A point mutation (D136G) predicting the substitution of glycine for as
partate in position 136 of the human muscle Cl- channel (hCIC-1) cause
s recessive generalized myotonia. Heterologous expression of a recombi
nant D136G produces functional Cl- channels with profound alterations
in voltage-dependent gating, without concomitant changes in pore prope
rties. The mutant exhibits slowly activating current upon hyperpolariz
ation, in contrast to wild-type channels, which display time-dependent
current decay (deactivation) at negative membrane potentials. Steady-
state activation of D136G depends upon the transmembrane Cl- gradient,
reaching zero at voltages positive to the Cl- reversal potential in p
hysiological Cl- distribution. This explains the reduced sarcolemmal C
l- conductance that causes myotonia. The functional disturbances exhib
ited by D136G may stem from a defect in the CIC-1 voltage sensor.