Restoration of ion channel function in deafness-causing KCNQ4 mutants by synthetic channel openers
Article first published online: 9 MAR 2012
© 2011 The Authors. British Journal of Pharmacology © 2011 The British Pharmacological Society
British Journal of Pharmacology
Volume 165, Issue 7, pages 2244–2259, April 2012
How to Cite
Leitner, M. G., Feuer, A., Ebers, O., Schreiber, D. N., Halaszovich, C. R. and Oliver, D. (2012), Restoration of ion channel function in deafness-causing KCNQ4 mutants by synthetic channel openers. British Journal of Pharmacology, 165: 2244–2259. doi: 10.1111/j.1476-5381.2011.01697.x
- Issue published online: 9 MAR 2012
- Article first published online: 9 MAR 2012
- Accepted manuscript online: 26 SEP 2011 09:37AM EST
- Received; 29 April 2011; Revised; 4 September 2011; Accepted; 13 September 2011
- hereditary hearing loss;
- organ of Corti;
- outer hair cell;
BACKGROUND AND PURPOSE DFNA2 is a frequent hereditary hearing disorder caused by loss-of-function mutations in the voltage-gated potassium channel KCNQ4 (Kv7.4). KCNQ4 mediates the predominant K+ conductance, IK,n, of auditory outer hair cells (OHCs), and loss of KCNQ4 function leads to degeneration of OHCs resulting in progressive hearing loss. Here we explore the possible recovery of channel activity of mutant KCNQ4 induced by synthetic KCNQ channel openers.
EXPERIMENTAL APPROACH Whole cell patch clamp recordings were performed on CHO cells transiently expressing KCNQ4 wild-type (wt) and DFNA2-relevant mutants, and from acutely isolated OHCs.
KEY RESULTS Various known KCNQ channel openers robustly enhanced KCNQ4 currents. The strongest potentiation was observed with a combination of zinc pyrithione plus retigabine. A similar albeit less pronounced current enhancement was observed with native IK,n currents in rat OHCs. DFNA2 mutations located in the channel's pore region abolished channel function and these mutant channels were completely unresponsive to channel openers. However, the function of a DFNA2 mutation located in the proximal C-terminus was restored by the combined application of both openers. Co-expression of wt and KCNQ4 pore mutants suppressed currents to barely detectable levels. In this dominant-negative situation, channel openers essentially restored currents back to wt levels, most probably through strong activation of only the small fraction of homomeric wt channels.
CONCLUSIONS AND IMPLICATIONS Our data suggest that by stabilizing the KCNQ4-mediated conductance in OHCs, chemical channel openers can protect against OHC degeneration and progression of hearing loss in DFNA2.