Abstract
KCNQ channels are critical determinants of neuronal excitability, thus emerging as a novel target of anti-epileptic drugs. To date, the mechanisms of KCNQ channel modulation have been mostly characterized to be inhibitory via Gq-coupled receptors, Ca2+/CaM, and protein kinase C. Here we demonstrate that methylation of KCNQ by protein arginine methyltransferase 1 (Prmt1) positively regulates KCNQ channel activity, thereby preventing neuronal hyperexcitability. Prmt1+/- mice exhibit epileptic seizures. Methylation of KCNQ2 channels at 4 arginine residues by Prmt1 enhances PIP2 binding, and Prmt1 depletion lowers PIP2 affinity of KCNQ2 channels and thereby the channel activities. Consistently, exogenous PIP2 addition to Prmt1+/- neurons restores KCNQ currents and neuronal excitability to the WT level. Collectively, we propose that Prmt1-dependent facilitation of KCNQ-PIP2 interaction underlies the positive regulation of KCNQ activity by arginine methylation, which may serve as a key target for prevention of neuronal hyperexcitability and seizures.
DOI: http://dx.doi.org/10.7554/eLife.17159.001
Research Organism: Human, Mouse, Rat
eLife digest
In the brain, cells called neurons transmit information along their length in the form of electrical signals. To generate electrical signals, ions move into and out of neurons through ion channel proteins – such as the KCNQ channel – in the surface of these cells, which open and close to control the electrical response of the neuron.
Abnormally intense bursts of electrical activity from many neurons at once can cause seizures such as those experienced by people with epilepsy. A significant proportion of patients do not respond to current anti-seizure medications. Openers of KCNQ channels have emerged as a potential new class of anti-epileptic drugs. A better understanding of how KCNQ channels work, and how their opening by PIP2lipid signals is regulated, could help to develop more effective therapies for epilepsy.
A process called methylation controls many biological tasks by changing the structure of key proteins inside cells. Although methylation occurs throughout the brain, its role in controlling how easily neurons are activated (a property known as “excitability”) remains unclear.
Kim, Jeong, Kim, Jung et al. now show that a protein called Prmt1 methylates the KCNQ channels in mice, and that this methylation is essential for suppressing seizures. Mice born without the Prmt1 protein developed epileptic seizures and the KCNQ channels in their neurons featured a reduced level of methylation. However, increasing the amount of PIP2 in these neurons restored their excitability back to normal levels. The methylation of KCNQ channel proteins increases their affinity for PIP2, which is critical to open KCNQ channels. Kim et al. propose that these “opening” controllers balance the action of known “closers” of KCNQ channels to maintain neurons in a healthy condition.
In future, Kim et al. plan to investigate whether methylation affects the activity of other ion channels controlled by PIP2. Such experiments will complement a more widespread investigation into other ways in which the Prtmt1 protein may control the activity of neurons.
Introduction
Epilepsy imposes a major burden at both global and individual levels. Worldwide, about 1% of the population suffers from epilepsy, and nearly 4% of the population will experience epilepsy at some point during their lifetime (Malkki, 2014). In almost 30% of patients with epilepsy, anti-seizure medications do not provide sufficient seizure control (Malkki, 2014). Thus, understanding the etiology of epilepsy is essential both for clinical management of patients and for conducting neurobiological research that will direct future therapies. The etiology of epilepsy was formerly regarded as unknown in about three-quarters of patients; however, massively parallel gene-sequencing studies showed the importance of gene mutations in the etiology of epilepsy (Thomas and Berkovic, 2014). Among those epileptic conditions linked to channelopathies, mutations in potassium channel subunits represent the largest category (Brenner and Wilcox, 2012; Cooper, 2012; Noebels, 2003). Together with KCNA1, KCNQ2 and KCNQ3 are the earliest identified K+ channels associated with idiopathic epilepsy (Rogawski, 2000; Schroeder et al., 1998; Browne et al., 1994). More than 30 mutations have been detected in KCNQ channels, most of which were found in KCNQ2: only four mutations were found in KCNQ3 (Maljevic et al., 2010). These mutations caused a reduction in channel activity by different molecular mechanisms, by which all can lead to membrane depolarization and increased neuronal firing.
In the central nervous system (CNS), heteromeric KCNQ2/3 potassium channels form the M-current, a subthreshold potassium current (Delmas and Brown, 2005; Jentsch, 2000). Due to the slow gating kinetics, M-currents effectively oppose sustained membrane depolarization and repetitive action potential (AP) firing (Brown and Passmore, 2009). Thus, breakdown of M-channels by loss of function mutations or pharmacological inhibitors leads to neuronal hyperexcitability (Schroeder et al., 1998; Delmas and Brown, 2005). KCNQ potassium channels are standouts for epileptologists, in that they are both mutated in human epilepsy and principal targets of an approved anti-epileptic drug (ezogabine/retigabine) (Gunthorpe et al., 2012; Soldovieri et al., 2011). Therefore, regulation of KCNQ channel activity has been studied by many groups (Delmas and Brown, 2005). Notably, M-channels are inhibited by muscarinic acetylcholine receptor agonists, leading to a profound increase in cellular excitability that can be reversed by the withdrawal of receptor agonist. Some subtypes of receptors for dopamine, serotonin, glutamate, and several peptide neurotransmitters, including luteinizing hormone-releasing hormone and bradykinin, are also found to be capable of inhibiting the M-channels. An important property of M-channels is that they require membrane phosphatidylinositol-4,5-bisphosphate (PIP2) to open (Delmas and Brown, 2005; Suh and Hille, 2008), and the certain receptors mentioned above suppress M-current by depletion of PIP2 (Delmas and Brown, 2005). In addition, M-channels are also inhibited by CaM in a Ca2+-dependent manner, providing another mode of intracellular modulation of M-channel activities (Gamper and Shapiro, 2003). Recent work indicates that protein kinase C (PKC) phosphorylation of the KCNQ2 subunit reduces the affinity for its PIP2 binding and activities (Kosenko et al., 2012; Lee et al., 2010). Likewise, sumoylation of KCNQ channels results in reduced channel activity (Qi et al., 2014). Thus, all regulatory pathways discovered so far act on the KCNQ channels to reduce the channel activity and increase neuronal excitability. Given its important role in stabilization of neuronal excitability, there has been much speculation for regulatory mechanisms to increase the channel-PIP2 interaction and channel activities, however, to date there is no evidence supporting such regulatory mechanism.
Protein methylation, along with phosphorylation, controls a variety of cellular functions (Nicholson et al., 2009). Protein arginine methyltransferases (Prmts) are enzymes that catalyze the transfer of a methyl group to arginine residues of histone or non-histone substrates (Boisvert et al., 2005). In mammals, nine Prmts have been characterized. Among these, Prmt1, originally identified as a histone H4 methyltransferase, methylates many non-histone proteins and implicated in diverse cellular processes including RNA processing, transcriptional regulation, oncogenesis, cell survival, insulin signaling, and metabolism (Boisvert et al., 2005; Bedford and Clarke, 2009; Krause et al., 2007). Although Prmt1 is a predominant Prmt in mammalian cells and is highly expressed in the CNS (Nicholson et al., 2009; Bedford and Clarke, 2009), its functional significance in the CNS has not yet been identified.
The positively charged (basic) arginines or lysines are candidates for mediating electrostatic interaction with PIP2 in channels such as KCNQ (Hernandez et al., 2008), Kir2 (Hansen et al., 2011; Huang et al., 1998; Lopes et al., 2002), and GIRK (Whorton and MacKinnon, 2011). Considering that each additional methyl group to an arginine residue can readily modulate their physical properties (Bedford and Clarke, 2009), methylation of arginine residues in PIP2 binding domain may alter KCNQ channels' affinity for PIP2. However it is not known whether such methylation really occurs and regulates the channel activity and whether it is implicated in common disease phenotypes. In the present study, the role of arginine methylation of KCNQ in regulation of channel activities and neuronal excitability was investigated. Prmt1-heterozygous (+/-) mice exhibit epileptic seizures. We also found that Prmt1 depletion causes a decreased interaction between PIP2 and KCNQ channels, consequently causing a reduction in KCNQ channel activity. Prmt1 interacts and methylates at 4 arginine residues of KCNQ channels. Hippocampal neurons from the heterozygote mice lack KCNQ currents, and the current can be restored by exogenous PIP2 addition, accompanied by concomitant rescue of normal excitability. Furthermore a pharmacological inhibition of methylation or methylation-deficient mutants of KCNQ2 reduce PIP2 binding and activities of KCNQ channels. These data demonstrate that protein arginine methylation facilitates KCNQ channel-PIP2 interaction, leading to seizure suppression. We propose that Prmt1-dependent regulation of KCNQ channels represents an important mechanism of neuronal protection against over-excitability.
