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Genetics Home Reference: your guide to understanding genetic conditions
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KCNJ2

Reviewed June 2013

What is the official name of the KCNJ2 gene?

The official name of this gene is “potassium inwardly-rectifying channel, subfamily J, member 2.”

KCNJ2 is the gene's official symbol. The KCNJ2 gene is also known by other names, listed below.

What is the normal function of the KCNJ2 gene?

The KCNJ2 gene belongs to a large family of genes that produce potassium channels. These channels, which transport positively charged atoms (ions) of potassium out of cells, play key roles in a cell's ability to generate and transmit electrical signals.

The specific function of a potassium channel depends on its protein components and its location in the body. Channels made with the KCNJ2 protein are active in muscles used for movement (skeletal muscles) and heart (cardiac) muscle. In skeletal muscle, these channels play an important role in the pattern of muscle tensing (contraction) and relaxation that allows the body to move. In the heart, the channels are involved in recharging the cardiac muscle after each heartbeat to maintain a regular rhythm. Channels formed with the KCNJ2 protein may also be involved in bone development, but their role in this process is unclear.

Researchers have determined that a molecule called PIP2 must bind to channels made with the KCNJ2 protein for the channels to function normally. PIP2 activates the ion channel and helps it stay open, which allows ions to flow across the cell membrane.

Does the KCNJ2 gene share characteristics with other genes?

The KCNJ2 gene belongs to a family of genes called KCN (potassium channels).

A gene family is a group of genes that share important characteristics. Classifying individual genes into families helps researchers describe how genes are related to each other. For more information, see What are gene families? (http://ghr.nlm.nih.gov/handbook/howgeneswork/genefamilies) in the Handbook.

How are changes in the KCNJ2 gene related to health conditions?

Andersen-Tawil syndrome - caused by mutations in the KCNJ2 gene

More than 40 mutations in the KCNJ2 gene have been identified in people with Andersen-Tawil syndrome, a disorder that causes episodes of muscle weakness (periodic paralysis), changes in heart rhythm (arrhythmia), and developmental abnormalities. Most of these mutations change a single protein building block (amino acid) in the KCNJ2 protein.

Mutations in the KCNJ2 gene lead to the production of a nonfunctional potassium channel. Some mutations change the shape of the channel so it cannot transport potassium ions, while other mutations prevent the channels from being inserted correctly into the cell membrane. Many KCNJ2 mutations prevent PIP2 from effectively binding to and activating potassium channels. If the KCNJ2 protein is unable to bind to PIP2, the channels remain closed and potassium ions are unable to flow across the cell membrane. Researchers believe that problems with PIP2 binding are a major cause of Andersen-Tawil syndrome.

A loss of channel function in skeletal and cardiac muscle cells disrupts the normal flow of potassium ions out of these cells, resulting in periodic paralysis and an irregular heart rhythm. It is not known how mutations in the KCNJ2 gene contribute to developmental abnormalities of the head, face, and limbs often found in Andersen-Tawil syndrome.

short QT syndrome - caused by mutations in the KCNJ2 gene

Mutations in the KCNJ2 gene can also cause a heart condition called short QT syndrome, which is a type of arrhythmia. In people with this condition, the cardiac muscle takes less time than usual to recharge between beats. This change increases the risk of abnormal heart rhythm that can cause fainting or sudden death.

At least two mutations in the KCNJ2 gene have been found to cause short QT syndrome in a small number of affected families. These mutations change single amino acids in the KCNJ2 protein, which increases the activity of channels made with this protein. As a result, more potassium ions flow out of cardiac muscle cells at a critical time during the heartbeat, which can lead to an irregular heart rhythm.

familial atrial fibrillation - associated with the KCNJ2 gene

At least one mutation in the KCNJ2 gene is associated with rare cases of familial atrial fibrillation, a form of arrhythmia characterized by uncoordinated electrical activity in the heart's upper chambers (the atria). The identified mutation replaces the protein building block (amino acid) valine with the amino acid isoleucine at position 93 of the KCNJ2 protein (written as Val93Ile or V93I). In cardiac muscle cells, this mutation appears to increase the flow of potassium ions through the channel made with the KCNJ2 protein. The enhanced ion transport may alter the heart's normal rhythm. Researchers are working to determine whether the V93I mutation is a direct cause of familial atrial fibrillation.

