Membrane Channels

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CHAPTER 10 Membrane Channels

C hannels are integral membrane proteins with transmembrane pores that allow particular ions or small molecules to cross a lipid bilayer. Some channels are open constitutively, but most open just part time. Each time a channel opens, thousands to millions of ions diffuse down their electrochemical gradient across the membrane. Carriers and pumps are orders of magnitude slower, since they use rate-limiting conformational changes to transport each ion (see Chapters 8 and 9).

The ability to control diffusion across membranes allows channels to perform three essential functions (Fig. 10-1). First, certain channels cooperate with pumps and carriers to transport water and ions across cell membranes. This is required to regulate cellular volume and for secretion and absorption of fluid, as in salivary glands, kidney, inner ear, and plant guard cells. Second, ion channels regulate the electrical potential across membranes. The sign and magnitude of the membrane potential depend on ion gradients created by pumps and carriers and the relative permeabilities of various channels (Appendix 10-2). Open channels allow unpaired ions to diffuse down concentration gradients across a membrane, separating electrical charges and producing a membrane potential. Coordinated opening and closing of channels change the membrane potential and produce an electrical signal that spreads rapidly over the surface of a cell. Nerve and muscle cells use these action potentials (see Fig. 11-6) for high-speed communication. Third, other channels admit Ca2+ from outside the cell or from the endoplasmic reticulum into the cytoplasm, where it triggers a variety of processes (see Fig. 26-12), including secretion (see Fig. 21-19) and muscle contraction (see Fig. 39-16).

Cells control channel activity in two ways. In the long term, each cell type expresses a unique repertoire of channels from among hundreds of channel genes. Excitable cells, such as nerve and muscle, express plasma membrane voltage-gated channels to produce action potentials. Epithelial cells express Na+ channels, Cl channels, K+ channels, and water channels to produce the salt and water fluxes required for secretion and reabsorption of fluids in glands and the kidney. In the short term, cells open and shut specific types of channels in response to physiological or environmental stimuli. Some channels respond to changes in membrane potential. Others respond to intracellular or extracellular ligands or to mechanical forces. Still others, such as kidney water channels, are shifted from one membrane compartment to another to mediate physiological functions.

Channels are important in medicine. Ion channels are targets of powerful drugs and toxins, including curare, tetrodotoxin (“voodoo toxin”), paralytic shellfish toxins, cobra toxin, local anesthetics, antiarrhythmic agents, and probably general anesthetics (Table 10-1). Defects in ion channel genes cause many inherited disorders, including some cardiac arrhythmias and kidney stones. In the human autoimmune disorder myasthenia gravis antibodies target ion channels.

Table 10-1 EXAMPLES OF CHANNEL-BLOCKING AGENTS

Compound (Chemical Class) Source Physiological Effect
Sodium Channel Blockers
Tetrodotoxin (alkaloid) Japanese puffer fish Paralyzes skeletal muscle
Saxitoxin (alkaloid) Dinoflagellates Paralyzes skeletal muscle
μ-Conotoxins (peptide) Maine snails Paralyzes skeletal muscle
Batrachotoxin (alkaloid) Arrow poison frogs Opens Na-channels, paralyzes skeletal muscle
Lidocaine Chemical synthesis Reduces cardiac and nerve excitability
Potassium Channel Blockers
Quaternary amino alkanes Chemical synthesis Blocks K-currents, increases nerve excitability
Scorpion toxin Scorpions Blocks K-currents, increases nerve excitability
Calcium Channel Blockers
Dihydropyridines Chemical synthesis Reduces excitability of L-type channels of striated muscles
ω-conotoxin (peptide) Pacific cone snail Inhibits nervous system N-type channels; blocks synaptic transmission
Nicotinic Acetylcholine Receptor
α-Bungarotoxin (peptide) Snake, Bungaris multicinctus Blocks neuromuscular transmission; paralyzes skeletal muscle
α-Cobra toxin Cobra Blocks neuromuscular transmission; paralyzes skeletal muscle
Curare Plant, strychnos toxifera Blocks neuromuscular transmission; paralyzes skeletal muscle

This chapter covers 12 large families of plasma membrane channels. Other chapters discuss cystic fibrosis transmembrane regulator Cl channels (see Fig. 11-4), gap junction channels used for communication between adjacent cells (see Fig. 31-6), and intracellular Ca2+ release channels that participate in signal transduction (see Figs. 26-13 and 39-15). Understanding channels requires not only information about their structure and activity but also some knowledge of electrical phenomena. Appendixes 10-1 to 10-3 contain essential material about electrophysiology.