Results
Prmt1+/- mice show spontaneous seizure activity
To assess the physiological importance of Prmt1 in the CNS, we utilized mutant mice for the Prmt1 gene in a C57BL/6J background (Choi et al., 2012). As Prmt1 homozygous knockout mice are embryonic lethal (Choi et al., 2012), we used heterozygous mice (Prmt1+/-) for our study. Immunoblot analysis demonstrated that Prmt1 proteins were highly expressed in wild-type (WT) brain but significantly reduced in the brain of Prmt1+/- mice (Figure 1a). We used long-term video- electroencephalographic (EEG) recording (24 hr per day for 6 days) to monitor behavior and spontaneous EEG activity in freely moving Prmt1+/- (n = 8) and WT mice (n = 6), which led to observation of spontaneous seizure activity from Prmt1+/- mice (n = 8) (Figure 1b and c). Epileptiform spikes with a delta frequency range (1–3 Hz) appeared in Prmt1 +/- mice (Figure 1d, Figure 1—source data 1), and lasted for 96.7 ± 12.5 s (range, 30–400 s, Figure 1e, Figure 1—source data 1). These results are in parallel with human seizures that usually last less than 3 min (Bromfield EB and Sirven, 2006). The number of seizure occurrences was 4.1 ± 1.4 per day in Prmt1+/- mice (range, 0.3–12 per day, Figure 1f, Figure 1—source data 1). Seizure activity was not observed in WT mice (Figure 1d–f, Figure 1—source data 1). During these seizure activities of Prmt1+/- mice, we typically observed partial seizure behaviors (stages 1–3 seizures on the Racine scale) or no changes in behavior (Figure 1g, Figure 1—source data 1). Convulsive seizures (stages 4 and 5) were rarely observed in Prmt1+/- mice (Figure 1g).
Behavioral hyperactivity, such as an increase in open-field locomotion, frequently accompanies seizures (Kim et al., 2011; Peñagarikano et al., 2011; Peters et al., 2005). In an open-field test, male mutants showed a slight increase in locomotor activity (Figure 1h–j, Figure 1—source data 1). The Prmt1+/- mice (n = 10) spent a similar amount of time in the center of the open-field box compared with the control mice (n = 9) (Figure 1h). However, the Prmt1+/- mice moved a longer distance than WT mice (Figure 1i). The total travel distance was increased significantly in Prmt1+/- mice, compared to that in WT mice (p<0.05; Figure 1j). Thus, Prmt1+/- mice display signs of a persistent neuronal hyperexcitability, including spontaneous seizures and a slightly increased locomotor activity.
Enhanced excitability and input resistance of dentate granule cells in Prmt1+/- mice
Hyperexcitability of hippocampal neurons is a characteristic feature of most epilepsies (Noebels, 2003; McCormick and Contreras, 2001). To identify neural mechanisms underlying spontaneous seizure activities in Prmt1+/- mice, we performed electrophysiological recordings from the dentate gyrus granule cells (GCs) of hippocampal slices from WT and mutant mice. GCs from WT mice typically displayed tonic firing patterns in response to a 1-s square current pulse injection: AP frequency elevated as the magnitude of the square pulse increased (Figure 2a and c, Figure 2—source data 1). GCs from Prmt1+/- mice showed significantly higher AP frequency than those from WT mice (Figure 2b and c, Figure 2—source data 1). The averaged AP frequency in response to a 200 pA depolarizing current in WT GCs was 8.1 ± 1.4 Hz (n = 16), while it increased significantly to 31.2 ± 2.2 Hz (n = 18, p<0.01) in Prmt1+/- GCs (Figure 2c). These data indicate that the heterozygous deletion of the Prmt1 gene enhanced excitability of hippocampal neurons. To determine whether the increased firing resulted from a change in the threshold current, we compared the magnitude of the current injection to reach a threshold for AP firing (AP threshold current) in WT and Prmt1+/- GCs. Representative traces in Figure 2d,e clearly show that the current for spike initiation was reduced in Prmt1+/- neurons. Analysis of pooled results revealed a significant decrease in the mean threshold current in Prmt1+/- GCs compared to that in WT GCs (Figure 2f, Figure 2—source data 1). As illustrated in Figure 2g, the change in threshold current was correlated with an increase in the input resistance. The amplitude and duration of APs obtained in WT were not altered by the reduction of the Prmt1 gene dose (Figure 2h and i, Figure 2—source data 1). Therefore, the change in the threshold current in Prmt1+/- neurons reflects the effect on input resistance, which facilitates their AP initiation and, hence, increase in spike number.
Reduced KCNQ channel activity causes the neuronal hyperexcitability in Prmt1+/- mice
Next, we explored the ionic mechanisms underlying the increased excitability. An increase in neuronal excitability without a change in AP height and width indicated that the kinetics and amplitude of voltage-gated currents associated with the spike itself were not affected. Increased cation current or leak current was unlikely to be involved in the phenotype, either, as this would be expected to result in a decrease in input resistance. Thus, the most probable target was the KCNQ/M channel. KCNQs are voltage-dependent K+ channels that partially open at the resting membrane potential. Inhibiting the KCNQ channel increases both input resistance and neuronal excitability (Jentsch, 2000; Brown and Passmore, 2009). Thus, we examined whether M-channel deficiency contributed to increased neuronal excitability of Prmt1+/- mice. The M-current amplitude was measured using a standard deactivation voltage protocol (Peters et al., 2005; Lawrence et al., 2006; Adams et al., 1982). In GCs from WT mice, a step to -60 mV forced deactivation of a slowly relaxing outward current that decayed, consistent with the presence of M-current. The M-channel antagonist XE991 (10 μM) caused a complete loss of detectable M-current (Figure 3a), accompanied by a reduction in the holding current. However, Prmt1+/- GCs showed little measurable M-currents (p<0.001) (Figure 3b–c, Figure 3—source data 1).
Consistent with the major contribution of the KCNQ channel (Delmas and Brown, 2005), XE991 application led to a depolarization (ΔVm, 4.5 ± 1.6 mV) in WT neurons. In contrast, such an effect of XE991 was abolished in the mutant (ΔVm, −0.9 ± 0.7 mV) (Figure 3—figure supplement 1, Figure 3—figure supplement 1—source data 1). Similarly, application of XE991 increased input resistance in the WT neurons (Δinput resistance, 51.7 ± 4.6 MΩ) but had less of an effect in the mutant (Δinput resistance, 29.2 ± 6.3 MΩ) (Figure 3d, Figure 3—source data 1). The Prmt1+/- neurons’ threshold currents were also insensitive to XE991 treatment (Figure 3e, Figure 3—source data 1). These results suggest that the increase in the input resistance of Prmt1+/- neurons might be a result of the reduced level of KCNQ channel activity.
We further examined the effect of XE991 on firing frequency. The firing frequency in WT neurons increased significantly after applying 10 μM XE991 (Delmas and Brown, 2005) (Figure 3f, Figure 3—source data 1). For example, the AP frequency in response to a 200 pA-depolarizing current was 8.4 ± 1.9 Hz in the control and increased to 12.6 ± 1.9 Hz following the application of 10 μM XE991. This XE991-induced spiking was largely absent in the mutant neurons (Figure 3g, Figure 3—source data 1). Before and after the XE991 treatment, AP frequency in response to a 200 pA depolarizing current was 34 ± 3.2 Hz and 35.2 ± 5.6 Hz, respectively. Thus, these results showed that Prmt1+/- GCs displayed a high firing rate at baseline, and their firings did not further increase during XE-991 application, suggesting that defective M-current contributes to the neuronal hyperexcitability observed in the Prmt1+/- mice. However, we cannot exclude the potential involvement of other Prmt1 target(s) in the neuronal hyperexcitability observed in the Prmt1+/- mice.
To assess the effect of protein methylation on M-currents, WT hippocampal slices were treated with a pan-methyltransferase inhibitor 5-deoxy-5-(methylthio) adenosine (MTA) or a more specific blocker of Prmt1, furamidine dihydrochloride. The treatment of WT hippocampal slices with MTA (100 μM) or furamidine dihydrochloride (20 μM) for 1 hr completely abolished M-currents (Figure 4a–c; p<0.001 vs WT control, Figure 4—source data 1). We then studied their effects on neuronal excitability. The application of MTA (100 μM, 1 hr) enhanced neuronal excitability of WT GCs (Figure 4d–e). After the MTA treatment, AP frequency in response to a 200 pA depolarizing current was 34.7 ± 4.6 Hz. Consistent with ablation of M-currents by MTA, subsequent application of XE991 had no further effect (AP frequency was 31.8 ± 3.9 Hz) (Figure 4d–e, Figure 4—source data 1). The MTA-induced increase in excitability was accompanied by the declined AP threshold currents and increased input resistance (threshold current, 110.5 ± 5.5 pA, n = 4; input resistance, 234.0 ± 5.8 MΩ, n = 4), which were relatively insensitive to a subsequential treatment with XE991 (p>0.05; Figure 4j–k, Figure 4—source data 1). Furthermore, the treatment of WT hippocampal slices with furamidine dihydrochloride exhibited a similar effect on neuronal excitability, input resistance, and threshold current, confirming the results obtained with MTA treatment (Figure 4f–g and j–k, Figure 4—source data 1). However, methylation suppression with MTA had no effect on AP firing (Figure 4h–i, Figure 4—source data 1), threshold current (Figure 4j, Figure 4—source data 1), or input resistance (Figure 4k, Figure 4—source data 1) in Prmt1+/- GCs. Thus, these data suggest that the reduction of Prmt1 activity in the hippocampal neurons might be responsible for the neuronal hyperexcitability in Prmt1+/- neurons.
Figure 4. Methylation suppression with MTA or furamidine, increases neuronal excitability via KCNQ channel.
