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Novel CACNA1S mutation causes autosomal dominant hypokalemic periodic paralysis in a South American family

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Ke, Tie
Gomez, Cladelis Rubio
Mateus, Heidi Eliana
Castano, Juan Andres
Wang, Qing Kenneth

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2009

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Abstract
Hypokalaemic periodic paralysis (HypoPP) is an autosomal dominant disorder, which is characterized by periodic attacks of muscle weakness associated with a decrease in the serum potassium level. A major disease-causing gene for HypoPP has been identified as CACNA1S, which encodes the skeletal muscle calcium channel ?-subunit with four transmembrane domains (I-IV), each with six transmembrane segments (S1-S6). To date, all CACNA1S mutations identified in HypoPP patients are located within the voltage-sensor S4 segment. In this study we report a novel CACNA1S mutation in a new region of the protein, the S3 segment of domain III. We characterized a four-generation South American family with HypoPP. Genetic analysis identified a novel V876E mutation in all HypoPP patients in the family, but not in normal family members or 160 control people. Clinical analysis indicates that mutation V876E is associated with a severe outcome as characterized by a very early age of onset, complete penetrance and a severe prognosis including death. These results identify a new mutation in CACNA1S and expand the spectrum of CACNA1S mutations associated with HypoPP. © 2009 The Japan Society of Human Genetics All rights reserved.
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Calcium channel , Genomic dna , Membrane protein , Adolescent , Adult , Alpha chain , Article , Autosomal dominant inheritance , Cacna1s gene , Child , Clinical article , Controlled study , Dna isolation , Dna sequence , Female , Gene , Gene mutation , Genetic analysis , Human , Hypokalemic periodic paralysis , Male , Muscle weakness , Potassium blood level , Preschool child , Prognosis , Protein domain , School child , Skeletal muscle , South america , Amino acid sequence , Base sequence , Calcium channels , Colombia , Dna mutational analysis , Family health , Female , Genes , Humans , Hypokalemic periodic paralysis , Male , Molecular sequence data , Mutation , Pedigree , Cacna1s , Hypokalaemic periodic paralysis , Mutation
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