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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
The Binding Site for Channel Blockers That Rescue Misprocessed
Human Long QT Syndrome Type 2 ether-a-gogo-related Gene
(HERG) Mutations*
Eckhard
Ficker ,
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.
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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Copyright © 2002 by the American Society for Biochemistry and Molecular Biology.
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