(a–b) Representative current traces recorded from MTA- (a) or furamidine- (b) pretreated WT GCs using the voltage protocol depicted below in the absence (black) or presence (blue) of 10 μM XE991. (c) Summary of M-currents from experiments shown in a–b. Data for M-currents of WT control shown in Figure 3c is also shown as a reference. ***p<0.001 by Student’s t-test. (d–i) APs were evoked by applying 1-s depolarizing current pulses of different intensities (100–400 pA) in WT (d–g) or Prmt1+/- (h–i) neurons. Panel d, f, and h illustrate representative traces after incubation for 1 hr with 100 μM MTA (d and h) or 20 μM furamidine (f). The effect of applying XE991 once the maximal effect of MTA or furamidine is achieved was shown in right. Scale bar indicate 40 mV. Summarized data compare the number of APs before and after application of XE991 in MTA-pretreated WT (e), furamidine-pretreated WT (g), and MTA-pretreated mutants (i). The gray lines shows the number of APs observed in untreated WT and Prmt1+/- neurons. Genotypes are given on each line. Firing rate in MTA-treated WT cells (□; n = 4, two mice) or furamidine-treated WT cells (□; n = 4, three mice) increased to the level of Prmt1+/- cells (gray line). Further, XE991 had no effect in MTA-treated WT cells (○; n = 4, paired Student’s t tests) or furamidine-treated WT cells (△; n = 4, paired Student’s t tests). MTA had no further effects on Prmt1+/- neurons. NS, not significantly different. (j–k) the mean value of threshold current for AP generation (j) and input resistance (k). ANOVA Tukey test. **p<0.02; ***p<0.001.
DOI: http://dx.doi.org/10.7554/eLife.17159.011
Prmt1 interacts with and methylates KCNQ2
Importantly, KCNQ2 and KCNQ3 protein levels were unchanged in hippocampi from Prmt1+/- mice, suggesting the involvement of post-translational mechanisms in the regulation of KCNQ currents (Figure 5—figure supplement 1). Previous studies have suggested that methylation of some ion channel proteins could affect their activities/functions (Beltran-Alvarez et al., 2013; Sariban-Sohraby et al., 1984). To investigate a potential interaction between KCNQ2 and Prmt1, co-immunoprecipitation experiments were conducted with HEK293T cells. KCNQ2 and Prmt1 proteins were coprecipitated when co-expressed in HEK293T cells (Figure 5a). The intracellular C-terminal region of KCNQ2 encompassing amino acids 320–840, designated as KCNQ2-C, was sufficient to interact with Prmt1 (Figure 5b and c). To further confirm the interaction between KCNQ2 and Prmt1 proteins in the native neuronal environment, co-immunoprecipitation was performed with mouse hippocampal lysates. We found that KCNQ2 was co-immunoprecipitated endogenously with Prmt1 in hippocampus (Figure 5d).
Figure 5. Prmt1 binds to and methylates KCNQ2 at R333, R345, R353, and R435.
(a–c) Immunoblotting analysis showing the physical association of KCNQ2 and Prmt1. HEK293T cells were transfected with expression vectors, as indicated. Whole-cell lysates were immunoprecipitated and immunoblotted by either anti-flag or anti-HA antibody. Representative data from at least three independent experiments are shown. (d) Western blotting analysis showing endogenous interaction of KCNQ2 and Prmt1. Cell lysates from mouse hippocampus were immunoprecipitated with anti-Prmt1 antibody and were immunoblotted with anti-KCNQ2 antibody or anti-Prmt1 antibody. Representative data from at least three independent experiments are shown. (e) In vitro methylation assays with GST-KCNQ2 (amino acids 320–449) and a series of GST-Prmts (1–6) in the presence of [3H]S-adenosylmethionine (SAM). Total amounts of GST-KCNQ2 (arrowhead) and GST-Prmts are shown by Coomassie brilliant blue staining. (f) In vitro methylation assays with GST-Prmt1 together with GST-KCNQ2 (amino acids 320–449) WT, R333K/R353K, R345K/R353K R345K/R435K. R333K/R345K/R353K (RRRR-KKKR), or R333K/R345K/R353K/R435K (4RK) in the presence of [3H]SAM. (g) Immunoblotting analysis showing the decreased asymmetric dimethylation of KCNQ2 in Prmt1 knockdown cells. HEK293T cells were transfected with control or HA-KCNQ2 in combination with control or Prmt1 shRNA expression vectors, followed by immunoprecipitation with KCNQ2 antibodies and immunoblotting with antibodies to ADMA, KCNQ2, Prmt1 and GAPDH. (h) Immunoblotting analysis showing the enhanced asymmetric dimethylation of KCNQ2 in Prmt1 overexpressing cells. HEK293T cells were transfected with control or HA-KCNQ2 in combination with control or Prmt1 expression vectors, followed by immunoprecipitation with KCNQ2 antibodies. (i) Immunoblotting analysis showing decreased asymmetric dimethylation of KCNQ2 in Prmt1+/- brain, compared to the WT control. Brain lysates from Prmt1+/+ and Prmt1+/- mice were immunoprecipitated with anti-KCNQ2 antibodies or control IgG.
Figure 5—figure supplement 1. Expression of KCNQ2 and KCNQ3 in the hippocampus of WT and Prmt1+/- mice.
Figure 5—figure supplement 2. Identification of in vivo arginine methylation sites of KCNQ2 MS/MS spectra of the methylated peptides.
Figure 5—figure supplement 3. The sequence alignment of 5 difference human KCNQ isoforms.
Figure 5—figure supplement 4. In vitro methylation assays with GST-Prmt1 or myc-Prmt5 together with GST-KCNQ2 (320-449 aa).
Figure 5—figure supplement 5. Expression of Prmt8 in Prmt1+/+ and Prmt1+/- brain lysates. .
To assess whether KCNQ2 is methylated in vivo and to identify the in vivo methylation sites, we performed a liquid-chromatography-coupled tandem mass spectrometric analysis. Four arginine residues such as Arg333 (R333), Arg345 (R345), Arg353 (R353), and Arg435 (R435), were identified as methylated in vivo (Table 1 and Figure 5—figure supplement 2). To determine whether Prmt1 methylates KCNQ2, we performed in vitro methylation assays using various bacterially purified GST-Prmts (Prmt1-6) or myc-tagged Prmt5 purified from HEK293T cells and GST-KCNQ2 (amino acids 320–449) that contain all of four arginine residues identified by mass spectrometry. GST-KCNQ2 was methylated by Prmt1, but not by other Prmts (Figure 5e and Figure 5—figure supplement 4). We next examined whether the newly identified methylation sites were direct targets for methylation by Prmt1. KCNQ2 mutants in each of which either R333, R345, R353, or R435 were substituted with lysine (further referred as RK mutants) were generated and analyzed by in vitro methylation assay with Prmt1 (Figure 5f). While the single arginine-to-lysine substitutions did not result in observable decrease of methylation (data not shown), the reduction in KCNQ2 methylation was readily detected with the double RK mutants, R333K/R353K, R345K/R353K, or R345K/R435K. This was further declined in the triple mutant of R333K/R345K/R353K, compared to double mutants. Furthermore, substitution of the four Arg’s in KCNQ2 (4RK, R333K/R345K/R353K/R435K) completely abolished the methylation by Prmt1, suggesting that these four arginine residues are critical targets for Prmt1-dependent methylation.
Table 1.
Peptide* | Modification | Charge state |
---|---|---|
332RRNPAAGLIQSAWR345 | Mono-methylated R333 | +3 |
334NPAAGLIQSAWR345 | Mono-methylated R345 | +2 |
346FYATNLSR353 | Di-methylated R353 | +2 |
435RSPSADQSLEDSPSK449 | Di-methylated R435 | +3 |
*Methylated amino acid residues are highlighted in bold.
To test whether Prmt1 methylates KCNQ2 in vivo, HEK293T cells expressing HA-KCNQ2 were transfected with control or Prmt1 shRNA, followed by immunoprecipitation with anti-KCNQ2 antibodies and immunoblotting with antibodies to asymmetric dimethylarginine (ADMA) and KCNQ2. Prmt1 knockdown specifically decreased the ADMA-positive KCNQ2 levels, suggesting that KCNQ2 methylation is sensitive to Prmt1 levels (Figure 5g). Conversely, Prmt1 overexpression enhanced KCNQ2 methylation (Figure 5h). We next examined the arginine methylation status of KCNQ2 channels in WT or Prmt1+/- brains (Figure 5i). The immunoprecipitation analysis showed that ADMA-positive KCNQ2 proteins were readily detected in the WT brain, which were significantly reduced in that of Prmt1+/-. These results strongly advocate that Prmt1 interacts with and methylates KCNQ2. Prmt1 and Prmt8 often share substrates in vitro, and PRMT8 is neuron-specific (Kousaka et al., 2009). We analyzed whether Prmt8 contributes to hypo-methylation of KCNQ2 proteins in Prmt1+/- brains. The protein expression of Prmt8 in the Prmt1+/- brain was unaltered from WT brain (Figure 5—figure supplement 5). Thus, Prmt8 might not be involved in the decreased KCNQ2 methylation in Prmt1+/- brain. Taken together, these data indicate that reduced Prmt1 levels cause hypo-methylation of KCNQ2 in the Prmt1+/- brain.
