1997
DOI: 10.1097/00000542-199705000-00004
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Sodium Channel in Human Malignant Hyperthermia 

Abstract: As in previous studies in cell culture, altered mRNA and/or the functional expression of a specific subunit of the sodium channel (SkM2) was found in biopsy sections of muscle from all 12 persons examined who were susceptible to malignant hyperthermia but in none of the 16 nonsusceptible participants. Human malignant hyperthermia is a heterogeneous disorder, and the down-regulation of SkM2 may be involved in the final common pathway through which mutations in any one of several proteins, including the ryanodin… Show more

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Cited by 18 publications
(25 citation statements)
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“…Accordingly, in addition to being expressed in the heart, Na v 1.5 was originally thought to be expressed in embryonic and denervated, but not adult innervated, skeletal muscle (19,26,54). However, more recent studies (3,15) have provided strong evidence that Na v 1.5 is expressed and functions in normal innervated adult skeletal muscle as well. Thus Fletcher et al (15) detected significant Na v 1.5 mRNA levels by performing RT-PCR in vastus lateralis muscle biopsy specimens obtained from healthy humans.…”
Section: A-23187 Treatment Causes Fast-to-slow Fiber Type Conversionmentioning
confidence: 99%
See 1 more Smart Citation
“…Accordingly, in addition to being expressed in the heart, Na v 1.5 was originally thought to be expressed in embryonic and denervated, but not adult innervated, skeletal muscle (19,26,54). However, more recent studies (3,15) have provided strong evidence that Na v 1.5 is expressed and functions in normal innervated adult skeletal muscle as well. Thus Fletcher et al (15) detected significant Na v 1.5 mRNA levels by performing RT-PCR in vastus lateralis muscle biopsy specimens obtained from healthy humans.…”
Section: A-23187 Treatment Causes Fast-to-slow Fiber Type Conversionmentioning
confidence: 99%
“…However, more recent studies (3,15) have provided strong evidence that Na v 1.5 is expressed and functions in normal innervated adult skeletal muscle as well. Thus Fletcher et al (15) detected significant Na v 1.5 mRNA levels by performing RT-PCR in vastus lateralis muscle biopsy specimens obtained from healthy humans. The expression of Na v 1.5 was reduced ϳ20-fold in biopsy specimens obtained from patients susceptible to malignant hyperthermia, which resulted in a higher sensitivity of muscle twitches to TTX and thus had considerable functional consequences.…”
Section: A-23187 Treatment Causes Fast-to-slow Fiber Type Conversionmentioning
confidence: 99%
“…This is most likely achieved by an upregulation of expression of Na v 1.5 versus Na v 1.4 channels, both of which have previously been shown to be expressed in differentiated C 2 C 12 cells (49), as well as in adult innervated human skeletal muscle (9). The experiments were performed on mouse C 2 C 12 skeletal muscle cells, since these exhibit Fig.…”
Section: Discussionmentioning
confidence: 99%
“…The rigidity that is frequently seen during a fulminant MH episode is the result of the inability of the Ca 2+ pumps and transporters to reduce the unbound myoplasmic Ca 2+ below the contractile threshold 44,47 . Human malignant hyperthermia is a heterogeneous disorder, and the down-regulation of sodium channel subunit may be involved in the final common pathway through which mutations in any one of several proteins, including the ryanodine receptor, could render a person susceptible 48 . These changes would prolong the sodium current making the cell membrane depolarized for a longer time, increasing calcium release time period from the terminal cisternae.…”
Section: Pathophysiologymentioning
confidence: 99%