| 2006 |
The majority (28 of 34) of LQT2 missense mutations in Kv11.1 (hERG) cause loss of function through a trafficking-deficient (class 2) mechanism, trapping channels intracellularly. This trafficking-deficient phenotype could be corrected by incubation at reduced temperature (27°C) or with pore-blocking drugs E4031 or thapsigargin. |
Western blot analysis and heterologous expression in HEK293 cells for 34 LQT2 missense mutations |
Circulation |
High |
16432067
|
| 1998 |
LQT2 missense mutations (T474I, A614V, V630L) in the S2-S3 linker and outer pore of HERG cause dominant-negative suppression of current. A614V and V630L additionally shift the voltage dependence of steady-state inactivation to negative potentials, enhancing inward rectification — a novel mechanism for HERG current suppression. |
Xenopus oocyte heterologous expression, two-electrode voltage clamp, co-injection of WT and mutant cRNA |
Circulation research |
High |
9721698
|
| 2000 |
The dominant-negative LQT2 mutation A561V reduces wild-type HERG protein abundance by decreasing synthesis and increasing turnover. Co-assembly of wild-type subunits with A561V mutant occurs early in biogenesis, leading to recognition of misfolded channels and targeting for proteolysis via the 26S proteasome. Protein folding facilitation (30°C or glycerol) or proteasome inhibition (ALLN) partially rescues the dominant effect. |
Co-expression in mammalian cells, myc-tagged WT HERG tracking, proteasome inhibitor treatment, temperature rescue, Western blot |
The Journal of biological chemistry |
High |
10753933
|
| 2003 |
Thapsigargin (a sarcoplasmic/endoplasmic reticulum Ca2+-ATPase inhibitor) rescues surface membrane expression of trafficking-deficient LQT2 mutations G601S and F805C without blocking HERG channel current. Rescue requires an intact Golgi apparatus (blocked by brefeldin A) and produces complex glycosylation. The mechanism of rescue is pharmacologically distinct from the pore-blocker E4031 (which rescues G601S and N470D but not F805C). |
Confocal imaging, Western blot, electrophysiology, pharmacological rescue in HEK293 cells expressing LQT2 mutant channels |
The Journal of biological chemistry |
High |
12837749
|
| 2007 |
FKBP38 (a membrane-integrated co-chaperone) interacts with HERG, co-localizes with it, and promotes its trafficking. siRNA knockdown of FKBP38 reduces HERG trafficking, and FKBP38 overexpression partially rescues the trafficking-deficient LQT2 mutant F805C. FKBP38 functions as part of the Hsc70/Hsp90 chaperone system for HERG. |
Proteomics screen, co-immunoprecipitation, confocal co-localization, siRNA knockdown, overexpression rescue in HL-1 and HEK293 cells |
The Journal of biological chemistry |
High |
17569659
|
| 2010 |
Hsp70 and Hsc70 reciprocally control hERG stability. Hsp70 suppresses hERG ubiquitination and increases both immature and mature hERG levels and IKr; Hsc70 counteracts these effects. Disease-causing missense mutations in intracellular domains bind Hsc70 more avidly than WT channels. Knockdown of Hsc70 or heat shock (inducing Hsp70) prevents degradation of mutant hERG. Heat shock of HL-1 cardiomyocytes increased IKr and shortened action potential duration. |
Co-immunoprecipitation, ubiquitination assays, siRNA knockdown, electrophysiology, immunocytochemistry in HEK293 and HL-1 cells |
Circulation research |
High |
21183741
|
| 2006 |
14-3-3epsilon binds to a PKA phosphorylation site in the HERG C-terminus and amplifies beta-adrenergic stimulation of HERG channel activity (hyperpolarizing shift in voltage dependence). Three LQT2 C-terminal truncation mutations (G965X, R1014PfsX39, V1038AfsX21) remove this PKA phosphorylation site; mutant channels bind 14-3-3epsilon but do not respond with a hyperpolarizing shift. These mutations exert dominant-negative behavior when co-expressed with WT channels. |
Co-expression in CHO cells, electrophysiology, dominant-negative co-expression experiments, computational action potential simulation |
Human molecular genetics |
High |
16923798
|
| 2003 |
ERG1 (KCNH2) protein localizes primarily to the transverse tubular system and its entrance in adult rat ventricular and atrial myocytes, as determined by immunoelectron microscopy and confocal immunofluorescence. This restricted T-tubular localization positions ERG1 close to Ca2+ channels for maximal repolarizing effect. |
Confocal immunofluorescence microscopy and immunoelectron microscopy of rat heart tissue |
American journal of physiology. Heart and circulatory physiology |
Medium |
14670813
|
| 2003 |
