Abstract
In addition to the clarification of the pathology of a whole group of hereditary diseases, the study of the consequences of these mutations at the levels of the whole system (patient), organ and cells (excised muscle specimens), and of the channel proteins has taught us that our current opinions on channel structure-function relations are far from being comprehensive. For instance it had been assumed that as in the potassium channel, also in the sodium and calcium channel proteins, the S4 unit is mainly responsible for channel activation. This notion has to be corrected as mutations in S4 of repeat IV were found to affect mainly channel inactivation. Moreover mutations affecting other channel domains, such as interlinkers or other intramembraneous subunits cause virtually the same alterations, not only when tested with the limited probe of the patch clamp but also on the level of the patient. The lack of mutations in other parts of the genes, in particular those coding for sodium or calcium channels, may indicate that proper function of the corresponding protein domains is essential for life. Thus the knowledge derived from the experiments of Nature, as these diseases may be looked upon by the cell biologist, provides a valuable addition to the results from site-directed mutagenesis. For a final understanding of the pathology of the diseases, for example, triggering effects of cold or potassium, it seems that the regression from the proteins back to the cellular or even systemic levels is unavoidable.
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Lehmann-Horn, F., Rüdel, R. (1996). Molecular pathophysiology of voltage-gated ion channels. In: Reviews of Physiology Biochemistry and Pharmacology, Volume 128. Reviews of Physiology, Biochemistry and Pharmacology, vol 128. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-61343-9_9
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