Spectrum of sodium channel disturbances in the nondystrophic myotonias and periodic paralyses

Spectrum of sodium channel disturbances in the nondystrophic myotonias and periodic paralyses. Several heritable forms of myotonia and periodic paralysis are caused by missense mutations in the voltage-gated sodium channel of skeletal muscle. Mutations produce gain-of-function defects, either disrup...

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Veröffentlicht in:Kidney international 2000-03, Vol.57 (3), p.772-779
1. Verfasser: Cannon, Stephen C.
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description Spectrum of sodium channel disturbances in the nondystrophic myotonias and periodic paralyses. Several heritable forms of myotonia and periodic paralysis are caused by missense mutations in the voltage-gated sodium channel of skeletal muscle. Mutations produce gain-of-function defects, either disrupted inactivation or enhanced activation. Both defects result in too much inward Na current which may either initiate pathologic bursts of action potentials (myotonia) or cause flaccid paralysis by depolarizing fibers to a refractory inexcitable state. Myotonic stiffness and periodic paralysis occur as paroxysmal attacks often triggered by environmental factors such as serum K+, cold, or exercise. Many gaps remain in our understanding of the interactions between genetic predisposition and these environmental influences. Targeted gene manipulation in animals may provide the tools to fill in these gaps.
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; ProQuest Central UK/Ireland; Alma/SFX Local Collection
subjects Animals
Biological and medical sciences
Diseases of striated muscles. Neuromuscular diseases
electrophysiology
genetic disorder
hereditary disease
human
Humans
Ion Channel Gating
Medical sciences
Muscle, Skeletal - metabolism
Mutation - physiology
Mutation, Missense - physiology
Myotonia - genetics
Myotonia - metabolism
Myotonia - physiopathology
Neurology
Paralyses, Familial Periodic - genetics
Paralyses, Familial Periodic - metabolism
Paralyses, Familial Periodic - physiopathology
skeletal muscle
Sodium Channels - genetics
Sodium Channels - metabolism
title Spectrum of sodium channel disturbances in the nondystrophic myotonias and periodic paralyses
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