Selective knockout of the ERG1 B isoform in mice eliminates the rapid component of IKr deactivation (biexponential deactivation in WT adult myocytes; no IKr detected in ERG1 B(-/-) adult myocytes). ERG1 B knockout predisposes adult mice to episodic sinus bradycardia, establishing ERG1 B as necessary for IKr expression in the adult ventricular myocyte surface membrane. |
Homologous recombination knockout, whole-cell patch clamp of fetal and adult ventricular myocytes, ECG telemetry |
Molecular and cellular biology |
High |
12612061
|
| 2014 |
hERG 1b is critical for cardiac IKr and normal repolarization. Specific shRNA knockdown of the 1b subunit in human iPSC-derived cardiomyocytes reduced IKr magnitude by ~50%, increased action potential duration, enhanced AP variability, and caused early afterdepolarizations. Expressing a fragment corresponding to the 1a-specific PAS domain (absent in 1b) to convert heteromers to 1a homomers recapitulated these effects. |
shRNA knockdown in human iPSC-derived cardiomyocytes, patch clamp, action potential measurements at physiological temperature |
Proceedings of the National Academy of Sciences of the United States of America |
High |
25453103
|
| 2014 |
Multiple interactions between the N-terminal N-Cap/PAS domains and the C-terminal cNBH domain regulate Kv11.1 slow deactivation. Mutant cycle analysis identified a specific charge-charge interaction between Arg56 of the PAS domain and Asp803 of the cNBH domain, and an additional interaction between the N-Cap and cNBH domain. Positively charged N-Cap residues interact with negatively charged C-linker residues to stabilize the open state and slow deactivation. |
Mutant cycle analysis by electrophysiology in heterologous expression system |
The Journal of biological chemistry |
High |
25074935
|
| 1999 |
Protons and Zn2+ directly interact with HERG channels and preferentially regulate the deactivation mechanism. Extracellular acidification at pHo 6.4 dramatically accelerates tail current deactivation without shifting activation voltage dependence. Kinetics effects occur at lower concentrations than current inhibition (pKa ~7.0 for deactivation kinetics vs 5.8 for tail current inhibition). |
Two-electrode voltage clamp in Xenopus oocytes and whole-cell patch clamp in L929 cells |
Biophysical journal |
Medium |
10388757
|
| 1999 |
The S4 arginine residue R534 of HERG functions as a voltage sensor residue; the LQT2 mutation R534C shifts voltage-dependence of activation to negative potentials, accelerates activation and deactivation, and reduces steady-state inactivation, without causing dominant-negative suppression. |
Heterologous expression in Xenopus oocytes, whole-cell voltage clamp, kinetic analysis |
Cardiovascular research |
Medium |
10690305
|
| 2001 |
TRH modulates erg1, erg2, erg3, and HERG K+ currents in anterior pituitary GH3/B6 cells via a diffusible second messenger, shifting voltage dependence of activation to more positive potentials and reducing maximal current amplitude. Co-injection of rat MiRP1 with HERG did not influence TRH-induced modulation. Cell-attached recording confirmed involvement of a diffusible second messenger. |
Perforated-patch whole-cell clamp, cDNA injection in GH3/B6 cells, pharmacological dissection of signaling pathways |
The Journal of physiology |
Medium |
11283231
|
| 2007 |
Kv11.1 (hERG) protein localizes to cholesterol and sphingolipid-enriched membrane (lipid raft) fractions in both canine ventricular myocytes and HEK293 cells, as well as to the T-tubular sarcolemma. Depletion of membrane cholesterol with methyl-beta-cyclodextrin positively shifts activation voltage dependence and accelerates deactivation; cholesterol loading reduces the voltage dependence of activation and accelerates inactivation. The trafficking-deficient G601S mutant does not localize to lipid raft fractions. |
Detergent and non-detergent membrane fractionation, confocal immunocytochemistry, electrophysiology in HEK293 cells and native cardiomyocytes |
Channels (Austin, Tex.) |
Medium |
18708743
|
| 2008 |
The KCNH2 polymorphism K897T creates a phosphorylation site for the Akt protein kinase. In cells with K897 (WT), PI3K/PP5 signaling stimulates K897 channels through dephosphorylation. In T897 cells, the same hormonal cascade inhibits T897 channels through Akt-mediated phosphorylation, reversing the direction of hormonal regulation of Kv11.1. |
Site-directed mutagenesis, electrophysiology, kinase inhibitor/activator pharmacology in heterologous expression system |
Proceedings of the National Academy of Sciences of the United States of America |
Medium |
18791070
|
| 2007 |
HERG and KvLQT1 (KCNQ1) directly interact through their C-termini, as shown by co-immunoprecipitation and surface plasmon resonance analysis of isolated C-terminal domains. Expression of pore mutants or WT KvLQT1 in HERG-stable CHO cells reduces IKr by reducing HERG surface expression (~70% reduction); deletion of KvLQT1 NH2-terminus did not abolish downregulation. |
