Long QT Syndrome–Associated Mutations in KCNQ1 and KCNE1 Subunits Disrupt Normal Endosomal Recycling of IKs Channels by Guiscard Seebohm, Nathalie Strutz-Seebohm, Oana N. Ureche, Ulrike Henrion, Ravshan Baltaev, Andreas F. Mack, Ganna Korniychuk, Katja Steinke, Daniel Tapken, Arne Pfeufer, Stefan Kääb, Cecilia Bucci, Bernard Attali, Jean Merot, Jeremy M. Tavare, Uta C. Hoppe, Michael C. Sanguinetti, and Florian Lang Circulation Research Volume 103(12):1451-1457 December 5, 2008 Copyright © American Heart Association, Inc. All rights reserved. Figure 1. Deletion of the KCNQ1 N terminus and disruption of a motif in KCNE1 impair SGK1dependent stimulation. a, KCNQ1 (Q1) channels are stimulated when coexpressed with SGK1 in oocytes. Guiscard Seebohm et al. Circ Res. 2008;103:1451-1457 Copyright © American Heart Association, Inc. All rights reserved. Figure 2. SGK1 decreases Q1/D76N current density by reducing plasma membrane abundance of the channels. a, KCNQ1 was coexpressed with KCNE1 carrying the LQTS-associated mutation D76N, which is localized in the region important for SGK1 effects. Guiscard Seebohm et al. Circ Res. 2008;103:1451-1457 Copyright © American Heart Association, Inc. All rights reserved. Figure 3. Q1/E1(D76N) is endocytosed by a RAB5-dependent and recycled back to the plasma membrane by a RAB11-independent SGK1-sensitive pathway. a, Q1/D76N expressed alone, with GTP binding–insufficient RAB5(N133I), with dominant-negative RAB11(S25N), with switch2 domain mutant RAB11(T77A), or with combinations of the constructs. Guiscard Seebohm et al. Circ Res. 2008;103:1451-1457 Copyright © American Heart Association, Inc. All rights reserved. Figure 4. RAB7 modulates current density and plasma membrane abundance of Q1/E1(D76N) channels. a, Q1/E1 and Q1/D76N were expressed in oocytes in the absence or presence of either wild-type RAB7 or the dominant-negative mutant RAB7(T22N). Guiscard Seebohm et al. Circ Res. 2008;103:1451-1457 Copyright © American Heart Association, Inc. All rights reserved. Figure 5. Differential SGK1 sensitivity of Q1/E1 channels containing LQTS1-associated mutations. Guiscard Seebohm et al. Circ Res. 2008;103:1451-1457 Copyright © American Heart Association, Inc. All rights reserved. Figure 6. Diagram of Q1/E1 and Q1/D76N channel recycling. Guiscard Seebohm et al. Circ Res. 2008;103:1451-1457 Copyright © American Heart Association, Inc. All rights reserved.
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