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The Journal of Neuroscience, August 20, 2003, 23(20):7577-7585
Previous Article | Next Article 
Sodium Channel 4, a New Disulfide-Linked Auxiliary Subunit with Similarity to 2
Frank H. Yu,1
Ruth E. Westenbroek,1
Inmaculada Silos-Santiago,2
Kimberly A. McCormick,1
Deborah Lawson,2
Pei Ge,2
Holly Ferriera,2
Jeremiah Lilly,2
Peter S. DiStefano,2
William A. Catterall,1
Todd Scheuer,1 and
Rory Curtis2
1Department of Pharmacology, University of
Washington, Seattle, Washington 98195-7280, and
2Millennium Pharmaceuticals Inc., Cambridge,
Massachusetts 02139
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Abstract
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The principal subunit of voltage-gated sodium channels is
associated with auxiliary subunits that modify channel function and
mediate protein-protein interactions. We have identified a new subunit
termed 4. Like the 1- 3 subunits, 4 contains a cleaved
signal sequence, an extracellular Ig-like fold, a transmembrane segment, and a
short intracellular C-terminal tail. Using TaqMan reverse transcription-PCR
analysis, in situ hybridization, and immunocytochemistry, we show
that 4 is widely distributed in neurons in the brain, spinal cord, and
some sensory neurons. 4 is most similar to the 2 subunit (35%
identity), and, like the 2 subunit, the Ig-like fold of 4 contains
an unpaired cysteine that may interact with the subunit. Under
nonreducing conditions, 4 has a molecular mass exceeding 250 kDa because
of its covalent linkage to Nav1.2a, whereas on reduction, it
migrates with a molecular mass of 38 kDa, similar to the mature glycosylated
forms of the other subunits. Coexpression of 4 with brain
Nav1.2a and skeletal muscle Nav1.4 subunits in
tsA-201 cells resulted in a negative shift in the voltage dependence of
channel activation, which overrode the opposite effects of 1 and 3
subunits when they were present. This novel, disulfide-linked subunit
is likely to affect both protein-protein interactions and physiological
function of multiple sodium channel subunits.
Key words: sodium channel; auxiliary subunit; 4; cDNA cloning; tissue distribution; disulfide link; voltage dependence of activation
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Introduction
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Voltage-gated sodium channels purified from brain are composed of a
pore-forming subunit and associated subunits
(Catterall, 2000 ). To date,
nine functional subunits have been identified (Nav1.1-1.9;
Goldin et al., 2000 ). They are
large proteins ( 2000 amino acids), with 24 transmembrane helices arranged
in four homologous domains. Each domain is composed of six transmembrane
helices surrounding a reentrant hydrophobic loop that is believed to form the
outer pore of the channel (Catterall,
2000 ). Two subunits were originally identified as proteins
copurifying with the brain subunits
(Catterall, 2000 ). 1 and
2 are related proteins with a large extracellular Ig-like domain, a
single transmembrane domain, and a short cytoplasmic tail (Isom et al.,
1992 ,
1995 ). A notable difference is
that 1is noncovalently associated with subunits and has four
cysteines in its extracellular domain that contribute to the Ig-like fold,
whereas 2 has five extracellular cysteines and forms a disulfide bond to
the subunit.
The subunits display several important functional properties. First,
in Xenopus oocytes, expression of subunits alone results in
functional sodium channels, but these do not exhibit the
"fast-gating" kinetic parameters of sodium channels in neurons.
However, coexpression of 1 and 2 subunits results in a small
acceleration of the rate of activation and a substantial acceleration of the
rate of inactivation during test pulses, which can be modeled as a shift from
a slow-gating mode to a fast-gating mode in the presence of subunits
(Isom et al., 1992 ,
1995 ). Second, interactions of
1 and 2 with ankyrin, tenascin-R, and neurofascin are likely to be
responsible for targeting sodium channel complexes to nodes of Ranvier, which
is essential for the saltatory conduction of action potentials in myelinated
nerves (Srinivasan et al.,
1998 ; Malhotra et al.,
2000 ; Ratcliffe et al.,
2001 ). Finally, the importance of the subunits is
underscored by the association of generalized epilepsy with febrile seizures
plus (GEFS+) with a mutation in the 1 gene (SCN1B) that
disrupts one of the cysteines responsible for the structure of the Ig-like
fold, resulting in slower inactivation and slower recovery from inactivation
of sodium channels (Wallace et al.,
1998 ). Other febrile epilepsy syndromes are also associated with
mutations in the Nav1.1 channel (SCN1A;
Escayg et al., 2000 ;
Claes et al., 2001 ;
Wallace et al., 2001 ).
Recently, we and others have identified a third subunit based on
structural and sequence homology to 1 and 2
(Morgan et al., 2000 ;
Qu et al., 2001 ). The 3
subunit modulates the sodium channel gating when expressed in Xenopus
oocytes or in mammalian cell systems
(Morgan et al., 2000 ;
Qu et al., 2001 ). It causes a
positive shift in the voltage dependence of channel activation and increased
persistent sodium current on expression in the human embryonic cell line
tsA-201 (Qu et al., 2001 ).
3 also binds neurofascin and may be involved in sodium channel
clustering at nodes of Ranvier (Ratcliffe
et al., 2001 ). These findings raised the possibility that further
subunits might exist. Here, we report the identification of the fourth
subunit, designated 4. The sodium channel 4 subunit is most
highly related to the 2 subunit, although it also shares substantial
sequence similarity with 1 and 3. Its distinct localization and
function indicate that it may differentially affect sodium channel
protein-protein interactions and physiological function in the neurons and
other cell types in which it is expressed.
