Human ether-a-go-go related gene (hERG) encodes the pore-forming α-subunits that underlie the rapidly activating delayed rectifier K+ current (IKr). Mutations in hERG reduce IKr to cause type 2 long QT syndrome (LQT2). The α-subunits contain six transmembrane domains (S1-S6), with the S1-S4 domains acting as a voltage sensor and the S5-S6 domains forming the pore and selectivity filter. The N- and C-terminal segments are suggested to regulate channel gating and assembly. However, the functional role of linker regions remains largely unknown. We hypothesize that LQT2 mutations E444D and P451L in the S1-S2 linker modulate biophysical properties of hERG channels. We heterologously expressed wild type (WT), E444D or P451L in HEK293 cells. IhERG was measured by the whole-cell patch clamp and protein processing by Western Blot analysis. Western Blots showed normal protein trafficking with the presence of 135 and 155 kDa bands for WT, E444D and P451L. Tail current densities at -50 mV were 147.4±30.0, 148.2±24.8 and 108.8±31.8 pA/pF, respectively (n=4, p>0.05). Fit with the Boltzmann equation, the voltage dependence of activation for WT and E444D showed V1/2 values of -11.1±2.2 and -8.6±2.4 (k= 6.9±0.2 and 7.6±0.4), whereas P451L was shifted positively to 1.1±2.2 mV (k=7.6±0.7). The inactivation rates for E444D between -40 and 60 mV were accelerated up to two-fold compare to WT, whereas P451L inactivation rates were not different from WT at most voltages. For both mutations, the rates of recovery from inactivation and deactivation were similar. Thus, E444D and P451L alter the biophysical properties of hERG channels differently. These findings suggest that linker regions have a functional role in channel gating, and support the hypothesis that LQT2 mutations in the S1-S2 linker regions predominately result channel biophysical abnormalities.
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