Cannon Lab Research Areas

Mechanism of Disease Underlying Periodic Parlaysis

  • Determine the alterations of ion channel function caused by disease-associated mutations

    • Are specific changes of ion channel function associated with specific clinical variants of periodic paralysis?
    • Functional expression studies to determine whether ion channel genetic variants are innocuous (benign) or later channel function to cause disease (pathogenic).
  • Understand how anomalous behavior of mutant channels causes transient attacks of weakness in Periodic Paralysis

    • Computer simulation to define the effects on muscle fiber excitability
    • Pharmacologic models to validate the impact on muscle contractility
    • Genetically-engineered mouse models (knock-in mutations) as a platform to explore the basis for provoked episodes of weakness by environmental triggers (exercise, diet, K, pH, osmolality).

       

      • Hyperkalemic periodic paralysis (NaV1.4 M1592V)
      • Hypokalemic periodic paralysis (CaV1.1 R528H)
      • Hypokalemic periodic paralysis (NaV1.4 R669H)

        CMAP 720 x 480
        Attack of hypokalemic periodic paralysis, induced by glucose infusion in the CaV1.1-R528H mouse model

Leveraging Disease Mechanism into Development of Therapeutics for Periodic Paralysis

  • Quantitatively define the efficacy and feasibility of lifestyles changes (exercise, hydration, diet) to minimize the likelihood for an attack of weakness.

  • Repurposing drugs to stabilize the resting membrane potential of muscle fibers and thereby prevent attacks or enhance the recovery from weakness.

  • Computational chemistry to indentify novel compounds (small molecules or synthetic peptides) that attenuate the deleterious behavior of mutant channels.

  • Gene therapy to remove or to correct the missense mutation of ion channel genes causing periodic paralysis.

    HIF docking in VSDII
    Docking of a novel drug (cyan color) to block the anomalous leak in a mutant NaV1.4 sodium channel causing hypokalemic periodic paralysis