Co-immunoprecipitation, surface plasmon resonance, immunostaining, electrophysiology in stable CHO cell lines |
American journal of physiology. Heart and circulatory physiology |
Medium |
20833965
|
| 2007 |
HERG co-precipitates more readily with KCNE1 than with KCNE2 during biogenesis. HERG co-localizes with KCNE1 in ER, Golgi, and plasma membrane, whereas KCNE2 is more abundant at the cell surface and in extracellular media. The differential HERG-KCNE association is determined primarily by distinct trafficking rates rather than differences in intrinsic binding affinity. |
Co-immunoprecipitation, confocal immunofluorescence, surface labeling, brefeldin A trafficking block, ER-retention signal engineering in heterologous expression system |
PloS one |
Medium |
17895974
|
| 2013 |
Pharmacological correction (e.g., E-4031 or ranolazine) of trafficking-deficient LQT2 channel G601S promotes trafficking of channels stored in the transitional ER via a Rab11B-dependent pathway. 30-min drug exposure is sufficient for correction, and increased functional expression persists 4-5 h after washout. Dominant-negative Rab11B expression prevents pharmacological correction. |
Confocal analysis, co-expression with dominant-negative Rab11B, cycloheximide chase, pharmacological rescue with E-4031 and ranolazine in HEK293 cells |
American journal of physiology. Cell physiology |
Medium |
23864605
|
| 2002 |
ERG1 (KCNH2) and KCNQ1 alpha-subunits co-immunoprecipitate with KCNE1 in horse heart tissue, providing direct evidence for co-association of these channel subunits in native cardiac tissue. |
Immunoblotting, co-immunoprecipitation, immunostaining, and patch-clamp in horse cardiac tissue |
American journal of physiology. Heart and circulatory physiology |
Medium |
12063283
|
| 2012 |
Trafficking-deficient LQT2 mutants G572R-hERG and E637K-hERG interact more strongly with ER chaperones calnexin and calreticulin than WT-hERG, activate the unfolded protein response (UPR) by upregulating active ATF6, and are targeted for proteasomal degradation. Proteasome inhibition increases core-glycosylated forms of mutant hERG and enhances their interaction with calnexin/calreticulin. |
Co-immunoprecipitation, confocal microscopy, Western blot, proteasome inhibitor treatment in U2OS and HEK293 cells |
PloS one |
Medium |
22242185
|
| 2015 |
High glucose reduces hERG channel expression and IKr through inhibition of channel trafficking, mediated by downregulation of Hsp90 and disruption of its interaction with hERG. High-glucose-mediated trafficking inhibition activates the unfolded protein response (ATF-6 and calnexin upregulation). Insulin (100 nM) rescues hERG expression reduced by high glucose. |
Western blot, immunoprecipitation, patch clamp, confocal microscopy in hERG-HEK293 cells |
Cellular physiology and biochemistry |
Medium |
26303164
|
| 2012 |
LQT2-associated PAS domain mutations display molecular properties distinct from transmembrane region mutations: many do not cause trafficking deficiency and most trafficking-deficient PAS domain mutants are not rescued by a pore-blocking drug (E4031). PAS domain mutations reduce in vitro folding stability of the isolated PAS domain protein. |
Trafficking assay, temperature and drug rescue experiments, thermal and chemical unfolding fluorescence assays of isolated PAS domain proteins |
PloS one |
Medium |
22396785
|
| 2012 |
A LQT2 nonsense mutation Q81X escapes nonsense-mediated mRNA decay and generates N-terminally truncated hERG channels by reinitiation of translation at Met124. These truncated channels have increased deactivation rates consistent with disruption of N-terminus-mediated deactivation regulation, and co-assemble with WT hERG to form heteromeric channels with increased deactivation. |
RNA analysis of hERG minigenes, Western blot, site-specific mutagenesis, voltage clamp electrophysiology, action potential clamp in HEK293 cells |
Journal of molecular and cellular cardiology |
Medium |
22964610
|
| 2005 |
Pentamidine at clinically relevant concentrations (1-10 µM, 48h exposure) reduces hERG membrane expression and current density (36-85% reduction) by decreasing hERG protein levels at the surface membrane, rather than by direct acute channel block (acute IC50 ~252 µM, far above clinical exposure). This mechanism of trafficking reduction was established as the major basis for pentamidine-induced QT prolongation. |
Whole-cell patch clamp, Western blot, laser-scanning confocal microscopy in hERG-HEK293 cells and guinea pig ventricular myocytes |
British journal of pharmacology |
Medium |
15711592
|
| 2017 |