Methylation regulates the KCNQ2 channel activity
To examine the functional role of Prmt1-mediated methylation of KCNQ2, KCNQ2 channel activities were assessed in Prmt1-knockdown HEK293T cells (Figure 6a–b, Figure 6—source data 1). Using the conventional whole-cell patch clamp technique, the channel function was measured by applying 'step' pulses from –70 to +40 mV in 10-mV increments at a holding potential of –60 mV for 1 s, followed by a tail pulse to –60 mV. Figure 6a demonstrates representative whole-cell current traces recorded from KCNQ2-transfected HEK293T cells. Consistent with previous studies (Lee et al., 2010), KCNQ2-transfected cells displayed slowly activating outward currents and tail currents. In non-transfected cells, we observed small endogenous outward currents at positive voltage step pulses, but no tail currents (data not shown). The shRNA-mediated depletion of Prmt1 decreased KCNQ current density from 57.6 ± 7.6 pA/pF of control transfected cells to 26.3 ± 7. 6 pA/pF. Rectification of the I-V curves was not changed by Prmt1 knockdown. To verify the role of Prmt1-mediated methylation in KCNQ2 channel function, the effect of Prmt1 inhibitors on KCNQ2 current was examined. In agreement with Prmt1 knockdown data, the treatment of MTA or furamidine dramatically reduced the KCNQ2 currents (Figure 6c–d, Figure 6—source data 1). The KCNQ2 currents were confirmed by XE991 treatment. Assuming that the XE991-sensitive portion entirely represents KCNQ2 currents, 100 μM MTA or 20 μM furamidine inhibited KCNQ2 currents by 79.9 ± 13.6% and 72.1 ± 2.1%, respectively.
Figure 6. Methylation of KCNQ2 regulates its channel activity.
(a) Representative current recordings from HEK293T cells expressing KCNQ2 with control shRNA vector (left) or a Prmt1 shRNA (Prmt1 sh) (right). Currents were elicited by voltage steps from -70 mV to +40 mV with a subsequent step to -60 mV. (inset) Control immunoblotting for Prmt1 expression. (b) I-V relationships in control cells (●) or Prmt1 knockdown cells (○) or nontransfected cells (△) are shown. (c–d) Treatment of MTA (c) or furamidine (d) induces a reduction of KCNQ2 currents (left). Both of them suppress KCNQ2 currents without altering shape of I-V curves (right). XE991, KCNQ channel blocker. (e) Representative current recordings from cells expressing WT and methylation defective mutants. (inset) The control western blot shows the expression of various KCNQ vectors. (f) The current density of KCNQ2 at +40 mV for each mutant shown in e. ANOVA Tukey test, ***p<0.001.
DOI: http://dx.doi.org/10.7554/eLife.17159.020
We further examined the correlation between the Prmt1-induced methylation and KCNQ2 channel function by recording whole-cell currents in HEK293T cells expressing WT or KCNQ2 mutants. Compared to WT, the KCNQ2 mutants with reduced methylation exhibited remarkably decreased KCNQ2 currents (Figure 6e). The current density at +40 mV was 304.4 ± 11.0 pA/pF (n = 5) for WT KCNQ2 channels. We observed significantly decreased KCNQ2 currents in cells expressing RK mutants (R333K, R345K, R353K, R435K, or 4RK): in these cells the current density (pA/pF) of steady-state currents at +40 mV were 18.2 ± 0.3 (n = 3, p<0.001), 13.7 ± 0.5 (n = 3, p<0.001), 14.8 ± 3.9 (n = 3, p<0.001), 18.0 ± 2.2 (n = 4, p<0.001), and 12.5 ± 1.6 (n = 4, p<0.001), respectively (Figure 6f, Figure 6—source data 1). These data suggest that the arginine methylation of KCNQ2 is required for its channel activity. Importantly, KCNQ2 mutants showed no alteration in sensitivity to retigabine, KCNQ channel activator (Figure 9d–g, summary data in Figure 9i, Figure 9—source data 1), indicating that methylation regulates channel function through a distinct molecular mechanism not overall potential of channel activation.
Arginine methylation of KCNQ2 is required for maintaining PIP2 affinity
To assess whether methylation of KCNQ2 regulates its cell surface localization, we labeled total plasma membrane proteins of intact cells with membrane-impermeable biotinylation reagents, and isolated membrane proteins with streptavidin beads. The ratio of channels on the membrane to those in the total lysates was not significantly different between control cells and Prmt1 knockdown cells (Figure 7—figure supplement 1, left panel). KCNQ2-4RK also showed a similar amount of biotinylation when expressed in HEK293T cells (Figure 7—figure supplement 1, right panel). The absence of biotinylation on the cytosolic marker protein heat shock protein-90 confirmed specificity of the surface labeling. As the surface-resident channels remained unchanged, the KCNQ conductance should be determined by the open probability.
KCNQ/M channels require a certain level of PIP2 in the cell membrane to maintain their activity (Delmas and Brown, 2005; Suh and Hille, 2002; Winks et al., 2005; Zhang et al., 2003). PIP2 acts to stabilize the open state of KCNQ2 channels resulting in increased open probability at all voltage levels. Thus, the depletion of PIP2 (Suh and Hille, 2002; Winks et al., 2005; Zhang et al., 2003) or the reduction of PIP2 affinity of channel (Kosenko et al., 2012; Lee et al., 2010; Hernandez et al., 2008) can suppress KCNQ currents. Interestingly, the methylated arginine residues, R333, R345, R353, and R435, reside in the PIP2-binding domain of KCNQ2 (Suh and Hille, 2008; Hernandez et al., 2008). This led us to postulate that methylation might affect the PIP2 binding affinity of KCNQ2 thereby regulating channel activities.
To appraise the affinity of PIP2 for KCNQ2, we utilized neomycin, which is widely used to sequester PIP2 (Liscovitch et al., 1994; Haider et al., 2007; Suh and Hille, 2007).Since neomycin is a polycation that binds specifically to PIP2, it has been used to determine the PIP2 content in biological membranes (Arbuzova et al., 2000). The neomycin sensitivity of ion channels such as Kir and KCNQ is well regarded as a measure of its PIP2 affinity (Haider et al., 2007; Suh and Hille, 2007; Kosenko et al., 2012; Schulze et al., 2003). Accordingly, ion channels with high PIP2 affinities are expected to be less sensitive to neomycin than those with low PIP2 affinity. Inclusion of 10 μM neomycin in the patch pipette solution led to a moderate inhibition of the WT KCNQ2 current in HEK293T cells (Figure 7a, Figure 7—source data 1). In contrast, mutant channels with reduced methylation showed greatly increased inhibition by 10 mM neomycin. So, the remaining current at 10 min time points after rupturing the membrane is significantly reduced from 81.2 ± 1.9% (WT, n = 5) to 48.7 ± 4.2% (R333K, n = 5, p<0.01; Figure 7a). We measured dose-responses to neomycin. In comparison with WT, methylation-deficient mutant KCNQ2 (R333K, R345K, R353K, R435K) exhibited a higher sensitivity to neomycin (Figure 7b, Figure 7—source data 1), suggesting lower PIP2 affinity. To directly examine whether these channels have different PIP2 sensitivity, we included 20 μM or 200 μM diC8-PIP2 in the patch pipette solution and measured current augmentation after rupturing the plasma membrane (Figure 7c and d, Figure 7—source data 1). WT KCNQ2 did not show increase in current by diC8-PIP2 even at 200 μM, suggesting that endogenous PIP2 might be at a saturating concentration. In contrast, methylation-deficient mutant KCNQ2 (R333K, R345K, R353K, R435K, 4RK) showed a dose-dependent increase in current but they did not reach to WT level at corresponding concentrations of PIP2. Only R333K reached to the WT level when introduced to 200 μM PIP2. On the other hand, 4RK appeared to be most severely affected in PIP2 binding. Altered PIP2 affinity in RK mutants was also assessed by a voltage-sensitive phosphatase from Danio rerio (Dr-VSP), which hydrolyzes PIP2 at highly depolarized voltages (e.g., +100 mV) and transiently reduces the PIP2 level (Falkenburger et al., 2010; Rjasanow et al., 2015). Dr-VSP was coexpressed with WT KCNQ2 or RK mutants and its activity was elicited by membrane depolarization. Consistent with a previous report (Falkenburger et al., 2010), activation of Dr-VSP reduced WT KCNQ2 currents and currents were recovered quickly after PIP2 resynthesis on repolarization (Figure 7—figure supplement 2, Figure 7—figure supplement 2—source data 1). When subjecting RK mutants to the same VSP activation protocol, the overall behavior was similar to the WT KCNQ2 channel; however, the recovery of current was slowed 2–4 folds (Figure 7—figure supplement 2, Figure 7—figure supplement 2—source data 1). The mean time to the 70% maximum current (T70) for R333K, R345K, R353K and R435Kwas 22.8 ± 3.7, 24.1 ± 1.9, 32.1 ± 2.6, and 17.9 ± 1.5 s, respectively (p<0.05 vs WT:9.5 ± 3.1 s). The slowed recovery after VSP reflects the reduced PIP2 affinity (Rjasanow et al., 2015), further supporting for the reduced PIP2 affinity of RK mutants. Taken together, these data suggest that methylation of KCNQ2 channel regulates its interaction with PIP2.
Figure 7. Methylation of KCNQ2 determines its PIP2 affinity.