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Materials and Methods
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Bioinformatics, cloning, and sequence analysis. To identify
additional sodium channel subunits, the protein sequences of the human
sodium channel 1- 3 subunits were used in a TBLASTN
(Altschul et al., 1997 ) search
of the Millennium Pharmaceuticals database of expressed sequence tags (ESTs)
and the public dbEST database. Several human clones were identified on the
basis of primary homology to the sodium channel 2 subunit, and these
were sequenced. The complete 4489 bp cDNA (GenBank accession number AY149967
[GenBank]
)
was found to contain a single open reading frame encoding a protein of 228
amino acids plus a 3649 bp 3' untranslated region. BLAST search
identified the genomic sequence in human chromosome 11 clones AC068591
[GenBank]
and
AP002800
[GenBank]
. The human 4 sequence was aligned with the human genomic
sequence, and five exons were identified and confirmed by examination of the
splice donor and acceptor sites.
A partial rat clone encoding 95 amino acid residues at the 3' end of
the open reading frame and >3500 bp of the 3' untranslated region was
also sequenced and used to generate the TaqMan reagents and in situ
hybridization reagents (see below). In addition, the full-length coding
sequences of rat and mouse 4 subunits were deduced from genomic
sequencing data. BLAST search revealed the genomic sequence in AC129680
[GenBank]
,
AC129457
[GenBank]
, and AC136555
[GenBank]
(rat) and in AC122504
[GenBank]
and AC122305
[GenBank]
(mouse). The human
4 sequence was aligned with the rat and mouse genomic sequences to
identify the exons, which were confirmed by examination of the splice
junctions. The deduced full-length rat and mouse 4 sequences were
deposited in GenBank (BK001030
[GenBank]
and BK001031
[GenBank]
, respectively).
Tissue distribution of 4 mRNA. Adult male Sprague
Dawley rats (250 gm) were anesthetized with ketamine (50 mg/kg) plus xylazine
(10 mg/kg) and exsanguinated. Brain, spinal cord, dorsal root ganglion,
superior cervical ganglion, heart, gastrocnemius muscle, and selected
peripheral organs were removed. Expression in the nervous system and
peripheral tissues was assessed by TaqMan real-time quantitative reverse
transcription (RT)-PCR (Medhurst et al.,
2000 ). mRNA was extracted, and cDNA was synthesized by reverse
transcription (SuperScript preamplification system; Invitrogen, Carlsbad, CA)
as described (Qu et al.,
2001 ). PCR was performed using TaqMan universal PCR master mix on
the ABI Prism 7700 sequence detection system (Applied Biosystems, Foster City,
CA), with the following probe and primers designed with Primer Express
software (Applied Biosystems): sense,
5'-ACTCTGCTACGATCTTCCTCCAA-3'; antisense,
5'-GCAGACGAGAAGTCCGATGAC-3'; and fluorescent probe,
5'-CCGCCTACCACAGCCAGGATGATG-3'. 4 mRNA levels were expressed
as arbitrary values relative to the 18 S ribosomal RNA.
Twelve-micrometer fresh-frozen sections were prepared from rat tissues
(brain, spinal cord, dorsal root ganglion, heart, and gastrocnemius muscle).
In situ hybridization was performed with 35S-labeled rat
4 cRNA probes as described (Stahl et
al., 1999 ; Qu et al.,
2001 ).
Immunocytochemical localization of 4 subunits. The
rabbit polyclonal anti- 4 antibody was generated against the peptide
EGTVKNEKSDPKVTLKD corresponding to amino acids 51-67 of the predicted amino
acid sequence of the mature 4 protein
(Fig. 1 A) coupled
through an additional C-terminal Cys residue to keyhole limpet hemocyanin
(Affinity Bioreagents, Golden, CO). The rabbit polyclonal anti- 2
antibody was described previously
(Ratcliffe et al., 2000 ).
Tissue sections were prepared as described
(Westenbroek et al., 1998 ).
Free-floating tissue sections were rinsed in Tris buffer for 30 min, rinsed in
Tris-buffered saline (TBS) for 30 min, blocked in 2% avidin in TBS for 30 min,
rinsed in TBS for 30 min, blocked in 2% biotin in TBS for 30 min, and finally
rinsed in TBS. The sections were then incubated in peptide affinity-purified
primary anti- 2 (diluted 1:15) or anti- 4 (diluted 1:25) antibodies
for 36 hr at 4°C. The sections were rinsed in TBS for 1 hr, incubated in
biotinylated goat anti-rabbit IgG for 1 hr at 37°C, rinsed in TBS for 1
hr, incubated in avidin D fluorescein for 1 hr at 37°C, rinsed, mounted
onto gelatin-subbed slides, coverslipped with Vectashield, and viewed with a
Bio-Rad (Hercules, CA) MRC 600 microscope located in the W. M. Keck Imaging
Facility at the University of Washington.

