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GENATLAS PHENOTYPE
last update : 19-04-2010
Symbol THYPOKPP2
Location 17p11
Name thyrotoxic hypokalemic paralysis 2 susceptibility
Corresponding gene KCNJ18
Other symbol(s) TTPP2
Main clinical features
  • sporadic muscle disorder characterized by episodic attacks of weakness and hypokalemia in some thyrotoxic individuals
  • patients are normal between attacks, which resolve with treatment of thyrotoxicosis
  • Genetic determination autosomal dominant
    Related entries inclyding cases of non-familial hypokalemic periodic paralysis. (PMID; 21665951)
    Function/system disorder endocrinology
    neuromuscular
    Type susceptibility factor
    Remark(s)
  • mutations are largely localized in the channel's intracellular C terminus with a single frame-shift truncation mutation in the pore region
  • decreased outward K+ current from hypofunction of KCNJ18 predisposes the sarcolemma to hypokalemia-induced paradoxical depolarization during attacks, which in turn leads to Na+ channel inactivation and inexcitability of muscles (PMID; 21665951))