
AbstractCantú syndrome (CS) is caused by dominant gain‐of‐function mutation in ATP‐dependent potassium channels. Cellular ATP concentrations regulate potassium current thereby coupling energy status with membrane excitability. No specific pharmacotherapeutic options are available to treat CS but IKATP channels are pharmaceutical targets in type II diabetes or cardiac arrhythmia treatment. We have been suggested that IKATP inhibitors, glibenclamide and HMR1098, normalize CS channels. IKATP in response to Mg‐ATP, glibenclamide and HMR1098 were measured by inside‐out patch‐clamp electrophysiology. Results were interpreted in view of cryo‐EM IKATP channel structures. Mg‐ATP IC50 values of outward current were increased for D207E (0.71 ± 0.14 mmol/L), S1020P (1.83 ± 0.10), S1054Y (0.95 ± 0.06) and R1154Q (0.75 ± 0.13) channels compared to H60Y (0.14 ± 0.01) and wild‐type (0.15 ± 0.01). HMR1098 dose‐dependently inhibited S1020P and S1054Y channels in the presence of 0.15 mmol/L Mg‐ATP, reaching, at 30 μmol/L, current levels displayed by wild‐type and H60Y channels in the presence of 0.15 mmol/L Mg‐ATP. Glibenclamide (10 μmol/L) induced similar normalization. S1054Y sensitivity to glibenclamide increases strongly at 0.5 mmol/L Mg‐ATP compared to 0.15 mmol/L, in contrast to D207E and S1020P channels. Experimental findings agree with structural considerations. We conclude that CS channel activity can be normalized by existing drugs; however, complete normalization can be achieved at supraclinical concentrations only.
Cantú syndrome, Potassium Channels, SENSITIVE POTASSIUM CHANNEL, Hypertrichosis, Gene Expression, Cardiomegaly, Osteochondrodysplasias, INSULIN-SECRETION, ABCC9, HMR1098, Adenosine Triphosphate, Glucuronides, KATP Channels, TERMINAL TRANSMEMBRANE DOMAIN, 301206 Pharmakologie, Glyburide, Journal Article, Potassium Channel Blockers, Humans, K-ATP CHANNELS, Sulfonamides, MUTATIONS, Cryoelectron Microscopy, INHIBITOR, Cell Biology, Original Articles, electrophysiology, ISCHEMIA, GLYBURIDE, HEK293 Cells, HMR 1883, glibenclamide, Cantu syndrome, Gain of Function Mutation, Potassium, Molecular Medicine, SULFONYLUREAS, pharmacology, 301206 Pharmacology
Cantú syndrome, Potassium Channels, SENSITIVE POTASSIUM CHANNEL, Hypertrichosis, Gene Expression, Cardiomegaly, Osteochondrodysplasias, INSULIN-SECRETION, ABCC9, HMR1098, Adenosine Triphosphate, Glucuronides, KATP Channels, TERMINAL TRANSMEMBRANE DOMAIN, 301206 Pharmakologie, Glyburide, Journal Article, Potassium Channel Blockers, Humans, K-ATP CHANNELS, Sulfonamides, MUTATIONS, Cryoelectron Microscopy, INHIBITOR, Cell Biology, Original Articles, electrophysiology, ISCHEMIA, GLYBURIDE, HEK293 Cells, HMR 1883, glibenclamide, Cantu syndrome, Gain of Function Mutation, Potassium, Molecular Medicine, SULFONYLUREAS, pharmacology, 301206 Pharmacology
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