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Figure 1. Amino acid sequence and tissue distribution of the sodium channel 4
subunit. A, Alignment of human sodium channel 4 and 2
(h 4 AY149967
[GenBank]
, h 2 AAF21472
[GenBank]
) subunits using Clustal W. Identical
residues are shown as white letters against black, and similar residues are
black letters on gray. The solid box indicates the N-terminal signal sequence
predicted for 4 and determined for 2
(Isom et al., 1995 ). Numbering
of the amino acid sequence (above) is relative to the predicted first residue
of the mature 4 protein after cleavage of the signal peptide. The
asterisks show conserved cysteine residues that form a disulfide bond in the
Ig-like domain. The solid triangle indicates the conserved cysteine in 2
and 4, which may be covalently linked to sodium channel
subunits. The dotted box indicates the predicted transmembrane domains.
B, Expression of the sodium channel 4 subunit in the CNS and
peripheral tissues. TaqMan RT-PCR was used to quantify 4 subunit mRNA,
expressed as arbitrary units relative to the 18 S RNA internal reference. Lane
1, Brain; lane 2, spinal cord; lane 3, dorsal root ganglion; lane 4, superior
cervical ganglion; lane 5, hairy skin; lane 6, gastrocnemius muscle; lane 7,
heart; lane 8, kidney; lane 9, liver; lane 10, lung; lane 11, spleen; lane 12,
aorta; lane 13, adrenal gland; lane 14, salivary gland; lane 15, thyroid; lane
16, prostate; lane 17, thymus; lane 18, trachea; lane 19, testes; lane 20,
colon.
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Sodium channel expression and electrophysiological recording.
Plasmids pCDM8-rIIA (containing the cDNA fragment of the full-length rat
Nav1.2a subunit;
Linford et al., 1998 ) and
pCDM8-rH1 (containing the cDNA of the full-length rat heart Nav1.5
sodium channel subunit; Qu et al.,
1994 ) have been described. The rSKM1 cDNA encoding the
Nav1.4 subunit
(Featherstone et al., 1998 ) was
a kind gift from Dr. Peter Ruben (Utah State University) and was subcloned
into pCDM8 to produce pCDM8-rSKM1. The full-length human 4 cDNA was
subcloned into mammalian expression vectors to create pCDNA3.1/B4 (Invitrogen,
San Diego, CA) or pIRES-EGFP/B4 (Clontech, Palo Alto, CA). To facilitate
efficient detection of heterologously expressed sodium channel subunits, one
copy of an influenza virus hemagglutinin (HA) peptide (YPYDVPDYA) was appended
to the cytoplasmic N-terminus of Nav1.2a (designated pCDM8 HA-rIIA)
and to the C-terminus of 4 (designated pCDNA3.1/B4-HA) by PCR. All cDNA
fragments that were subcloned after PCR amplification were verified by DNA
sequencing.
tsA-201 cells, a subclonal line of human embryonic kidney 293 cells, were
maintained as described (Herlitze et al.,
1996 ). Sodium channel expression plasmids were transiently
transfected using the calcium phosphate coprecipitation method. Twelve hours
later, transfected cells were replated at low density for electrophysiological
recordings. For biochemical studies, transfected cells were harvested 40 hr
after transfection, and membrane proteins were isolated as described
previously (Zhong et al.,
1999 ). Immunoprecipitation reactions were performed by combining
500 µg of total protein with 30 µg of affinity-purified anti-SP20
antibody recognizing the sodium channel subunit or control IgG
antibody and incubated for 2 hr at 4°C in 50 mM Tris-Cl, 150
mM NaCl, 1 mM PMSF, and 1% Triton X-100, pH 8.0. Protein
A-Sepharose beads were added, incubated overnight, and washed extensively, and
the immunoprecipitated proteins were eluted by boiling in SDS-PAGE sample
buffer containing 100 mM dithiothreitol. For elution of the bound
complex under nonreducing conditions, proteins bound to the washed Sepharose
beads were denatured in 8 M urea for 10 min at 20°C. Samples
were divided into two equal portions and boiled for 5 min after adding
SDS-PAGE sample buffer with and without 5% -mercaptoethanol. Proteins
were resolved using SDS-PAGE and transferred onto nitrocellulose, and HA tags
were revealed with monoclonal antibody HA11 (Covance, Princeton, NJ)
Whole-cell voltage-clamp experiments were performed on tsA-201 cells that
were transfected with Nav1.2a sodium channel subunit
plasmid pCDM8-rIIA with or without 2 or 4 subunit cDNAs in
pIRESEGFP. Transfected cells were identified by fluorescence. Recording
solutions and voltage protocols have been described previously
(Mantegazza et al., 2001 ). The
bath solution contained (in mM): 140 NaCl, 2 CaCl2, 2
MgCl2, and 10 HEPES, pH adjusted to 7.4 with NaOH. The pipette
solution contained (in mM): 120 Cs-aspartate, 5 NaCl, 2
MgCl2, 10 EGTA, and 10 HEPES, pH adjusted to 7.3 with CsOH.
Conductance-voltage (g-V) relationships were calculated from the
current-voltage (I-V) relationships according to the extended Ohm's
law: g =INa/(V -
ENa), where INa is the peak
Na+ current measured at potential V, and
ENa is the calculated Nernst equilibrium potential. The
normalized g-V relationships and inactivation curves were fit with a
Boltzmann distribution: 1/(1 + exp[(V -
V1/2)/k]), where V1/2 is the
voltage at which half-activation or half-inactivation occurred, and k
is the slope factor. Statistical results are reported as means ± SEM.
Statistical comparisons were done using Student's t test or ANOVA
followed by Tukey's post test, with p < 0.05 as the criterion for
significance.
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Results
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Cloning and sequence analysis of the 4 subunit
The discovery of the sodium channel 3 subunit
(Morgan et al., 2000 ;
Qu et al., 2001 ) suggested the
existence of an extended family of related sodium channel auxiliary subunits.
