Modulation of Cardiac Sodium Channel Gating by Protein Kinase A Can Be Altered by Disease-linked Mutation

Michihiro Tateyama, Ilaria Rivolta, Colleen E Clancy, Robert S. Kass

Research output: Contribution to journalArticlepeer-review

39 Scopus citations


Mutations associated with sodium channel-linked inherited Long-QT syndrome often result in a gain of channel function by disrupting channel inactivation. A small fraction of channels fail to inactivate (burst) at depolarized potentials where normal (wild type) channels fully inactivate. These noninactivating channels give rise to a sustained macroscopic current. We studied the effects of protein kinase A stimulation on sustained current in wild type and three disease-linked C-terminal mutant channels (D1790G, Y1795C, and Y1795H). We show that protein kinase A stimulation differentially affects gating in the mutant channels. Wild type, Y1795C, and Y1795H channels are insensitive to protein kinase A stimulation, whereas "bursting" in the D1790G mutant is markedly enhanced by protein kinase A-dependent phosphorylation. Our results suggest that the charge at position 1790 of the C terminus of the channel modulates the response of the cardiac sodium channel to protein kinase A stimulation and that phosphorylation of residue 36 in the N terminus and residue 525 in the cytoplasmic linker joining domains I and II of the channel α subunit facilitate destabilization of inactivation and thereby increase sustained current.

Original languageEnglish (US)
Pages (from-to)46718-46726
Number of pages9
JournalJournal of Biological Chemistry
Issue number47
StatePublished - Nov 21 2003
Externally publishedYes

ASJC Scopus subject areas

  • Biochemistry


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