(a) Pooled data show 10 μM neomycin-induced rundown of WT (●) and R333K (○) KCNQ2 currents. KCNQ2 currents were normalized to KCNQ2 current at t = 0. (b) Dose-response curves for neomycin measured at 10 min after rupturing the plasma membrane. Indicated concentration of neomycin was included in the patch pipette. Solid lines are Hill fits to the mean data for WT, R333K, R345K, R353K, and R435K giving IC50 values of 59.1 ± 8.3, 9.2 ± 4.2, 5.2 ± 0.2, 5.4 ± 3 and 6.2 ± 8 μM and slopes of 0.8 ± 0.05, 0.8 ± 0.3, 0.6 ± 0.1, 0.6 ± 0.2, and 0.5 ± 0.2, respectively. (c) Representative traces showing a significant increase in R333K KCNQ2 mutant by 200 μM diC8-PIP2 addition to patch pipette (red line) compared to controls (black line). KCNQ2 (WT) did not show apparent augmentations. Currents were elicited by voltage steps from -60 mV to +40 mV. (d) from data such as shown in c current densities for 0, 20, and 200 μM diC8-PIP2 in the recording pipette were determined and plotted as bars with S.E.M. Currents were measured at >20 min after rupturing the plasma membrane. The numbers in parentheses indicate the number of cells. ANOVA Tukey test. **p<0.01 versus corresponding concentration to WT. #p<0.05; ##p<0.01; ###p<0.001. (e–g) Effects of Prmt1 (e-f) or 4RK mutation (g) on the binding of KCNQ2 and PIP2. Different amounts (10–500 pmol) of PIP2 were spotted onto nitrocellulose membranes and analyzed by a protein-lipid overlay procedure using cell lysate prepared from HEK293T cells transfected with indicated expression vectors or the control pcDNA vector (left panels). The control western blots are shown in right panels. (h) Left, representative traces show augmentation of M-current by 200 μM diC8-PIP2 in the patch pipette. Right, summary of M-current density from WT neurons and Prmt1+/- neurons with 0, 20, and 200 μM diC8-PIP2 in the recording pipette. Mean ± S.E.M. ANOVA Tukey test, ***p<0.001. (i–j) the mean value of input resistance (i), and threshold current for AP generation (100 ms duration; j) from WT (+/+) neurons, mutants (+/-), and mutants loaded with 20 μM diC8-PIP2 (+/-; PIP2). (k) the mean number of APs in response to 1-s depolarizing current injection (200 pA) from a WT (+/+) neuron, a mutant (+/-), and a mutant loaded with 20 μM diC8-PIP2 (+/-; PIP2).
DOI: http://dx.doi.org/10.7554/eLife.17159.022
Figure 7—figure supplement 1. Surface expression of KCNQ channels was not affected by Prmt1 knockdown or 4RK mutation.
Figure 7—figure supplement 2. Quantitative determination of the sensitivity of KCNQ2 channels to activation of Dr-VSP in HEK293T cells.
Figure 7—figure supplement 3. Comparison of XE991 sensitivity in GCs.
Figure 7—figure supplement 4. Application of exogenous PIP2 had little effect on the excitability in WT neurons.
Figure 7—figure supplement 5. The effects of SK channel block and BK channel block on neuronal excitability of control or furamidine-pretreated GCs.
To further confirm that arginine methylation modulates the PIP2 binding affinity of KCNQ2, we used a protein-lipid overlay (PLO) assay with an HA-KCNQ2-C (Figure 7e–g). PIP2 strips were incubated with lysates from control or Prmt1 knockdown cells expressing HA-KCNQ2-C. We found that the PIP2 affinity of KCNQ2 decreased in the Prmt1 knockdown cells compared to that in the control cells (Figure 7e). In contrast, overexpression of Prmt1 with HA-KCNQ2 enhanced the affinity of KCNQ2 for PIP2 (Figure 7f). Compared to that of WT KCNQ2, methylation-deficient mutant channels also had very little affinity for PIP2 (Figure 7g), consistent with electrophysiological measurements.
We then tested whether PIP2 loading could also rescue M-currents in neurons of Prmt1 +/- mice. As shown in Figure 7h,M-current density in Prmt1+/- neurons was restored to the WT level by PIP2 loading. Introduction of 20 and 200 μM diC8-PIP2 to Prmt1+/- GCs increased M-currents to 27.3 ± 2.9 (n = 3) and 29.9 ± 5.9 pA (n = 5), respectively, which are insignificantly different from that of WT (31.65 ± 2.03 pA, n = 22, p>0.05; Figure 7h, Figure 7—source data 1), while exogenous PIP2 had little effects on M-currents in WT GCs (p>0.05, Figure 7h, Figure 7—source data 1). As expected from opening of the M-channels by PIP2, the input resistance decreased significantly from 214.8 ± 7.7 MΩ to 163.8 ± 16.4 MΩ (Figure 7i, Figure 7—source data 1), and the AP threshold current increased from 115.6 ± 3.3 pA to 175 ± 12.1 pA (Figure 7j, Figure 7—source data 1). These results indicate that declined methylation caused by Prmt1 depletion impairs KCNQ channel activity via reduction in channel-PIP2 interaction.
Since PIP2 restored the diminished KCNQ currents, we asked whether PIP2 could also reduce the observed neuronal hyperexcitability in Prmt1+/- neurons. We found that PIP2 loading decreased the firing rate toward normal values in Prmt1+/- GCs. For example, the AP frequency of Prmt1+/- GCs in response to a 200 pA depolarizing current was 31.2 ± 2.2 Hz, and decreased to 15.5 ± 2.9 Hz following PIP2 loading (Figure 7k, Figure 7—source data 1). In addition, Prmt1+/- neurons also regained the sensitivity to XE991 (Figure 7—figure supplement 3, Figure 7—figure supplement 3—source data 1). In contrast, PIP2 application had little effects on the excitabilities of WT neurons (Figure 7—figure supplement 4, Figure 7—figure supplement 4—source data 1). These results suggest that the impaired KCNQ channel function in the hippocampus of Prmt1+/- mice can be restored by PIP2 addition. Although the recovery of excitability with PIP2 application was significant it was incomplete, suggesting the possible involvement of other Prmt1 target(s) in neuronal hyperexcitability. As immediate candidates, we tested other K+ channels such as SK and BK channels in Prmt1 effects which are known to regulate membrane excitability of dentate gyrus GCs (Brenner et al., 2005). The data obtained by using apamin and paxilline, specific SK and BK channel blockers, respectively, ruled out that the contribution of these channels in hyperexcitability of Prmt1-deficient GCs (Figure 7—figure supplement 5, Figure 7—figure supplement 5—source data 1). Further study will be required to identify additional targets of Prmt1. Taken together, genetic deletion or pharmacological inhibition of Prmt1 reduces the affinity between the KCNQ channel and PIP2, leading to reduction of KCNQ currents accompanied by neuronal hyperexcitability.
Protein arginine methylation is critical for cytoprotective neuronal silencing
Prmt1 seems to play a key role in physiological functions of KCNQ channels by controlling its interaction with PIP2 at the basal state. KCNQ channels are also known to contribute to cellular protections in pathologic condition. In particular, the enhancement of KCNQ currents in response to oxidative stress led to a dramatic reduction of the AP firing frequency that may prevent neuronal death (Patel, 2004). We then examined whether Prmt1-mediated methylation is functionally associated with the mechanisms of cytoprotective enhancement of KCNQ currents under oxidative stress.
To investigate the role of Prmt1 in reactive oxygen species (ROS)-induced augmentation of KCNQ channel and consequential neuronal silencing, neuronal excitabilities in WT and Prmt1+/- GCs are evaluated in response to H2O2.Consistent with previous studies (Gamper et al., 2006), H2O2 treatment strongly reduced neuronal excitabilities in WT GCs (Figure 8a–b). The AP firing rate during injection of a 200 pA depolarizing current was 9.3 ± 2.1 Hz, and decreased to 1.4 ± 0.9 Hz (Figure 8c, Figure 8—source data 1) after H2O2 treatment. Consistent with the KCNQ current augmentation, the input resistance was decreased from 163.8 ± 24.9 to 116.3 ± 21.8 MΩ (Figure 8d, Figure 8—source data 1). In contrast, H2O2 application did not lower firing rates and input resistance in GCs of Prmt1+/- mice, although their firing rates and input resistance were elevated compared to WT (Figure 8e–h, Figure 8—source data 1). Consistently, the pharmacological inhibition of arginine methylation with MTA (Figure 8i–l, Figure 8—source data 1) or furamidine (Figure 8m–p, Figure 8—source data 1) also blocked neuronal silencing and input resistance reduction in WT GCs in response to the oxidative stress inflicted by H2O2. These data indicate that Prmt1-mediated protein arginine methylation is necessary for ROS-induced neuronal silencing via KCNQ channel activation.
Figure 8. Prmt1 is involved in Oxidative stress-induced silencing of neurons.
Spike trains were evoked by injecting 1-s depolarizing current pulses of different intensities (100–250 pA) into the cell before (black) and after (red) application of H2O2. Left panels show representative recordings in normal extracellular medium (a,e,i,m) and middle panels after application of 500 μM H2O2 for 10 min (b,f,j,n). H2O2 had little effect on firing rates in Prmt1+/- GCs (f; n = 5, four mice), MTA (j; n = 4, four mice)- or furamidine (n; n = 7, four mice)-treated WT GCs than in untreated WT GCs (b; n = 8, four mice). Summary diagrams (right column) compare firing rates or input resistance before (black) and after (red) application of H2O2 in WT (c,d), Prmt1+/- (g,h), MTA (k,l)- or furamidine (o,p)-treated WT dentate GCs. **p<0.01; ***p<0.001 by Student’s t-test.