We searched the EST databases for novel sequences with homology to the known
subunits. We identified several human clones representing a single cDNA
with highest homology to the 2 subunit
(Fig. 1A). The novel
4 subunit is 228 amino acid residues in length and shares 35% amino acid
identity with the 2 subunit but only 20-22% identity with 1 and
3. The 4 subunit is composed of five exons covering 19.5 kb,
whereas the 2 subunit has only four exons. Interestingly, human 4
maps to 11q23 12.5 kb downstream of human 2
(Eubanks et al., 1997 ), and the
genomic organization of the two subunits is very similar. The first three
exons of a 4 subunit are completely conserved with those of a 2
subunit. However, the equivalent of the fourth exon is split by an intron of 4
kb into exons 4 and 5 of the 4 gene. The human 3 gene is located
on chromosome 11q24 and also consists of five exons with a similar
organization, suggesting multiple gene duplication events.
Rat and mouse 4 subunit sequences were deduced from genomic
sequences, and the predicted proteins share 80% amino acid identity with the
human protein. Although the open reading frame encodes a 228-amino acid
protein, the cDNA is 4489 bp in length because of a 3649 bp 3'
untranslated region, similar to the extended 3' untranslated regions of
the 1, 2 (Isom et al.,
1992 ,
1995 ), and 3 (GenBank
number AF378093
[GenBank]
) subunits. The significance of these large 3'
untranslated regions is unclear at present.
Like the other subunits, the 4 subunit is a type 1 membrane
protein. Hydropathy analysis indicates that the N-terminal 30 amino acid
residues form a hydrophobic domain that is likely to be a cleaved signal
sequence. The predicted N terminus of the mature 4 protein (Leu-1;
Fig. 1A) aligns
precisely with the experimentally established N terminus of mature 2
(Isom et al., 1995 ). The
mature protein has a large extracellular domain, which is predicted to form an
Ig-like fold, a single transmembrane helix, and a short cytoplasmic
C-terminal region. There are three cysteines in the Ig-like fold. The
cysteines at positions 23 and 101 of the predicted mature protein
(Fig. 1A) are
completely conserved in all other subunits as well as in other V-type
Ig-like folds, and these have been proposed to form an intramolecular
disulfide bond that stabilizes the structure of the extracellular domain.
Mutation of one of the corresponding cysteines in the 1 subunit leads to
a febrile epilepsy syndrome (Wallace et
al., 1998 ). The additional cysteine at position 28 of the mature
4 protein is conserved in the disulfide-linked 2 subunit but not
in 1 or 3 and therefore may form the disulfide linkage to the
subunit.
Tissue and cellular distribution of 4 mRNA
To determine the tissue distribution of the sodium channel 4 subunit,
we performed TaqMan quantitative RT-PCR using a panel containing 20 different
rat tissues (Fig. 1B).
Expression was highest in the dorsal root ganglia (lane 3), and lower levels
were detected in brain, spinal cord, skeletal muscle, and heart (lanes 1, 2,
6, 7). Notably, there was no expression of 4 in the superior cervical
ganglion. The 4 subunit was expressed primarily in excitable tissues,
with no cDNA amplification detected from non-excitable tissue samples under
our conditions except a low signal in skin. TaqMan analysis of a more
restricted panel of human tissues gave essentially similar results (data not
shown).
Regional expression and cellular distribution of the 4 subunit in the
nervous system were analyzed by in situ hybridization using rat
tissue sections. The 4 subunit was expressed in a restricted pattern
throughout the cerebral cortex (Fig.
2A). Expression was observed in pyramidal cells, mainly
in layer V, and in other cortical neurons in layers III and VI. No expression
was detected in laminae I, II, or IV. 4 was present at high levels in
cerebellar Purkinje cells (Fig.
2B) and deep cerebellar nuclei (data not shown). Within
the thalamus, 4 was detected at high levels in the nucleus reticularis
(Fig. 2C) and at lower
levels in various other nuclei but was absent from the posterior and
ventrolateral thalamic nuclei. In the hippocampal region, 4 was
expressed at very low levels in the pyramidal cells and in a small number of
hilar neurons in the dentate gyrus (Fig.
2D). However, there was no expression in dentate granule
neurons. Within the striatum, 4 was expressed in essentially all neurons
in the caudate putamen but in only a few cells in the globus pallidus
(Fig. 2E). Other areas
expressing 4 include lateral and medial septal nuclei, the piriform
cortex, the diagonal band, the magnocellular preoptic nucleus, and the bed
nucleus of the stria terminalis. In the mesencephalic area, 4 was
present at high levels in the substantia nigra reticulata (but not in
substantia nigra compacta), the red nucleus, mammillary nuclei, deep
mesencephalic nuclei, and a subpopulation of neurons in the superior
colliculus and medial geniculate nucleus (data not shown). Very high levels
were observed throughout the pons and brainstem, including the majority of
motor nuclei as well as the reticular nuclei and the spinal trigeminal nuclei.
There was little or no expression in central glial cells.

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Figure 2. Distribution of the sodium channel 4 subunit mRNA in the brain.
Sodium channel mRNA distribution is shown in dark field autoradiograms of rat
tissue sections. A, Cerebral cortex; B, Purkinje cell layer
of the cerebellum; C, nucleus reticularis of the thalamus (indicated
by the dotted line); D, hippocampus (arrows indicate the width of the
pyramidal cell layer); E, caudate putamen (CP) and globus pallidus
(GP). Scale bars, 100 µm.
