Abstract
The HERG K+ channel has very unusual kinetic behaviour that includes slow activation but rapid inactivation. These features are critical for normal cardiac repolarisation as well as in preventing lethal ventricular arrhythmias. Extensive mutagenesis of the HERG K+ channel has allowed identification of which regions of the channel are important for the unusual kinetic behaviour of the channel. Furthermore, structural studies on scorpion toxins that potently inhibit HERG are beginning to provide clues as to the structural differences between HERG and other voltage-gated K+ channels.
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Notes
LQTS is a disorder of the electrical system in the heart characterised by a prolonged QT interval on the surface electrocardiogram (reviewed in Keating and Sanguinetti 2001). The duration of the QT interval is a measure of the time required for depolarisation and repolarisation of the heart. Prolongation of the QT interval significantly increases the risk of ventricular arrhythmias, and in particular an arrhythmia known as “torsade de pointes” which causes syncope (sudden loss of consciousness due to lack of blood flow to the brain) and, if it persists, sudden death.
Channels may exist in one of three main forms, viz. closed, open or inactive. The transition from closed to open is referred to as activation, and the transition from open back to closed as deactivation. The inactive state refers to a conformation of the channel in which the activation gate is “open”; however, the channel is not able to conduct. There are multiple mechanisms by which inactivation may take place and these are described in more detail in Yellen (1998). Transitions into the inactive state are referred to as inactivation and the reverse process as recovery from inactivation.
It should be noted that fully activated HERG K+ channels have a linear current–voltage relationship which can be revealed by triple pulse protocols designed to allow channels to recover from inactivation (see Smith et al. 1996). Thus HERG K+ channels are not true inward rectifiers
There are now know to be at least six gene loci associated with congenital long QT syndrome, denoted LQTS1–6. LQTS1 is caused by mutations in KCNQ1 (encodes the alpha subunit of the slow component of the delayed rectifier K+ channel) on chromosome 11 (Wang et al. 1996). LQTS2 is caused by mutations in HERG on chromosome 7 (Curran et al. 1995). LQTS3 is caused by mutations in SCN5a (encodes the alpha subunit of the cardiac Na+ channel) on chromosome 3 (Wang et al. 1995). LQTS4 is caused by mutations in ankyrin B on chromosome 4 (Mohler et al. 2003). LQTS5 is caused by mutations in KCNE1 (encodes the beta subunit of the slow component of the delayed rectifier K+ channel) (Splawski et al. 1997). LQTS6 is caused by mutations in KCNE2 (encodes a K+ channel beta subunit that can associate with multiple alpha subunits including HERG and KCNQ1) (Abbott et al. 1999).
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Acknowledgements
JIV is a NH&MRC Career Development Fellow. PWK is an ARC Principal Research Fellow. Research in the authors’ laboratories is supported by the NH&MRC (JIV, TJC), National Heart Foundation of Australia (JIV, TJC) and the Australian Research Council (PWK).
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This paper was submitted as a record of the 2002 Australien Biophysical Society.
An erratum to this article can be found at http://dx.doi.org/10.1007/s00249-004-0419-y
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Vandenberg, J.I., Torres, A.M., Campbell, T.J. et al. The HERG K+ channel: progress in understanding the molecular basis of its unusual gating kinetics. Eur Biophys J 33, 89–97 (2004). https://doi.org/10.1007/s00249-003-0338-3
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DOI: https://doi.org/10.1007/s00249-003-0338-3