preview

Liddle's Syndrome

Better Essays

4.2.0 Mutations: As was previously outlined, the cause of Liddle’s syndrome is from ENaC over presenting in the ASDN due to a mutation to the channel is the cause of Liddle’s syndrome. It has been shown that mutations on the gamma and beta subunits are responsible for the gain of function in the ENaC. No mutation has been observed yet for the alpha subunit. Mutations occur at the level of the gene for the beta and gamma subunit and cause either missense, nonsense or frameshift mutations in the mRNA of the PY motif for ENaC(ref). This results in either a truncated protein or elimination of some amino acids from the PY motif, which interfere with the binding ability of Nedd4 ligase and inhibit Nedd4 ligase binding, respectively. Overall, this either decreases or eliminates the possibility of Nedd4-2 ligases’ ability to tag and degrade the ENaC. With the inability to control ENaC surface expression at the kidney, its reabsorption of sodium will be markedly increased due to …show more content…

As has been discussed, an inheritable mutation in genes coding for the beta and gamma subunits of the ENaC, causing deletion or truncation of the PY motif leads to a disruption in ENaC ubiquitination. Ubiquitination itself is the process of tagging a protein with a series of glycosyl subunits, signalling its degradation at the proteasome, destroying the channel. With this inhibition in ubiquitination, ENaC is expected to and is seen to have a much larger surface expression and channel open probability, leading to an overall increase in sodium reabsorption which causes the characteristic symptoms of Liddle’s syndrome. Through understanding the two major regulatory mechanisms at the levels of protein trafficking of the ion channel and protein-protein interactions with the channel itself, better methods of control and a better understanding of Liddle’s syndrome can be

Get Access