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The Journal of Neuroscience, April 15, 2002, 22(8):3100-3107
A Role for Phosphorylation in the Maintenance of Resurgent Sodium
Current in Cerebellar Purkinje Neurons
Tina M.
Grieco1,
Fatemeh S.
Afshari2, and
Indira M.
Raman1, 2, 3
1 Northwestern University Institute for Neuroscience,
2 Integrated Science Program, and 3 Department
of Neurobiology and Physiology, Northwestern University, Evanston,
Illinois 60208
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ABSTRACT |
Cerebellar Purkinje neurons express voltage-gated, tetrodotoxin
(TTX)-sensitive sodium channels that not only open and inactivate rapidly during depolarization but also reopen during repolarization, carrying an unusual "resurgent" sodium current. Expression of NaV1.6 subunits appears necessary but not sufficient to
generate this component of current; Purkinje cells without
NaV1.6 lack resurgent current, but resurgent current is
absent from many other NaV1.6-expressing neurons. These
observations raise the question of how modulation or modification of
the NaV1.6 subunit may lead to production of resurgent
current. Previous studies have suggested that sodium channels of
Purkinje neurons are subject to a rapid, voltage-dependent, open
channel block by an endogenous particle whose unbinding allows
resurgent current to flow. To investigate the nature of this block, we
recorded TTX-sensitive sodium currents in outside-out patches from
Purkinje cells acutely isolated from mice. In all patches, step
depolarizations evoked transient current, and step repolarizations
evoked resurgent current. The amplitudes of the transient and resurgent
currents were highly correlated across patches
(R2 > 0.99), suggesting that
the blocking agent is closely associated with the channel.
Intracellular protease eliminated fast inactivation, indicating that
the blocking element, like the fast inactivation gate, may be
proteinaceous. Intracellular application of alkaline phosphatase
abolished resurgent current and significantly slowed inactivation of
transient current. The phosphatase inhibitor vanadate reduced these
effects. Together, the results suggest that constitutive phosphorylation of the sodium channel complex of Purkinje neurons is
necessary to maintain a functional blocking element and produce resurgent sodium current.
Key words:
NaV1.6; med; open channel block; inactivation; phosphorylation; alkaline phosphatase; cerebellum
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INTRODUCTION |
Cerebellar Purkinje neurons express
voltage-gated tetrodotoxin (TTX)-sensitive sodium currents with unusual
properties. As in most neurons, depolarization from negative potentials
evokes transient sodium currents that rapidly activate and inactivate. During repolarization, however, the inactivated sodium channels of
Purkinje neurons reopen, producing a brief surge of current, called
resurgent sodium current (Raman and Bean, 1997 ). These kinetic
properties apparently require expression of
NaV1.6 subunits (formerly Scn8a or NaCh6)
(Burgess et al., 1995 ; Schaller et al., 1995 ; Goldin et al., 2000 ),
because Purkinje neurons from mutant mice lacking
NaV1.6 expression exhibit little or no resurgent current (Raman et al., 1997 ). Several cells expressing
NaV1.6, however, produce voltage-gated sodium
currents without a resurgent component (Raman and Bean, 1997 ; Smith et
al., 1998 ; Pan and Beam, 1999 ), raising the question of what changes
occur in Purkinje neurons that permit NaV1.6
expression to correlate with the flux of resurgent current.
The kinetics of resurgent current qualitatively resemble those of
voltage-gated sodium channels that have been exposed to intracellular
polycyclic cations, e.g., pancuronium ions,
N-methyl-strychnine, or thiazine dyes, all of which act as
voltage-dependent open channel blockers (Yeh and Narahashi, 1977 ;
Cahalan and Almers, 1979 ; Armstrong and Croop, 1982 ). These
observations raise the possibility that Purkinje neurons contain an
endogenous open channel blocker (Raman and Bean, 2001 ), which may
explain why resurgent current exists in only a subset of
NaV1.6-expressing neurons. Figure
1 depicts the mechanism by which open
channel block may transform a "conventional" sodium channel (see
Fig. 1A) into one that produces resurgent current
(see Fig. 1B). In this scheme, I
represents the normal fast inactivation gate, and B
represents a second "blocking" inactivation gate, which blocks the
open channel in a voltage-dependent manner. During depolarization to
positive potentials, B binds more quickly than I,
leading to a rapid decay of transient current. During repolarization,
B unbinds, allowing resurgent current to flow before
I binds ( 40 mV) or the channel deactivates ( 90 mV).

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Figure 1.
Two mechanisms of inactivation of sodium
channels. In these diagrams, I represents the gate
underlying normal fast inactivation, and B represents
the putative blocking element, which provides a second mechanism of
inactivation. The changing conformations of the channels
(gray ellipses) are shown during a series of step
changes in membrane voltage. A, Conventional sodium
channel inactivation. At 90 mV, the channel is closed, and
I is unbound (leftmost panel).
During depolarization to +30 mV (middle panel),
the channel opens (left) and then stops conducting as
I binds (right). No additional change
occurs during repolarization from +30 to 40 mV (rightmost
panel). Repolarization from +30 to 90 mV
(bottom panel) leads to channel deactivation
(left), followed by recovery from inactivation as
I unbinds (right). Inset,
Illustration of conventional sodium current kinetics. Whole-cell
TTX-sensitive sodium currents evoked from an isolated CA3 neuron, in
response to the voltage protocol shown (method of Raman and Bean,
2001 ). B, Model for generation of resurgent current. At
90 mV, the channel is closed, and I, as well as
B, are unbound (leftmost panel).
