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Channelopathy

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Channelopathy

Sodium channel, implicated in channelopathies including Brugada

syndrome, Long QT syndrome, Dravet syndrome, Paramyotonia

congenita

Specialty Medical genetics, Neuromuscular

medicine, Cardiology

Symptoms Dependent on type. Include: Syncope, muscle

weakness, seizures, breathlessness

Complications Dependent on type. Include: Sudden death

Causes Genetic variants

Channelopathies are diseases caused by disturbed function of ion channel subunits or


the proteins that regulate them.[1][2] These diseases may be either congenital (often
resulting from a mutation or mutations in the encoding genes) or acquired [3] (often
resulting from autoimmune attack on an ion channel).
There are many distinct dysfunctions known to be caused by ion channel mutations.
The genes for the construction of ion channels are highly conserved amongst mammals
and one condition, hyperkalemic periodic paralysis, was first identified in the
descendants of Impressive, a registered Quarter Horse.
The channelopathies of human skeletal muscle include hyper- and hypokalemic (high
and low potassium blood concentrations) periodic paralysis, myotonia
congenita and paramyotonia congenita.
Channelopathies affecting synaptic function are a type of synaptopathy.

Contents

 1Types
 2References
 3Bibliography
 4External links

Types[edit]
The types in the following table are commonly accepted. [by whom?][citation needed] Channelopathies
currently under research, like Kir4.1 potassium channel in multiple sclerosis, are not
included.

Condition Channel type

Alternating hemiplegia of childhood Na⁺/K⁺-ATPase

Bartter syndrome various by type

Brugada syndrome various, by type

Catecholaminergic polymorphic ventricular


Ryanodine receptor
tachycardia (CPVT)

Congenital hyperinsulinism Inward-rectifier potassium ion channel

Cystic fibrosis Chloride channel

Dravet Syndrome Voltage-gated sodium channel

Episodic Ataxia Voltage-gated potassium channel

Erythromelalgia Voltage-gated sodium channel


Generalized epilepsy with febrile seizures plus Voltage-gated sodium channel

Familial hemiplegic migraine various

Associated with one particular disabling form


Voltage-gated sodium channel
of Fibromyalgia[4]

Hyperkalemic periodic paralysis Voltage-gated sodium channel

Voltage-gated sodium channel


Hypokalemic periodic paralysis
or
voltage-dependent calcium channel (calciumopathy)

Lambert-Eaton myasthenic syndrome Voltage-gated calcium channel


Long QT syndrome
various, by type
main type Romano-Ward syndrome

Malignant hyperthermia Ligand-gated calcium channel


Mucolipidosis type IV Non-selective cation channel
Myotonia congenita Voltage-dependent chloride channel
Neuromyelitis optica Aquaporin-4 water channel
Neuromyotonia Voltage-gated potassium channel
Nonsyndromic deafness various
Paramyotonia congenita
Voltage-gated sodium channel
(a periodic paralysis)
Polymicrogyria (Brain Malformation) Voltage-gated sodium channel, SCN3A [5]
Retinitis pigmentosa
Ligand-gated non-specific ion channels
(some forms)
Short QT syndrome various potassium channels suspected
Timothy syndrome Voltage-dependent calcium channel
Voltage-gated potassium channel of the
Tinnitus
KCNQ family
Seizure Voltage-dependent potassium channel[6][7]

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