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The Journal of Neuroscience, August 1, 2000, 20(15):5639-5646
Facilitation of Recovery from Inactivation by External
Na+ and Location of the Activation Gate in Neuronal
Na+ Channels
Chung-Chin
Kuo1, 2 and
Shu-Yuan
Liao1
1 Department of Physiology, National Taiwan University
College of Medicine, and 2 Department of Neurology,
National Taiwan University Hospital, Taipei 100, Taiwan, Republic of
China.
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ABSTRACT |
Fast inactivation of the Na+ channel presumably
is produced by binding of the inactivating peptide (the "hinged
lid") to the internal pore mouth of the activated channel. It has
been shown that recovery from inactivation in Na+
channels begins with a delay, which corresponds to deactivation of the
channel, and is then followed by an exponential phase, which
corresponds to unbinding of the inactivating peptide. We found that the
exponential phase is ~1.6-fold faster in 150 mM than in 0 mM external Na+, but the initial delays
are the same. External Na+ also increases the late
steady-state Na+ current during a step
depolarization and shifts the inactivation curve accordingly but has no
effect on the activation and deactivation kinetics of the current.
Quantitative analysis of the data reveals that external
Na+ has the same facilitation effect on the
unbinding of the bound inactivating peptide whether the channel is
activated or deactivated but has no effect on the other gating
processes of the channel. These findings suggest that permeating
Na+ ions directly knock off the bound inactivating
peptide and that channel activation or deactivation does not affect the
accessibility of the bound inactivation peptide to external
Na+. The activation gate (the key gating change
transforming a Na+-nonconducting pore into a
Na+-conducting one) therefore should not be located
external to the inactivation gate, which presumably is already located
close to the internal end of the pore.
Key words:
Na+; Na+ channel; inactivation; deactivation; activation gate; inactivation gate
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INTRODUCTION |
Voltage-dependent
Na+ channels are important membrane
proteins controlling membrane excitability. These channels are quickly activated with membrane depolarization to make the rapid rising phase
of action potentials in many excitable cells. After activation, Na+ channels soon enter an inactivated
state and Na+ influx is terminated. This
fast inactivation of Na+ channels greatly
facilitates subsequent membrane repolarization, which in turn recovers
the inactivated Na+ channel back to the
resting state, ready to be activated again for the next depolarization.
Fast inactivation and recovery from inactivation of the
Na+ channel thus are important factors
controlling the discharge pattern of a cell.
A classical view of the development of fast inactivation in
Na+ channels is the "ball-and-chain"
model, in which an inactivating peptide tethered to the rest of the
channel binds to a site at the internal pore mouth to block
Na+ ion permeation (Armstrong and
Bezanilla, 1977 ; Armstrong, 1981 ). Because the binding site is
available only in the activated but not in the deactivated channel, the
development of inactivation is coupled to activation. This model has
found its structural support in Shaker K+
channels, whose amino-terminal region was identified as the
inactivating peptide (Hoshi et al., 1990 ; Zagotta et al., 1990 ). More
recently, West et al. (1992) proposed the "hinged-lid" model, in
which the cytoplasmic linker peptide between transmembrane domains 3 and 4 of the Na+ channel protein functions
as a lid to control ion permeation. This is different from the
ball-and-chain model in that the inactivating peptide is tethered at
two ends and the hinge region may play a role in the binding kinetics
and affinity of the peptide. The two models are the same, however, in
postulating fast inactivation as an open channel blockade produced by
binding of the inactivating peptide to its receptor, which is located
at the internal pore mouth and is made available by channel activation.
If fast inactivation is in essence an open channel blockade, then it
may be influenced by the permeating ions in the pore. It has been shown
in Shaker K+ channels that recovery from
fast inactivation is accelerated by extracellular
K+ (Demo and Yellen, 1991 ; Gomez-Lagunas
and Armstrong, 1994 ; Kuo, 1997 ). Although such an effect has not been
directly demonstrated in Na+ channels,
increased external Na+ was found to
decrease the Na+ channel blocking effect
of many inactivation-mimicking compounds, including internal
strychnine, tetra-alkylammonium cations, and pentapeptide KIFMK
(Shapiro, 1977 ; O'Leary et al., 1994 ; Tang et al., 1996 ). It is
therefore desirable to examine the effect of
Na+ on the recovery of inactivated
Na+ channels in more detail. In
Na+ channels, recovery from inactivation
begins with a delay, which is followed by an exponential course. The
former is ascribable to channel deactivation, and the latter represents
the unbinding process of the inactivating peptide (Kuo and Bean, 1994 )
(deactivation and activation refer to voltage-dependent closing and
opening of the channel, respectively, whether the inactivating peptide is bound or not). In this study we found that the time constant of the
exponential phase is shortened by external
Na+, whereas the initial delay remains the
same. Also, external Na+ increases the
steady-state Na+ current without changing
the activation or deactivation kinetics of the channel. Quantitative
analysis reveals that external Na+ has the
same facilitation effect on the unbinding of the inactivating peptide
whether the inactivated channel has deactivated or not. The activation
gate thus probably is not located external to the bound inactivation gate.
