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Crystallographic basis for calcium regulation of sodium channels
Journal article   Open access   Peer reviewed

Crystallographic basis for calcium regulation of sodium channels

Maen F Sarhan, Ching-Chieh Tung, Filip Van Petegem and Christopher A Ahern
Proceedings of the National Academy of Sciences - PNAS, Vol.109(9), pp.3558-3563
02/28/2012
DOI: 10.1073/pnas.1114748109
PMCID: PMC3295267
PMID: 22331908
url
https://doi.org/10.1073/pnas.1114748109View
Published (Version of record) Open Access

Abstract

Voltage-gated sodium channels underlie the rapid regenerative upstroke of action potentials and are modulated by cytoplasmic calcium ions through a poorly understood mechanism. We describe the 1.35 Å crystal structure of Ca 2+ -bound calmodulin (Ca 2+ /CaM) in complex with the inactivation gate (DIII-IV linker) of the cardiac sodium channel (Na V 1.5). The complex harbors the positions of five disease mutations involved with long Q-T type 3 and Brugada syndromes. In conjunction with isothermal titration calorimetry, we identify unique inactivation-gate mutations that enhance or diminish Ca 2+ /CaM binding, which, in turn, sensitize or abolish Ca 2+ regulation of full-length channels in electrophysiological experiments. Additional biochemical experiments support a model whereby a single Ca 2+ /CaM bridges the C-terminal IQ motif to the DIII-IV linker via individual N and C lobes, respectively. The data suggest that Ca 2+ /CaM destabilizes binding of the inactivation gate to its receptor, thus biasing inactivation toward more depolarized potentials.
Biological Sciences patch-clamp electrophysiology crystallography structural biology cardiac arrhythmia

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