Where is the KCNJ2 gene located?

Cytogenetic Location: 17q24.3

Molecular Location on chromosome 17: base pairs 70,169,534 to 70,180,043

The KCNJ2 gene is located on the long (q) arm of chromosome 17 at position 24.3.

The KCNJ2 gene is located on the long (q) arm of chromosome 17 at position 24.3.

More precisely, the KCNJ2 gene is located from base pair 70,169,534 to base pair 70,180,043 on chromosome 17.

See How do geneticists indicate the location of a gene? (http://ghr.nlm.nih.gov/handbook/howgeneswork/genelocation) in the Handbook.

Where can I find additional information about KCNJ2?

You and your healthcare professional may find the following resources about KCNJ2 helpful.

You may also be interested in these resources, which are designed for genetics professionals and researchers.

What other names do people use for the KCNJ2 gene or gene products?

  • cardiac inward rectifier potassium channel
  • HHBIRK1
  • HHIRK1
  • HIRK1
  • inward rectifier K+ channel KIR2.1
  • IRK1
  • IRK2_HUMAN
  • KIR2.1
  • LQT7
  • potassium inwardly-rectifying channel J2

See How are genetic conditions and genes named? (http://ghr.nlm.nih.gov/handbook/mutationsanddisorders/naming) in the Handbook.

What glossary definitions help with understanding KCNJ2?

acids ; amino acid ; arrhythmia ; atrial ; atrial fibrillation ; cardiac ; cell ; cell membrane ; channel ; contraction ; fainting ; familial ; fibrillation ; gene ; ions ; ion transport ; isoleucine ; molecule ; muscle cells ; mutation ; potassium ; protein ; skeletal muscle ; syndrome ; valine

You may find definitions for these and many other terms in the Genetics Home Reference Glossary (http://www.ghr.nlm.nih.gov/glossary).