The transcription factor Tbx20 directly enhances human KCNH2 gene expression and hERG currents (IhERG) and shortens action potential duration in human iPSC-derived cardiomyocytes. The LQT2-associated Tbx20 variant p.R311C fails to increase KCNH2 expression, leading to decreased IhERG and increased APD. Tbx20 does not modify other repolarization channel expression. |
Overexpression and variant analysis in hiPSC-CMs, patch clamp electrophysiology, action potential measurements |
Proceedings of the National Academy of Sciences of the United States of America |
Medium |
28049825
|
| 2014 |
hERG 1a LQT2 C-terminus truncation mutants (G965X, R1014X) only exert dominant-negative gating and trafficking effects when co-expressed with hERG 1b, not when expressed alone with hERG 1a. Co-immunoprecipitation and FRET assays confirmed association of mutant and WT subunits. |
Electrophysiology, co-immunoprecipitation, FRET in HEK293 cells and guinea pig cardiomyocytes |
Heart rhythm |
Medium |
26775140
|
| 2017 |
Gating of Kv11.1 (hERG) can be reconstructed from non-covalently linked voltage-sensing and pore modules (split channels), demonstrating that the S4-S5 linker does not function solely as a rigid mechanical lever. Progressive displacement of the split position within the S4-S5 linker modulates activation voltage dependence, deactivation rate, and voltage-sensor structural reorganization. The S4-S5 linker integrates cytoplasmic domain signals as part of the gating machinery. |
Split-channel electrophysiology with progressive displacement of split position, MTS accessibility assay of upper S4, voltage clamp in heterologous expression |
Pflugers Archiv : European journal of physiology |
Medium |
29270671
|
| 2004 |
The common KCNH2 polymorphism K897T alters channel electrophysiology: K897T channels have lower current density, activate at more negative potentials, and inactivate and recover from inactivation faster than WT channels. P967L and R1047L channels are electrophysiologically indistinguishable from WT. All HERG channel types have similar sensitivity to cisapride block. |
Heterologous expression in HEK293 cells, Western blot, voltage-clamp electrophysiology |
American journal of physiology. Heart and circulatory physiology |
Medium |
14975928
|
| 2004 |
hERG channels physically and functionally interact with beta1 integrin subunits in human neuroblastoma and leukaemia cells. Beta1 integrin activation causes long-lasting hERG channel activation; beta1 integrins and hERG1 co-precipitate, suggesting formation of a macromolecular signaling complex. hERG channel activity modulates integrin downstream signaling. |
Co-immunoprecipitation, electrophysiology, integrin activation assays in neuroblastoma and leukaemia cells |
Biochemical Society transactions |
Low |
15494025
|
| 2013 |
Rab11B, a small GTPase, regulates Kv11.1 trafficking; dominant-negative Rab11B prevents pharmacological correction of the trafficking-deficient G601S LQT2 mutant from the transitional ER. |
Co-expression with dominant-negative Rab11B in HEK293 cells, confocal analysis, pharmacological rescue assays |
American journal of physiology. Cell physiology |
Medium |
23864605
|
| 2015 |
Probucol reduces hERG channel membrane expression by decreasing SGK1 expression, leading to decreased phosphorylation of the E3 ubiquitin ligase Nedd4-2. Reduced Nedd4-2 phosphorylation results in enhanced hERG ubiquitination and degradation. Carbachol rescues hERG channels by restoring Nedd4-2 phosphorylation. |
Western blot, immunoprecipitation (ubiquitination assays), pharmacological rescue in hERG-HEK293 cells |
Drug design, development and therapy |
Low |
26229434
|
| 2020 |
KCNH2 (Kcnh2) deficiency in a sepsis model activates the FAK/AKT-FOXO3A pathway: Kcnh2 knockout (Kcnh2+/-) rats show inhibition of FAK/AKT signaling, upregulation of FOXO3A and its downstream pro-apoptotic targets, and worsened cardiac dysfunction. Activation of AKT or siRNA knockdown of FOXO3A rescues the Kcnh2-deficiency phenotype, positioning Kcnh2 upstream of FAK/AKT-FOXO3A in cardiomyocyte survival signaling. |
Kcnh2+/- rat model, echocardiography, Western blot, AKT activator pharmacology, FOXO3A siRNA knockdown |
Cell proliferation |
Low |
33263944
|
| 2013 |
PIKfyve, activated by PKB/Akt, upregulates hERG channel activity and increases hERG protein abundance in the cell membrane in Xenopus oocytes. PKB/Akt-resistant PIKfyve (S318A) does not augment hERG when combined with PKB, establishing PKB-mediated PIKfyve activation as upstream of hERG membrane expression. |
Xenopus oocyte co-expression, dual electrode voltage clamp, confocal microscopy with antibody-based surface quantification |
Cellular physiology and biochemistry |
Low |
23735862
|