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Biophysical Journal
Article
License: Elsevier Non-Commercial
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Biophysical Journal
Article . 2016
License: Elsevier Non-Commercial
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Biophysical Journal
Article . 2016 . Peer-reviewed
License: Elsevier Non-Commercial
Data sources: Crossref
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Toward a new Therapeutic Strategy in the Treatment of Timothy Syndrome

Authors: Dick, Ivy E.; Joshi-Mukherjee, Rosy; Yang, Wanjun; Limpitikul, Worawan B.; Yue, David T.;

Toward a new Therapeutic Strategy in the Treatment of Timothy Syndrome

Abstract

Timothy Syndrome (TS) is a multisystem disorder, featuring neurological impairment and life-threatening arrhythmias which are often fatal in early childhood. The basis of TS is a single point mutation (either G406R or G402S) within the CaV1.2 L-type Ca2+ channel. These mutations can occur in either of the mutually exclusive exons 8 or 8a, such that the expression level of each exon contributes significantly to the overall severity of the disease. We have modeled this dependence on gene dosage in an established adult ventricular myocyte model, and found that there is a non-linear dependence of the action potential duration on the fraction of TS channels, resulting in a threshold for arrhythmogenesis. To explore this experimentally at the cell-network level, we variably expressed TS channels in cultured adult guinea-pig ventricular myocytes. Indeed, conservative expression of TS channels yielded graded action-potential prolongation, but a small further increase led to significant arrhythmia. Such non-linear dependence on channel expression imparts an important principle for therapeutics: a small shift in the complement of mutant versus wild type channels may impart a significant clinical improvement. A possible therapeutic strategy would therefore employ methods to alter the splice expression pattern of the mutually exclusive exons 8 and 8a. Here, we demonstrate just such a shift in the expression pattern of exons 8 versus 8a in cultured myocytes. This represents an exciting new treatment strategy, where suppression of the TS containing exon is accompanied by a corresponding increase in non-TS channels. The potential benefits for TS patients are significant and may serve as a model system for developing a new therapeutic strategy for any channelopathy in which the mutation occurs within a mutually exclusive exon.

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Biophysics

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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