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Originally published In Press as doi:10.1074/jbc.M611117200 on December 29, 2006
J. Biol. Chem., Vol. 282, Issue 10, 7656-7667, March 9, 2007
Hypomagnesemia with Secondary Hypocalcemia due to a Missense Mutation in the Putative Pore-forming Region of TRPM6*
Vladimir Chubanov ,
Karl P. Schlingmann ,
Janine Wäring ,
Jolanta Heinzinger ,
Silke Kaske ,
Siegfried Waldegger ,
Michael Mederos y Schnitzler , and
Thomas Gudermann 1
From the
Institute for Pharmacology and Toxicology and the University Children's Hospital, Philipps-University Marburg, Karl-von-Frisch-Strasse 1, 35033 Marburg, Germany
Hypomagnesemia with secondary hypocalcemia is an autosomal recessive disorder caused by mutations in the TRPM6 gene. Current experimental evidence suggests that TRPM6 may function in a specific association with TRPM7 by means of heterooligomeric channel complex formation. Here, we report the identification and functional characterization of a new hypomagnesemia with secondary hypocalcemia missense mutation in TRPM6. The affected subject presented with profound hypomagnesemia and hypocalcemia caused by compound heterozygous mutation in the TRPM6 gene: 1208(-1)G > A affecting the acceptor splice site preceding exon 11, and 3050C > G resulting in the amino acid change (P1017R) in the putative pore-forming region of TRPM6. To assess the functional consequences of the P1017R mutation, TRPM6P1017R and wild-type TRPM6 were co-expressed with TRPM7 in Xenopus oocytes and HEK 293 cells, and currents were assessed by two-electrode voltage clamp and whole cell patch clamp measurements, respectively. Co-expression of wild-type TRPM6 and TRPM7 resulted in a significant increase in the amplitude of TRPM7-like currents. In contrast, TRPM6P1017R suppressed TRPM7 channel activity. In line with these observations, TRPM7, containing the corresponding mutation P1040R, displayed a dominant-negative effect upon co-expression with wild-type TRPM7. Confocal microscopy and fluorescence resonance energy transfer recordings demonstrated that the P1017R mutation neither affects assembly of TRPM6 with TRPM7, nor co-trafficking of heteromultimeric channel complexes to the cell surface. We conclude that a functional defect in the putative pore of TRPM6/7 channel complexes is sufficient to impair body magnesium homeostasis.
Received for publication, December 4, 2006
* This work was supported by the Deutsche Forschungsgemeinschaft and the German Kidney Foundation. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
The on-line version of this article (available at http://www.jbc.org) contains supplemental Figs. S1-S3.
1 To whom correspondence should be addressed: Tel.: 49-6421-2865-000; Fax: 49-6421-2865-600; E-mail: guderman{at}staff.uni-marburg.de.

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Copyright © 2007 by the American Society for Biochemistry and Molecular Biology.
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