Table 3.
Gene | Protein | Current | Effect | Function | Prevalence |
---|---|---|---|---|---|
GENES ENCODING ION CHANNEL SUBUNITS | |||||
1. Major BrS-susceptibility genes | |||||
SCN5A | NaV1.5 (α-subunit of the voltage-dependent Na+ channel) | ↓ INa | loss-of-function | mediator of the depolarizing inward sodium INa current | ⋍25% (BrS1) |
2. Rare BrS-susceptibility genes | |||||
By decreasing inward currents | |||||
SCN1B | β1-subunit of the voltage-dependent Na+ channel | ↓ INa | loss-of-function | auxiliary protein modulator of NaV1.5 and the INa current | <1% |
SCN2B | β2-subunit of the voltage-dependent Na+ channel | ↓ INa | loss-of-function | auxiliary protein modulator of NaV1.5 and the INa current | <1% |
SCN3B | β3-subunit of the voltage-dependent Na+ channel | ↓ INa | loss-of-function | auxiliary protein modulator of NaV1.5 and the INa current | <1% |
SCN10A | NaV1.8 (α-subunit of the neuronal voltage-dependent Na+ channel) | ↓ INa | loss-of-function | mediator of the depolarizing phase of the neural AP, associated with pain perception | ⋍10%? |
CACNA1C | CaV1.2 (α1C-subunit of the volatge-dependent L-type Ca2+ channel) | ↓ ICaL | loss-of-function, combined phenotype of BrS and SQTS | mediator of the inward calcium ICaL current | <1% |
CACNB2b | β2-subunit of the voltage-dependent L-type Ca2+ channel | ↓ ICaL | loss-of-function, combined phenotype of BrS and SQTS | auxiliary protein modulator of CaV1.2 and the ICaL current | <1% |
By increasing outward currents | |||||
KCND3 | KV4.3 (α-subunit of the voltage-dependent K+ channel) | ↑ Ito | gain-of-function | mediator of the transient outward K+ Ito current | <1% |
KCNE3 | minK-related peptide 2 (β-subunit of the voltage-dependent K+ channel) | ↑ Ito | gain-of-function | regulator of KV4.3 | <1% |
KCNAB2 | β2-subunit of the voltage-dependent K+ channel | ↑ Ito | gain-of-function | interaction with KV4.3 | <1% |
KCND2 | KV4.2 (voltage-dependent K+ channel) | ↑ Ito | gain-of-function | contributor to the transient outward K+ Ito current | <1% |
KCNE5 | minK-related peptide 4 (β-subunit of the voltage-dependent K+ channel) | ↑ Ito | gain-of-function | inhibitor of the delayed rectifying KV7.1 channel and modulator of KV4.3 | <1% |
KCNJ8 | Kir6.1 (inward-rectifier K+ channel, subunit of the ATP-sensitive K+ channel) | ↑ IK-ATP | gain-of-function | mediator of the IK-ATP currents | <1% |
ABCC9 | SUR2 (sulfonylurea receptor, subunit of the ATP-sensitive K+ channel) | ↑ IK-ATP | gain-of-function | modulator of IK-ATP currents | <1% |
KCNH2 | KV11.1/hERG (α-subunit of the voltage-dependent K+ channel) | ↑ IKr | gain-of-function | mediator of the rapid component of the delayed rectifying potassium IKr current | <1% |
Less established mechanisms | |||||
CACNA2D1 | α2/δ subunit of the volatge-dependent L-type Ca2+ channel | ↓ ICaL? | loss-of-function?, combined phenotype of SQTS and BrS | auxiliary protein modulator of CaV1.2 and the ICaL current | <1% |
HCN4 | hyperpolarization-activated, cyclic nucleotide-gated ion channel 4 | ↓ If? | loss-of-function? | mediator of the pacemaker current, If | <1% |
TRPM4 | Transient receptor potential melastatin 4 | loss-of-function/gain-of-function | regulator of conduction and cellular electrical activity which impact heart development | <1% | |
GENES ENCONDING AUXILIARY PROTEINS | |||||
FGF12 | fibroblast growth factor 12 | ↓ INa | interaction with NaV1.5 trafficking | modulator of Nav1.5 and the INa current | <1% |
GPD1L | glycerol-3-phosphate dehydrogenase 1-like | ↓ INa | interaction with NaV1.5 trafficking | modulator of Na1.5 and the INa current | <1% |
SLMAP | sarcolemma associated protein (striatin-interacting phosphatase and kinase complex) | ↓ INa | interaction with NaV1.5 trafficking | present in the T-tubules, regulator of excitation-contraction coupling | <1% |
PKP2 | plakophillin-2 | ↓ INa | changes in NaV1.5 expression in intercalated disc | binds to and modulates NaV1.5 and the INa current | <1% |
SEMA3A | semaphorin-3A | ↑ Ito | loss-of-function | inhibitor of the KV4.3 channel | <1% |
Less established mechanisms | |||||
RANGRF | MOG1 (multicopy suppressor of Gsp1) | ↓ INa? | interaction with NaV1.5 trafficking | involved in nuclear protein import—regulates cell surface location of NaV1.5 | <1% |
HEY2 | CHF1 (cardiovascular helix-loop-helix factor 1) | ↑ Ito? | interaction with KCNIP2 | transcriptional regulator of cardiac electrical function | <1% |
↑: increased current; ↓: decreased current; ?: suspected but not confirmed mechanism.