References

  • Bendahhou S, Donaldson MR, Plaster NM, Tristani-Firouzi M, Fu YH, Ptácek LJ. Defective potassium channel Kir2.1 trafficking underlies Andersen-Tawil syndrome. J Biol Chem. 2003 Dec 19;278(51):51779-85. Epub 2003 Oct 1. (http://www.ncbi.nlm.nih.gov/pubmed/14522976?dopt=Abstract)
  • Casini S, Postma AV. Decreased inward rectification of Kir2.1 channels is a novel mechanism underlying the short QT syndrome. Cardiovasc Res. 2012 Mar 15;93(4):535-6. doi: 10.1093/cvr/cvs084. Epub 2012 Feb 5. (http://www.ncbi.nlm.nih.gov/pubmed/22311718?dopt=Abstract)
  • Chun TU, Epstein MR, Dick M 2nd, Andelfinger G, Ballester L, Vanoye CG, George AL Jr, Benson DW. Polymorphic ventricular tachycardia and KCNJ2 mutations. Heart Rhythm. 2004 Jul;1(2):235-41. (http://www.ncbi.nlm.nih.gov/pubmed/15851159?dopt=Abstract)
  • Davies NP, Imbrici P, Fialho D, Herd C, Bilsland LG, Weber A, Mueller R, Hilton-Jones D, Ealing J, Boothman BR, Giunti P, Parsons LM, Thomas M, Manzur AY, Jurkat-Rott K, Lehmann-Horn F, Chinnery PF, Rose M, Kullmann DM, Hanna MG. Andersen-Tawil syndrome: new potassium channel mutations and possible phenotypic variation. Neurology. 2005 Oct 11;65(7):1083-9. (http://www.ncbi.nlm.nih.gov/pubmed/16217063?dopt=Abstract)
  • Donaldson MR, Jensen JL, Tristani-Firouzi M, Tawil R, Bendahhou S, Suarez WA, Cobo AM, Poza JJ, Behr E, Wagstaff J, Szepetowski P, Pereira S, Mozaffar T, Escolar DM, Fu YH, Ptácek LJ. PIP2 binding residues of Kir2.1 are common targets of mutations causing Andersen syndrome. Neurology. 2003 Jun 10;60(11):1811-6. (http://www.ncbi.nlm.nih.gov/pubmed/12796536?dopt=Abstract)
  • Gene Review: Andersen-Tawil Syndrome (http://www.ncbi.nlm.nih.gov/books/NBK1264)
  • Hattori T, Makiyama T, Akao M, Ehara E, Ohno S, Iguchi M, Nishio Y, Sasaki K, Itoh H, Yokode M, Kita T, Horie M, Kimura T. A novel gain-of-function KCNJ2 mutation associated with short-QT syndrome impairs inward rectification of Kir2.1 currents. Cardiovasc Res. 2012 Mar 15;93(4):666-73. doi: 10.1093/cvr/cvr329. Epub 2011 Dec 8. (http://www.ncbi.nlm.nih.gov/pubmed/22155372?dopt=Abstract)
  • Kimura H, Zhou J, Kawamura M, Itoh H, Mizusawa Y, Ding WG, Wu J, Ohno S, Makiyama T, Miyamoto A, Naiki N, Wang Q, Xie Y, Suzuki T, Tateno S, Nakamura Y, Zang WJ, Ito M, Matsuura H, Horie M. Phenotype variability in patients carrying KCNJ2 mutations. Circ Cardiovasc Genet. 2012 Jun;5(3):344-53. doi: 10.1161/CIRCGENETICS.111.962316. Epub 2012 May 15. (http://www.ncbi.nlm.nih.gov/pubmed/22589293?dopt=Abstract)
  • NCBI Gene (http://www.ncbi.nlm.nih.gov/gene/3759)
  • Plaster NM, Tawil R, Tristani-Firouzi M, Canún S, Bendahhou S, Tsunoda A, Donaldson MR, Iannaccone ST, Brunt E, Barohn R, Clark J, Deymeer F, George AL Jr, Fish FA, Hahn A, Nitu A, Ozdemir C, Serdaroglu P, Subramony SH, Wolfe G, Fu YH, Ptácek LJ. Mutations in Kir2.1 cause the developmental and episodic electrical phenotypes of Andersen's syndrome. Cell. 2001 May 18;105(4):511-9. (http://www.ncbi.nlm.nih.gov/pubmed/11371347?dopt=Abstract)
  • Priori SG, Pandit SV, Rivolta I, Berenfeld O, Ronchetti E, Dhamoon A, Napolitano C, Anumonwo J, di Barletta MR, Gudapakkam S, Bosi G, Stramba-Badiale M, Jalife J. A novel form of short QT syndrome (SQT3) is caused by a mutation in the KCNJ2 gene. Circ Res. 2005 Apr 15;96(7):800-7. Epub 2005 Mar 10. (http://www.ncbi.nlm.nih.gov/pubmed/15761194?dopt=Abstract)
  • Schulze-Bahr E. Short QT syndrome or Andersen syndrome: Yin and Yang of Kir2.1 channel dysfunction. Circ Res. 2005 Apr 15;96(7):703-4. (http://www.ncbi.nlm.nih.gov/pubmed/15831819?dopt=Abstract)
  • Tristani-Firouzi M, Jensen JL, Donaldson MR, Sansone V, Meola G, Hahn A, Bendahhou S, Kwiecinski H, Fidzianska A, Plaster N, Fu YH, Ptacek LJ, Tawil R. Functional and clinical characterization of KCNJ2 mutations associated with LQT7 (Andersen syndrome). J Clin Invest. 2002 Aug;110(3):381-8. (http://www.ncbi.nlm.nih.gov/pubmed/12163457?dopt=Abstract)
  • Xia M, Jin Q, Bendahhou S, He Y, Larroque MM, Chen Y, Zhou Q, Yang Y, Liu Y, Liu B, Zhu Q, Zhou Y, Lin J, Liang B, Li L, Dong X, Pan Z, Wang R, Wan H, Qiu W, Xu W, Eurlings P, Barhanin J, Chen Y. A Kir2.1 gain-of-function mutation underlies familial atrial fibrillation. Biochem Biophys Res Commun. 2005 Jul 15;332(4):1012-9. (http://www.ncbi.nlm.nih.gov/pubmed/15922306?dopt=Abstract)

 

The resources on this site should not be used as a substitute for professional medical care or advice. Users seeking information about a personal genetic disease, syndrome, or condition should consult with a qualified healthcare professional. See How can I find a genetics professional in my area? (http://ghr.nlm.nih.gov/handbook/consult/findingprofessional) in the Handbook.

 
Reviewed: June 2013
Published: November 24, 2014