DOI: http://dx.doi.org/10.7554/eLife.17159.033
Consistent with a previous study (Gamper et al., 2006), H2O2 induced a sharp augmentation of WT KCNQ2 channels heterologously expressed in HEK293T cells (Figure 9a). The mean current augmentation induced by 500 μM H2O2 was 2.6 ± 0.2-fold (Figure 9h). At the concentration of 500 μM, the H2O2 effect usually reached a plateau within 7~8 min of application. The H2O2 effect was completely reversed by the addition of a reducing agent, dithiothreitol (DTT, 2 mM), suggesting that this effect is due to a reversible oxidative modification. Notably, DTT-reduced KCNQ2 currents in H2O2-treated cells were back to the resting level within several minutes, but did not inhibit them further (Figure 9a). Also, DTT had no effect on KCNQ2 currents in non- H2O2-treated cells (data not shown). When protein arginine methylation was blocked with the treatment of MTA (Figure 9b) or furamidine (Figure 9c), KCNQ2 channels appeared to be insensitive to H2O2 with the currents augmented by H2O2 (500 μM) by 0.9 ± 0.02-fold and 0.8 ± 0.03-fold, respectively (Figure 9h, Figure 9—source data 1). We then examined whether the sensitivity to H2O2 is abrogated by the KCNQ2 mutants with reduced methylation. As shown in Figure 9d–g, the mutant channels were insensitive to H2O2, compared to WT KCNQ2. Currents of the R333K, R345K, R353K and R435K mutant channels were augmented by 1.6 ± 0.3-, 0.9 ± 0.1-, 0.7 ± 0.1- and 1.1 ± 0.1-fold, respectively (Figure 9h, Figure 9—source data 1).
Figure 9. Activation of KCNQ2 channels by H2O2 is sensitive to methylation.
(a–g) Time course for the effect of 500 μM H2O2 on KCNQ2 currents. WT KCNQ2 (a-c), R333K (d), R345K (e), R353K (f) or R435K (g) were expressed in HEK293T cells. For experiment (b) & (c), cells were pretreated with MTA (100 μM) or furamidine (20 μM), respectively. Whole-cell currents were monitored by 1-s hyperpolarizing steps to -60 mV from a holding potential of -20 mV at 5-s intervals. H2O2 (500 μM), DTT (2 mM), the M-channel blocker, XE991 (50 μM), and M-channel activator, retigabine (RTG; 10 μM), were applied during the periods indicated by the bars. Plotted are normalized current amplitudes versus time during the experiment. Representative current traces from each experiment (not normalized) are depicted in the insets. (h) Summarized data for KCNQ2 activation induced by H2O2. Letters indicate statistically distinct groups (ANOVA Tukey, p<0.01). (i) Summarized data for KCNQ2 activation induced by retigabine.
DOI: http://dx.doi.org/10.7554/eLife.17159.035
Figure 9—figure supplement 1. Time course for the effect of 500 μM H2O2 on Triple-Cys mutant of KCNQ2 currents (left).
Recently, Gamper et al. (Gamper et al., 2006) showed that a triple cysteine pocket in the S2-S3 linker is critical for the H2O2-induced enhancement of KCNQ channel. Interestingly, MTA and furamidine reduced activities of the triple-Cys mutant of KCNQ2 by a similar extent as it did those of the WT KCNQ2 channel, while the mutant was insensitive to H2O2 as expected (Figure 9—figure supplement 1, Figure 9—figure supplement 1—source data 1). This result indicates that the H2O2 activation pathway is unnecessary for the arginine methylation-mediated regulation of Prmt1. Taken together, Prmt1 is prerequisite for cytoprotective enhancement of KCNQ currents in the milieu of oxidative stress.
Discussion
In this study, we describe a novel regulatory mechanism whereby methylation of KCNQ2 affects KCNQ/M channel activities and overall excitabilities of the brain. The heterozygous reduction of the Prmt1 gene dose in mice caused spontaneous seizures. The elevated neuronal excitability in Prmt1+/- mice appears to be a direct result of reduced KCNQ/M channel activities in that KCNQ2 from the Prmt1+/- brain was less asymmetrically methylated and showed diminished affinity to PIP2. Furthermore, the activation of KCNQ channel under oxidative stress as well as its basal activity at rest depends on protein arginine methylation. It is well known that ROS generated under oxidative stress induces augmentation of KCNQ currents in neurons (Gamper et al., 2006). The resulting reduction in neuronal discharge lowers electrical activity of the cell and energy consumption, thereby providing an important mechanism of protecting neurons from the oxidative stress-induced death (Gamper et al., 2006; Won et al., 2002). Considering that oxidative stress is also involved in induction of seizures (Patel, 2004), the impairment of neuroprotective KCNQ activation in response to oxidative stress, may contribute to spontaneous seizures together with the reduced basal activity of KCNQ channels in Prmt1+/- mice. Protein arginine methylation is a unique post-translational modification that increases the KCNQ/M channel function unlike other known regulatory signaling pathways, and thus provides a platform for the design of novel therapeutic strategies for epilepsy and other neuronal hyperexcitability disorders.
Our results find that 4 arginine residues (R333, R345, R353, and R435) are the major methylation sites in KCNQ2. Interestingly, all of the methylation sites reside within the C-terminal PIP2 binding domain. This is known as a 'hot spot', as it serves as binding sites for multiple signaling molecules as well as PIP2 (Delmas and Brown, 2005; Hernandez et al., 2008; Zhang et al., 2003). The observation that decreased methylation lowers PIP2 affinity proposes that Prmt1 methylation on the arginine residues would increase channel-PIP2 interaction. Indeed, previous computational analyses revealed that methylation renders the guanidinium of arginines to be more electron-rich and thus to exhibit higher pKa values (Shearer, 2008), which would stabilize the positive charge of the arginine residue in proteins in the physiological condition and thereby likely facilitate their electrostatic interaction with negatively charged molecules. Thus, it is conceivable that arginine methylation is required for the KCNQ channel activity because it promotes electrostatic binding of KCNQ proteins to PIP2.
Various KCNQ channel mutations associated with epilepsy have been shown to cause a reduction in M-channel activity, which all can lead to membrane depolarization and increased neuronal firing via diverse mechanisms. Mutations in the C-terminal region of KCNQ channels reduce channel activities by interfering with channel targeting to the surface membrane (Schwake et al., 2000), protein stability (Soldovieri et al., 2006), interaction with calmodulin (Jentsch, 2000), or modulation by cAMP (Schroeder et al., 1998). Mutations affecting the pore region of KCNQ2 may reduce currents by affecting ion channel conductance, while mutations at the S4 domain affect channel gating and increase the threshold for channel activation (Maljevic et al., 2010). It is interesting in this context that R353G, a mutant of one of the major methylation sites identified in this study, is linked to familial epilepsy, likely due to reduced calmodulin binding and a consequent defect in membrane trafficking (Jentsch, 2000; Etxeberria et al., 2008). However, a recent study proposed an additional pathophysiological mechanism involving a diminished PIP2 affinity of the channel for this epileptic KCNQ2 mutation (Kosenko et al., 2012). This is in agreement with our current study indicating that disruption of KCNQ2 channel-PIP2 interaction caused by decreased methylation is a key mechanism linked to neuronal hyperactivity.
Like KCNQ2, KCNQ3 channel contains conserved methylation sites within the PIP2 biding domain (Figure 5—figure supplement 3) suggesting that arginine methylation might be also involved in regulation of channel-PIP2 interaction in KCNQ3 channels as well. Considering that the KCNQ2 and KCNQ3 complex produces M-currents, hypo-methylation of either KCNQs might significantly diminish M-currents and neuronal hyperexcitability. The positively charged arginines are also important for electrostatic interaction with PIP2 in other PIP2-sensitive channels and transporters such as Kir2 (Hansen et al., 2011; Huang et al., 1998; Lopes et al., 2002), and GIRK (Whorton and MacKinnon, 2011). PIP2 is required for proper function of many plasma membrane ion channels and transporters (Suh and Hille, 2008; Hilgemann et al., 2001). Thus, methylation can be a general mechanism for regulating ion flux physiology. Consistent with this, our results show that the effects of KCNQ channel block on firing rates are not the same as those of Prmt1 block (Figure 3), implying a possible involvement of other Prmt1 target(s) in neuronal hyperexcitability and seizures. PIP2 loading to Prmt1+/- GCs recovered the firing properties significantly but incompletely. It appears that SK and BK channels are not involved in this matter. Thus further studies are required to identify other Prmt1 targets in the control of neuronal excitability. Regardless, the results presented here provide the first direct evidence of functional role for protein arginine methylation in the control of neuronal excitability and also offers a platform to further investigate the physiological and pathophysiological roles of KCNQ/M channel activity in CNS.
Materials and methods
Animal studies
Prmt1+/- mice were obtained from EUCOMM consortium (C57BL/6N agouti background) and backcrossed onto C57BL/6J background for at least 5 generations before being used for the experiment as previously described (Choi et al., 2012). All animal experiments were approved by the Institutional Animal Care and Research Advisory Committee at Sungkyunkwan University School of Medicine Laboratory Animal Research Center (Approval No. IACUC-11-39). Mice were maintained in C57BL/6J background and bred through heterozygous matings. For this study, we have used only male mice to avoid the complication due to the menstural cycles with female mice.
