Plural molecular and cellular mechanisms of pore domain KCNQ2 encephalopathy.

KCNQ2 variants in children with neurodevelopmental impairment are difficult to assess due to their heterogeneity and unclear pathogenic mechanisms. We describe a child with neonatal-onset epilepsy, developmental impairment of intermediate severity, and KCNQ2 G256W heterozygosity. Analyzing prior KCNQ2 channel cryoelectron microscopy models revealed G256 as a node of an arch-shaped non-covalent bond network linking S5, the pore turret, and the ion path. Co-expression with G256W dominantly suppressed conduction by wild-type subunits in heterologous cells. Ezogabine partly reversed this suppression. G256W/+ mice have epilepsy leading to premature deaths. Hippocampal CA1 pyramidal cells from G256W/+ brain slices showed hyperexcitability. G256W/+ pyramidal cell KCNQ2 and KCNQ3 immunolabeling was significantly shifted from axon initial segments to neuronal somata. Despite normal mRNA levels, G256W/+ mouse KCNQ2 protein levels were reduced by about 50%. Our findings indicate that G256W pathogenicity results from multiplicative effects, including reductions in intrinsic conduction, subcellular targeting, and protein stability. These studies provide evidence for an unexpected and novel role for the KCNQ2 pore turret and introduce a valid animal model of KCNQ2 encephalopathy. Our results, spanning structure to behavior, may be broadly applicable because the majority of KCNQ2 encephalopathy patients share variants near the selectivity filter.

Localized Electrochemical Impedance Measurements on Nafion Membranes: Observation and Analysis of Spatially Diverse Proton Transport Using Atomic Force Microscopy.

The distribution of ion conductive channels on the Nafion membrane surface, which determines the formation of the three-phase boundary, plays a very important role in improving the performance of proton-exchange membrane fuel cells. Therefore, understanding the microstructures at the catalyst layer/membrane interfaces of proton-exchange membranes is essential. Although current-sensing atomic force microscopy (AFM) can present some surface conductance data, localized impedance measurement providing more accurate proton-transport information is desirable. To obtain this information, in our study, localized electrochemical impedance spectroscopy was measured automatically with a home-built AFM-electrochemical impedance spectroscopy setup in which AFM was coupled with an impedance tester by a customized procedure. By this method, the localized proton-transport resistance at different humidities was observed in spatially diverse locations, and the value decreased as the membrane became hydrated. Furthermore, the microstructure of the Nafion membrane was numerically reconstructed at different hydration levels to examine the relationship between the membrane microstructural morphology and proton-transport resistance. The results showed that the spatial diversity of proton-transport resistance arose from the variable concentration of hydrophilic groups at the contact location of the AFM tip and the membrane, and from the heterogeneity of dry sulfonic acid groups in the membrane that creates local variation in water content.