During depolarization to +30 mV (middle panel),
the channel opens (left), and rapid, voltage-dependent
binding of B terminates current flow
(right). Binding of B and
I are thought to be mutually exclusive. During
repolarization from +30 to 40 mV (rightmost
panel), B unbinds, and the channel passes
resurgent current (left). The channel stops conducting
as I binds (right). Repolarization from
+30 to 90 mV (bottom panel) leads to expulsion
of B and a brief phase of resurgent current
(left), followed by channel deactivation
(right). Although B is depicted as a free
cytoplasmic element, it may well be tethered to the subunit or to
another membrane-bound protein. Inset,
Illustration of kinetics of a channel that carries resurgent sodium
current. Whole-cell TTX-sensitive sodium currents evoked from an
isolated Purkinje neuron, in response to the voltage protocol shown
(method of Raman and Bean, 2001 ). Note the different time scales in
A and B, reflecting the faster time
course of inactivation of sodium current at +30 mV in the Purkinje cell
compared with the CA3 cell.
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Although much biophysical evidence supports this model (Raman and Bean,
2001 ), the physical nature of the second inactivating mechanism is
unknown. Possibilities include the following: (1) intracellular
inorganic cations that behave like Mg2+ or
polyamines blocking various glutamate receptors (Nowak et al., 1984 ;
Bowie and Mayer, 1995 ); (2) a proteinaceous gate that is part of the
subunit itself, like the fast inactivation gate (Bezanilla and
Armstrong, 1977 ; Hoshi et al., 1990 ; West et al., 1992 ); or (3) a
distinct peptide or subunit, like the subunits of some potassium
channels (Rettig et al., 1994 ; Wallner et al., 1999 ; Gulbis et al.,
2000 ). In any case, the element that behaves like an open channel
blocker must arise from a Purkinje-specific condition to account for
the absence of resurgent sodium current in many other
NaV1.6-expressing cells.
To investigate the identity of the putative open channel blocker, we
recorded TTX-sensitive sodium currents in outside-out patches from
isolated cerebellar Purkinje neurons. The results provide evidence that
a proteinaceous blocking element is closely associated with the sodium
channel complex and that its function is regulated by phosphorylation.
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MATERIALS AND METHODS |
Cell preparation. Cerebellar Purkinje neurons were
acutely isolated from 13- to 17-d-old mice (Regan, 1991 ; Raman et al., 1997 ). Experiments were performed on C57BL/6 mice (Charles River Laboratories, Wilmington, MA) or med mice (The Jackson
Laboratory, Bar Harbor, ME), which lack expression of the
NaV1.6 subunit (Burgess et al., 1995 ). The
affected med mice were identified by their severe ataxia,
which was evident after postnatal day 12 (Burgess et al., 1995 ; Raman
et al., 1997 ). In accordance with institutional guidelines, mice were
anesthetized with methoxyflurane or halothane before decapitation. The
superficial layers of the cerebellum were removed and minced in
ice-cold, oxygenated dissociation solution containing (in
mM): 82 Na2SO4, 30 K2SO4, 5 MgCl2, 10 HEPES, 10 glucose, and 0.001% phenol
red (buffered to pH 7.4 with NaOH). The tissue was incubated for 7 min
in 10 ml of dissociation solution containing 3 mg/ml protease XXIII at
31°C (pH readjusted), with 100% oxygen blown over the surface of the
fluid. The tissue was then washed in warmed, oxygenated dissociation
solution containing 1 mg/ml bovine serum albumin and 1 mg/ml trypsin
inhibitor (pH readjusted), in which it was microdissected. The pieces
were then transferred to Tyrode's solution containing (in
mM): 150 NaCl, 4 KCl, 2 CaCl2, 2 MgCl2, 10 HEPES,
and 10 glucose (buffered to pH 7.4 with NaOH) at room temperature. The
tissue was triturated with a series of fire-polished Pasteur pipettes
to liberate individual neurons. Cells were allowed to settle on
poly-D-lysine-coated glass coverslips in the
recording chamber. Purkinje cell bodies were identified by their large
size and characteristic tear shape. Recordings were made between 1 and
6 hr after trituration.
Electrophysiological recording. Borosilicate pipettes
(3-6 M ; A-M Systems Inc., Carlsborg, WA) were wrapped with parafilm to minimize capacitance and filled with an internal solution containing (in mM): 120 HCH3SO3, 10 NaCl, 2 MgCl2, 10 HEPES, 1 EGTA, 53 sucrose, 14 Tris-creatinePO4, 4 MgATP, and 0.3 TrisGTP
(buffered to pH 7.4 with CsOH). Pronase E (5147; Sigma, St. Louis, MO)
and alkaline phosphatase (purified from dog intestine; 8639; Sigma)
were added directly to the internal solution as needed. For the
experiments of Figure 7, 10 mM
Na3VO4 (sodium
orthovanadate, referred to as "vanadate") was substituted for NaCl
and sucrose. All drugs were from Sigma, except Rp-8-cpt-cGMP and
Rp-8-cpt-cAMP, which were from Biolog (San Diego, CA), and vanadate,
which was from Calbiochem (San Diego, CA).