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MATERIALS AND METHODS |
Cell preparation. Coronal slices of the whole brain
were prepared from 7- to 14-d-old Long-Evans rats. The CA1 region was dissected from the slices and cut into small chunks. After treatment for 5-10 min at 37°C in dissociation medium (82 mM
Na2SO4, 30 mM
K2SO4, 3 mM
MgCl2, 5 mM HEPES, and 0.001% phenol
red indicator, pH 7.4) containing 0.5 mg/ml trypsin (type XI; Sigma,
St. Louis, MO), tissue chunks were moved to dissociation medium
containing no trypsin but 1 mg/ml bovine serum albumin (Sigma) and 1 mg/ml trypsin inhibitor (type II-S; Sigma). Each time when cells were needed, two to three chunks were picked and triturated to release single neurons.
Whole-cell recording. The dissociated neurons were put in a
recording chamber containing Tyrode's solution (150 mM
NaCl, 4 mM KCl, 2 mM
MgCl2, 2 mM
CaCl2, and 10 mM HEPES, pH 7.4).
External solutions containing <150 mM external
Na+ were prepared by replacing NaCl in
Tyrode's solution with CsCl on an equal molar basis. The external
solution containing 300 mM external
Na+ has the same constituents as Tyrode's
solution, except that the NaCl concentration is increased to 300 mM. Whole-cell voltage-clamp recordings were obtained using
pipettes pulled from borosilicate micropipettes (outer diameter
1.55-1.60 mm; Hilgenberg Inc., Malsfeld, Germany), fire-polished, and
coated with Sylgard (Dow-Corning, Midland, MI). The pipette resistance
was 1-2 M when filled with the standard internal solution (85 mM NaCl, 75 mM CsF, 3 mM
MgCl2, 10 mM HEPES, 5 mM
EGTA, pH adjusted to 7.4 by CsOH). Because the external
Na+ concentration was changed over a wide
range in this study and can be as low as nominally
Na+-free, outward instead of inward
Na+ currents were recorded in most
experiments by including a high concentration of
Na+ in the internal solution. Seal was
formed, and the whole-cell configuration was obtained in Tyrode's
solution. The cell was then lifted from the bottom of the chamber and
moved in front of an array of flow pipes (Microcapillary, Hilgenberg
Inc.; content 1 µl, length 64 mm) emitting different external
solutions. The junctional potential difference between 0 mM
NaCl (150 mM CsCl) and 150 mM NaCl (Tyrode's)
solutions was +2.3 mV (150-0 mM
Na+) if measured by putting the patch
pipette containing standard internal solution alternately into
different dishes containing either 0 mM or 150 mM Na+ solution. However,
because of probable bulk flow at the boundary between the solution
emitted from the flow pipe and the bath solution, the boundaries in our
experimental condition may not be ideal liquid junctions. Thus we also
moved the patch pipette in front of different flow pipes emitting
either 0 mM or 150 mM NaCl solutions and
measured the potential difference. The potential difference measured in
such a configuration was 0.2 to 0.3 mV, which should represent the
effect of the foregoing "nonideality" of the junction. The true
junctional potential difference between 0 and 150 mM NaCl
solutions in our experimental system therefore should be approximately
2 mV. Similar tests were repeated for the other solutions, and the
junctional potential differences with respect to 0 mM NaCl
solution are 0.1, 0.6, 1.3, 2.0, and 3.3 mV for 15, 50, 100, 150, and
300 mM NaCl solutions, respectively. No corrections for
such small junctional potentials were done except in Figure 8, where
the V values are not large and correction for the
junctional potentials does make a difference in the quantitative
analysis of the data (however, even if one does not correct for the
junctional potential differences, the qualitative conclusion from Fig.
8, B and C, remains the same). Currents were
recorded at room temperature (~25°C) with an Axoclamp 200A
amplifier, filtered at 5 kHz with a four-pole Bessel filter, digitized
at 20-100 µsec intervals, and stored using a Digidata-1200
analog/digital interface along with the pCLAMP software (Axon
Instruments, Foster City, CA). All depolarizing test pulses used to
elicit Na+ currents are deliberately kept
short (10-100 msec) to assure minimal contamination of slow
inactivation. Residual series resistance was generally smaller than 1 M after partial compensation (typically >90%). All statistics are
given as mean ± SEM.
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RESULTS |
External Na+ has no effect on the initial delay
but speeds the following exponential phase of the recovery time
course
Figure 1 shows the double-pulse
protocol and outward currents for the assessment of recovery from
inactivation in Na+ channels. Similar to
previous observations with inward Na+
current (Kuo and Bean, 1994 ), the recovery time course begins with a
delay, which is very similar in length whether the external solution
contains 150 mM Na+ or 150 mM Cs+ (0 mM
Na+). The subsequent phase of recovery,
however, is apparently faster in 150 mM than in 0 mM Na+. These points are
further illustrated in Figures 2 and
3. Figure 2, A and
B, plots typical time courses of recovery from inactivation in 150 and 0 mM external
Na+. After the initial delay, the
subsequent phase of recovery can be reasonably fitted by
monoexponential functions. It is evident that the exponential phase is
faster in 150 mM than in 0 mM external Na+, but
the initial delay remains unchanged. Figure 3A shows
cumulative results from different cells and again demonstrates that the
initial delay is not changed by external
Na+. In contrast, the time constant of the
exponential phase in 0 mM external
Na+ is ~1.6 times as long as that in 150 mM external Na+
(Fig. 3B,C). Furthermore, Figure
3D shows that the ratios between the recovery time constants
in 150 mM external
Na+ and those in 0 mM external Na+ are
very similar, with recovery potentials ranging from 100 to 180 mV.
