Abstract
The Jervell and Lange-Nielsen (JLN) syndrome (MIM 220400) is an inherited autosomal recessive disease characterized by a congenital bilateral deafness associated with a QT prolongation on the electrocardiogram, syncopal attacks due to ventricular arrhythmias and a high risk of sudden death1. JLN syndrome is a rare disease, which seems to affect less than one percent of all deaf children2–4. Linkage to chromosome 11p15.5 markers was found by analysing four consanguinous families. Recombinants allowed us to map the JLN gene between D115922 and D1154146, to a 6-cM interval where KVLQT1, a potassium channel gene causing Romano-Ward (RW) syndrome, the dominant form of long QT syndrome, has been previously localized5. An homozygous deletion-insertion event (1244, −7 +8) in the C-terminal domain of this gene was detected in three affected children of two families. We found that KVLQT1 is expressed in the stria vascularis of mouse inner ear by in situ hybridization. Taken together, our data indicate that KVLQT1 is responsible for both JLN and RW syndromes and has a key role not only in the ventricular repolarization but also in normal hearing, probably via the control of endolymph homeostasis.
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References
Jervell, A. & Lange-Nielsen, F. Congenital deaf mutism, functional heart disease with prolongation of the QT interval and sudden death. Am. Heart J. 54, 59–68 (1956).
Fraser, G.R., Froggatt, P. & Murphy, T. Genetical aspects of the cardio-auditory syndrome of Jervell and Lange-Nielsen (congenital deafness and electrocardiographic abnormalities). Ann. Hum. Genet. 28, 133–157 (1964).
Pernot, C., Henry, M. & Debruille, C. Les syndromes cardio-auditifs d'origine génétique.. Coeur Méd Interne 13, 429–443 (1974).
Schwartz, P.J., Periti, M. & Malliani, A. The long Q-T syndrome. Am. Heart J. 89, 378–390 (1975).
Wang, Q. et al. Positional cloning of a novel potassium channel gene: KVLQT1 mutations cause cardiac arrhythmias. Nature Genet 12, 17–23 (1996).
Lander, E. & Bolstein, D. Homozygosity mapping: a way to map human recessive traits with the DNA of inbred children. Science 236, 1567–1570 (1987).
Tesson, F. et al. Exclusion of KCNE1 (IsK) as a candidate gene for Jervell and LangeNielsen syndrome. J. Mol. Cell Cardiol. 28, 2051–2055 (1996).
Jiang, C. et al. Two long QT syndrome loci map to chromosomes 3 and 7 with evidence for further heterogeneity. Nature Genet. 8, 141–147 (1994).
Schott, J.J. et al. Mapping of a gene for Long QT syndrome to chromosome 4q25–27. Am. J. Hum. Genet. 57, 1114–1122 (1995).
Dausse, E. et al. Readjusting the localization of long QT syndrome gene on chromosome 11p15. C. R. Acad. Sci. Paris 318, 879–885 (1995).
Wymore, R.S. et al. Genomic organisation, nucleotide sequence, biophysical properties, and localization of the voltage-gated K+ channel gene KCNA4/Kv1.4 to mouse chromosome 2/human 11p14 and mapping of KCNC1/Kv3.1 to mouse 7/human 11p14.3–15.2 and KCNA1/Kv1.1 to human 12p13. Genomics 20, 191–202 (1994).
Sakagami, M. et al. Cellular localization of rat IsK protein in the stria vascularis by immunohistochemical observation. Hearing Res. 56, 168–172 (1991).
Mori, N., Sakagami, M., Fukazawa, K. & Matsunaga, T. An immunohistochemical and electrophysiological study on IsK protein in the stria vascularis of the guinea pig. Eur. Arch. Otorhinolaryngol. 250, 186–189 (1993).
Wangemann, P., Liu, J. & Marcus, D.C. Ion transport mechanisms responsible for K+ secretion and the transepithelium voltage across marginal cells of stria vascularis in vitro. Hear. Res. 84, 19–29 (1995).
Takumi, T., Ohkubo, H. & Nakanishi, S. Cloning of a membrane protein that induces a slow voltage-gated potassium current. Science 242, 1042–1045 (1988).
Honoré, E. et al. Cloning, expression, pharmacology and regulation of a delayed-rectifier K+ channel in mouse heart. EMBO J. 10, 2805–2811 (1991).
Attali, B. et al. The protein IsK is a dual activator of K+ and Cl–channels. Nature 365, 850–852 (1993).
Barhanin, J. et al. KvLQT1 and IsK (minK) proteins associate to form the IKs cardiac potassium current. Nature 384, 78–80 (1996).
Sanguinetti, M.C. et al. Coassembly of KvLQTI and MinK (IsK) proteins to form cardiac IKs potassium change. Nature 384, 80–83 (1996).
Sanguinetti, M.C., Jiang, C., Curran, M.E. & Keating, M.T. A mechanistic link between an inherited and an acquired cardiac arrhythmia: HERG encodes the Ikr potassium channel. Cell 81, 299–307 (1995).
Bennett, P.B., Yazawa, K., Makita, N. & George, A.L. Molecular mechanism for an inherited cardiac arrhythmia. Nature 376, 683–685 (1995).
Fraser, G.R., Froggatt, P. & James, T.N. Congenital deafness associated with electrocardiographic abnormalities, fainting attacks and sudden death. Quart. J. Med. 33, 361–385 (1964).
Hudspeth, A.J. How the ear works work. Nature 341, 397–404 (1989).
Hoffman, E.P., Lehmann-Horn, F. & Rüdel, R. Overexcited or inactive: ion channels in muscle disease. Cell 80, 681–686 (1995).
Byers, P.H., Wallis, G.A. & Willing, M.C. Osteogenesis imperfecta: translation of mutation to phenotype. J. Med. Genet. 28, 433–442 (1991).
Hovnanian, A. et al. Genetic linkage of recessive dystrophic epidermolysis bullosa to the type VII collagen gene. J. Clin. Invest. 90, 1032–1036 (1992).
Jeffery, S., Jamieson, R., Patton, M., Till, J., Long QT and Harvey-ras. Lancet 339, 255 (1992).
Pernot, C., Henry, M. & Aigle, J.C. Syndrome cardio-auditif de Jervell et torsades de pointes. Arch Mal. Coeur 65, 261–274 (1972).
Dib, C. et al. A comprehensive genetic map of the human genome based on 5264 microsatellites. Nature 380, 152–154 (1996).
Helbling-Leclerc, A. et al. Mutations in the laminin α2-chain gene (LAMA2) cause merosin-deficient congenital muscular dystrophy. Nature Genet. 11, 216–218 (1995).
Schaeren-Wiemers, N. & Gerfin-Moser, A. A single protocol to detect transcripts of various types and expression levels in neural tisue and cultured cells: in situ hybridization using digoxigenin-labelled cRNA probes. Histochem. 100, 431–440 (1993).
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Neyroud, N., Tesson, F., Denjoy, I. et al. A novel mutation in the potassium channel gene KVLQT1 causes the Jervell and Lange-Nielsen cardioauditory syndrome. Nat Genet 15, 186–189 (1997). https://doi.org/10.1038/ng0297-186
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DOI: https://doi.org/10.1038/ng0297-186