Physiologists introduced the concept of channels in the 1950s to explain ion currents during action potentials. Proof that channels are integral membrane proteins followed in the 1970s with isolation of the nicotinic acetylcholine receptor channel and the voltage-gated Na+ channel. The great diversity of channels was revealed initially by cloning complementary DNAs (cDNAs) using functional assays and homology with known channels. Ultimately, the full repertoire of channels emerged from sequenced genomes.

A new channel can be characterized by expressing its cDNA in a test cell and then making electrical recordings of ion currents from the cell or patches of its membrane (Appendix 10-1). If expression of a single-channel protein fails to reproduce the channel activity observed in the cell of origin, auxiliary subunits are probably required. Historically, investigation of channel functions has relied on toxins and drugs that inhibit particular channels more or less specifically (Table 10-1). This approach is often limited by a lack of specificity. Mutations, including those in human disease, provide definitive tests for physiological functions and have yielded some surprising results.

Channel Diversity and Evolution

Humans have about 400 genes that encode channel proteins. The historical channel nomenclature based variously on the ion transported, mode of regulation, physiological role, or drug sensitivity is often ambiguous. Fortunately, knowledge of channel protein structures clarified evolutionary relationships and provided a framework to classify most plasma membrane channels into a few large families (Fig. 10-2).

image

Figure 10-2 classification of channel proteins. This scheme is based on primary structure, atomic structures (where known), and postulated evolutionary origins. The predicted transmembrane topology has the extracellular side at the top and uses rectangles to indicate helices labeled “S.” P loops are shown as a short helix and loop between two transmembrane helices. S4 voltage-sensing helices are pink; pore positions are yellow. The last column shows the known (or likely) subunit compositions. In many cases, it is possible to trace the origins of a channel family back to prokaryotes. In other cases, family members are known only in vertebrate organisms. In most families, relatively recent gene duplications and divergence have given rise to multiple isoforms of each type of channel. Channel nomenclature is not uniform. Some names indicate the transported ion (Na+, K+, Ca2+, Cl), whereas others signify the regulatory modality (i.e., voltage-gated [VG] or neurotransmitter-gated), a physiologic role (intracellular calcium release), drug binding (ryanodine receptor), or some other feature. ClC, chloride channel; ENaC, epithelial sodium channel; GABA, γ-amino butyric acid; 5-HT, 5-hydroxytryptamine; IC, intracellular ligand; IP3, inositol triphosphate; Kir, potassium inward rectifier; nAch, nicotinic acetylcholine; R, receptor; Ryanodine, a chemical that binds calcium-release channels; TRP, transient receptor potential; VG, voltage-gated; XC-ATP, extracellular ATP-gated channel.

Channels are integral membrane proteins, usually with two or more a-helices crossing the lipid bilayer. Porins are an exception; they are built from transmembrane β-strands (see Fig. 7-8C). Channels generally consist of two to six subunits, but some are single, large polypeptides. The transmembrane pores for conducting ions or other substrates are often located in the middle of a group of subunits or subunit-like domains, but the pores of chloride, water, and ammonia channels are located within single subunits.