The facilitation effect of external Na+ on
recovery from inactivation therefore seems to be voltage
independent.

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Figure 1.
Recovery from inactivation of
Na+ currents. The cell was held at 120 mV and
pulsed twice to +20 mV (0 mM external
Na+, top panel) or +60 mV (150 mM external Na+, bottom
panel) for 10 msec. The pulse protocol was repeated
every 2 sec, with a gradually lengthened gap between the two pulses at
100 mV (the "recovery potential"). The test pulse voltages (+20
or +60 mV) are chosen to make the peak currents roughly the same and
thus facilitate a comparison between the initial delays. The first
pulse serves to inactivate Na+ channels, and the
second pulse serves to measure the fraction of Na+
channels having recovered from inactivation. The sweeps are arranged so
that the currents in the second pulse are gradually shifted rightward
as the gap is lengthened (by 0.1 msec between each sweep). The
dashed lines mark the start of the recovery period, and
the dotted lines mark the zero
current level. Note there is an initial delay in the recovery courses,
and the delay is very similar in length in either 0 or 150 mM external Na+. On the other hand, the
recovery after the initial delay appears faster in 150 mM
than in 0 mM external Na+.
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Figure 2.
Measurement of the initial delay and the
subsequent exponential phase of recovery from inactivation.
A, With the double-pulse protocol in Figure 1, the
average current in the last 2 msec in the first pulse is subtracted
from the peak current in the second pulse. The fraction recovered is
defined by normalizing each of the "corrected" peak currents in the
second pulse to the one after the longest recovery period (~100
msec), when the peak current in the second pulse always has reached an
apparent plateau with an amplitude around 95% of the current in the
first pulse. The fraction recovered is then plotted against the
duration of the recovery potential to give the time course of recovery.
The initial delay is barely discernible with this time scale. The
recovery subsequent to the initial delay can be fitted by a
monoexponential function of the form: fraction recovered = 1 exp[ (x id)/ ], where
x denotes the duration of recovery potential (the
horizontal axis), and id denotes the length of the
initial delay (which is defined in part B). The fitted
time constants ( ) are 13.6 and 8.8 msec for 0 and 150 mM
external Na+, respectively. These time constants
remain the same with different test pulse voltages yet would be
shortened with more hyperpolarizing recovery potentials [data not
shown; see also Kuo and Bean (1994) ]. B, The time
courses of recovery in A are replotted with a different
time scale for better resolution of the initial delay. The
dashed lines are linear regression fits to the data
points between fraction recovered at 0.05 and 0.15. The intercepts of
these regression lines on the horizontal axis are defined as the length
of initial delay, which are 0.68 and 0.67 msec for 0 and 150 mM external Na+, respectively.
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Figure 3.
Cumulative results of the length of initial delay
and the time constant of subsequent exponential phase of recovery.
A, The experiments described in Figure 2 were repeated
in four cells. The initial delays are 0.53 ± 0.05 and 0.54 ± 0.05 msec in length for 0 and 150 mM external
Na+, respectively. B, In these four
cells, the time constants of the exponential phase of recovery are
11.7 ± 1.8 and 7.3 ± 1.7 msec for 0 and 150 mM
external Na+, respectively. C, The
ratio between the length of initial delay in 0 mM and that
in 150 mM external Na+ and the ratio
between the time constant of the exponential phase in 0 mM
and that in 150 mM external Na+ are
calculated separately for each of the four cells. The ratios are
0.99 ± 0.03 and 1.60 ± 0.06 (n = 4) for
the length of initial delay and the time constants of exponential
recovery phase, respectively. D, The experiments were
repeated at different recovery potentials ( 100 to 180 mV). The
ratios between the time constants of the exponential phase in 0 mM external Na+ and that in 150 mM external Na+ are calculated in the
same way as that in C and are 1.60 ± 0.06, 1.62 ± 0.13, 1.45 ± 0.09, 1.54 ± 0.06, and 1.47 ± 0.04 (n = 3-4) for recovery potentials of
100, 120, 140, 160, and 180 mV, respectively.
