A rare HCN4 variant combined with sick sinus syndrome, left ventricular noncompaction, and complex congenital heart disease

The hyperpolarization-activated cyclic nucleotide-gated potassium channel 4 (HCN4) gene has been reported to regulate the spontaneous depolarization of sinoatrial node cells. A novel HCN4 mutation (c.2036 G>A) may lead to sick sinus syndrome. The green fluorescent protein (GFP) and either the wil...

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Main Authors: Fengxiao Zhang, Ning Zhao, Lin Wang, Hua Peng, Ying Jiang, Min Cheng, Feng Zhu
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Channels
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Online Access:https://www.tandfonline.com/doi/10.1080/19336950.2025.2517851
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author Fengxiao Zhang
Ning Zhao
Lin Wang
Hua Peng
Ying Jiang
Min Cheng
Feng Zhu
author_facet Fengxiao Zhang
Ning Zhao
Lin Wang
Hua Peng
Ying Jiang
Min Cheng
Feng Zhu
author_sort Fengxiao Zhang
collection DOAJ
description The hyperpolarization-activated cyclic nucleotide-gated potassium channel 4 (HCN4) gene has been reported to regulate the spontaneous depolarization of sinoatrial node cells. A novel HCN4 mutation (c.2036 G>A) may lead to sick sinus syndrome. The green fluorescent protein (GFP) and either the wild-type (WT) or C679Y mutant (mut) were co-transfected into HEK293 cells to investigate the impact of the mutation on HCN4 channel function. The whole-cell patch-clamp approach was utilized to record HCN4 currents. According to electrophysiological recording, the current amplitude and density generated by mut-C679Y HCN4 channels were much lower than those generated by WT channels. HCN4 channel current activation was not significantly affected by the C679Y mutation. Because of the little current, analyzing the mut channel deactivation kinetic was challenging. Thus, we have identified a novel HCN4 gene mutation that is connected to bradycardia, left ventricular noncompaction, and diverse valve-related heart conditions.
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publishDate 2025-12-01
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record_format Article
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spelling doaj-art-d95b664c067f4439ad4e06ed6e9d24952025-07-04T10:05:18ZengTaylor & Francis GroupChannels1933-69501933-69692025-12-0119110.1080/19336950.2025.2517851A rare HCN4 variant combined with sick sinus syndrome, left ventricular noncompaction, and complex congenital heart diseaseFengxiao Zhang0Ning Zhao1Lin Wang2Hua Peng3Ying Jiang4Min Cheng5Feng Zhu6Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaPediatric Department, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaPediatric Department, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaThe hyperpolarization-activated cyclic nucleotide-gated potassium channel 4 (HCN4) gene has been reported to regulate the spontaneous depolarization of sinoatrial node cells. A novel HCN4 mutation (c.2036 G>A) may lead to sick sinus syndrome. The green fluorescent protein (GFP) and either the wild-type (WT) or C679Y mutant (mut) were co-transfected into HEK293 cells to investigate the impact of the mutation on HCN4 channel function. The whole-cell patch-clamp approach was utilized to record HCN4 currents. According to electrophysiological recording, the current amplitude and density generated by mut-C679Y HCN4 channels were much lower than those generated by WT channels. HCN4 channel current activation was not significantly affected by the C679Y mutation. Because of the little current, analyzing the mut channel deactivation kinetic was challenging. Thus, we have identified a novel HCN4 gene mutation that is connected to bradycardia, left ventricular noncompaction, and diverse valve-related heart conditions.https://www.tandfonline.com/doi/10.1080/19336950.2025.2517851Sick sinus syndromeleft ventricular noncompactionHCN4
spellingShingle Fengxiao Zhang
Ning Zhao
Lin Wang
Hua Peng
Ying Jiang
Min Cheng
Feng Zhu
A rare HCN4 variant combined with sick sinus syndrome, left ventricular noncompaction, and complex congenital heart disease
Channels
Sick sinus syndrome
left ventricular noncompaction
HCN4
title A rare HCN4 variant combined with sick sinus syndrome, left ventricular noncompaction, and complex congenital heart disease
title_full A rare HCN4 variant combined with sick sinus syndrome, left ventricular noncompaction, and complex congenital heart disease
title_fullStr A rare HCN4 variant combined with sick sinus syndrome, left ventricular noncompaction, and complex congenital heart disease
title_full_unstemmed A rare HCN4 variant combined with sick sinus syndrome, left ventricular noncompaction, and complex congenital heart disease
title_short A rare HCN4 variant combined with sick sinus syndrome, left ventricular noncompaction, and complex congenital heart disease
title_sort rare hcn4 variant combined with sick sinus syndrome left ventricular noncompaction and complex congenital heart disease
topic Sick sinus syndrome
left ventricular noncompaction
HCN4
url https://www.tandfonline.com/doi/10.1080/19336950.2025.2517851
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