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Ankyrin-B mutation causes type 4 long-QT cardiac arrhythmia and sudden cardiac death

Peter J. Mohler, Jean-Jacques Schott, Anthony O. Gramolini, Keith W. Dilly, Silvia Guatimosim, William H. duBell, Long-Sheng Song, Karine Haurogné, Florence Kyndt, Mervat E. Ali, Terry B. Rogers, W. J. Lederer, Denis Escande, Herve Le Marec and Vann Bennett ()
Additional contact information
Peter J. Mohler: Duke University Medical Center
Jean-Jacques Schott: Hôspital G&R Laennec
Anthony O. Gramolini: Duke University Medical Center
Keith W. Dilly: University of Maryland Biotechnology Institute
Silvia Guatimosim: University of Maryland Biotechnology Institute
William H. duBell: University of Maryland School of Medicine
Long-Sheng Song: University of Maryland Biotechnology Institute
Karine Haurogné: Hôspital G&R Laennec
Florence Kyndt: Hôspital G&R Laennec
Mervat E. Ali: Duke University Medical Center
Terry B. Rogers: University of Maryland School of Medicine
W. J. Lederer: University of Maryland Biotechnology Institute
Denis Escande: Hôspital G&R Laennec
Herve Le Marec: Hôspital G&R Laennec
Vann Bennett: Duke University Medical Center

Nature, 2003, vol. 421, issue 6923, 634-639

Abstract: Abstract Mutations in ion channels involved in the generation and termination of action potentials constitute a family of molecular defects that underlie fatal cardiac arrhythmias in inherited long-QT syndrome1. We report here that a loss-of-function (E1425G) mutation in ankyrin-B (also known as ankyrin 2), a member of a family of versatile membrane adapters2, causes dominantly inherited type 4 long-QT cardiac arrhythmia in humans. Mice heterozygous for a null mutation in ankyrin-B are haploinsufficient and display arrhythmia similar to humans. Mutation of ankyrin-B results in disruption in the cellular organization of the sodium pump, the sodium/calcium exchanger, and inositol-1,4,5-trisphosphate receptors (all ankyrin-B-binding proteins), which reduces the targeting of these proteins to the transverse tubules as well as reducing overall protein level. Ankyrin-B mutation also leads to altered Ca2+ signalling in adult cardiomyocytes that results in extrasystoles, and provides a rationale for the arrhythmia. Thus, we identify a new mechanism for cardiac arrhythmia due to abnormal coordination of multiple functionally related ion channels and transporters.

Date: 2003
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DOI: 10.1038/nature01335

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