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External Na+ has no effect on the
activation/deactivation kinetics of Na+ channels
Scheme 1 depicts a simplified channel gating
model incorporating the aforementioned pore-blocking concept of
inactivation. OB and CB denote the open (activated) and closed
(deactivated) conformations blocked by the inactivating peptide,
respectively. In principle, route C to O to OB is the major pathway for
the development of inactivation, so that inactivation is coupled to activation and most channels in the closed state would remain unblocked
and ready to be activated (steady-state occupancy of state C state
CB). On the other hand, recovery of the inactivated channel (the
channel in state OB) potentially may take either the OB to O to C
(unblocking before deactivation) route or the OB to CB to C
(deactivation before unblocking) route. The two routes have very
different physiological meanings. The former implies substantial ionic
currents through the channel traversing state O during recovery,
whereas the latter assures no such current on repolarization.
In Na+ channels, the OB to CB to C route
is preferred exclusively (Kuo and Bean, 1994 ). Thus at the beginning of
recovery there is an initial delay, which corresponds to the time for
the inactivated channel to move from state OB to CB. After the delay
there is an exponential phase that corresponds to the CB to C
transition (Kuo and Bean, 1994 ). The finding that the exponential phase
at different recovery potentials is accelerated to the same extent (Fig. 3D) therefore suggests a voltage-independent
facilitation effect of external Na+ on the
CB to C step (unblocking of inactivating peptide from the deactivated
channel), which is probably a voltage-independent process itself (Kuo
and Bean, 1994 ). On the other hand, the unchanged initial delay in
Figures 1-3 indicates that external Na+
does not have an effect on the OB to CB step (deactivation of the
inactivated Na+ channels).
If there is no effect of external Na+ on
deactivation of the inactivated Na+
channel, then it would be interesting to see whether external Na+ also has no effect on the deactivation
of the activated Na+ channels (the O to C
step in Scheme 1) or other "intrinsic" gating processes of the
channel. Figure 4A
shows the currents recorded in different concentrations of external
Na+, with or without 3 µM external tetrodotoxin (TTX). TTX (3 µM) blocks essentially all
Na+ currents in hippocampal neurons (Kuo
and Bean, 1994 ) and thus makes ideal "leak template" currents.
Subtraction of such template currents eliminates most of the capacity
transients and facilitates comparison of the early activation phases of
Na+ currents in different conditions. When
the peak currents are scaled to the same size, it is evident that
the rising phase, and even the decaying phase, of the TTX-sensitive
currents in different external Na+
concentrations is almost identical (Fig. 4B). The
very similar rising (activation) time of
Na+ currents in different concentrations
of external Na+ further strengthens the
point that external Na+ has no effect on
Na+ channel activation (Fig.
4C).

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Figure 4.
Activation kinetics of Na+
currents. A, The cell was held at 120 mV and pulsed to
+40 mV for 20 msec to elicit Na+ current in either 0 mM (top panel) or 150 mM
external Na+ (bottom panel).
In either external solution, the pulse was delivered in the absence and
then in the presence of 3 µM external tetrodotoxin
(TTX). B, The TTX-sensitive
currents in 0 and 150 mM Na+ are plotted
in the top panel. For better illustration of the
activation phase of the currents, only the first ~3 msec of the
currents are shown. In the bottom panel, the currents
are scaled to the same peak amplitude to show the superimposed rising
phases of the currents. C, The rising time of the
Na+ currents in B is defined as the
time interval between the initial deflection and the peak of the
current. In six cells, the rising times are 0.143 ± 0.014 and
0.147 ± 0.010 msec in 0 and 150 mM external
Na+, respectively.
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Figure 5A shows the
TTX-sensitive deactivating tail currents in 15 or 150 mM external Na+ at
two different voltages. When the peak tail currents are scaled to the
same size, the decaying kinetics of these tail currents are again
almost identical in different concentrations of external Na+. It should be noted that according to
Scheme 1, channels in state O would become nonconducting by proceeding
to either state C (deactivation) or state OB (development of
inactivation). The macroscopic decaying rate of the tail current
therefore should be close to the summation of the O to C and O to OB
rates (the C to O and OB to O rates are much smaller and are
ignored for simplicity). Because the O to OB rate (~350
sec 1)
(Fig. 6) is not affected by external
Na+ concentration and is much smaller
than the decaying rates of the tail currents in Figure 5 (~1000 and
~630
sec 1, the
inverses of decaying time constants 0.1 and 0.16 msec at 60 and 50
mV, respectively), the same decaying kinetics of the tail current in
Figure 5 should still indicate the same deactivation (O to C) rate in 0 and 150 mM external
Na+. Figure 5B further
demonstrates similar voltage dependence of deactivation kinetics in
different concentrations of external Na+.
We therefore conclude that external Na+
has no effect on the deactivation processes of
Na+ channels, whether the channel is
blocked by the inactivating peptide or not.

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Figure 5.
Deactivating kinetics of Na+
currents. A, The cell was held at 120 mV and was given
a short depolarizing pulse at +30 mV for 0.3 msec before being
repolarized to 60 or 50 mV to document the inward tail currents.