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The majority of sensory neurons in the dorsal root ganglia
(Fig. 3A,B) and
trigeminal ganglion (data not shown) expressed 4 mRNA. High levels were
expressed in the large proprioceptive neurons, whereas small and
intermediate-sized cells typically displayed lower levels. Labeling was
observed in a subpopulation of small (presumably nociceptive) sensory neurons,
but many others did not express 4. No 4 expression was detected in
sympathetic neurons in the superior cervical ganglion (data not shown). In the
spinal cord, 4 mRNA was detected in ventral horn motor neurons and
interneurons of the intermediate zone and deep laminae of the dorsal horn
(Fig. 3C). No
expression was detected in the superficial laminae of the dorsal horn (laminae
I and II) or in lamina X around the central canal.

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Figure 3. Expression of the 4 subunit in the spinal cord and sensory neurons.
A, Dark-field image of dorsal root ganglion neurons. B,
Bright-field image of dorsal root ganglion neurons showing high expression in
the majority of neurons (arrows) and absence of labeling in some
small-diameter neurons (arrowheads). C, Dark-field micrograph showing
labeling of neurons in most laminae of the spinal cord, including ventral horn
motor neurons (arrows). Dotted line, Superficial laminae I and II of the
dorsal horn. Scale bars, 100 µm.
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Cellular localization of the 4 subunit
To examine the cellular localization of the 4 protein, we raised a
polyclonal antipeptide antibody directed to the extracellular domain and
immunostained sections of rat tissue. This anti- 4 antibody was highly
specific for 4 subunit proteins as assayed by immunoblot of membrane
proteins isolated from tsA-201 cells transfected with individual
1- 4 subunits (Fig.
4). In general, protein expression was in accordance with the
in situ hybridization data. For comparison, we also used a previously
characterized antibody to determine the distribution of the 2 subunit
(Ratcliffe et al., 2000 ).
Control sections omitting the primary anti- 4 or anti- 2 antisera
were essentially blank (Fig.
5C, inset). Both 2 and 4 were expressed
together in many areas of the brain, but 2 showed more widespread
distribution. In the hippocampus, 4 protein was found in isolated
pyramidal neurons but was absent from the dentate gyrus apart from occasional
hilar neurons (Fig.
5A,C). In contrast, 2 protein was highly expressed
in hippocampal pyramidal cells and in the hilus and granule cells of the
dentate gyrus (Fig.
5B,D).

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Figure 5. Localization of 2 and 4 subunits in the hippocampus, cerebral
cortex, and cerebellum. Tissue sections were stained with either anti- 4
(A, C, E, G) or anti- 2(B, D, F, H). A, B,
Dentate gyrus of the hippocampus. Scale bar, 250 µm. C, D, CA3
region of the hippocampus. Scale bar, 250 µm. C, inset, Typical
control of an adjacent slice without primary antibody. E, F,
Low-magnification views of dorsal cerebral cortex. Scale bar, 100 µm.
Insets, High-magnification views of layer V neurons. Scale bar, 25 µm.
G, H, Purkinje cell layer of the cerebellum. Scale bars, 50 µm.
Insets, High-magnification views of cerebellar Purkinje cells. Scale bar, 25
µm.
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In the cerebral cortex, 4 subunit protein was observed in a subset of
cell bodies and processes of pyramidal neurons in layer V as well as cells in
layers III and VI (Fig.
5E). A greater percentage of cortical neurons stained for
2, and staining was uniform in all layers
(Fig. 5F). In
particular, 2 staining of neurons of layer V was uniform throughout the
cell body and apical dendrites (Fig.
5F, inset), whereas staining by anti- 4 was found in
a reticular pattern on the surface of the cell body, as suggested by a
z series of 1 µm steps through the neuron
(Fig. 5E, inset). In
the cerebellum, strong staining by 4 was observed in a reticular pattern
near the surface of cerebellar Purkinje cells
(Fig. 5G, inset), as
indicated by a z series (data not shown), and in the deep cerebellar
nuclei (data not shown). Anti- 2 also stained cerebellar Purkinje cells,
but it was more uniformly distributed over the soma and dendrites
(Fig. 5H). Staining of
cell bodies in the deep cerebellar nuclei by anti- 2 was also observed
(data not shown).
In the striatum, strong 4 protein expression was observed in neuronal
cell bodies and fiber tracts in the caudate nucleus. In contrast, 4 was
generally absent in the globus pallidus but was expressed at low levels in
occasional cells (Fig.
6A). Staining by anti- 2 was less prominent than
that of 4 in the caudateputamen. In contrast to 4, staining by
anti- 2 was also prominent in cells and fiber tracts of the globus
pallidus (Fig. 6B).
This differential staining of the striatum is clear evidence of the
specificity of this anti- 4 antibody for 4 subunits. In the
thalamus, both 2 and 4 were expressed by neurons in the nucleus
reticularis (Fig.
6C,D). As for 4 mRNA, prominent staining of 4
subunits was observed throughout the pons, brainstem, and trigeminal nucleus
(data not shown).

