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REVIEW ARTICLE

Voltage‐gated sodium channels: Action players with many faces

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Pages 472-482 | Published online: 08 Jul 2009
 

Abstract

Voltage‐gated sodium channels are responsible for the upstroke of the action potential and thereby play an important role in propagation of the electrical impulse in excitable tissues like muscle, nerve and the heart. Duplication of the sodium channels encoding genes during evolution generated the sodium channel gene family with the different isoforms differing in biophysical properties and tissue distribution. In this review article, mutations in these genes leading to various inherited disorders are discussed.

Abbreviations
BFNIS=

benign familial neonatal‐infantile seizures

BrS=

Brugada syndrome

CMD1E=

dilated cardiomyopathy‐1E

FEB3=

familial febrile convulsions‐3

FHM=

familial hemiplegic migraine

FRP=

familial rectal pain

GEFS+=

generalized epilepsy with febrile seizures plus

HOKPP=

hypokalemic periodic paralysis

HYPP=

hyperkalemic periodic paralysis

ICEGTC=

intractable childhood epilepsies and frequent generalized tonic‐clonic seizures

LQT3=

long QT syndrome type 3

LQTS=

long QT syndrome

PCCD=

progressive cardiac conduction defect

PMC=

paramyotonia congenital

SIDS=

sudden infant death syndrome

SMEB=

borderline SMEI

SMEI=

severe myoclonic epilepsy of infancy

SSS=

sick sinus syndrome

Abbreviations
BFNIS=

benign familial neonatal‐infantile seizures

BrS=

Brugada syndrome

CMD1E=

dilated cardiomyopathy‐1E

FEB3=

familial febrile convulsions‐3

FHM=

familial hemiplegic migraine

FRP=

familial rectal pain

GEFS+=

generalized epilepsy with febrile seizures plus

HOKPP=

hypokalemic periodic paralysis

HYPP=

hyperkalemic periodic paralysis

ICEGTC=

intractable childhood epilepsies and frequent generalized tonic‐clonic seizures

LQT3=

long QT syndrome type 3

LQTS=

long QT syndrome

PCCD=

progressive cardiac conduction defect

PMC=

paramyotonia congenital

SIDS=

sudden infant death syndrome

SMEB=

borderline SMEI

SMEI=

severe myoclonic epilepsy of infancy

SSS=

sick sinus syndrome

Acknowledgements

The authors wish to thank A.C. Linnenbank for preparing the figure and A.C.G. van Ginneken for critical reading of the manuscript. This work is supported by Netherlands Heart Foundation grants 2003B195 (CRB) and 2003T302 (AAMW), and the Interuniversity Cardiology Institute of the Netherlands (project 27, AAMW). Connie R. Bezzina is an Established Investigator of the Netherlands Heart Foundation (Grant 2005/T024).

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