2003
DOI: 10.1002/bies.10338
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Paroxysms of excitement: sodium channel dysfunction in heart and brain

Abstract: Inherited disorders of ion-channels are associated with paroxysmal dysfunction of excitable tissues and manifest as diseases of the brain, heart and skeletal muscle. These so-called channelopathies have now been described for most of the major categories of voltage-dependent ion-channels including those selectively permeable to sodium. Sodium channelopathies affecting the heart and brain are reviewed in this essay. They show striking differences and similarities including, for example, their responsiveness to … Show more

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Cited by 9 publications
(9 citation statements)
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References 68 publications
(74 reference statements)
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“…A number of SCN5A mutations in different affected individuals/families have been identified ( Fig. 3A) and linked to Brugada syndrome and to conduction defects, in addition to LQT3 (23,36,51,60,93,102,105,204,253,422,519,525,540). Interestingly, mutations in noncardiac Nav channel genes have also been linked to familial paroxysmal dysfunction in the skeletal and nervous systems (123,204,220,359).…”
Section: A Voltage-gated Na ؉ (Nav) Currentsmentioning
confidence: 99%
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“…A number of SCN5A mutations in different affected individuals/families have been identified ( Fig. 3A) and linked to Brugada syndrome and to conduction defects, in addition to LQT3 (23,36,51,60,93,102,105,204,253,422,519,525,540). Interestingly, mutations in noncardiac Nav channel genes have also been linked to familial paroxysmal dysfunction in the skeletal and nervous systems (123,204,220,359).…”
Section: A Voltage-gated Na ؉ (Nav) Currentsmentioning
confidence: 99%
“…These differences contribute to the normal unidirectional propagation of excitation through the myocardium and to the generation of normal cardiac rhythms (23,24,259,374,375). Changes in the properties or the functional expression of myocardial ion channels, resulting from inherited mutations in the genes encoding these channels (23,36,51,102,204,243,253) or from myocardial disease (34,49,67,184,365,496,(501)(502)(503)510), can lead to changes in action potential waveforms, synchronization, and/or propagation, thereby predisposing the heart to potentially life-threatening arrhythmias (13,14,16,24,127,259,436). There is, therefore, considerable interest in delineating the molecular, cellular, and systemic mechanisms contributing to the generation and maintenance of normal cardiac rhythms, as well as in understanding how these mechanisms are altered in the diseased myocardium.…”
Section: Introductionmentioning
confidence: 99%
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“…Cardiac channelopathies, including arrhythmias such as the long QT syndrome 3, Brugada syndrome, progressive cardiac conduction defect, and familial nonprogressive conduction defect have been linked to mutations in Na v 1.5 (Head and Gardiner, 2003). Finally, the demonstration that VGSC subtypes such as Na v 1.3, Na v 1.7, Na v 1.8, and Na v 1.9 are involved in pain pathways has made them attractive targets for the development of novel therapeutic strategies for pain treatment (Julius and Basbaum, 2001;Nassar et al, 2004).…”
mentioning
confidence: 99%
“…Activation and inactivation properties of these channels are crucial for determining normal nerve function and muscle contraction. Perhaps the most dramatic illustration of the changes wrought by slight modifications to the activation and inactivation properties are the human diseases caused by mutations that produce myotonias or cardiac arrest (Head & Gardiner, 2003; Goldin, 2003). Mutations in the human sodium channels that disturb activation and/or inactivation are widely distributed over the primary sequence, indicating that many regions of the channel are capable of influencing activation and inactivation.…”
mentioning
confidence: 99%