The Pathological Mechanisms of Hearing Loss Caused by <i>KCNQ1</i> and <i>KCNQ4</i> Variants

Deafness-associated genes <i>KCNQ1</i> (also associated with heart diseases) and <i>KCNQ4</i> (only associated with hearing loss) encode the homotetrameric voltage-gated potassium ion channels Kv7.1 and Kv7.4, respectively. To date, over 700 <i>KCNQ1</i> and over...

Full description

Bibliographic Details
Main Author: Kazuaki Homma
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/9/2254
Description
Summary:Deafness-associated genes <i>KCNQ1</i> (also associated with heart diseases) and <i>KCNQ4</i> (only associated with hearing loss) encode the homotetrameric voltage-gated potassium ion channels Kv7.1 and Kv7.4, respectively. To date, over 700 <i>KCNQ1</i> and over 70 <i>KCNQ4</i> variants have been identified in patients. The vast majority of these variants are inherited dominantly, and their pathogenicity is often explained by dominant-negative inhibition or haploinsufficiency. Our recent study unexpectedly identified cell-death-inducing cytotoxicity in several Kv7.1 and Kv7.4 variants. Elucidation of this cytotoxicity mechanism and identification of its modifiers (drugs) have great potential for aiding the development of a novel pharmacological strategy against many pathogenic <i>KCNQ</i> variants. The purpose of this review is to disseminate this emerging pathological role of Kv7 variants and to underscore the importance of experimentally characterizing disease-associated variants.
ISSN:2227-9059