The depolarizing test pulse was kept very short to avoid significant
inactivation of the channel. Repolarization to 70 mV or more negative
potentials was not feasible because tail currents at such negative
potentials were too large (especially in 150 mM external
Na+) or deactivated too fast to be reliably recorded
and analyzed. At each repolarization potential ( 60 and 50 mV), the
tail currents in 15 mM (dotted lines) or 150 mM external Na+ (solid
lines) are scaled to the same size. The decaying time constants
obtained from monoexponential fits to these deactivating currents are
0.11 msec ( 60 mV, 150 mM Na+), 0.11 msec ( 60 mV, 15 mM Na+), 0.18 msec
( 50 mV, 150 mM Na+), and 0.17 msec
( 50 mV, 15 mM Na+). B,
In each individual cell the ratio between the time constant at 50 mV
and that at 60 mV is calculated. The ratios are 1.68 ± 0.13 and
1.75 ± 0.03 (both n = 4) in 15 and 150 mM external Na+, respectively. The
similar ratios suggest that external Na+ does not
have a significant effect on the voltage dependence of
Na+ channel deactivation.
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Figure 6.
Inactivation kinetics of Na+
current. The cell was held at 120 mV, and pulsed to +20 to +140 mV
for 10 msec to elicit Na+ currents in either 0 or
150 mM external Na+. The time constant
obtained from monoexponential fit to the decaying phase of
Na+ currents in five cells is plotted against the
pulse potential. The time constants are very similar in different
concentrations of external Na+ at every
potential.
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The effects of external Na+ on the unblocking
processes are quantitatively the same whether the
Na+ channel has deactivated or not
Because the exponential recovery phase after the initial delay
represents the unblocking CB to C step (Kuo and Bean, 1994 ), acceleration of this phase by external
Na+ indicates that external
Na+ facilitates unbinding of the
inactivating peptide (hinged lid) from its binding site in the
deactivated channel pore. It is thus desirable to see whether external
Na+ also has an effect on the blocking and
unblocking step of the inactivating peptide in the activated channel
pore (O to OB and OB to O steps in Scheme 1). Figure 6 shows that the
time constants of the decaying phase of macroscopic
Na+ current are very similar in different
concentrations of external Na+. In either
0 or 150 mM external Na+, the
time constants get shorter with increasing depolarization up to +100 mV
and then approach a saturating value of ~0.28 msec at more positive
potentials. In theory, this would mean a sum of O to OB and OB to O
rates of ~350
sec 1.
Because at these positive potentials most
Na+ channels are inactivated at steady
state, the O to OB rate should be much larger than OB to O rate. The
foregoing saturating time constant of ~0.28 msec thus suggests a
voltage-independent O to OB rate of ~350
sec 1.
With an unchanged O to OB rate in different concentrations of external
Na+, one may assess the OB to O rate by
the steady-state Na+ current late in a
depolarizing pulse. According to Scheme 1, this late current should be
determined by the ratio between the OB to O rate and the O to OB rate.
Here the TTX-sensitive currents are used again to eliminate
contamination from leak or any small currents of the other kind.
Because of the difference in driving force with different external
Na+ concentrations, it would be
inappropriate to compare the absolute level of the steady-state
currents in different experimental conditions. In view of the unchanged
activation and inactivation rates in different external
Na+ concentrations (Figs. 4, 6), the peak
current of each sweep may make an ideal normalization standard for
eliminating the effect of different driving forces. Figure
7, A-C, shows that
the normalized late, steady-state current in the presence of 150 mM external Na+ is
~1.7 times as large as that in zero external
Na+. This number remains the same if
different test pulses are used (e.g., +60 mV; data not shown). Although
Townsend et al. (1997) reported an external
Na+-related, highly voltage-dependent peak
open probability change in mutant heart
Na+ channels with significantly impaired
fast inactivation, such a change seems negligible in
Na+ channels that have intact fast
inactivation or are blocked by internal blockers (Townsend et al.,
1997 ; Townsend and Horn, 1999 ). The intact fast inactivation in native
neuronal Na+ channels and the voltage
independence of our findings thus may justify the use of peak currents
for normalization. We conclude that unblocking of the bound
inactivating peptide from either the activated channel (OB to O step)
or the deactivated channel (CB to C step) is probably accelerated to
the same extent by external Na+, and the
effect appears voltage independent in either case.

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Figure 7.
Steady-state Na+ current in
depolarizing pulses. A, TTX-sensitive currents were
obtained in either 0 mM (top panel)
or 150 mM external Na+ (bottom
panel) with the same protocol as that in Figure 4.
B, The currents in A are redrawn with a
different scale for a better resolution of the small sustained currents
late in the pulse. C, The average currents in the last 2 msec of each depolarizing pulse (steady-state current)
are calculated and then divided by the peak currents of the same pulse.
The ratios between the steady-state and the peak currents are 0.35 ± 0.06 and 0.6 ± 0.01% (n = 5) in 0 and 150 mM external Na+, respectively.
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The affinity between external Na+ and the
facilitation site can be determined by shift of the inactivation
curve
We have seen that external Na+ does
not change the activation/deactivation gating processes of the channel.
