title: ABCC9 mutations identified in human dilated cardiomyopathy disrupt catalytic KATP channel gating.
abstract: Stress tolerance of the heart requires high-fidelity metabolic sensing by ATP-sensitive potassium (K(ATP)) channels that adjust membrane potential-dependent functions to match cellular energetic demand. Scanning of genomic DNA from individuals with heart failure and rhythm disturbances due to idiopathic dilated cardiomyopathy identified two mutations in ABCC9, which encodes the regulatory SUR2A subunit of the cardiac K(ATP) channel. These missense and frameshift mutations mapped to evolutionarily conserved domains adjacent to the catalytic ATPase pocket within SUR2A. Mutant SUR2A proteins showed aberrant redistribution of conformations in the intrinsic ATP hydrolytic cycle, translating into abnormal K(ATP) channel phenotypes with compromised metabolic signal decoding. Defective catalysis-mediated pore regulation is thus a mechanism for channel dysfunction and susceptibility to dilated cardiomyopathy.
authors.affiliation: Division of Cardiovascular Diseases, Department of Medicine, Mayo Clinic College of Medicine, Mayo Foundation, Rochester, Minnesota 55905, USA.
authors.forename: Martin
authors.initials: M
authors.lastname: Bienengraeber
authors.forename: Timothy M
authors.initials: TM
authors.lastname: Olson
authors.forename: Vitaliy A
authors.initials: VA
authors.lastname: Selivanov
authors.forename: Eva C
authors.initials: EC
authors.lastname: Kathmann
authors.forename: Fearghas
authors.initials: F
authors.lastname: O'Cochlain
authors.forename: Fan
authors.initials: F
authors.lastname: Gao
authors.forename: Amy B
authors.initials: AB
authors.lastname: Karger
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Ballew
authors.forename: Denice M
authors.initials: DM
authors.lastname: Hodgson
authors.forename: Leonid V
authors.initials: LV
authors.lastname: Zingman
authors.forename: Yuan-Ping
authors.initials: YP
authors.lastname: Pang
authors.forename: Alexey E
authors.initials: AE
authors.lastname: Alekseev
authors.forename: Andre
authors.initials: A
authors.lastname: Terzic
mesh_terms: D018528:ATP-Binding Cassette Transporters / Q000235:genetics*; D000328:Adult; D000595:Amino Acid Sequence; D000818:Animals; D002311:Cardiomyopathy, Dilated / Q000235:genetics*; D002384:Catalysis; D005260:Female; D006801:Humans; D015640:Ion Channel Gating / Q000235:genetics*; D008297:Male; D008875:Middle Aged; D008969:Molecular Sequence Data; D009154:Mutation; D015221:Potassium Channels / Q000235:genetics*; D024661:Potassium Channels, Inwardly Rectifying; D011955:Receptors, Drug / Q000235:genetics*; D017386:Sequence Homology, Amino Acid; D064233:Sulfonylurea Receptors
chemical_list: C577510:ABCC9 protein, human; D018528:ATP-Binding Cassette Transporters; D015221:Potassium Channels; D024661:Potassium Channels, Inwardly Rectifying; D011955:Receptors, Drug; D064233:Sulfonylurea Receptors