Trafficking and function of the voltage-gated sodium channel β2 subunit

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The sodium channel β2 subunit is a component of the voltage-gated sodium channel (NaV), a large multimeric protein complex. In the heart, NaV is mainly composed of a pore-forming α subunit, NaV1.5, and two associated β subunits. Deficient NaV plasma membrane localization underlies a subset of channelopathies with high incidence in sudden death. The precise role of β2 in the NaV complex is still a mystery. However, there have been described mutations in β2 linked to Brugada Syndrome (BrS) and Atrial Fibrillation, both deadly cardiac arrhythmias. We explore the polarized trafficking of β2 and describe its function in promoting the localization of NaV1.5 to the apical domain of Madin-Darby canine kidney cells. Overall, our findings support the idea that β2 promotes the functional localization of NaV1.5 to specific subdomains of the plasma membrane, thereby ensuring enough sodium channel density and decreasing arrhythmogenic potential ​
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