A limited number of genes in early forms of life appear to have given rise to most channel genes. For example, the gene for a simple prokaryotic channel with just two transmembrane segments (called S5 and S6) was the progenitor of a huge family of channels with 2 to 24 transmembrane segments. Some channels with two transmembrane segments acquired features to produce rectified ion fluxes (see later section), extracellular ligand binding (neuropeptides and ATP), and intracellular ligand binding (cyclic adenosine monophosphate [cAMP], G proteins). A simple duplication of one of these genes yielded channels with four segments. Even before the emergence of eukaryotes, the addition of four segments (S1 to S4) yielded channels with six transmembrane segments. Acquisition of positive charges by S4 provided for voltage sensitivity. Two rounds of gene duplication and divergence produced voltage-gated channels consisting of four domains, each with six transmembrane segments, such as voltage-gated Na+ channels. Water channels originated in prokaryotes by duplication of a gene that encoded three hydrophobic transmembrane segments. The extracellular domain of glutamate-gated channels originated as a bacterial glutamate-binding protein. Ammonia channels and double-barreled Cl channels also had bacterial ancestors. The origins of ligand-gated neurotransmitter receptors related to the nicotinic acetylcholine receptor, gap junction connexins, and calcium release channels are still obscure.

Channels in higher eukaryotes are products of multigene families that arose from multiple rounds of gene duplication and divergence. Alternative splicing also enriches the variety of channels. Combining different subunit isoforms in one channel creates increased specialization. All of this diversity suggests a sophistication of function that is difficult to demonstrate with current assays. For example, it is not known why the sodium channels that produce action potentials in neurons cannot substitute for their counterparts in skeletal muscle.

Channel Structure

The K+ channel KcsA from the Bacterium Streptomyces lividans serves the model for channels in general and the whole family of S5/S6 channels in particular (Fig. 10-3). Four identical subunits are composed of two transmembrane helices connected by a P loop (for pore)—a short third helix and a crucial strand that makes the selectivity filter. The transmembrane helices are packed close together on the cytoplasmic side of the bilayer but splay apart on the extracellular side to make room for the pore helices and selectivity filter.

The selectivity filter is a centrally located pore where the four identical subunits meet, each subunit contributing a quarter of the wall. Highly conserved residues (GYG) in an unusual linear conformation line the pore. The backbone carbonyl oxygens (C=O) of four successive residues all point toward the pore. The pore is 1.2 nm long and about 0.2 nm in diameter, just wide enough to accommodate a dehydrated K+ ion. This passage distinguishes between K+ and Na+ with a fidelity of 1000 to 1 even though Na+ (with a diameter of 0.095 nm) is smaller than K+ (0.133 nm in diameter). A simple explanation is that K+ fits so perfectly into the pore that the carbonyl oxygens replace the water shell of K+ without an energy penalty, whereas the smaller Na+ binds more strongly to its hydration shell than to the pore. However, the protein is not sufficiently rigid to discriminate a difference of 0.38 Å, so local electrostatic interactions between ions and carbonyl oxygens and between carbonyl oxygens themselves contribute to selectivity. Carbonyl oxygens carry the optimal electric dipole to favorably counterbalance the hydration free energy of K+ over that of Na+, thereby giving robust selectivity despite thermal fluctuations of the protein.

The selectivity filter accommodates two K+ ions, a local concentration exceeding that inside or outside the cell by more than 10-fold, so it actually concentrates K+. However, it does not impede diffusion through the pore, since electrostatic repulsion between these closely spaced ions forces them apart. Outside the filter, the pore is lined with hydrophobic groups, but a cavity in the middle of this passage accommodates a hydrated K+ in an environment with a negative electrostatic potential that is thought to reduce the electrostatic barrier to the ion as it crosses the membrane, as predicted by earlier physiological studies.

Channel Activity

Single-channel electrical recordings show that channel pores are either open or closed (Figs. 10-4 and 10-5). Open channels, also called the active state, pass selected ions across the membrane at rates approaching their diffusion in water. Closed channels have a different conformation that does not pass ions, small solutes, or water. Many channels also have an inactivated state in which part of the channel protein or an impermeant ion blocks the pore of an otherwise open channel, preventing diffusion of ions through the pore. Inactivation makes a channel unresponsive to conditions that favor the active state. Voltage-gated Na+ channels provide a good example; they cycle from closed to open and then inactivate before returning to the closed state.

Selectivity in the Open State

Open channels vary widely in their ability to discriminate among ions. Highly selective channels, such as voltage-gated K+ channels, pass ions without bound water. Less selective channels, such as the nicotinic acetylcholine receptor, are equally permeable to Na+ and K+, which probably pass through as hydrated ions. Gap junction channels pass most molecules smaller than 800 D without discrimination (see Fig. 31-4).

