Muscle Dysfunction Caused by a K-ATP Channel Mutation in Neonatal Diabetes Is Neuronal in Origin

作者：Clark Rebecca H; McTaggart James S; Webster Richard; Mannikko Roope; Iberl Michaela; Sim Xiu Li; Rorsman Patrik; Glitsch Maike; Beeson David; Ashcroft Frances M^*

来源：Science, 2010, 329(5990): 458-461.

DOI：10.1126/science.1186146

Gain-of-function mutations in Kir6.2 (KCNJ11), the pore-forming subunit of the adenosine triphosphate (ATP)-sensitive potassium (K-ATP) channel, cause neonatal diabetes. Many patients also suffer from hypotonia (weak and flaccid muscles) and balance problems. The diabetes arises from suppressed insulin secretion by overactive K-ATP channels in pancreatic beta-cells, but the source of the motor phenotype is unknown. By using mice carrying a human Kir6.2 mutation (Val(59)-> Met(59)) targeted to either muscle or nerve, we show that analogous motor impairments originate in the central nervous system rather than in muscle or peripheral nerves. We also identify locomotor hyperactivity as a feature of K-ATP channel overactivity. These findings suggest that drugs targeted against neuronal, rather than muscle, K-ATP channels are needed to treat the motor deficits and that such drugs require high blood-brain barrier permeability.

• 出版日期2010-7-23