PMID- 10369308 OWN - NLM STAT- MEDLINE DCOM- 19990629 LR - 20190717 IS - 0003-9942 (Print) IS - 0003-9942 (Linking) VI - 56 IP - 6 DP - 1999 Jun TI - A novel mutation in the gene for the adult skeletal muscle sodium channel alpha-subunit (SCN4A) that causes paramyotonia congenita of von Eulenburg. PG - 692-6 AB - BACKGROUND: Paramyotonia congenita (PMC) of von Eulenburg is an autosomal dominant muscular disease characterized by exercise- and cold-induced myotonia and weakness. To date, 18 missense mutations in the adult skeletal muscle sodium channel alpha-subunit (SCN4A) gene have been identified to cause a spectrum of muscular diseases, including PMC of von Eulenburg, PMC without cold paralysis, potassium-aggravating myotonia, and hyperkalemic periodic paralysis. However, no obvious correlations can be made between the location or nature of amino acid substitutions in SCN4A and its clinical phenotypes. OBJECTIVE: To describe clinical and genetic features of a family with PMC of von Eulenburg. RESULTS: A Japanese family with cold-induced myotonia and weakness was diagnosed as having PMC of von Eulenburg. This phenotype was identified to be caused by a novel mutation that substituted a glutamic acid residue for a highly conserved glycine residue in the fourth transmembrane segment (S4) of domain IV. This predicted a decrease in positive charge specific for the S4. CONCLUSION: In addition to the G1456E identified in this study, 4 mutations that cause a decrease in positive charge in the S4/D4 are associated with the phenotype of PMC of von Eulenburg. This provides an important genotype-phenotype correlation in sodium channelopathies. FAU - Sasaki, R AU - Sasaki R AD - Department of Neurology, Brain Research Institute, Niigata University, Japan. FAU - Takano, H AU - Takano H FAU - Kamakura, K AU - Kamakura K FAU - Kaida, K AU - Kaida K FAU - Hirata, A AU - Hirata A FAU - Saito, M AU - Saito M FAU - Tanaka, H AU - Tanaka H FAU - Kuzuhara, S AU - Kuzuhara S FAU - Tsuji, S AU - Tsuji S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Arch Neurol JT - Archives of neurology JID - 0372436 RN - 0 (NAV1.4 Voltage-Gated Sodium Channel) RN - 0 (SCN4A protein, human) RN - 0 (Sodium Channels) SB - IM MH - Adult MH - Amino Acid Sequence MH - Amino Acid Substitution MH - Chromosome Mapping MH - Cold Temperature MH - Exons MH - Female MH - Genetic Linkage MH - Humans MH - Japan MH - Male MH - Models, Molecular MH - Molecular Sequence Data MH - Muscle, Skeletal/*metabolism MH - *Mutation, Missense MH - Myotonia Congenita/*genetics MH - NAV1.4 Voltage-Gated Sodium Channel MH - Pedigree MH - Phenotype MH - Polymerase Chain Reaction MH - Protein Structure, Secondary MH - Sodium Channels/chemistry/*genetics EDAT- 1999/06/16 00:00 MHDA- 1999/06/16 00:01 CRDT- 1999/06/16 00:00 PHST- 1999/06/16 00:00 [pubmed] PHST- 1999/06/16 00:01 [medline] PHST- 1999/06/16 00:00 [entrez] AID - 10.1001/archneur.56.6.692 [doi] PST - ppublish SO - Arch Neurol. 1999 Jun;56(6):692-6. doi: 10.1001/archneur.56.6.692.