltage-sensing S4 segment of domain I, which is important for regulating channel activation. Functional analysis showed the p.Arg220Pro mutation altered voltage-dependent activation and delayed channel inactivation, consistent with a NaV1.7 gain-of-function molecular phenotype. These results demonstrate that alternatively spliced isoforms of SCN9A should be included in all genomic testing of EM. |
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MeSH term(s) | Humans ; Erythromelalgia/genetics ; Mutation, Missense/genetics ; NAV1.7 Voltage-Gated Sodium Channel/genetics ; Pain/genetics ; Mutation ; Exons/genetics |
Chemical Substances | NAV1.7 Voltage-Gated Sodium Channel ; SCN9A protein, human |
Language | English |
Publishing date | 2023-09-16 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 1108742-0 |
ISSN | 1460-2083 ; 0964-6906 |
ISSN (online) | 1460-2083 |
ISSN | 0964-6906 |
DOI | 10.1093/hmg/ddad152 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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