Introduction

The sodium leak channel NALCN plays an important role in regulations of neuronal excitability, motor function, pain sensitivity, and circadian rhythm1,2,3,4. NALCN forms a unique complex termed NALCN channelosome with the auxiliary subunits FAM155A, UNC79, and UNC805,6,7. The formation of the NALCN channelosome is critical to a fully functional Na+ conductance carried by NALCN8. Knockout of NALCN, UNC79, or UNC80 is lethal in mice1,9,10. In humans, variants of NALCN and the auxiliary subunits, especially UNC80, are linked to a variety of diseases known as NALCN channelopathies11,12, which could cause severe intellectual disabilities, such as infantile hypotonia with psychomotor retardation and characteristic facies (IHPRF)11,13 and congenital contractures of limbs and face, hypotonia and developmental delay (CLIFAHDD)12,14,15.

The ion-conducting subunit NALCN is topologically similar to Nav and Cav channels, which contain four homologous repeats (I–IV) connected by intracellular linkers and belong to the 4 × 6 transmembrane helices (TM) channels within the superfamily of voltage-gated ion channels16. However, the auxiliary subunits of the NALCN channelosome are unique and share no sequence homology to the auxiliary subunits of other 4 × 6 TM channels. Among the auxiliary subunits, FAM155A may facilitate the folding and membrane translocation of NALCN through forming a stable subcomplex with NALCN5). Our previous study has revealed that the mutations in NALCN mainly focus on the pore regions that may directly affect the ion permeation properties

Fig. 5: Structural map** of disease-related mutations.
figure 5

a A list of previously reported disease-related mutations in UNC809,11,37,38,39,40,41,42,43. The missense mutations, nonsense mutations, and frameshift mutations are shaded in yellow, cyan, and magenta, respectively. ARSIE, autosomal-recessive severe infantile encephalopathy; ID, intellectual disability; IHPRF2, Infantile hypotonia with psychomotor retardation and characteristic facies-2; PHGRSI, persistent hypotonia, growth retardation and self-injury; PHEGRSID, persistent hypotonia, encephalopathy, growth retardation, and severe intellectual disability; HSIDDD, hypotonia, severe intellectual disability, dyskinesia and dysmorphism; SPGDDPWG, spastic paraplegia, global developmental delay and poor weight gain; IHEH, infantile hypotonia, epilepsy and hyperactivity; HDFF, hypotonia and dysmorphic facial features. b Structural map** of disease-related mutations onto the NALCN channelosome. The diseased-related mutations in NALCN (shown in green sticks) have been discussed in our previous study17. Disease-related mutation sites in UNC80 are shown as spheres and colored by mutation type. Close-up views of the boxed region are shown in c. c Enlarged views of three missense mutation sites in UNC80. Hydrogen bonds are indicated by dashed lines. The mutations are likely to break local hydrogen bonds to affect UNC80 folding and local stability.