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ATP-sensitive potassium (K(ATP)) channels regulate insulin secretion from pancreatic beta-cells. Gain-of-function mutations in the genes encoding the Kir6.2 and SUR1 subunits of this channel cause neonatal diabetes. We report two novel mutations on the same haplotype (cis), F60Y and V64L, in the slide helix of Kir6.2 in a patient with neonatal diabetes, developmental delay and epilepsy. Functional analysis revealed the F60Y mutation increases the intrinsic channel open probability (Po(0)), thereby indirectly producing a marked decrease in channel inhibition by ATP and an increase in whole-cell K(ATP) currents. When expressed alone, the V64L mutation caused a small reduction in apparent ATP inhibition, by enhancing the ability of MgATP to stimulate channel activity. The V64L mutation also ameliorated the deleterious effects on the F60Y mutation when it was expressed on the same (but not a different) subunit. These data indicate that F60Y is the pathogenic mutation and reveal that interactions between slide helix residues can influence K(ATP) channel gating.

Original publication




Journal article


Hum Mol Genet

Publication Date





963 - 972


Adenosine Triphosphate, Adolescent, Amino Acid Sequence, Amino Acid Substitution, Diabetes Complications, Genetic Predisposition to Disease, Humans, Infant, Newborn, Infant, Newborn, Diseases, Ion Channel Gating, KATP Channels, Male, Molecular Sequence Data, Mutant Proteins, Mutation, Nervous System Diseases, Potassium Channels, Inwardly Rectifying, Protein Structure, Secondary, Protein Subunits