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XB-ART-39807
Hum Mutat 2009 Jul 01;307:1093-103. doi: 10.1002/humu.21011.
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Mutations in the amiloride-sensitive epithelial sodium channel in patients with cystic fibrosis-like disease.

Azad AK , Rauh R , Vermeulen F , Jaspers M , Korbmacher J , Boissier B , Bassinet L , Fichou Y , des Georges M , Stanke F , De Boeck K , Dupont L , Balascáková M , Hjelte L , Lebecque P , Radojkovic D , Castellani C , Schwartz M , Stuhrmann M , Schwarz M , Skalicka V , de Monestrol I , Girodon E , Férec C , Claustres M , Tümmler B , Cassiman JJ , Korbmacher C , Cuppens H .


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We investigated whether mutations in the genes that code for the different subunits of the amiloride-sensitive epithelial sodium channel (ENaC) might result in cystic fibrosis (CF)-like disease. In a small fraction of the patients, the disease could be potentially explained by an ENaC mutation by a Mendelian mechanism, such as p.V114I and p.F61L in SCNN1A. More importantly, a more than three-fold significant increase in incidence of several rare ENaC polymorphisms was found in the patient group (30% vs. 9% in controls), indicating an involvement of ENaC in some patients by a polygenetic mechanism. Specifically, a significantly higher number of patients carried c.-55+5G>C or p.W493R in SCNN1A in the heterozygous state, with odds ratios (ORs) of 13.5 and 2.7, respectively.The p.W493R-SCNN1A polymorphism was even found to result in a four-fold more active ENaC channel when heterologously expressed in Xenopus laevis oocytes. About 1 in 975 individuals in the general population will be heterozygous for the hyperactive p.W493R-SCNN1A mutation and a cystic fibrosis transmembrane conductance regulator (CFTR) gene that results in very low amounts (0-10%) functional CFTR. These ENaC/CFTR genotypes may play a hitherto unrecognized role in lung diseases.

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Species referenced: Xenopus laevis
Genes referenced: cftr scnn1a

References :
Cutting, Genetic heterogeneity and cystic fibrosis. 2009, Pubmed