Voltage-clamp recordings were made with an Axopatch 200B amplifier
(Axon Instruments, Foster City, CA). Data were recorded with an
InstruTech (Great Neck, NY) ITC-18 interface and PULSE software (Heka
Electronik, Lambrecht, Germany). After establishment of the whole-cell
configuration, outside-out patches were pulled. Patches were positioned
in front of a pair of gravity-driven flow pipes, which contained the
different extracellular solutions. Recordings were first made with
patches exposed to a control solution, which consisted of Tyrode's
solution to which 10 mM TEACl and 3 µM
CdCl2 had been added to reduce potassium and
calcium currents. For the experiments of Figure 7, in which the
Na3VO4 brought the intracellular Na+ concentration to 30 mM, the control solutions consisted of Tyrode's solution
to which 10 mM NaCl, 1 mM TEACl, and 3 µM CdCl2 had been added, to
maximize the driving force on sodium currents. All recordings were
repeated in solutions that were identical to the control but that
included 900 nM TTX. In both the control and the TTX solutions, 15-25 sweeps were recorded and averaged to improve the
signal-to-noise ratio. Subtractions of the averaged records revealed
TTX-sensitive sodium current. This averaging and subtraction procedure
allowed resolution of current changes on the order of 1 pA. All
recordings were obtained at room temperature.
Spectrophotometry. Spectrophotometric measurements were made
with a Cary 500 SCAN UV-VIS-NIR spectrophotometer (Varian Instruments, Walnut Creek, CA) in the Keck Biophysics Laboratory of Northwestern University. Activity of alkaline phosphatase was assayed with 5 mM p-nitrophenyl phosphate (pNPP) as the
substrate and the internal solution used for electrophysiological
recording as the buffer, with or without 10 mM vanadate. As a control, measurements were made
with 10 mM vanadate, without phosphatase,
included in the buffer. Absorbance at 410 nm by
p-nitrophenolate (dephosphorylated pNPP) was recorded for 20 min in each condition, and baseline absorbance in the absence of
phosphatase was subtracted from the data. The initial change in
absorbance (min 1) was measured for 0.3 mg of enzyme. From this value, enzyme activity (moles of
dephosphorylated substrate per minute per milligram of enzyme) was
calculated, given that absorbance is bc, in which the
molar absorptivity for p-nitrophenolate ( ) was 17,500 M/cm, the light path length (b) was 1 cm, and the p-nitrophenolate concentration (c)
was given in moles per 1 ml of buffer.
Analysis. Data were analyzed with IGOR software (WaveMetrics
Inc., Lake Oswego, OR). Conductance values (Fig. 7) were calculated by
dividing the measured current by the driving force obtained from the
estimated Na+ equilibrium potential. Data
are reported as mean ± SDs, except as noted, and statistical
significance was assessed with Student's unpaired two-tailed
t tests.
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RESULTS |
To test the possibility that a diffusible intracellular blocker is
responsible for the open channel block that results in resurgent
current, we recorded TTX-sensitive sodium currents in outside-out
patches from Purkinje neurons. Sodium currents were elicited by a step
protocol designed to evoke both transient currents, with a
depolarization from 90 to 0 mV and resurgent currents with a
repolarization from +30 to 40 mV. As shown in Figure
2A, transient sodium
currents elicited in patches retained the kinetics seen in whole-cell
recordings (Raman and Bean, 1997 ), decaying with a time constant
of 0.39 ± 0.036 msec (n = 8) at 0 mV and inactivating by 98.5 ± 0.79%. In all eight patches, the
repolarizing step to 40 mV evoked resurgent sodium current (Fig.
2A). The current had the slow rise and decay times
characteristic of resurgent current in whole-cell recordings (Raman and
Bean, 1997 ), with the peak resurgent current occurring 4.1 ± 1.2 msec after repolarization to 40 mV. As shown in Figure
2B, the peak transient current at 0 mV ranged widely,
from 17 to 600 pA. A linear fit to the plot of peak resurgent
current against peak transient current gave a slope of 6% and
R2 > 0.99, indicating that the
relative amplitudes of these two components of sodium current are
tightly regulated. These results suggest that the putative blocking
element is closely associated with the sodium channel complex,
providing evidence against the hypothesis of a diffusible blocker.

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Figure 2.
Resurgent sodium current in outside-out patches
from Purkinje neurons. A, TTX-sensitive sodium currents
from an outside-out patch from a Purkinje neuron were evoked by the
voltage protocol shown. Dotted line indicates 0 pA in
traces in all figures. B, For each patch
(n = 8), peak resurgent current measured at 40 mV
is plotted against peak transient current measured at 0 mV. Linear
regression over the points (dashed line) gives a
correlation coefficient (R2) of
0.998, a slope of 0.059, and an intercept of 0.75 pA.