Also, external Na+ has no effect on the O
to OB step but accelerates the OB to O step. External
Na+ thus should change the steady-state
distribution of the channel between states O and OB but not the
distribution between states C and O. Consequently the steady-state
distribution of the channel between states C and OB will be changed by
external Na+. Because of the much smaller
steady-state occupancy of state O than state OB (O to OB rate OB to
O rate), and the much smaller occupancy of state CB than state C (C to
CB rate CB to C rate), the inactivation curve of
Na+ channels (Fig.
8A) essentially
describes the steady-state distribution of the channel between states C
and OB. This curve therefore would be different in different
concentrations of external Na+. These
points may be elaborated in a more quantitative way. Based on Scheme 1, the fraction of available channels at the steady state
(F) may be expressed as:
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(1)
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Where C, O, OB, and CB denote the steady-state occupancy
(fractional distribution) of the channel in each different gating state. If CB : C : O : OB equals m : 1 : x :
nx at a particular voltage in the absence of external
Na+, then we have m 1
n because CB C and O OB, and F can be
approximated by:
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(2)
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and therefore,
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(3)
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If in a certain concentration of external
Na+ the CB to C rate and the OB to O rate
are both accelerated and become r-fold of the rate in 0 mM external Na+
(whereas the other gating processes are unchanged, e.g., C : O still
equals 1 : x), then CB : C : O : OB becomes m :
r : rx : nx and the fraction of
available channel becomes F':
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(4)
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Based on the findings in Figures 3 and 7, r is only
~1.7 in 150 mM
Na+. If m r
n holds true, then we have:
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(5)
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Let
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(6)
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(7)
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By comparing Equations 2 and 7, one can see that F'
should have the same shape (slope factor k) as F
but will be shifted in the horizontal axis by V, which is
equal to k * ln r (Eq. 6). This is exactly the
case in Figure 8A, where the inactivation curves
remain very similar in shape but are shifted in the voltage axis in the
presence of 150 mM external
Na+. The amount of shift
( V) increases with increased external
Na+ concentration, and there are no signs
of saturation in up to 300 mM external
Na+ [(Fig. 8B) whether
the junctional potentials are corrected or not], which may imply a
very low affinity of Na+ to the binding
site facilitating the unblocking process of the inactivating peptide.
Assuming one-to-one binding of external Na+ to the facilitation site, we
have:
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(8)
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where OP is the occupancy of the facilitation site by external
Na+, Kd
is the dissociation constant of external
Na+ binding to this site, and Na is
external Na+ concentration. If the
unbinding rate of the inactivating peptide with a
Na+ ion in the facilitation site is
q times of the unbinding rate when the site is empty, then
r in Equations 4-6 may be expressed as:
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(9)
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Figure 8C shows the r values derived from
the V (after correction for the junctional potentials)
and k data in each cell in Figure 8B using
Equation 6. The r value in 150 mM
external Na+ obtained with this approach
is ~1.6, which is very much consistent with those obtained with
completely different approaches in Figures 3 and 7. The quantitative
consistency of these results strongly supports the foregoing proposal
that external Na+ has a facilitation
effect on the unbinding of the inactivating peptide yet does not change
the other gating kinetics of the Na+
channel. The best fitting curve using Equation 9 reveals a
Kd value of 620 mM and a q value of 3.5. Because we do
not have data in a higher concentration range of external
Na+ to see the saturation of r
(it is difficult to maintain the seal long enough and get reliable data
with molar concentrations of external
Na+), these
Kd and q values may not be
very accurate estimates. However, it seems evident that the affinity
between external Na+ and the facilitation
site is very low.

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Figure 8.
Shift of the inactivation curve by external
Na+. A, The cell was held at 130 mV
and stepped every 2 sec to the inactivating pulse ( 130 to 30 mV)
for 100 msec. The channels that remain available after each
inactivating pulse were assessed by the peak currents during the
following short test pulse to +40 mV for 20 msec. The fraction
available is defined as the normalized peak current (relative to the
peak current evoked with an inactivating pulse at 130 mV) and is
plotted against the voltage of the inactivating pulse. Two sets of
experiments were performed in 0 mM external
Na+, before and after one set of experiments in 150 mM external Na+ to demonstrate
negligible voltage drift during these experiments. The
lines are fits to each set of data of a Boltzmann
function: fraction available = 1/(1 + exp((V Vh)/k)), with Vh values
(in mV) of 83.0, 78.3, and 83.5, and k values of
7.8, 7.7, and 7.8 for 0 mM Na+ (before
150 mM Na+), 150 mM
Na+, and 0 mM Na+
(after 150 mM Na+), respectively.
