title: Mode switching kinetics produced by a naturally occurring mutation in the cytoplasmic loop of the human acetylcholine receptor epsilon subunit.
abstract: We describe the genetic and kinetic defects in a congenital myasthenic syndrome caused by heteroallelic mutations of the acetylcholine receptor (AChR) epsilon subunit gene. The mutations are an in-frame duplication of six residues in the long cytoplasmic loop (epsilon1254ins18) and a cysteine-loop null mutation (epsilonC128S). The epsilon1254 ins18 mutation causes mode switching in the kinetics of receptor activation in which three modes activate slowly and inactivate rapidly. The epsilon1245ins18-AChR at the endplate shows abnormally brief activation episodes during steady state agonist application and appears electrically silent during the synaptic response to acetylcholine. The phenotypic consequences are endplate AChR deficiency, simplification of the postsynaptic region, and compensatory expression of fetal AChR that restores electrical activity at the endplate and rescues the phenotype.
authors.affiliation: Department of Neurology, Mayo Foundation, Rochester, Minnesota 55905, USA.
authors.forename: M
authors.initials: M
authors.lastname: Milone
authors.forename: H L
authors.initials: HL
authors.lastname: Wang
authors.forename: K
authors.initials: K
authors.lastname: Ohno
authors.forename: R
authors.initials: R
authors.lastname: Prince
authors.forename: T
authors.initials: T
authors.lastname: Fukudome
authors.forename: X M
authors.initials: XM
authors.lastname: Shen
authors.forename: J M
authors.initials: JM
authors.lastname: Brengman
authors.forename: R C
authors.initials: RC
authors.lastname: Griggs
authors.forename: S M
authors.initials: SM
authors.lastname: Sine
authors.forename: A G
authors.initials: AG
authors.lastname: Engel
mesh_terms: D000109:Acetylcholine / Q000494:pharmacology; D000328:Adult; D000595:Amino Acid Sequence; D001483:Base Sequence; D002478:Cells, Cultured; D004252:DNA Mutational Analysis; D004305:Dose-Response Relationship, Drug; D005192:Family Health; D005260:Female; D015870:Gene Expression; D006801:Humans; D007366:Intercostal Muscles / Q000737:chemistry / Q000502:physiology; D015640:Ion Channel Gating / Q000187:drug effects / Q000235:genetics*; D007668:Kidney / Q000166:cytology; D007700:Kinetics; D008297:Male; D008854:Microscopy, Electron; D009045:Motor Endplate / Q000737:chemistry / Q000502:physiology / Q000648:ultrastructure; D009157:Myasthenia Gravis / Q000235:genetics* / Q000503:physiopathology; D018408:Patch-Clamp Techniques; D017354:Point Mutation; D017434:Protein Structure, Tertiary; D011950:Receptors, Cholinergic / Q000737:chemistry / Q000235:genetics*; D014162:Transfection
chemical_list: D011950:Receptors, Cholinergic; D000109:Acetylcholine