iScience (Oct 2022)

Cannabidiol counters the effects of a dominant-negative pathogenic Kv7.2 variant

  • Xiaoqin Zhan,
  • Chris Drummond-Main,
  • Dylan Greening,
  • Jinjing Yao,
  • S.W.R. Chen,
  • J.P. Appendino,
  • P. Y. Billie Au,
  • Ray W. Turner

Journal volume & issue
Vol. 25, no. 10
p. 105092

Abstract

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Summary: Epilepsy and neurodevelopmental disorders can arise from pathogenic variants of KCNQ (Kv7) channels. A patient with developmental and epileptic encephalopathy exhibited an in-frame deletion of histidine 260 on Kv7.2. Coexpression of Kv7.2 mutant (mut) subunits with Kv7.3 invoked a decrease in current density, a depolarizing shift in voltage for activation, and a decrease in membrane conductance. Biotinylation revealed an increased level of surface Kv7.2mut compared to Kv7.3 with no change in total membrane protein expression. Super-resolution and FRET imaging confirmed heteromeric channel formation and a higher expression density of Kv7.2mut. Cannabidiol (1 μM) offset the effects of Kv7.2mut by inducing a hyperpolarizing shift in voltage for activation independent of CB1 or CB2 receptors. These data reveal that the ability for cannabidiol to reduce the effects of a pathogenic Kv7.2 variant supports its use as a potential therapeutic to reduce seizure activity.

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