B, Shift of the inactivation curve
( V) is determined in each cell by the
difference between Vh in 0 mM and in various
concentrations of external Na+. The white
bars are the V values before correction for
the junctional potential differences and are 0.17 ± 0.20, 1.26 ± 0.16, 3.07 ± 0.46, 5.40 ± 0.30, and 7.93 ± 0.88 mV (n = 4-7) for 15, 50, 100, 150, and 300 mM external Na+, respectively. The mean
values of V are then corrected for the junctional
potential difference of each solution (see Materials and Methods) to
give the final values of V, which are 0.07, 0.66, 1.77, 3.40, and 4.63 mV for 15, 50, 100, 150, and 300 mM
external Na+, respectively (black
bars). C, The r values are
calculated using Equation 6 (see Results) as well as the
V (after corrections for the junctional potential
differences) and k values in different concentrations of
external Na+ from each cell in B. The average
r value is then plotted against the concentration of
external Na+. The line is a fit to
the data points using Equation 9 (see Results), with a
Kd value of 620 mM and a
q value of 3.5.
|
|
 |
DISCUSSION |
A small but definite effect of external Na+ on
the unbinding of the inactivating peptide
We have demonstrated that the activation/deactivation kinetics of
macroscopic Na+ currents and the initial
delay of recovery from inactivation are all unchanged by external
Na+. On the other hand, the exponential
phase of recovery from inactivation, the late (steady-state) current
during a test pulse, and the shift of the inactivation curve all
indicate a ~1.6-fold faster unbinding rate of the bound inactivating
peptide in 150 mM than in 0 mM external
Na+, no matter whether the unbinding is
from the activated or deactivated channels. The facilitation of the
unbinding step cannot be ascribed to the 2 mV junctional potential
difference between 0 and 150 mM
Na+ solutions, because it would take a
further hyperpolarization of >10 mV to accelerate the exponential
recovery phase by 1.6 times at a recovery potential of 100 mV [and
even larger hyperpolarization to make the 1.6 time acceleration at more
negative recovery potentials (Kuo and Bean, 1994 )]. Moreover, at a
recovery potential of -180 mV the exponential phase of recovery is
"saturated" and no longer accelerated by further hyperpolarization
(Kuo and Bean, 1994 ), but the facilitation effect of external
Na+ remains the same (Fig. 3D).
Along with the foregoing arguments, we conclude that there is a true
and definite facilitation effect of external
Na+ on the unbinding of the inactivating peptide.
Coupling between inactivation and activation/deactivation and
possible mechanisms underlying the facilitation effect of external
Na+
In Na+ channels the development of
inactivation is coupled to activation (Bezanilla and Armstrong, 1977 ;
Armstrong, 1981 ), and recovery from inactivation is coupled to
deactivation (Kuo and Bean, 1994 ). The molecular basis of such
couplings may involve several conformational changes of the channel
protein during activation (and reverse changes during channel
deactivation), including a "pull" at the inactivating peptide (to
cover the activated channel pore) and the formation of a receptor to
bind the pulled lid (and thus stabilization of the inactivated
conformation). In view of the couplings between inactivation and other
gating processes, facilitation of the unbinding step by external
Na+ conceivably may have two different
mechanisms. First, the Na+ ion may bind to
a site that is just beside the receptor for the lid, and thus directly
knocks off the pore-blocking inactivating peptide (the bound
inactivation gate). Second, external Na+
ion may bind to a site distant from the bound inactivation gate yet
facilitate opening of this gate via allosteric effects. The allosteric
effect of external ligands on fast inactivation could be exemplified by
the action of batrachotoxin and anthopleurin-A (a site-3 toxin) (Hanck
and Sheets, 1995 ), both of which prevent fast inactivation of the
Na+ channel when applied externally. This
is conceivable in view of the outward movements of the voltage sensor
S4 segments at depolarization (Yang and Horn, 1995 ; Yang et al., 1996 ;
Mitrovic et al., 1998 ). If the toxins interfere with the movement of an S4 that is especially associated with channel inactivation (Kuhn and
Greeff, 1999 ; Sheets et al., 1999 ), fast inactivation may be prevented.
Direct knock-off of the bound inactivating peptide by
external Na+
We have seen that the facilitation effect is quantitatively the
same whether the channel is activated or deactivated. With the direct
knock-off model, it is conceivable that the presence of a
Na+ ion next to the inactivating peptide
elevates the free energy of the bound peptide by a fixed quantity and
thus always accelerates unbinding of the peptide to the same extent
regardless of the different (gating) conformations of the channel.
Under such circumstances the voltage independence of the facilitation
effect may be explained by the fact that the pore is blocked (by the
inactivating peptide) while external Na+
is exerting the effect. If most of the electric field falls across the
blockade, the facilitation effect would show little voltage dependence.
On the other hand, with the allosteric model it is far less
straightforward why the facilitation effect should remain the same in
different gating states and different membrane voltages. The allosteric
effect presumably is initiated from an external site by
Na+ binding and is finally transmitted to
the internally located receptor, hinge, or lid to facilitate unbinding
of the inactivating peptide. Because the activation/deactivation
processes are not changed by external Na+,
and because there is always the same facilitation regardless of gating
status and membrane voltage, transmission of this allosteric facilitation effect should stay clear of all other major
conformation-changing (gating) processes in the channel protein. Also,
as we have mentioned, local conformations of the receptor, hinge, or
lid may be critically different between deactivated and activated
channels (thus CB to C rate OB to O rate) (Kuo and Bean, 1994 ). The
same facilitation in different gating states thus requires the same
allosteric effect with different "basal" conformations of the
target protein regions. These are not absolutely impossible conditions,
but chances of such structural and quantitative coincidences seem low.