For EEG surgery and recording, long-term video-EEG monitoring was performed as described previously (Jeon et al., 2011). Male Prmt1+/- mice and their littermate WT control mice were anesthetized by intraperitoneal injection of 1% ketamine (30 mg/kg) and xylazine hydrochloride (4 mg/kg). Surgery was performed using a stereotaxic apparatus (Kopf Instruments, USA, California). Recordings were obtained using skull screws (stainless, 1.0 mm in diameter), which were positioned in AP −1.8 mm and L −2.1 mm from the bregma with grounding over the cerebellum. Electrical activities were recorded after being amplified (×1200), bandpass-filtered at 0.1–70 Hz, and digitized with a 400-Hz sampling rate using a digital system (Comet XL, Astro-Med, Warwick, RI, USA). Video-EEG signals were continuously recorded 24 hr per day for 7 days, and the waveforms and epileptiform activities were analyzed offline using Matlab, PSG Twin 4.3 (Astro-Med, USA, West Warwick, RI), and pClampfit 10.2 (Axon Instruments, USA, California). To obtain colored power spectra, EEG signals were filtered from 1 to 70 Hz. Colored power spectra were calculated and drawn with Fourier transformation of 2-s window sizes. The duration of seizures, the number of seizures, the frequency of seizure spikes, and seizure score were measured and analyzed. The seizure score was classified on the basis of Racine’s scale (Racine, 1972): stage 0, no changes in behavior; stage 1, arrest, immobility and rigid posture; stage 2, jerking, tail rattling, staring with mouth clonus, and head nodding; stage 3, forelimb clonus; stage 4, rearing with forelimb clonus; stage 5, body shaking, wild running and jumping; stage 6, tonic-clonic seizures. Two Prmt1+/- mice only showed interictal-like activities without ictal activities and were removed from analysis.
The open-field task was used to assess locomotor activity (Jung et al., 2013). The open-field box was made of white plastic (40 × 40 × 40 cm) and the open field was divided into a central field (center, 20 × 20 cm) and an outer field (periphery). Male Prmt1+/- mice and their littermate WT control mice were used. Individual mice were placed in the periphery of the field and the paths of the animals were recorded with a video camera. The total distance traveled for 30 min and the time spent in the central area for 5 min were analyzed using the program EthoVision XT (Noldus, USA, Virginia).
Brain slice preparation and recording
Brain slices were prepared from male Prmt +/- mice and their littermate WT control mice aged 4–6 weeks old. Mice were killed by decapitation after being anesthetized with pentobarbital sodium, and the whole brain was immediately removed from the skull and chilled in artificial cerebrospinal fluid (aCSF) at 4°C. Transverse hippocampal slices (350 μm thick) were prepared using a vibratome (VT1200S, Leica, Germany, Nussloch). Slices were incubated at 35°C for 30 min and thereafter maintained at 32°C until in situ slice patch recordings and fluorescence microscopy. Hippocampal granule cells of the dentate gyrus were visualized using an upright microscope equipped with differential interference contrast optics (BX51WI, Olympus, Japan, Tokyo). Whole-cell current clamp techniques were used for excitability of dentate granule cells (GCs). The pipette solution contained (in mM): 143 K-gluconate, 7 KCl, 15 HEPES, 4 MgATP, 0.3 NaGTP, 4 Na-ascorbate, and 0.1 EGTA/or 10 BAPTA with the pH adjusted to 7.3 with KOH. The bath solution (or aCSF) for the control experiments contained the following (in mM): 125 NaCl, 25 NaHCO3, 2.5 KCl, 1.25 NaH2PO4, 2 CaCl2, 1 MgCl2, 20 glucose, 1.2 pyruvate, and 0.4 Na-ascorbate, pH 7.4 when saturated with carbogen (95% O2 and 5% CO2). All bath solution included in 20 μM bicuculine and 10 μM CNQX to block the inhibitory synaptic signal. The perfusion rate of the bathing solution and the volume of the recording chamber for slices were 2.2 ml/min and 1.2 ml, respectively. Patch pipettes with a tip resistance of 3–4 MΩ were used. The series resistance (Rs) after establishing whole-cell configuration was between 10 and 15 MΩ. Electrophysiological recordings were made in somata with EPC-8 amplifier (HEKA Instruments, Germany, Lambrecht/Pfalz). Experiments were performed at 32 ± 1°C. The following parameters were measured: (1) the resting membrane potential, (2) the input resistance (Rin,membrane potential changes (V) for given hyperpolarizing current (−35 pA, 600 ms) input), (3) AP threshold current (current threshold for single action potential generation, 100 ms duration), (4) AP height; defined as the peak relative to the most negative voltage reached during the afterhyperpolarization immediately after the spike, (5) AP half-width; measured as the width at half-maximal spike amplitude, (6) F-I curve (firing frequencies (F) against the amplitude of injected currents (I); 100–400 pA). We excluded data for analysis when series resistance exceeded 20 MΩ or when resting membrane potential was more positive than −60 mV. The whole-cell voltage clamp technique was used to measure K+ currents. Whole-cell K+ currents, evoked in response to voltage step to potentials ranging from –70 mV to +30 mV (in 10 mV increments, 1 s duration) from a holding potential of –60 mV, were examined in WT and Prmt1+/- dentate GCs.
Plasmids
Expression vectors encoding human KCNQ2 and Triple-Cys mutant of KCNQ2 channel were generously provided by Dr. Shapiro (University of Texas Health Science Center) (Falkenburger et al., 2010). To construct the HA -tagged KCNQ2 and HA-tagged KCNQ2-C (aa320-840) expression vectors, the entire coding region of KCNQ2 or the corresponding sequence of KCNQ2 aa320-840 were amplified by polymerase chain reaction (PCR) and the PCR products were cloned into pcDNA3.1-HA vector (Clontech, USA, California). A series of KCNQ2 arginine-to-lysine mutants were generated by site-directed mutagenesis using a QuickChange kit (Stratagene, La Jolla, USA, California). To generate GST fusion protein of KCNQ2 aa320-449, the corresponding region was amplified and cloned into PGEX-4T-1 vector (Clontech, USA, California). Flag-tagged Prmt1 and Dr-VSP-GFP vectors were described in the previous reports (Malkki, 2014; Keum et al., 2016).
Generation of Prmt1 knockdown stable cell line
Stable cell lines exhibiting knockdown of Prmt1 were generated using Mission shRNA vector (Sigma, USA, Missouri). The PLK0.1 TR control vector (random 18mer) was used for generating the control cell lines. 293T cells were seeded at 3 × 10 (Rogawski, 2000) cells per 10 cm plate and transfected with 10 μg of the shRNA vector together with 5 μg of VSVg and 5 μg of Δ8.2 helper plasmids using Effectene (Qiagen, Germany, Hilden). The medium was changed 12 hrs after transfection. After 48 hrs, the lentivirus-containing culture media were harvested. 293T cells were infected by 0.45 μm-filtered supernatant from virus-producing cells in the presence of 8 μg/ml polybrene. After 2 days, the puromycin-resistant cells were maintained with 2 μg/ml puromycin. Medium containing puromycin was replaced every 2 days until puromycin-resistant stable cell lines were established.
Cell culture, transfection and recording
Human embryonic kidney cell line HEK293T cells (ATCC, USA, Virginia) were maintained in Dulbecco’s modification of Eagle’s medium (Gibco-BRL, USA, California) supplemented with 10% fetal bovine serum at 37°C in 5% CO2. For transient transfections, cells were transfected using Lipofectamine 2000 reagents (Invitrogen, USA, California) and green fluorescent protein was used as a reporter to label the transfectants. The KCNQ currents from HEK293T cells were measured with the whole-cell patch clamp technique. Voltage clamp was performed using an EPC-10 amplifier (HEKA Instruments, Germany, Lambrecht/Pfalz) at a sampling rate of 10 kHz filteredat 1kHz. Data were acquired using an IBM-compatible computer running Patchmaster software (HEKA Instruments, Germany, Lambrecht/Pfalz). The patch pipettes were pulled from borosilicate capillaries(Hilgenberg-GmbH, Germany, Malsfeld) using a Narishige puller (PC-10, Narishige, Japan, Tokyo). The patch pipettes had a resistance of 2–3 MW when filled with the pipette solution containing (in mM) 140 KMeSO4, 20 KCl, 20 HEPES, 0.5 Na-GTP, 5 Mg-ATP, 4 vitamin C, and 10 1,2-bis (2-aminophenoxy) ethane N,N,N_,N_-tetraacetic acid (BAPTA), pH 7.4 adjusted with KOH. The normal external solution was as follows (in mM): 143 NaCl, 5.4 KCl, 5 HEPES, 0.5 NaH2PO4, 11.1 glucose, 0.5 MgCl2, and 1.8 CaCl2, pH 7.4 adjusted with NaOH. Pipette capacitance was compensated after formation of a gigaohm seal. Access resistance was typically 2.8–3.2 MΩ. The perfusion system was a homemade 100-μl perfusion chamber through which solution flowed continuously at 5 ml/min. The currents from HEK293T cells were studied by holding the cell at −60 mV, and 1-s steps from −70 to 40 mV in 10-mV increments were applied, followed by 1-s pulses to −60 mV. All recordings were carried out at room temperature (RT).
Currents were analyzed and fitted using Patch master (HEKA Instruments, Germany, Lambrecht/Pfalz) and Origin (ver. 6.0, Microcal, USA, Massachusetts) software. All values are given as mean ± standard error. I/V relationship were obtained by plotting the outward current at the end of a 1-s test pulse as a function of the test potential.
