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Originally published In Press as doi:10.1074/jbc.M107345200 on December 10, 2001

J. Biol. Chem., Vol. 277, Issue 7, 4989-4998, February 15, 2002
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The Binding Site for Channel Blockers That Rescue Misprocessed Human Long QT Syndrome Type 2 ether-a-gogo-related Gene (HERG) Mutations*

Eckhard FickerDagger , Carlos A. Obejero-Paz§, Shuxia Zhao, and Arthur M. Brown§

From the Rammelkamp Center for Education and Research, MetroHealth Campus, Case Western Reserve University, Cleveland, Ohio 44109, and the § Department of Physiology and Biophysics, Case Western Reserve University, Cleveland, Ohio 44106

Mutations in the human ether-a-gogo-related gene (HERG) K+ channel gene cause chromosome 7-linked long QT syndrome type 2 (LQT2), which is characterized by a prolonged QT interval in the electrocardiogram and an increased susceptibility to life-threatening cardiac arrhythmias. LQT2 mutations produce loss-of-function phenotypes and reduce IKr currents either by the heteromeric assembly of non- or malfunctioning channel subunits with wild type subunits at the cell surface or by retention of misprocessed mutant HERG channels in the endoplasmic reticulum. Misprocessed mutations often encode for channel proteins that are functional upon incorporation into the plasma membrane. As a result the pharmacological correction of folding defects and restoration of protein function are of considerable interest. Here we report that the trafficking-deficient pore mutation HERG G601S was rescued by a series of HERG channel blockers that increased cell surface expression. Rescue by these pharmacological chaperones varied directly with their blocking potency. We used structure-activity relationships and site-directed mutagenesis to define the binding site of the pharmacological chaperones. We found that binding occurred in the inner cavity and correlated with hydrophobicity and cationic charge. Rescue was domain-restricted because the trafficking of two misprocessed mutations in the C terminus, HERG F805C and HERG R823W, was not restored by channel blockers. Our findings represent a first step toward the design of pharmacological chaperones that will rescue HERG K+ channels without block.


* This work was supported by National Institutes of Health Grants HL 36930, HL 61642, and DK 54178 (to A. M. B.) and a grant-in-aid from the American Heart Association, Northeast Ohio Affiliate (to C. A. O.-P.).The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Dagger To whom correspondence should be addressed: Rammelkamp Center, MetroHealth Medical Center, 2500 MetroHealth Dr., Cleveland, OH 44109. Tel.: 216-778-8977; Fax: 216-778-8282; E-mail: eficker@metrohealth.org.


Copyright © 2002 by The American Society for Biochemistry and Molecular Biology, Inc.
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