FUNCTION: SwissProt: P35499 # This protein mediates the voltage-dependent sodium ion permeability of excitable membranes. Assuming opened or closed conformations in response to the voltage difference across the membrane, the protein forms a sodium-selective channel through which Na(+) ions may pass in accordance with their electrochemical gradient. This sodium channel may be present in both denervated and innervated skeletal muscle.
SIZE: 1836 amino acids; 208032 Da
SUBUNIT: Muscle sodium channels contain an alpha subunit and a smaller beta subunit. Interacts with the PDZ domain of the syntrophin SNTA1, SNTB1 and SNTB2 (By similarity).
SUBCELLULAR LOCATION: Membrane; Multi-pass membrane protein.
DOMAIN: SwissProt: P35499 The sequence contains 4 internal repeats, each with 5 hydrophobic segments (S1,S2,S3,S5,S6) and one positively charged segment (S4). Segments S4 are probably the voltage-sensors and are characterized by a series of positively charged amino acids at every third position.
DISEASE: SwissProt: P35499 # Defects in SCN4A are the cause of paramyotonia congenita of von Eulenburg (PMC) [MIM:168300]. PMC is an autosomal dominant sodium channel disease characterized by myotonia, increased by exposure to cold, intermittent flaccid paresis, not necessarily dependent on cold or myotonia, lability of serum potassium, nonprogressive nature and lack of atrophy or hypertrophy of muscles. In some patients, myotonia is not increased by cold exposure. The muscle stiffness due to membrane hyperexcitability. & Defects in SCN4A are a cause of hypokalemic periodic paralysis (HYPOKPP) [MIM:170400]; also designated HOKPP. HYPOKPP is an autosomal dominant disorder manifested by episodic muscle weakness associated with low serum potassium. Muscle weakness could be due to altered excitation-contraction coupling in HYPOKPP patients. & Defects in SCN4A are the cause of hyperkalemic periodic paralysis (HYPP) [MIM:170500]. HYPP is an autosomal dominant sodium channel disease characterized by episodic attacks of muscle weakness. Attacks of muscle weakness can be provoked in HYPP patients by oral potassium administration, whereas this is a remedy for HYPOKPP. & Defects in SCN4A are the cause of autosomal dominant potassium-aggravated myotonia [MIM:608390]. Potassium-aggravated myotonia includes mild myotonia fluctuans, severe myotonia permanens, and acetazolamide-responsive myotonia. & Defects in SCN4A are the cause of a congenital myasthenic syndrome [MIM:603967]. This syndrome is associated with fatigable generalized weakness and recurrent attacks of respiratory and bulbar paralysis since birth. The fatigable weakness involves lid- elevator, external ocular, facial, limb and truncal muscles and an decremental response of the compound muscle action potential on repetitive stimulation.
SIMILARITY: Belongs to the sodium channel family. & Contains 1 IQ domain.