Mutations in the potassium channel encoded by the human ether-a-go-go-related gene (HERG) have been linked to the congenital long QT syndrome (LQTS), a cardiac disease associated with an increased preponderance of ventricular arrhythmias and sudden death. The COOH terminus of HERG harbors a large number of LQTS mutations and its removal prevents functional expression for reasons that remain unknown. In this study, we show that the COOH terminus of HERG is required for normal trafficking of the ion channel. We have identified a region critical for trafficking between residues 860 and 899 that includes a novel missense mutation at amino acid 861 (HERG N861I ). Truncations or deletion of residues 860 -899, characterized in six different expression systems including a cardiac cell line, resulted in decreased expression levels and an absence of the mature glycosylated form of the HERG protein. Deletion of this region did not interfere with the formation of tetramers but caused retention of the assembled ion channels within the endoplasmic reticulum. Consequently, removal of residues 860 -899 resulted in the absence of the ion channels from the cell surface and a more rapid turnover rate than the wild type channels, which was evident very early in biogenesis. This study reveals a novel role of the COOH terminus in the normal biogenesis of HERG channels and suggests defective trafficking as a common mechanism for abnormal channel function resulting from mutations of critical COOH-terminal residues, including the LQTS mutant HERG N861I .
The long QT syndrome (LQTS)1 is a congenital heart disorder characterized by delayed cardiac action potential repolarization and a prolongation of the QT interval. This leads to an increased susceptibility of the heart to potentially sustained ventricular tachyarrhythmias that cause syncope and sudden death. Molecular genetic studies have identified five genes linked to LQTS including the human ether-a-go-go-related gene (HERG) (1). HERG encodes the ␣-subunit of the rapidly activating delayed rectifier current I Kr and consists of six transmembrane domains as well as NH 2 -and COOH-terminal cytoplasmic tails (2, 3). Over 90 mutations distributed throughout HERG have been linked to the LQTS, most of which reside in the intracellular tail regions of the channel protein (4, 5). Earlier electrophysiological and structural analysis have emphasized abnormal HERG function as a common manifestation of mutations in the NH 2 terminus (6 -8). In contrast, studies of COOH-terminal mutations suggest that the pathology is because of the absence of HERG channels from the cell surface (9 -12). This phenotype may be caused by improper folding of newly synthesized HERG polypeptides, in a fashion similar to that described for the ⌬F508 allele of CFTR (CFTR⌬F508). CFTR⌬F508 is recognized by the endoplasmic reticulum (ER) quality control machinery and is rapidly degraded before being processed in the Golgi apparatus (13). As a consequence, these molecules are prevented from journeying through the secretory ...