Abstract

CLC channels and transporters are expressed in most tissues and fulfill diverse functions. There are four human CLC channels, ClC-1, ClC-2, ClC-Ka, and ClC-Kb, and five CLC transporters, ClC-3 through −7. Some of the CLC channels additionally associate with accessory subunits. Whereas barttin is mandatory for the functional expression of ClC-K, GlialCam is a facultative subunit of ClC-2 which modifies gating and thus increases the functional variability within the CLC family. Isoform-specific ion conduction and gating properties optimize distinct CLC channels for their cellular tasks. ClC-1 preferentially conducts at negative voltages, and the resulting inward rectification provides a large resting chloride conductance without interference with the muscle action potential. Exclusive opening at voltages negative to the chloride reversal potential allows for ClC-2 to regulate intracellular chloride concentrations. ClC-Ka and ClC-Kb are equally suited for inward and outward currents to support transcellular chloride fluxes. Every human CLC channel gene has been linked to a genetic disease, and studying these mutations has provided much information about the physiological roles and the molecular basis of CLC channel function. Mutations in the gene encoding ClC-1 cause myotonia congenita, a disease characterized by sarcolemmal hyperexcitability and muscle stiffness. Loss-of-function of ClC-Kb/barttin channels impairs NaCl resorption in the limb of Henle and causes hyponatriaemia, hypovolemia and hypotension in patients suffering from Bartter syndrome. Mutations in CLCN2 were found in patients with CNS disorders but the functional role of this isoform is still not understood. Recent links between ClC-1 and epilepsy and ClC-Ka and heart failure suggested novel cellular functions of these proteins. This review aims to survey the knowledge about physiological and pathophysiological functions of human CLC channels in the light of recent discoveries from biophysical, physiological, and genetic studies.

Highlights

  • Expression cloning of a chloride channel from Torpedo marmorata— called ClC-0—by Jentsch et al (1990) established the CLC family of anion transport proteins (Figure 1A)

  • Inward rectification of ClC-1 channels is due to voltage-dependent unitary conductances that decrease at positive voltages to approximately 10% of the conductance at negative potentials (Pusch et al, 1994; Fahlke et al, 1995; Rychkov et al, 1998; Stölting et al, 2014)

  • The ClC-2 protopore is active at all potentials and is under control of fast and slow gating processes that are kinetically different from those identified for the ClC-1 protopore. This behavior resulted in only one conductance state corresponding to the ClC-2 protopore (Figure 3C). These results suggest that common gating of CLC channels arises from conformational changes within an individual protopore (Bennetts and Parker, 2013; Stölting et al, 2014)

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Summary

CLC channel function and dysfunction in health and disease

Reviewed by: Jonathan Lippiat, University of Leeds, UK Nico Melzer, University of Münster, Germany Jorge Arreola, Universidad Autónoma de San Luis Potosi, Mexico. CLC channels and transporters are expressed in most tissues and fulfill diverse functions. ClC-1 preferentially conducts at negative voltages, and the resulting inward rectification provides a large resting chloride conductance without interference with the muscle action potential. Every human CLC channel gene has been linked to a genetic disease, and studying these mutations has provided much information about the physiological roles and the molecular basis of CLC channel function. Mutations in the gene encoding ClC-1 cause myotonia congenita, a disease characterized by sarcolemmal hyperexcitability and muscle stiffness. Loss-of-function of ClC-Kb/barttin channels impairs NaCl resorption in the limb of Henle and causes hyponatriaemia, hypovolemia and hypotension in patients suffering from Bartter syndrome. This review aims to survey the knowledge about physiological and pathophysiological functions of human CLC channels in the light of recent discoveries from biophysical, physiological, and genetic studies

INTRODUCTION
CLC channels in health and disease
CELLULAR PHYSIOLOGY AND PATHOPHYSIOLOGY OF CLC CHANNELS
Findings
CLC channels in health and disease C
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