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Figure 6. Immunocytochemical localization of 2 and 4 in the basal ganglia
and thalamus. Tissue sections were stained with either anti- 4 (A, C,
E, G) or anti 2 (B, D, F, H). A, B,
Caudate-putamen (CP) and globus pallidus (GP). C, D, Reticular
nucleus of the thalamus. Scale bars, 100 µm. E, F, Spinal cord,
low magnification. Scale bars, 250 µm. Insets, Spinal motor neurons, high
magnification. Scale bar, 50 µm. G, H, Low-magnification views of
dorsal root ganglion. Scale bars, 100 µm.
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A strong reticular pattern of staining by anti- 4 was observed on
motor neurons of the ventral horn of the spinal cord
(Fig. 6E). Staining by
anti- 2 was more uniform (Fig.
6F). In the dorsal root ganglia, strong staining by both
anti- 4 and anti- 2 antibodies was observed on the cell surface of
medium and large sensory neurons, with anti- 2 labeling a larger fraction
of the cells (Fig.
6G,H). Expression of 2 by dorsal root ganglion
neurons was confirmed by in situ hybridization (data not shown).
Association of the 4 subunit with the Nav1.2a
subunit in tsA-201 cells
To determine whether the 4 subunit forms a complex with sodium
channel subunits, we expressed 4 and Nav1.2a
subunits in tsA-201 cells. To facilitate detection, the 4 subunit was
HA-tagged at its C terminus, and the Nav1.2a subunit was
HA-tagged at its N terminus. Membrane proteins from transfected cells were
solubilized in Triton X-100 and immuno-precipitated with anti-SP20, a
polyclonal antibody recognizing the sodium channel subunit, or a
control antibody. Immunoblot analysis of the immuno-precipitated proteins with
the anti-HA11 monoclonal antibody detected immunoreactive products of two
different sizes (Fig.
7A). As expected, anti-SP20 immunoprecipitated the
HA-tagged Nav1.2a subunit migrating at >250 kDa as well
as faster-migrating bands near 38 kDa, which correspond to the HA-tagged
4 subunit. Neither the Nav1.2a or 4 subunits
were evident in parallel controls using nonimmune rabbit IgG. Three
immunoreactive bands near 38 kDa are apparent in the Western blot. This size
is greater than the 22 kDa predicted for the 4 subunit based on its
amino acid sequence. The molecular mass of 38 kDa and the multiple
protein bands are expected for N-linked glycosylation at multiple
sites, as observed for 1 and 2 isolated from rat brain
(Messner and Catterall,
1985 ).
In purified preparations of rat brain sodium channels, the 2 subunit
is disulfide-linked to the subunit
(Catterall, 2000 ). Because the
proposed site of disulfide linkage to the subunit is conserved (Cys-28
in 4 and Cys-26 in 2), we performed immunoprecipitation
experiments to determine whether 4 was also disulfide-linked to sodium
channel subunits. For these experiments, we used the untagged
Nav1.2a subunit so that the HA-tagged 4 subunit could
be detected specifically with the anti-HA11 monoclonal antibody. Sodium
channel complexes were immunoprecipitated with anti-SP20, and denatured
proteins were prepared under nonreducing and reducing conditions
(Fig. 7B). Under
nonreducing conditions in the absence of -mercapto ethanol, the 4
subunit was covalently associated with Nav1.2a in a complex of
>250 kDa. On reduction with -mercaptoethanol, the HA-immunoreactive
4 band shifted from >250 kDa to 38 kDa, indicating that the
4 subunit is covalently associated with sodium channel subunits
expressed in tsA-201 cells via a disulfide bond.
Functional effects of the 4 subunit
To examine the functional effect of 4 auxiliary subunits, we recorded
whole-cell sodium currents generated by Nav1.2a subunits expressed
without and with 4 subunits in tsA-201 cells
(Fig. 8A). The voltage
dependence of activation of peak sodium currents was significantly shifted in
the hyperpolarizing direction without a concomitant shift in the voltage
dependence of inactivation when the 4 subunit was coexpressed
(Fig. 8B). The
midpoints of activation were -4.2 ± 0.5 mV (n =27) for
Nav1.2a, -6.9 ± 0.8 mV (n =9) for
Nav1.2a with 2, and -11.2 ± 0.8 mV (n =18)
for Nav1.2a with 4. This -7mV shift in the voltage dependence
of activation for 4 was significantly greater than that produced by the
2 subunit as well as being significantly different from control
(p < 0.01). The 2 subunit produced a -2.7 mV shift in the
midpoint of voltage dependence of activation that was not statistically
different from that of the subunit alone. In contrast to the effect on
activation, neither 2 or 4 caused a significant hyperpolarizing
shift in the voltage dependence of inactivation [Nav1.2a,
V1/2 -42.2 ± 1.2 mV (n =20); Nav1.2a
with 2, V1/2 -42.9 ± 1.8 mV (n =9); and
Nav1.2a with 4, V1/2 =-45.9 ± 1.6mV
(n =9)]. Thus, coexpression of 4 alone with the sodium channel
subunit in tsA-201 cells results in a significant hyperpolarization in
the voltage dependence of activation.
When expressed in neurons, the sodium channel subunit is likely to
be associated with a 1 or 3 subunit in addition to 2 or
4 (Catterall, 2000 ).