Immunoprecipitation and immunoblotting
Cells were lysed in NETN lysis buffer containing 1 mM phenylmethylsulfonyl fluoride, 1 mM sodium fluoride, 1 mM sodium orthovanadate, 2 μg/ml aprotinin, 2 μg/ml leupeptin, and 1 μg/ml pepstatin A for 1 hr at 4ºC. Following lysis, the cells were centrifuged at 13,000 rpm for 10 min at 4°C. Total cell extracts were incubated with appropriate antibodies for 4 hrs at 4°C and Protein G plus/Protein A-agarose (Calbiochem, USA, California) was added, and the incubation was continued for 2 hrs. After incubation, immunoprecipitates were washed three times with NETN lysis buffer and subjected to sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to nitrocellulose membranes. The membranes were blocked with TBS containing 5% skim milk and 0.1% Tween 20 for 30 min at RT. The membranes were incubated with appropriate primary antibody for 2 hr at RT. After washing with TBS containing 0.1% Tween 20 three times for 10 min, the membranes were incubated with horseradish peroxidase-conjugated secondary antibody for 1 hr at RT. After washing with TBS containing 0.1% Tween 20 three times for 10 min, proteins were detected using the enhanced chemiluminescent (ECL) system (GE Healthcare, USA, Chicago). Primary antibodies used in this study were as follows: Prmt1 (1:1000, Millipore, USA, Massachusetts), ADMA (1:1000, Cell Signaling, USA, Massachusetts), α-tubulin (1:2000, Cell signaling, USA, Massachusetts), KCNQ2 (1:1000 Abcam, UK, Cambridge), Hsp90 and PRMT8 (1:1000, Santa Cruz, USA, Texas), α-Flag, α-Myc, α-HA and α-GST (1:1000, Abfrontier, South Korea, Seoul), and GAPDH (1:2000, Abfrontier, South Korea, Seoul).
Peptide analysis with mass spectrometry
For mass analysis of KCNQ2 proteins, HA-KCNQ2 expression vectors were tranfected into HEK293T cells. Cells were lysed in NETN lysis buffer (50 mM Tris–HCl, pH 7.5, 150 mM NaCl, 0.5% Nonidet P-40) containing 1 mM phenylmethylsulfonyl fluoride, 1 mM sodium fluoride, 1 mM sodium orthovanadate and 2 μg/ml aprotinin, 2 μg/ml leupeptin and 1 μg/ml pepstatin A for 1 hr at 4°C. Following lysis, cells were centrifuged at 13 000 r.p.m. for 10 min at 4°C. Total cell extracts were incubated with anti-HA antibody for 2 hrs at 4°C and protein G plus/protein A-agarose (Calbiochem, USA, California) was added, and the incubation was continued for 2 hrs. After incubation, immunoprecipitates were washed three times with NETN lysis buffer and subjected to SDS-PAGE electrophoresis. In-gel digestion was carried out with 12.5 ng/µl sequencing grade modified trypsin (Promega, USA, Wisconsin) in 50 mM NH4HCO3 buffer (pH 7.8) at 37°C for overnight. Produced tryptic peptides were extracted with 5% formic acid in 50% ACN solution at room temperature for 20 min. The supernatants were collected and dried with SpeedVac. Resuspended samples in 0.1% formic acid were purified and concentrated using C18 ZipTips (Millipore, USA, Massachusetts) before MS analysis.
The tryptic peptides were loaded onto a fused silica microcapillary column (12 cm × 75 µm) packed with C18 reversed phase resin (5 µm, 200 Å). Peptide separation was conducted with a series of step gradients composed of initial isobaric flow for 5 min with 3% solvent B (0.1% formic acid in acetonitrile), then linear gradient from 3% to 40% for 40 min. At the end of each running, 90% of solvent B was eluted for 10 min with the flow rate 250 nL/min. The% gradient of solvent B was against solvent A (0.1% formic acid in H2O). The column was directly connected to LTQ linear ion-trap mass spectrometer (ThermoFinnigan, USA, New Jersey) equipped with a nano-electrospray ion source. The electrospray voltage was set at 1.95 kV, and the threshold for switching from MS to MS/MS was 500. The normalized collision energy for MS/MS was 35% of main radio frequency amplitude (RF) and the duration of activation was 30 ms. All spectra were acquired in data-dependent scan mode. Each full MS scan was followed by five MS/MS scan corresponding from the most intense to the fifth intense peaks of full MS scan. The acquired LC-ESI-MS/MS fragment spectra were searched against a modified NCBI protein reference database using Mascot program. The searching conditions were trypsin enzyme specificity, a permissible level for three missed cleavages, peptide tolerance; the amu, a mass error of amu on fragment ions, fixed modification of carbamidomethylation of cysteine, and variable modifications of oxidation of methionine, monomethylation of arginine and dimethylation of arginine.
In vitro methylation assay
Purified recombinant GST-KCNQ2 (amino acids 320–449) proteins were incubated for 3 hrs at 37°C with 1 μg of recombinant GST-Prmts in 30 μl methylation buffer (50 mM Tris/HCl, pH 7.5) supplemented with 0.5 μCi of S-adenosyl-L-[methyl- 3H]methionine (PerkinElmer Life Sciences, USA, Massachusetts). Reactions were stopped by adding 2× SDS-PAGE sample buffer and heating. Samples were analyzed by SDS-PAGE and fluorography. GST-KCNQ2 and GST-tagged Prmts were bacterially expressed purified. Myc-tagged Prmt5 was expressed in HEK293T cells and purified by immunoprecipitation and elution.
Protein lipid overlay assay
Protein lipid overlay assays were performed as described previously (Dowler et al., 2002). Briefly, extracts were prepared from HEK293T control cells or Prmt1 knockdown cells transfected with HA-KCNQ2 expression vectors by resuspending in modified NETN buffer (20 mM Tris, pH 7.5, 150 mM NaCl, 0.5% Nonidet P-40, 1 mM EDTA, 1 mM sodium fluoride, 1 mM Na3VO4, 1 mM phenylmethylsulfonyl fluoride, 1 µg/ml Leupeptin, 0.2 µg/ml Pepstatin A). PIP2 (10–500 pmol) was spotted on Hybond-C extra membrane (Amersham Biosciences, USA, New Jersey). Spotted membranes were blocked with 0.2% fatty acid-free BSA (Sigma USA, Missouri) in TBST for 1 hr at room temperature. The membranes were incubated with cell lysates for 2 hrs at room temperature, followed by washing and detection with anti-HA antibody.
Statistical analysis
Data are presented as mean ± standard error of mean. Student’s t-test or ANOVA Tukey tests were performed with Sigmaplot 12.0 after normal distribution of data was examined Shapiro-Wilk test. To detect a difference in mean value between two independent groups with 80% power, a sample-size of 4 cells in each group is needed when Student’s t-test is used with parameter values that are typical for the present study (alpha = 0.05, the effect size d = 3). When ANOVA Tukey tests is used with parameter values that are typical for the present study (alpha = 0.05, the effect size f = 30), sample-size of 3 cells in each group is needed for a difference in mean value between two independent groups with 80% power. We used G*power program (Faul et al., 2009) (http://www.gpower.hhu.de/) for this estimation. We obtained data from more than 4 cells for Student's t-test or more than 3 cells for ANOVA Tukey test when statistical significance was tested.
Acknowledgements
Authors thank Drs Mark S Shapiro and Byung-Chang Suh for kindly providing valuable reagents. This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning and Technology (NRF-2012R1A2A2A01046878, NRF-2015R1A2A1A15051998 and 2015-048055).
Funding Statement
The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.
Funding Information
This paper was supported by the following grants:
National Research Foundation of Korea NRF-2012R1A2A2A01046878 to Hyun-Ji Kim, Seul-Yi Lee, Hanna Kim, Jewoo Koh, Hana Cho.
National Research Foundation of Korea NRF-2015R1A2A1A15051998 to Myong-Ho Jeong, Tuan Anh Vuong, Jong-Sun Kang.
National Research Foundation of Korea 2015-048055 to Kyung-Ran Kim, Won-Kyung Ho.
Additional information
Competing interests
The authors declare that no competing interests exist.
Author contributions
H-JK, Drafting and revising the article, Acquisition of data, Analysis and interpretation of data.
M-HJ, Drafting and revising the article, Acquisition of data, Analysis and interpretation of data.
K-RK, Drafting and revising the article, Acquisition of data, Analysis and interpretation of data.
C-YJ, Drafting and revising the article, Acquisition of data, Analysis and interpretation of data.
S-YL, Conception and design, Acquisition of data, Analysis and interpretation of data.
HK, Conception and design, Acquisition of data, Analysis and interpretation of data.
JK, Conception and design, Acquisition of data, Analysis and interpretation of data.
TAV, Conception and design, Acquisition of data, Analysis and interpretation of data.
SJ, Conception and design, Acquisition of data, Analysis and interpretation of data.
HY, Conception and design, Acquisition of data, Analysis and interpretation of data.
S-KP, Conception and design, Acquisition of data, Analysis and interpretation of data.
DC, Conception and design, Acquisition of data, Analysis and interpretation of data.
SHK, Acquisition of data, Analysis and interpretation of data.
KJK, Conception and design, Acquisition of data, Analysis and interpretation of data.
J-WS, Conception and design, Acquisition of data, Analysis and interpretation of data.
JMP, Conception and design, Acquisition of data, Analysis and interpretation of data.
DJ, Conception and design, Acquisition of data, Analysis and interpretation of data.
S-HK, Conception and design, Acquisition of data, Analysis and interpretation of data.
W-KH, Conception and design, Acquisition of data, Analysis and interpretation of data.
J-SK, Conception and design, Analysis and interpretation of data, Drafting or revising the article.
S-TK, Conception and design, Analysis and interpretation of data, Drafting or revising the article.
HC, Conception and design, Analysis and interpretation of data, Drafting or revising the article.
Ethics
Animal experimentation: All animal experiments were approved by the Institutional Animal Care and Research Advisory Committee at Sungkyunkwan University School of Medicine Laboratory Animal Research Center (Approval No. IACUC-11-39).
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