Paramyotonia congenita
- It exhibits dominant inheritence and causes muscle stiffness preceded by paralysis
- S4 of repeat 4 is mutated, which usually couples activation with inactivation
Hyperkalemic periodic paralysis
- Once again, attacks of muscle weakness triggered by heightend blood potassium levels (4 to 5 mM).
- Incomplete inactivation of the Na channel
Potassium-aggravated myotonia
- Aggravated by potassium rich food
- Mutations in the inactivation loop, whereby a glycine is replaced by a glutamate
- Causes a slower closure of Na currents.
- The presence or absence of paralysis depends on the fraction of Na current that doesn't turn off
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