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Previous studies showed that mutations in <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content>1B\u03b2 both to increase the I<jats:sub>to<\/jats:sub> current and to decrease the sodium current. Yet its role in <jats:styled-content style=\"fixed-case\">ERS<\/jats:styled-content> remains unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the role of mutations in the <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content>1B\u03b2 subunits in <jats:styled-content style=\"fixed-case\">ERS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We screened for mutations in the <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content>1B genes from four families with <jats:styled-content style=\"fixed-case\">ERS<\/jats:styled-content>. Wild\u2010type and mutant <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content>1B\u03b2 genes were co\u2010expressed with wild\u2010type <jats:styled-content style=\"fixed-case\">KCND<\/jats:styled-content>3 in human embryonic kidney cells (<jats:styled-content style=\"fixed-case\">HEK<\/jats:styled-content>293). Whole\u2010cell patch\u2010clamp technique and co\u2010immunoprecipitation were used to study the electrophysiological properties and explore the underlying mechanisms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>S248R and R250T mutations in <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content>1B\u03b2 were detected in 4 families\u2019 probands. Neither S248R nor R250T mutation had significant influence on the sodium channel current density (<jats:styled-content style=\"fixed-case\">I<jats:sub>N<\/jats:sub><\/jats:styled-content><jats:sub>a<\/jats:sub>) when co\u2010expressed with <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content>5A\/<jats:styled-content style=\"fixed-case\">WT<\/jats:styled-content>. Co\u2010expression of <jats:styled-content style=\"fixed-case\">KCND<\/jats:styled-content>3\/<jats:styled-content style=\"fixed-case\">WT<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content>1B\u03b2\/S248R or <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content>1B\u03b2\/R250T increased the transient outward potassium current I<jats:sub>to<\/jats:sub> by 27.44% and 199.89%, respectively (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.05 and <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.01, respectively) when compared with <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content>1B\u03b2\/<jats:styled-content style=\"fixed-case\">WT<\/jats:styled-content>. Electrophysiological properties showed that S248R and R250T mutations decreased the steady\u2010state inactivation and recovery from inactivation of I<jats:sub>to<\/jats:sub> channel. Co\u2010immunoprecipitation study demonstrated an increased association between <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content>1B\u03b2 mutations and Kv4.3 compared with <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content>1B\u03b2\/<jats:styled-content style=\"fixed-case\">WT<\/jats:styled-content> (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.05 and <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.01, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The S248R and R250T mutations of <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content>1B\u03b2 gene caused gain\u2010of\u2010function of I<jats:sub>to<\/jats:sub> by associated with Kv4.3, which maybe underlie the <jats:styled-content style=\"fixed-case\">ERS<\/jats:styled-content> phenotype of the probands.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcmm.13839","type":"journal-article","created":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T15:54:47Z","timestamp":1535644487000},"page":"5639-5647","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["<scp>SCN<\/scp>1B\u03b2 mutations that affect their association with Kv4.3 underlie early repolarization syndrome"],"prefix":"10.1111","volume":"22","author":[{"given":"Hao","family":"Yao","sequence":"first","affiliation":[{"name":"Department of Cardiology the First Affiliated Hospital Sun Yat\u2010Sen University and Key Laboratory on Assisted Circulation NHC Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Cardiology the First Affiliated Hospital Sun Yat\u2010Sen University and Key Laboratory on Assisted Circulation NHC Guangzhou 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