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The surprisingly high correlation between the transient and resurgent
current amplitudes raises the question of the molecular identity of the
channels. Purkinje neurons are known to express NaV1.6, as well as other sodium channel subunits, including NaV1.1 and
NaV1.2, (de Miera et al., 1997 ; Felts et al.,
1997 ). The latter two subunits carry transient current (Smith et al., 1998 ) but appear unlikely to produce resurgent current (Raman et al.,
1997 ). If the channels in our somatic patches consist of variable
relative densities of these three channel-forming subunits, the ratio
of resurgent to transient current should vary more widely. The nearly
invariant ratio that we observed could be explained by nonrandom
relative densities of different subunits, by patches consisting almost
exclusively of NaV1.6 or by channels in addition
to NaV1.6 producing resurgent current in the
outside-out patches. It was important to test the latter possibility,
given the premise that resurgent sodium current results from a
Purkinje-specific modification of NaV1.6. To
investigate the extent to which NaV1.6 was
required for the resurgent current measured in Figure 2, we made
recordings from outside-out patches pulled from Purkinje neurons
isolated from med mice, which lack expression of
NaV1.6.
In four of four outside-out patches from med Purkinje
neurons, transient current was present, but resurgent current was
undetectable (Fig. 3A). To
make a quantitative comparison between these patches and those from
normal cells, we measured current amplitude at the mean time of peak
resurgent current in normal patches, i.e., at 4.1 msec after
repolarization to 40 mV (Fig. 3B). In patches from
med neurons, this current was well within the level of the noise (Fig. 3B, dotted line). The ratio of the
current at 40 mV to the peak transient current at 0 mV was 0.86 ± 0.43% (n = 4), significantly lower than in normal
Purkinje neurons (7.52 ± 0.81%; n = 8;
p < 0.001). Although we cannot exclude the possibility that NaV1.6 expression is simply a permissive
factor, the lack of resurgent current in patches from med
mice supports the hypothesis that NaV1.6 forms
the primary pore that conducts resurgent sodium current. The presence
of transient sodium currents in somatic patches from med
mice is consistent with the expression of NaV1.1 and/or NaV1.2 (de Miera et al., 1997 ; Felts et
al., 1997 ). In conjunction with the high correlation of resurgent and
transient current amplitudes in normal patches, however, these data
raise the possibility that these other subunits generally have a low somatic expression. Different subcellular localization of sodium channel subunits has been reported in other preparations
(Westenbroek et al., 1989 ).

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Figure 3.
Absence of detectable resurgent current in patches
from med mice. A, Recording from an
outside-out patch from a Purkinje neuron lacking NaV1.6
expression. TTX-sensitive sodium currents were evoked by the voltage
protocol shown. B, Bar graph illustrating the ratio of
current measured at 4.1 msec after repolarization to 40 mV to the
peak transient current at 0 mV (I 40
mV/I0 mV) in normal
(n = 8) and med
(n = 4) mice. The ratios are significantly
different (*p < 0.001). As an indicator of the
current noise, the current was measured at 94.1 msec after
repolarization to 40 mV in each med patch. Each noise
measurement was normalized to the peak transient current in each patch,
and the mean ratio is plotted for reference (dotted
line).
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If the putative blocking element is a nondiffusible factor, it may be
either an additional protein subunit or a peptide in close association
with (or part of) NaV1.6. If so, it may be
subject to proteolytic cleavage, like the inactivation particle of
sodium channels (Armstrong and Bezanilla, 1977 ; Bezanilla and
Armstrong, 1977 ; Cota and Armstrong, 1989 ). To address this
possibility, sodium currents were recorded in outside-out patches from
normal Purkinje neurons, with 1 mg/ml pronase E included in the
intracellular solution. In three of three patches, pronase E
abolished fast inactivation at all potentials tested (Fig.
4), suggesting that any blocking agents,
as well as inactivation gates, were disrupted. Although we cannot
exclude the possibility that only a binding site on the subunit was
cleaved, this result is consistent with the hypothesis that the element
responsible for open channel block, like the conventional fast
inactivation gate, is proteinaceous.

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Figure 4.
Effect of pronase E on inactivation. Pronase E (1 mg/ml) was included in the recording pipette, and TTX-sensitive sodium
currents from an outside-out patch from a normal Purkinje neuron were
evoked by the voltage protocol shown. Fast inactivation was abolished.
A tail current is evident on the repolarizing step to 40 mV.
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Such a proteinaceous blocker might be part of the subunit itself or
might be a distinct protein. In either case, some specific regulation
or modification of the sodium channel must occur so that Purkinje cells
produce resurgent sodium current but spinal motoneurons, for example,
do not (Pan and Beam, 1999 ). Because many ion channels, including
sodium channels, can be targets of kinases and phosphatases (Levitan,
1994 ), we considered the possibility that resurgent sodium current
might be regulated by phosphorylation. Previous research has
demonstrated that NaV1.6 subunits in expression systems do not exhibit resurgent sodium current (Smith et al., 1998 ).
We reasoned that, in these expression systems, channels would more
likely be in dephosphorylated states (but see Murakoshi et al., 1997 ).
