1. Familial episodic limb pain in kindreds with novel Nav1.9 mutations
- Author
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Tomoyuki Mizukami, Akio Koizumi, Yuji Sekine, Sumiko Inoue, Hiroko Okuda, Yoshifumi Kato, Ken Sakurai, Manami Akasaka, Kouji H. Harada, Misayo Matsuyama, Nozomi Hishikawa, Noriko Kinjo, Daiki Kondo, Manabu Tanaka, Yang Cao, Michimasa Fujiwara, Junichi Ito, Takashi Hayashi, Tsutomu Takahashi, Shohab Youssefian, Takeshi Yoshida, Risako Kabata, Hironori Minoura, Atsuko Noguchi, Kohei Inoshita, Kenichiro Hata, Ken Ishikawa, and Hatasu Kobayashi
- Subjects
Male ,0301 basic medicine ,Abdominal pain ,Physiology ,Sensory Physiology ,Gene Identification and Analysis ,Pathology and Laboratory Medicine ,Genetic analysis ,Nav1.9 ,Cohort Studies ,Geographical Locations ,Mice ,Database and Informatics Methods ,0302 clinical medicine ,Japan ,Dorsal root ganglion ,Musculoskeletal Pain ,Animal Cells ,Medicine and Health Sciences ,Missense mutation ,Gene Knock-In Techniques ,Fatigue ,Neurons ,Multidisciplinary ,Syndrome ,Animal Models ,Sensory Systems ,Pedigree ,medicine.anatomical_structure ,Experimental Organism Systems ,Somatosensory System ,Child, Preschool ,Medicine ,Female ,Cellular Types ,medicine.symptom ,Research Article ,Adult ,medicine.medical_specialty ,Asia ,Adolescent ,Science ,Transgene ,Mutation, Missense ,Pain ,Mice, Transgenic ,Mouse Models ,Biology ,Stimulus (physiology) ,Research and Analysis Methods ,03 medical and health sciences ,Model Organisms ,Signs and Symptoms ,Diagnostic Medicine ,Internal medicine ,Genetics ,medicine ,Animals ,Humans ,Family ,NAV1.9 Voltage-Gated Sodium Channel ,Mutation Detection ,Aged ,Infant ,Biology and Life Sciences ,Pain Sensation ,Extremities ,Cell Biology ,Abdominal Pain ,Electrophysiology ,Biological Databases ,030104 developmental biology ,Endocrinology ,Cellular Neuroscience ,People and Places ,Mutation Databases ,Mutation ,Animal Studies ,030217 neurology & neurosurgery ,Neuroscience - Abstract
We previously performed genetic analysis in six unrelated families with infantile limb pain episodes, characterized by cold-induced deterioration and mitigation in adolescence, and reported two new mutations p.R222H/S in SCN11A responsible for these episodes. As no term described this syndrome (familial episodic pain: FEP) in Japanese, we named it as”小児四肢疼痛発作症”. In the current study, we recruited an additional 42 new unrelated Japanese FEP families, between March 2016 and March 2018, and identified a total of 11 mutations in SCN11A: p.R222H in seven families, and p.R225C, p.F814C, p.F1146S, or p.V1184A, in independent families. A founder mutation, SCN11A p.R222H was confirmed to be frequently observed in patients with FEP in the Tohoku region of Japan. We also identified two novel missense variants of SCN11A, p.F814C and p.F1146S. To evaluate the effects of these latter two mutations, we generated knock-in mouse models harboring p.F802C (F802C) and p.F1125S (F1125S), orthologues of the human p.F814C and p.F1146S, respectively. We then performed electrophysiological investigations using dorsal root ganglion neurons dissected from the 6–8 week-old mice. Dissected neurons of F802C and F1125S mice showed increased resting membrane potentials and firing frequency of the action potentials (APs) by high input–current stimulus compared with WT mice. Furthermore, the firing probability of evoked APs increased in low stimulus input in F1125S mice, whereas several AP parameters and current threshold did not differ significantly between either of the mutations and WT mice. These results suggest a higher level of excitability in the F802C or F1125S mice than in WT, and indicate that these novel mutations are gain of function mutations. It can be expected that a considerable number of potential patients with FEP may be the result of gain of function SCN11A mutations.
- Published
- 2018
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