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SCN5A activates sodium(1+). 52 / 52
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"Mutations in SCN5A may cause sodium channel dysfunction by decreasing peak sodium current, which slows conduction and facilitates reentry based arrhythmias, and by enhancing late sodium current, which prolongs the action potential and sets the stage for early afterdepolarization and arrhythmias."
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"The former contributes to the development of cardiac fibrosis by affecting the initiation and propagation of electrical stimuli, for instance, the reduced I significantly increased collagen deposition in SCN5A-knockout mice.2 SCN5A gene produces α-subunit of the cardiac sodium voltage-gated channel (Nav1.5) arbitrates the rapid Na influx, which is crucial for the upstroke of action potential and excitation of cardiac cells.3 4 Structural changes in Nav1.5 channel syndicate a spectrum of arrhythmic disorders that lead to sudden cardiac death."
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"Hundreds of SCN5A variants have been reported leading to abnormal function of sodium ion channels and myocardial repolarization disorder [18, 19], including BrS, LQTS, SSS, etc. Abnormal sodium ion channels caused by SCN5A gene variant can be activated by high temperature, so BrS has a higher probability of incidence in high temperature regions which may help to explain the summer aggregation of SUD in some epidemic areas [20]."
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"The recombinant toxin could serve as a tool for studying ion channel modulation in cancer cells, potentially offering insights into new therapeutic strategies.Our finding that nChcoh-43 and rChcoh-43 alone had no significant impact on MCF-7 cell viability aligns with previous research by Driffort et al. [23], who reported that Nav1.5 inhibition using ranolazine at 50 µM reduced sodium currents in MDA-MB-231 cells without affecting cell viability."
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"In contrast we did find a significant increase in expression (~ 2 fold) in Galpha i2 (-/-) mice of the calcium channel alpha subunit, CACNA1C (Ca v 1.2), which underlies the L-type calcium current and SCN5A which underlies the rapidly inactivating sodium current in ventricular myocytes (XREF_TABLE)."
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"However, the mechanism of malignant ventricular arrhythmia in LVNC patients remains unclear, and there is no special treatment method for LVNC.The SCN5A gene encodes a major cardiac voltage-gated sodium channel called NaV1.5, which mediates the sodium ion permeability of cardiac cells and maintains the normal function of the inward sodium current (I )."
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"Interestingly, the latter two genes were also involved in the entrainment of the circadian clock.The biological process of atrial cardiac muscle cell action potential includes the genes Cacnb2, Scn5a and Kcna5, which modulate calcium, sodium, and potassium transport in excitable membranes, respectively, as well as the involvement of Ank2 in signal transduction."
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"We demonstrated that a paroxysmal extreme pain disorder (PEPD) mutation in the human peripheral neuronal sodium channel Nav1.7, a paramyotonia congenita (PMC) mutation in the human skeletal muscle sodium channel Nav1.4, and a long-QT3/SIDS mutation in the human cardiac sodium channel Nav1.5 all substantially increased the amplitude of resurgent sodium currents in an optimized adult rat-derived dorsal root ganglion neuronal expression system."
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"[1,2] During the last 20 years, the genetic basis of Brugada syndrome has been extensively investigated, leading to major changes in gene encoding of the alpha-subunit of the Nav1.5 (SCN5A, driving the fast depolarising sodium current), the gene most frequently associated with functional abnormalities underlying arrhythmogenicity."
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"Possible explanations for our case are : (1) the proband but not his father carries unidentified BrS susceptibility gene (s), and/or (2) the father but not the proband carries unknown genetic variant (s) that can rescue or mitigate the BrS phenotype and restore the sodium channel dysfunctions caused by SCN5A gene defects."
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"For example, patients with LQT3, caused by mutations in the cardiac sodium channel gene SCN5A that inappropriately activate and open the sodium channel, respond to sodium channel blockers such as flecainide) 9 LQT3 patients are more likely to have arrhythmias at times of bradycardia."
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"Class I antiarrhythmic agents such as flecainide, lidocaine and mexiletine generally block I (NA (P)) more potently than block of I (Na (T)) and have been used clinically to treat LQT3 syndrome, which arises because mutations in SCN5A produce defective inactivation of the cardiac sodium channel."
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"For example, IL-1beta exposure can lead to the activation of extracellular signal regulated kinase (ERK) (Lu et al. 2005; Dobierzewska et al. 2012), which has been reported to directly phosphorylate specific residues within intracellular loop 1 (L1) of the NaV1.7 sodium channel, thereby allowing sodium channel activation at more hyperpolarized potentials (Stamboulian et al. 2010)."
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"In vitro studies showed that the polymorphism in the SCN5A gene increases the rate of cardiac sodium channel activation.In summary, no specific genetic polymorphism or haplotypes explaining a large fraction of diLQTS risk are known until now.In this last part of the review, the authors discuss the evidence for QT prolongation with methadone treatment, risk factors, monitoring and therapeutic alternatives.6."