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CACNA1A inhibits calcium(2+). 31 / 31
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"Recently, we reported that a selective Cacna1a gene deletion in cortical layer VI pyramidal cells, which innervate thalamic relay neurons and reticular thalamic neurons, caused upregulation of T-type calcium current in thalamic relay neurons and resulted in absence epilepsy in mice , suggesting that impaired cortical excitatory input to thalamic regions may cause rebound burst of thalamocortical relay neurons and leads to thalamocortical hyper-synchronous oscillations as may be the case for ethosuximide-sensitive absence-like seizures in Scn2a-deficient mice."
sparser
"Initially, TS was thought to arise from a single recurrent mutation, G406R, in the alternatively spliced CACNA1C exon 8a that accounts for ≈20% of the Ca v 1.2 mRNA transcripts in the heart and brain and encodes the distal portion of the domain I transmembrane segment 6 (IS6) known to play a critical role in the voltage-dependent inactivation (VDI) of Ca v 1.2 ( xref ). xref – xref However, shortly after the elucidation of the molecular basis of typical TS now referred to as type I TS (TS1), 2 cases of atypical or type II TS (TS2) were reported in the literature. xref Interestingly, both cases were characterized by extreme QT prolongation (average ≈640 ms) complicated by multiple episodes of cardiac arrest in the absence of syndictyly and harbored de novo mutations in the CACNA1C exon 8–containing heart- and brain-predominant Ca v 1.2 splice variant. xref Interestingly, the exon 8 CACNA1C-G406R–positive TS2 proband displayed severe neurodevelopmental delay, craniofacial/odontic abnormalities, and possible nemaline skeletal myopathy during the first few months of life, whereas the exon 8 CACNA1C-G402S–positive TS2 proband seemed developmentally normal until suffering an out-of-hospital cardiac arrest at age 4. xref It was postulated initially that the lack of syndactyly and the potentially more severe neurological/cardiac phenotypes anecdotally observed in TS2 versus TS1 were likely secondary to the differential tissue-specific expression of exon 8– and exon 8a–containing Ca v 1.2 splice variants. xref Although this is likely the case for exon 8 G406R–mediated TS2, the recent identification of exon 8 G402S in an otherwise developmentally normal adolescent woman with borderline QT prolongation who presented with an out-of-hospital cardiac arrest xref coupled with the normal development of the initial G402S-positive TS2 proband before his first cardiac arrest xref suggest that (1) CACNA1C-G402S results in a milder clinical phenotype more akin to nonsyndromic LQTS and (2) the neurodevelopmental sequelae observed in the initial CACNA1C-G402S–positive TS2 proband are more likely secondary to arrhythmia-induced anoxic brain injury than underlying CACNAlC -mediated developmental delay."
sparser
"Molecular genetic studies have revealed that TS patients have mutations with a Gly to Arg substitution at position 406 (G406R) of Ca v 1.2 in the CACNA1C gene, which results in “near-complete” elimination of voltage-dependent inactivation (VDI) of Ca v 1.2 (gain of function). xref , xref Electrophysiological studies have illustrated that G406R-mutated Ca v 1.2 is inactivated at a slow rate xref alongside a high probability of undergoing coordinated openings and closings (coupled gating). xref "
sparser
"The much faster voltage-dependent inactivation of vertebrate Ca v 2 channels has been attributed to the more helical, and rigid proximal linker (PL) between the inactivation gate of the transmembrane segment 6 (S6) helix of domain I and the AID sequence for Ca v β subunit binding xref – xref ."
reach
"Recently, we reported that a selective Cacna1a gene deletion in cortical layer VI pyramidal cells, which innervate thalamic relay neurons and reticular thalamic neurons, caused upregulation of T-type calcium current in thalamic relay neurons and resulted in absence epilepsy in mice 59, suggesting that impaired cortical excitatory input to thalamic regions may cause rebound burst of thalamocortical relay neurons and leads to thalamocortical hyper-synchronous oscillations as may be the case for ethosuximide sensitive absence like seizures in Scn2a deficient mice."