Purkinje cells express a variety of kinases, including cAMP-dependent
protein kinase (PKA), protein kinase C (PKC), protein kinase G (PKG),
and protein tyrosine kinases (Ito, 2001 ). In initial experiments, we
attempted to reduce resurgent current by interfering with
phosphorylation, but resurgent current was not abolished by
preincubating cells for 1 hr in membrane-permeant kinase inhibitors, such as Rp-8-cpt-cGMP (50 µM; n = 2) or
Rp-8-cpt-cGMP plus Rp-8-cpt-cAMP (50 µM each;
n = 2; data not shown). We cannot necessarily interpret these data, however, to exclude a role for PKA and PKG. If mechanisms exist to maintain phosphatase activity at a low level in Purkinje cells, then inhibiting the relevant kinase may have little measurable effect. Notably, omitting phosphate from the pipette solution did not
change resurgent current in eight of eight patches. In these patches,
the resurgent sodium current was 6.9 ± 2.3% of the transient
current at 0 mV, not significantly different from control
(p > 0.5; data not shown). This result is
consistent with a low net activity of endogenous phosphatases near the
sodium channels.
We therefore tested the effects of direct application of alkaline
phosphatase, a broad-spectrum phosphatase, on resurgent current. As
shown in Figure 5A, 3.0 mg/ml
alkaline phosphatase included in the intracellular solution completely
abolished resurgent current in six of seven patches. In Figure
5B, current amplitude measured 4.1 msec after repolarization
to 40 mV is plotted against the peak transient current, illustrating
that the loss of resurgent current occurs across all amplitudes of
transient current. Currents from patches with a low current density are
shown at higher gain in the inset to Figure 5B.
In addition, alkaline phosphatase slowed inactivation of the transient
sodium current at 0 mV to 0.70 ± 0.06 msec (n = 7) (Fig. 5A, inset), a value significantly larger than for the control data (p < 0.005). This
slowing of inactivation is predicted by the loss of an ultra-fast open
channel block. Consistent with this idea, CA3 neurons, which express
NaV1.6 but lack resurgent current, have sodium
currents that inactivate more slowly at positive potentials than do
sodium currents of Purkinje cells (Raman and Bean, 1997 , 2001 ). This
difference in inactivation kinetics at +30 mV is evident in the
insets of Figure 1, A and B.

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Figure 5.
Effects of alkaline phosphatase on transient and
resurgent sodium current. A, Alkaline phosphatase (3 mg/ml) was included in the recording pipette, and TTX-sensitive sodium
currents from an outside-out patch from a normal Purkinje neuron were
evoked by the voltage protocol shown. Resurgent current is
undetectable. Inset, Trace A and control
from Figure 2A (gray) are
normalized to the peak current at 0 mV and superimposed, illustrating
the slowing of transient current inactivation at 0 mV, which correlates
with the loss of resurgent current. Vertical scale bar
indicates percentage of the peak normalized current. B,
For each patch treated with 3 mg/ml alkaline phosphatase
(n = 7), the current measured after 4.1 msec at
40 mV is plotted against peak transient current measured at 0 mV
(upward triangles). The control data and the fit from
Figure 2B are included for comparison
(open symbols and dotted line).
Dashed line indicates zero resurgent current.
Inset shows data from patches with the lowest current
densities at high gain. Currents at 40 mV are plotted against peak
transient current at 0 mV. In addition to the data from patches exposed
to control and to 3 mg/ml alkaline phosphatase-containing solutions,
data from six patches exposed to 0.3 mg/ml alkaline phosphatase are
shown (inverted triangles).
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Although the alkaline phosphatase had an unequivocal effect on the
sodium current, we were concerned that the high concentration of
enzyme, which was purified from intestine, might contain other factors
that were responsible for the result. To verify that the effect of
alkaline phosphatase was attributable to dephosphorylation, we
first assayed the enzymatic activity of the phosphatase with spectrophotometry. The concentration of alkaline phosphatase was decreased 10-fold, to 0.3 mg/ml, for a more sensitive assay, and the
time course of dephosphorylation of pNPP was measured. The initial
slope of the absorbance was 0.51/min, from which we estimated the
initial rate of substrate dephosphorylation to be 97 nmol · min 1 · mg 1
phosphatase (Fig. 6, solid
line). To test the sensitivity of the reaction to a classical
inhibitor of alkaline phosphatase, we included 10 mM vanadate in the buffer. The initial slope of absorbance was 0.039/min, corresponding to an initial rate of substrate
dephosphorylation of 7.43 nmol · min 1 · mg 1
enzyme (Fig. 6, dotted line). This concentration of
vanadate, therefore, led to a 13-fold decrease in enzyme activity,
slowing, but not completely inhibiting, dephosphorylation by alkaline
phosphatase.

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Figure 6.
Assay of alkaline phosphatase activity in the
presence and absence of vanadate. Dephosphorylation of 5 mM
pNPP by alkaline phosphatase was measured by spectrophotometry.
Absorbance is plotted as a function of time for 0.3 mg/ml alkaline
phosphatase alone (solid line), for 0.3 mg/ml alkaline
phosphatase with 10 mM vanadate (dotted
line), and for 10 mM vanadate alone (dashed
line). Including vanadate with the phosphatase led to a 13-fold
slowing of enzyme activity. Calculations of enzyme activities are given
in Results.
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Having measured biochemically the inhibition of alkaline phosphatase by
vanadate, we next tested whether vanadate could reduce the effects of
the phosphatase on resurgent current. In these experiments, the pipette
solution included 0.3 mg/ml alkaline phosphatase, 0.3 mg/ml alkaline
phosphatase with 10 mM vanadate, or 10 mM
vanadate alone. Sodium currents were measured at ~4 min intervals
after establishment of the whole-cell configuration and patch excision.
