Sodium Channelopathies

This article is still missing information.

Voltage gated sodium channels are transmembrane polypeptides with four domains. A pore is made with all four domains through which sodium can enter the cell. There is also an ancillary beta unit for anchoring and kinetics. They are responsible for signalling the nerve fibres for generation of action potentials (See Basic Neurophysiology).

Classification

There are nine known members of sodium channels labelled Na_v1.1 through Na_v1.9. The associated genes are named SCN1A through SCN11A (the SCN6/7A gene is part of the Na_x sub-family and has uncertain function)

Table 1. Nomenclature and some functions of voltage-gated sodium channel alpha subunits

Protein name	Gene	Expression profile	Associated channelopathies
Nav1.1	SCN1A	Central neurons, [peripheral neurons] and cardiac myocytes	febrile epilepsy, GEFS+, Dravet syndrome (also known as severe myclonic epilepsy of infancy or SMEI), borderline SMEI (SMEB), West syndrome (also known as infantile spasms), Doose syndrome (also known as myoclonic astatic epilepsy), intractable childhood epilepsy with generalized tonic-clonic seizures (ICEGTC), Panayiotopoulos syndrome, familial hemiplegic migraine (FHM), familial autism, Rasmussens's encephalitis and Lennox-Gastaut syndrome
Nav1.2	SCN2A	Central neurons, peripheral neurons	inherited febrile seizures, epilepsy, and autism spectrum disorder
Nav1.3	SCN3A	Central neurons, peripheral neurons and cardiac myocytes	epilepsy, pain, brain malformations
Nav1.4	SCN4A	Skeletal muscle	Certain non-dystrophic myotonias: Sodium channel myotonia, Paramyotonia congenita, Hyperkalaemic periodic paralysis
Nav1.5	SCN5A	Cardiac myocytes, uninnervated skeletal muscle, central neurons, gastrointestinal smooth muscle cells and Interstitial cells of Cajal	Cardiac: Long QT syndrome Type 3, Brugada syndrome, progressive cardiac conduction disease, familial atrial fibrillation and idiopathic ventricular fibrillation; Gastrointestinal: Irritable bowel syndrome;
Nav1.6	SCN8A	Central neurons, dorsal root ganglia, peripheral neurons, heart, glia cells	Epilepsy, ataxia, dystonia, tremor
Nav1.7	SCN9A	Dorsal root ganglia, sympathetic neurons, Schwann cells, and neuroendocrine cells	Gain of function: SCN9A neuropathic pain syndromes: erythromelalgia,Small fibre neuropathy, paroxysmal extreme pain disorder Loss of function: Congenital Insensitivity to Pain (CIP)
Nav1.8	SCN10A	Dorsal root ganglia	Small fibre neuropathy, neuropsychiatric disorders
Nav1.9	SCN11A	Dorsal root ganglia	Small fibre neuropathy
Nax	SCN7A	heart, uterus, skeletal muscle, astrocytes, dorsal root ganglion cells	none known

SCN4A Channelopathies

This causes some of the non-dystrophic myotonic diseases.

SCN9A Channelopathies

This group includes small fibre neuropathy, paroxysmal extreme pain disorder, and erythromelalgia. It is a spectrum with some overlap between phenotypes.

SCN10A Channelopathies

Small fibre neuropathy. Less common than SCN9A

SCN11A Channelopathies

Small fibre neuropathy. Less common than SCN9A

See Also

GeneReviews - SCN9A Pain Conditions

References

== Literature Review ==

Literature Review

Reviews from the last 7 years: review articles, free review articles, systematic reviews, meta-analyses, NCBI Bookshelf

Articles from all years: PubMed search, Google Scholar search.

TRIP Database: clinical publications about evidence-based medicine.

Other Wikis: Radiopaedia, Wikipedia Search, Wikipedia I Feel Lucky, Orthobullets,