Therefore, we also examined the effect of coexpression of the 4 subunit
in combination with either 1 or 3 subunits on sodium currents
conducted by the Nav1.2a subunit. In tsA-201 cells, the
1 and 3 subunits cause a positive shift in the voltage dependence
of activation (Qu et al.,
2001 ) (data not shown). In contrast, when 4 was combined
with 1or 3, the voltage dependence of activation was similar to
that produced by transfection of 4 alone
(Fig. 8C). Thus,
4 overrides the effect of 1 or 3 subunits to shift the
voltage dependence of activation to more positive potentials in this cell
system. These combinations of subunits, like 4 alone, had no significant
effect on the voltage dependence of inactivation. Thus, 4 expressed in
combination with 1or 3 is very much like 4 alone in
producing a negative shift in the voltage dependence of activation and little
effect on the voltage dependence of inactivation.
We also examined effects of the 4 subunit on the function of the
skeletal muscle Nav1.4 and the cardiac Nav1.5
subunits because there was strong expression of 4 in these tissues
(Fig. 1B).
Coexpression of 4 with Nav1.4 caused a modest negative shift
in the voltage dependence of activation with little or no effect on the
voltage dependence of inactivation (Fig.
9A,B), much as was observed for the Nav1.2a
subunit (Fig.
8B). In contrast, coexpression of the 4
subunit with the cardiac Nav1.5 subunit had little effect
on channel kinetics or voltage dependence when expressed in tsA-201 cells
(Fig. 8C,D).
 |
Discussion
|
|---|
The sodium channel subunit family
We have identified a new subunit of voltage-gated sodium channels,
4, which is structurally and functionally related to the previously
characterized 2 subunit. Biochemical characterization of purified brain
sodium channels indicated that they constitute a heterotrimeric complex of
pore-forming subunits with both covalently and noncovalently linked
subunits (Catterall,
2000 ). The noncovalently linked subunits include 1
(Isom et al., 1992 ) and
3 (Morgan et al., 2000 ;
Qu et al., 2001 ). Our findings
indicate that the disulfide-linked moieties consist of 2
(Isom et al., 1995 ) and the
novel 4 subunit identified here.
Structurally, 4 is like the three previously cloned subunits,
with an N-terminal cleaved signal sequence, an extracellular V-type Ig-like
fold, a transmembrane domain, and an intracellular region that might
participate in protein-protein interactions. However, 4 has the highest
amino acid sequence similarity to the 2 subunit (35%). Like the 2
subunit, 4 contains an extra-cellular unpaired cysteine that could form
a disulfide bond with the subunit, and our results show that 4
associates with the subunit via a reducible disulfide bond when
coexpressed in tsA-201 cells.
In functional studies, the 4 subunit caused negative shifts in the
voltage dependence of activation of rat brain Nav1.2a and skeletal
muscle Nav1.4 channels but did not affect the voltage dependence of
inactivation. It had little functional effect on the cardiac Nav1.5
channel. These effects contrast with those observed for the 2 subunit,
which did not shift the voltage dependence of activation, and the 1 and
3 subunits, which cause a positive shift in the voltage dependence of
activation in tsA-201 cells. Moreover, coexpression of the 4 subunit
with the 1 and 3 subunits overrode their effects, resulting in
sodium channels with negatively shifted voltage dependence of activation as
observed for 4 coexpression alone. These results indicate that the
4 subunit will have an important effect in the neurons and other
excitable cells in which it is expressed, even if those cells express other
subunits.
Although the functional effects of auxiliary subunits are relatively
small in these expression studies in heterologous mammalian cells, they are
likely to be critical in tuning the functional properties of sodium channels
to impart appropriate electrical excitability to neurons. Because excitatory
postsynaptic potentials depolarize neurons by only a few millivolts, shifts of
this magnitude in the voltage dependence of activation of sodium channels will
have a major effect on the response of a neuron to its synaptic inputs,
determining in an all-or-none manner whether those neurons fire action
potentials in response to typical EPSPs. The effects of the 4 subunits
described here will contribute to tuning the electrical properties of neurons
by allowing sodium channel activation at more negative voltages. The resulting
action potentials generated in response to mild depolarizing stimuli would be
manifested as increased neuronal sensitivity to excitatory inputs in cells
expressing the 4 subunit. Additional complexity will be found in cells
expressing multiple subtypes of sodium channel principal and auxiliary
subunits.
Expression pattern of 4 versus 2 sodium channel auxiliary
subunits
The expression pattern of the 4 subunit in rat tissues is perhaps
most properly compared with that of the 2 subunits because they are most
similar in amino acid sequence, and both subunits are thought to be
disulfide-linked to sodium channel subunits. Therefore, the 2
and 4 subunits might substitute for each other in particular tissues or
neuronal cell types.
In the CNS, expression patterns of 2 and 4 often overlap. In
the cerebellum, 2 and 4 strongly label Purkinje cells and deep
cerebellar nuclei, consistent with previous reports of 2 in
situ hybridization (Gastaldi et al.,
1998 ; Levy-Mozziconacci et
al., 1998 ). In the brainstem, both 2 and 4 exhibited
strong staining in motor nuclei. In the spinal cord, 2 and 4 are
both highly expressed in the motor neurons of the ventral horn.
There are also numerous areas of differential expression of 2 and
4 at the cellular level. In the cerebral cortex, 2 expression is
more widespread in different layers than that of 4. In the globus
pallidus, 2 is widely expressed, but 4 is not. In the hippocampus,
2 is expressed strongly in CA1 and CA3 pyramidal cells and cells of the
hilus but less prominently in dentate granule cells
(Gastaldi et al., 1998 ),
whereas 4 is expressed in only a small number of pyramidal cells and
hilar neurons. Thus, although expression of 2 and 4 subunits
overlap in many brain regions, in others, such as the hippocampus, cerebral
cortex, and particularly the globus pallidus, their distributions are
primarily complementary. This complementary distribution may indicate
selective association with distinct sodium channel subunits in those
regions and may differentially influence sodium channel properties or dictate
differences in secondary protein-protein interactions.