Traces from the three conditions recorded after 8 min are shown in
Figure 7A. The lower
concentration of alkaline phosphatase (0.3 mg/ml) effectively abolished
resurgent sodium current in six of six cells (Fig. 7A,
top trace) (see also Fig. 5B, inset).
Including vanadate with the phosphatase preserved resurgent sodium
current in five of five cells (Fig. 7A, second trace), whereas vanadate alone did not measurably change resurgent sodium current in three of three cells (Fig. 7A, third
trace). For all three conditions, the amplitude of resurgent
sodium current relative to the transient current at 0 mV is shown in
the bottom trace of Figure 7A.

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Figure 7.
Effect of vanadate on alkaline
phosphatase-mediated changes in resurgent sodium current.
A, TTX-sensitive sodium currents from an outside-out
patch from a normal Purkinje neuron were evoked by the voltage protocol
shown. The recording pipette contained intracellular solution with
alkaline phosphatase only (0.3 mg/ml; top trace),
alkaline
phosphatase plus vanadate (10 mM; second
trace), or vanadate only (third trace). The
illustrated traces were recorded 8-12 min after patch
excision. Traces are superimposed and normalized to the
peak transient current at 0 mV to illustrate relative differences in
resurgent current amplitude (bottom traces; phosphatase
alone, solid black trace; vanadate alone, dotted
black trace; both, solid gray trace).
Vertical scale bar indicates percentage of the peak
normalized current. B, Time course of effects of
alkaline phosphatase (upward triangles;
n = 6), alkaline phosphatase with vanadate
(circles; n = 5), or vanadate
(inverted triangles; n = 3) on the
resurgent current. The ratio of peak conductance at 40 mV to peak
transient conductance at 0 mV (G 40
mV/G0 mV) is plotted against
time after patch excision. Data were sorted into 4 min bins, and points
are slightly offset for clarity. Data are plotted as mean ± SE.
Not all patches were held for the entire duration of 24 min.
Asterisks represent a significant difference from the
mean control conductance ratio (dashed line).
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The time course of these effects is shown in Figure 7B. Data
are plotted as the mean ratio of the resurgent to transient sodium conductances, at 40 and 0 mV, respectively. Conductance rather than
current ratios were calculated because of the different sodium equilibrium potentials with and without internal vanadate (see Materials and Methods). The control conductance ratio of 0.0476 from
the data of Figure 2 is plotted for reference (dashed line). Within 4 min of patch excision, alkaline phosphatase alone
significantly reduced the conductance ratio relative to control (Fig.
7B, triangles). In the condition including both
alkaline phosphatase and vanadate, conductance ratios did not differ
significantly from control data for the first 12 min. After 12 min of
dialysis, the ratio was significantly decreased, consistent with the
spectrophotometric observations of a slow dephosphorylation by the
phosphatase in the presence of vanadate (Fig. 7B,
circles). Conductance ratios from recordings made in the
presence of vanadate alone did not differ significantly from controls
at any time during the 24 min of data acquisition (Fig. 7B,
inverted triangles). These data are consistent with the idea
that alkaline phosphatase abolishes resurgent sodium current via
dephosphorylation. Together, these results suggest that resurgent
sodium current in Purkinje neurons requires constitutive
phosphorylation of some element in, or in close association with, the
sodium channel.
 |
DISCUSSION |
In addition to conventional fast inactivation, the channels that
produce resurgent sodium current include a second inactivating mechanism (Raman and Bean, 2001 ), which is qualitatively similar to
that induced by open channel block by polycyclic cations. These blockers speed inactivation of sodium currents evoked by depolarization and allow channel reopening during repolarization (Yeh and Narahashi, 1977 ; Cahalan and Almers, 1979 ; Armstrong and Croop, 1982 ). Although the physical structure of the endogenous blocking element of Purkinje neurons is unknown, the important features of the blocker include binding during depolarization, producing the ultra-fast inactivation of
transient current, as well as unbinding during repolarization, producing resurgent current. For convenience, we refer to this second
inactivation gate as a "blocking element."
These experiments contribute two major pieces of information to our
understanding of the mechanisms that maintain resurgent sodium current.
First, the putative blocking element appears to be a protein in close
association with the pore-forming subunit. Second, constitutive
phosphorylation is necessary for the sodium channel complex to produce
resurgent current. A loss of open channel block is predicted to slow
the decay of the transient current, as well as abolish the resurgent
current. In the presence of alkaline phosphatase, both of these changes
were observed. Phosphorylation, therefore, appears to play a permissive
role for resurgent current by either making the blocking element or
binding site functional, or maintaining a close association between the
element and the channel.
Molecular modifications to NaV1.6 that may permit
resurgent sodium current.
Our results from med mice suggest strongly that
resurgent sodium current requires NaV1.6.