Tang et al. (1996) showed that cytoplasmic application of pentapeptide
KIFMK increases the current decaying rate of a mutant Na+ channel, in which both development of
inactivation and recovery from inactivation are slowed by point
mutations in the S4-S5 linker in the fourth domain of the channel.
External Na+ has no effect on the
"residual" inactivation in this mutant but antagonizes the effect
of KIFMK. It has been shown that amino acids IFM in the inactivating
peptide constitute the key structure interacting with the receptor
(West et al., 1992 ; Eaholtz et al., 1994 ). Because KIFMK effectively
blocks the channel pore (or restores the blocking effect of the
inactivating peptide) (Kuroda et al., 1999 ), the receptor for the
IFM-containing particle presumably is still formed during activation of
the mutant channel. This would indicate some intact allosteric
mechanisms underlying fast inactivation in the mutant. The lack of
effect of external Na+ on the residual
inactivation therefore may imply that external Na+ does not affect the (residual)
allosteric mechanisms underlying inactivation. Moreover, external
Na+ seems to antagonize blockade by the
IFM-containing peptide only when binding of the peptide happens in a
certain way, because an "impaired" or somewhat different binding
caused by the aforementioned S4-S5 linker mutations would make the
blockade no longer sensitive to external
Na+. This could suggest a very local or
direct knock-off effect of external Na+ on
the IFM-containing inactivating peptide.
It has been shown that external K+
facilitates recovery from fast inactivation in A-type
K+ channels (Demo and Yellen, 1991 ;
Gomez-Lagunas and Armstrong, 1994 ; Kuo, 1997 ). Moreover, attachment of
the D3-D4 linker of the Na+ channel to
the N-terminal of a noninactivating K+
channel results in rapid inactivation of the chimeric channel, and the
inactivation is also antagonized by external
K+ (Patton et al., 1993 ). Because the
molecular mechanisms underlying the allosteric coupling between
activation/deactivation and inactivation may be somewhat different
among A-type K+ channels (composed of four
separate subunits, the ball-and-chain model of inactivation),
noninactivating K+ channels
("artificially inactivated" by an exogenous inactivating peptide),
and Na+ channels (composed of four
connected domains, the hinged-lid model of inactivation), similar
facilitation of the unbinding of the inactivating peptide by external
permeating ions in all these channels would also sustain that
permeating ions directly knock off the bound inactivation gate.
Location of the activation gate in
Na+ channels
From removal of fast inactivation by internal pronase (Armstrong
et al., 1973 ) to restoration of fast inactivation by internally applied
inactivation peptide KIFMK (Eaholtz et al., 1994 ), there has been much
evidence suggesting that the fast inactivation gate of
Na+ channels is located close to the
internal end of the pore. On the other hand, although the structural
correlates of many conformational changes associated with channel
activation have been documented, the location of the activation gate,
or the key conforma-tional change that transforms a
Na+-nonconducting pore into a
Na+-conducting one during channel
activation, remains an open question. If permeating
Na+ ions directly knock off the bound
inactivating peptide, then the same effect of external
Na+ regardless of the gating status of the
channel would strongly suggest that the accessibility of the
enhancement site to external Na+ is
unchanged by channel activation/deactivation, which would in turn
suggest that the activation gate in the
Na+ channel pore is not located external
to the bound inactivation gate and thus is probably also located close
to the cytoplasmic end of the pore. This location of the activation
gate would be consistent with the proposal of Townsend and Horn (1999) ,
namely a largely preserved permeation pathway in a closed
Na+ channel. If the activation gate is in
the same area as (i.e., partially overlaps with) the receptor site for
the inactivating peptide, then modulation of the receptor for the
inactivating peptide could be caused by the opening of the activation
gate itself, rather than an allosteric process happening with or
induced by activation gate opening. If the activation gate is located even more internally (than the receptor), then the receptor could be
"guarded" rather than "modulated" by the activation gate and is
much more accessible to the inactivating peptide when the activation gate is open. In this regard it is interesting to note that channel deactivation facilitates unbinding of the bound inactivating peptide in
Na+ channels (Kuo and Bean, 1994 ) but has
an opposite effect and retards unbinding of the peptide in Shaker
K+ channels (Kuo, 1997 ). Probably in
Na+ channels there is an inactivating
peptide receptor that is modulated by an activation gate located
roughly in the same region, whereas in Shaker
K+ channels the receptor is guarded by a
more internally located activation gate (Kuo, 1997 ).
 |
FOOTNOTES |
Received Feb. 22, 2000; revised May 4, 2000; accepted May 11, 2000.
This work was supported by Grant NSC-89-2320-B-002-068 from the
National Science Council, Taiwan, Republic of China.
Correspondence should be addressed to Chung-Chin Kuo, Department of
Physiology, National Taiwan University College of Medicine, No. 1, Jen-Ai Road, 1st Section, Taipei, 100, Taiwan, Republic of China.
E-mail: cckuo{at}ha.mc.ntu.edu.tw.
 |
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