Possible functions of 4 in sodium channel localization and cell
adhesion
Sodium channel 1- 3 subunits have been proposed to have
important functions in sodium channel localization and cell adhesion
(Isom et al., 1995 ;
Catterall, 2000 ;
Ratcliffe et al., 2000 ;
Isom, 2002 ). They interact
with extracellular matrix and cell adhesion molecules such as contactin
(Isom et al., 1992 ;
Malhotra et al., 2000 ;
Kazarinova-Noyes et al.,
2001 ), neurofascin (Ratcliffe
et al., 2001 ), and tenascin
(Srinivasan et al., 1998 ;
Xiao et al., 1999 ).
subunits also participate in homophilic cell interactions and interact with
ankyrin, thus localizing channels to sites of cell-cell interaction (Malhotra
et al., 2000 ,
2002 ). These roles are also
likely for the 4 subunit described here because it is predicted to form
an extracellular Ig-like fold that might be implicated in such intermolecular
interactions. Moreover, modulatory molecules such as receptor protein-tyrosine
phosphatase are recruited to sodium channel complexes through
interactions with subunits
(Ratcliffe et al., 2000 ).
Presumably, 4 subunits will be involved in a similar but distinct array
of intracellular and extracellular interactions and are likely to play key
roles in specific targeting and regulation of sodium channels.
 |
Footnotes
|
|---|
Received Mar. 28, 2003;
revised Jun. 11, 2003;
accepted Jun. 11, 2003.
This work was supported by National Institutes of Health Research Grants
NS34802 (T.S.) and NS25704 (W.A.C.).
Correspondence should be addressed to Dr. William A. Catterall, University
of Washington, Mail Stop 357280, Seattle, WA 98195-7280. E-mail:
wcatt{at}u.washington.edu.
P. S. DiStefano's and R. Curtis's present address: Elixir Pharmaceuticals,
Inc., 1 Kendall Square, Building 1000, Cambridge, MA 02139.
Copyright © 2003 Society for Neuroscience
0270-6474/03/237577-09$15.00/0
 |
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G. K. Wang, T. Edrich, and S.-Y. Wang
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F. Bosmans, L. Rash, S. Zhu, S. Diochot, M. Lazdunski, P. Escoubas, and J. Tytgat
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F. H. Yu, V. Yarov-Yarovoy, G. A. Gutman, and W. A. Catterall
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J.-Y. Lou, F. Laezza, B. R. Gerber, M. Xiao, K. A. Yamada, H. Hartmann, A. M. Craig, J. M. Nerbonne, and D. M. Ornitz
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W. Ulbricht
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M. Mantegazza and S. Cestele
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L.S. Meadows and L.L. Isom
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H.-K. Wong, T. Sakurai, F. Oyama, K. Kaneko, K. Wada, H. Miyazaki, M. Kurosawa, B. De Strooper, P. Saftig, and N. Nukina
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V. Haufe, J. A. Camacho, R. Dumaine, B. Gunther, C. Bollensdorff, G. S. von Banchet, K. Benndorf, and T. Zimmer
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A. M. Rush, S. D. Dib-Hajj, and S. G. Waxman
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Y. Chen, A. R. Cantrell, R. O. Messing, T. Scheuer, and W. A. Catterall
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D. P. McEwen and L. L. Isom
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T. H. Davis, C. Chen, and L. L. Isom
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J. Spampanato, J. A. Kearney, G. de Haan, D. P. McEwen, A. Escayg, I. Aradi, B. T. MacDonald, S. I. Levin, I. Soltesz, P. Benna, et al.
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F. H. Yu and W. A. Catterall
The VGL-Chanome: A Protein Superfamily Specialized for Electrical Signaling and Ionic Homeostasis
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J. D. Malhotra, V. Thyagarajan, C. Chen, and L. L. Isom
Tyrosine-phosphorylated and Nonphosphorylated Sodium Channel {beta}1 Subunits Are Differentially Localized in Cardiac Myocytes
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D. Li, Y. Xiao, X. Xu, X. Xiong, S. Lu, Z. Liu, Q. Zhu, M. Wang, X. Gu, and S. Liang
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M.-P. Fache, A. Moussif, F. Fernandes, P. Giraud, J. J. Garrido, and B. Dargent
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C. Chen, R. E. Westenbroek, X. Xu, C. A. Edwards, D. R. Sorenson, Y. Chen, D. P. McEwen, H. A. O'Malley, V. Bharucha, L. S. Meadows, et al.
Mice Lacking Sodium Channel {beta}1 Subunits Display Defects in Neuronal Excitability, Sodium Channel Expression, and Nodal Architecture
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D. P. McEwen, L. S. Meadows, C. Chen, V. Thyagarajan, and L. L. Isom
Sodium Channel {beta}1 Subunit-mediated Modulation of Nav1.2 Currents and Cell Surface Density Is Dependent on Interactions with Contactin and Ankyrin
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S. K.G. Maier, R. E. Westenbroek, K. A. McCormick, R. Curtis, T. Scheuer, and W. A. Catterall
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K. Kamiya, M. Kaneda, T. Sugawara, E. Mazaki, N. Okamura, M. Montal, N. Makita, M. Tanaka, K. Fukushima, T. Fujiwara, et al.
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