Nevertheless, because expression of NaV1.6 by
many neurons produces channels that lack resurgent current, some
transformation must occur in Purkinje cells to produce a sodium channel
with a functional blocking element. A straightforward possibility is
that an inorganic diffusible cation blocks the open channel. Three
observations, however, are difficult to reconcile with this idea: the
high correlation between resurgent and transient current amplitudes,
the abolition of fast inactivation by internal protease, and the loss
of resurgent current after dephosphorylation. Instead, the results are
more consistent with the hypothesis that channel block is mediated by a
protein closely affiliated with the subunit. The protein may be (1)
part of NaV1.6 itself, after post-translational
modification, (2) part of a Purkinje-specific splice variant of
NaV1.6, or (3) a separate protein, closely
associated with NaV1.6. Phosphorylation at any of
these levels may be required to produce a functional open channel block.
Modulation of NaV1.6
One possibility is that most neurons express the same
NaV1.6 protein but that direct phosphorylation of
NaV1.6 in Purkinje cells induces part of the
subunit to act as a blocking element. Kinases, as well as phosphatases,
can be localized to sodium channel subunits and can directly
regulate sodium currents (Tibbs et al., 1998 ; Cantrell et al., 1999b ;
Ratcliffe et al., 2000 ). For instance, activation of PKA
modulates current amplitudes through NaV1.1 and
Nav1.2 channels, and these effects can be
intensified by PKC (Smith and Goldin, 1996 , 1998 , 2000 ; Cantrell et
al., 1999a ). NaV1.6, however, has fewer PKA or
PKC consensus sites than NaV1.1 or
NaV1.2, suggesting that it may be a relatively
poor target for modulation by these kinases (Rossie et al., 1987 ;
Konratyuk and Rossie, 1997 ; Plummer et al., 1998 ; Cantrell et al.,
1999a ). Consistent with this hypothesis, PKA has a proportionately
smaller effect on currents in normal cortical neurons, which express
NaV1.1, NaV1.2, and
NaV1.6, than in cortical cells from
med mutants (Maurice et al., 2001 ). Our experiments with
alkaline phosphatase predict that a kinase-mediated induction of a
blocking element should speed inactivation. PKA and PKC, however, do
not measurably affect the time course of inactivation in cortical or
hippocampal neurons, all of which express NaV1.1,
NaV1.2, and NaV1.6
(Cantrell et al., 1997 , 1999a ; Maurice et al., 2001 ). Therefore,
although currents evoked by repolarization have not been examined, a
direct phosphorylation of the subunit by PKA and/or PKC seems
unlikely to be sufficient to produce resurgent sodium current.
Alternatively, a tyrosine kinase may act directly on sodium channel subunits. Tyrosine phosphorylation and dephosphorylation can modulate
sodium currents, and NaV1.2 can interact directly with a receptor protein tyrosine phosphatase (Ratcliffe et
al., 2000 ). Although no corresponding studies have been done on
NaV1.6, this subunit has at least one potential
tyrosine phosphorylation site (Plummer et al., 1998 ) that does not
appear to exist on NaV1.1 or
NaV1.2. This observation leaves open the
possibility that tyrosine phosphorylation can modulate
NaV1.6.
In addition, cell-specific enzymes may modulate
NaV1.6. One such enzyme that regulates
phosphorylation is G-substrate, a protein apparently expressed only by
Purkinje cells. When phosphorylated by PKG, G-substrate inhibits
phosphatase-1 (Detre et al., 1984 ; Endo et al., 1999 ; Hall et al.,
1999 ). Whether G-substrate or phosphatase-1 has a direct influence on
sodium channel function has not been explored. Nevertheless, such
phosphorylation-dependent interactions suggest that a variety of
enzymes may participate in maintaining the tightly regulated kinase and
phosphatase activity that are apparently required for resurgent sodium current.
Splice variants
A second possibility is that resurgent sodium current is a
consequence of a splice variant of NaV1.6
expressed specifically in Purkinje cells. Although three exons of
NaV1.6 can be alternatively spliced, only two
splice variants exist in the brains of mature animals (Plummer et al.,
1997 , 1998 ; Dietrich et al., 1998 ). The major splice variant of
NaV1.6 in the brain includes a cytoplasmic segment of 10 amino acids, which is lacking in the minor variant (Plummer et al., 1998 ). At present, it is not known whether these splice variants are differentially expressed across brain regions.
Roles for additional proteins
The third possibility for generation of resurgent current is that
a separate blocking protein interacts with the
NaV1.6 subunits. In this case, direct
phosphorylation of the subunit, or of the blocking protein itself,
may be additionally required. One piece of evidence supporting the idea
of a separate protein comes from whole-cell recordings from
NaV1.6 null Purkinje neurons. Although any
residual resurgent sodium current in our med patches was
below our detection threshold, whole-cell recordings from
NaV1.6 null Purkinje cells reveal a tiny phase of
resurgent current (~10% of control) (Raman et al., 1997 ). No such
phase exists in CA3 cells from wild-type animals (Raman and Bean,
1997 ), raising the possibility that a blocking element expressed in
Purkinje cells, but not in CA3 cells, has a low affinity for the other
sodium channel subunits.
In most neurons, sodium channel complexes are heteromers
containing , as well as , subunits (Isom et al., 1994 ). Purkinje neurons express 1 and 2 subunits, both of which modulate the kinetics of currents through expressed subunits (Isom et al., 1994 ;
Smith et al., 1998 ; Morgan et al., 2000 ; Shah et al., 2001 ). Coexpression of NaV1.6 with 1 or 2,
however, does not yield resurgent sodium current (Smith et al., 1998 ).
