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J Clin Invest. 2010 Jan;120(1):80-3. doi: 10.1172/JCI41340. Epub 2009 Dec 28.

Sodium channels gone wild: resurgent current from neuronal and muscle channelopathies.

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  • 1Department of Neurology, University of Texas Southwestern Medical Center, 5223 Harry Hines Blvd., Dallas, Texas 75390-8813, USA.


Voltage-dependent sodium channels are the central players in the excitability of neurons, cardiac muscle, and skeletal muscle. Hundreds of mutations in sodium channels have been associated with human disease, particularly genetic forms of epilepsy, arrhythmias, myotonia, and periodic paralysis. In this issue of the JCI, Jarecki and colleagues present evidence suggesting that many such mutations alter the gating of sodium channels to produce resurgent sodium current, an unusual form of gating in which sodium channels reopen following an action potential, thus promoting the firing of another action potential (see the related article beginning on page 369). The results of this study suggest a widespread pathophysiological role for this mechanism, previously described to occur normally in only a few types of neurons.

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