These data make it appear unlikely that 1 or 2 acts directly as a
blocking element, at least in the absence of constitutive
phosphorylation. This result may not be surprising, given their
widespread expression (Shah et al., 2001 ). Interestingly, in addition
to coassembling with and modulating subunits, 1 can recruit
other proteins to the sodium channel complex by acting as a cell
adhesion molecule (Malhotra et al., 2000 , 2001 ; Isom, 2001 ). The
possible 1-mediated recruitment of blocking proteins to the
NaV1.6 has not been investigated.
Whether or not a blocking protein distinct from the subunit exists,
the presence of resurgent current in other neurons that express
NaV1.6 will depend on the following: (1) whether
the blocking element is present in the neuron, (2) whether the
appropriate kinase is expressed in the neuron, and (3) whether the
conditions are met for constitutive activity of the kinase (or
inhibition of phosphatases) to permit resurgent current. Resurgent
sodium current is not, in fact, unique to Purkinje neurons. Unipolar brush cells of the cerebellar cortex show high densities of the current
(Mossadeghi and Slater, 1998 ), and some cerebellar granule cells may
also exhibit resurgent sodium currents (D'Angelo et al., 2001 )
(Z. M. Khaliq and I. M. Raman, unpublished observations).
Physiological consequences of modulation of resurgent
sodium current
In outside-out patch recordings, resurgent sodium current was
consistently elicited. It is possible, however, that the level of
phosphorylation varies in the intact cerebellum. Such variation may
occur, for example, as a consequence of kinase-activating or
-inhibiting neurotransmitters released in the cerebellum, including acetylcholine, cannabinoids, serotonin, and glutamate (Jaarsma et al.,
1997 ; Moldrich and Wenger, 2000 ; Dieudonné, 2001 ; Hansel et al.,
2001 ; Kreitzer and Regehr, 2001 ). Neurotransmitter-evoked changes in
kinase or phosphatase activity, therefore, may change the density of
resurgent sodium current. Because the kinetics of the channels
producing resurgent current appear to be associated with high-frequency
firing of Purkinje cells (Raman and Bean, 1999 ), kinase-mediated
modulation of the NaV1.6 channel may contribute to regulating the excitability of Purkinje neurons.
 |
FOOTNOTES |
Received Dec. 19, 2001; revised Feb. 6, 2002; accepted Feb. 8, 2002.
This work was supported by the Sloan Foundation, the Searle Foundation,
and National Institutes of Health Grant NS39395 (I.M.R.). We thank Dr.
Michael Kennedy for his help with spectrophotometry, and we gratefully
acknowledge the Keck Biophysics Facility at Northwestern University,
where the enzymatic assays were performed. We also thank Drs. Jim
Surmeier, Tom Otis, Petra Telgkamp, and Zayd Khaliq for helpful
comments on this manuscript.
Correspondence should be addressed to Indira M. Raman, Department of
Neurobiology and Physiology, 2153 North Campus Drive, Northwestern
University, Evanston, IL 60208. E-mail: i-raman{at}northwestern.edu.
 |
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Z. M. Khaliq and I. M. Raman
Axonal Propagation of Simple and Complex Spikes in Cerebellar Purkinje Neurons
J. Neurosci.,
January 12, 2005;
25(2):
454 - 463.
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F. S. Afshari, K. Ptak, Z. M. Khaliq, T. M. Grieco, N. T. Slater, D. R. McCrimmon, and I. M. Raman
Resurgent Na Currents in Four Classes of Neurons of the Cerebellum
J Neurophysiol,
November 1, 2004;
92(5):
2831 - 2843.
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M. Hausser, I. M. Raman, T. Otis, S. L. Smith, A. Nelson, S. du Lac, Y. Loewenstein, S. Mahon, C. Pennartz, I. Cohen, et al.
The Beat Goes On: Spontaneous Firing in Mammalian Neuronal Microcircuits
J. Neurosci.,
October 20, 2004;
24(42):
9215 - 9219.
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M. T. H. Do and B. P. Bean
Sodium Currents in Subthalamic Nucleus Neurons From Nav1.6-Null Mice
J Neurophysiol,
August 1, 2004;
92(2):
726 - 733.
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T. M. Grieco and I. M. Raman
Production of Resurgent Current in NaV1.6-Null Purkinje Neurons by Slowing Sodium Channel Inactivation with {beta}-Pompilidotoxin
J. Neurosci.,
January 7, 2004;
24(1):
35 - 42.
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A. M. Swensen and B. P. Bean
Ionic Mechanisms of Burst Firing in Dissociated Purkinje Neurons
J. Neurosci.,
October 22, 2003;
23(29):
9650 - 9663.
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Z. M. Khaliq, N. W. Gouwens, and I. M. Raman
The Contribution of Resurgent Sodium Current to High-Frequency Firing in Purkinje Neurons: An Experimental and Modeling Study
J. Neurosci.,
June 15, 2003;
23(12):
4899 - 4912.
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S. L. Smith and T. S. Otis
Persistent Changes in Spontaneous Firing of Purkinje Neurons Triggered by the Nitric Oxide Signaling Cascade
J. Neurosci.,
January 15, 2003;
23(2):
367 - 372.
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