Extensive physiological data and the structure of KcsA suggest that channels achieve their selectivity by virtue of the fact that particular dehydrated ions bind the channel filter as well as their water shell does (Fig. 10-3). Ions that fit poorly in the pore are rejected, as it is energetically unfavorable to shed their hydration shell. The ion flux through an open channel (at a fixed membrane potential) is approximately proportionate to the ion concentration on the side from which the ions migrate. The maximum rate of ion flux—106 to 108 ions/second—is limited by the time required for binding and dissociation at specific sites as an ion traverses the pore. At this high rate, channels discriminate between selected ions that bind and rejected ions that do not during an interaction lasting only 10 to 100 nano-seconds! Ions may move in single file through the pore, driven in part by electrostatic repulsion between the ions.

Transition between the Closed, Open, and Inactivated States

Switching between conducting and nonconducting states is called gating. Gating determines channel activity because channels generally do not open partway or change their ion selectivity. Transitions between closed and open states are so fast that channels are effectively either fully open or fully closed (Fig. 10-4). The steady-state probability of being open (Po) is simply the fraction of the total time that the channel is open. For a given channel, the fraction of time in the open state determines the ion flux. Because channels act independently, the total flux across a membrane depends on the number of channels that are open at a given time.

Comparison of two K+ channel structures shows how a conformational change physically opens and closes a gate (Fig. 10-5). In the closed state (the KcsA structure), the helices at the cytoplasmic end of the pore occlude the lumen. The gate is open in the Ca-gated K+ channel by virtue of a bend in these helices produced by force exerted by a regulatory domain. Energy from Ca2+ binding to the regulatory domain is converted into mechanical work to pull open the gate. Other gating mechanisms are likely to use this principle.

Some channels fluctuate spontaneously between open and closed, but in most cases, local physiological conditions, which are considered in detail in the following sections, control gating from moment to moment. External or internal ligands open some channels. The membrane potential opens and closes other channels without affecting the conductance of the open channels. Mechanical force gates some channels. Cells also use the full range of signaling mechanisms (see Chapters 24 to 26) from phosphorylation to second messengers to guanosine-triphosphate (GTP)–binding proteins to influence the probability that particular channels open or close. By modulating the sensitivity of various channels, cells modify the behavior of their membranes and their responses to external conditions. This modulation makes channels in general, and membrane excitability in particular, highly adaptable. Chapter 11 illustrates how channel modulation regulates the heart rate, changes the efficiency of communication between nerve cells, and adapts cells to some stresses.

In some cases, a process called inactivation stops the flux of ions through active channels. The pore of an inactivated channel remains in the open conformation, so it admits ions, but a part of the channel itself or an ion blocks the pore and prevents ions from crossing the membrane (Fig. 10-5). Flexible cytoplasmic domains inactivate voltage-gated channels (see later discussion) by plugging the open pore. Large organic or inorganic ions, such as polyamines and Mg2+, block other open channels simply by binding within and occluding the pore. The membrane potential influences ion blocking because it drives ions into or out of channels. A blocking ion that binds an open channel and dissociates slowly turns off the channel for a long time. Blockers that dissociate on a millisecond time scale cause the current through the channel to flicker on and off multiple times every time the channel opens. Even faster blocking events cannot be resolved but reduce the rate at which ions move through active channels. Local anesthetics such as lidocaine are pharmacological channel blockers. Binding sites for blocking ions can be found on the outside, the inside, or both sides of the membrane, depending on the channel.

Opening a channel for a few milliseconds can change the membrane potential but not the cytoplasmic ion composition, because only a few ions must cross the membrane to produce a large change in membrane potential (Appendixes 10-2 and 10-3). This conserves energy because ion gradients created by energy-requiring pumps are not dissipated. Longer openings of tens of milliseconds can alter the ion composition of the cell. For example, voltage-gated Ca2+ channels remain open long enough to change the intracellular Ca2+ concentration and trigger cellular events (see Fig. 39-15 B). In this way, they convert an electrical signal to a chemical signal.

Channels with Two Transmembrane Segments

Mechanosensitive Channels

MscL from Mycobacterium tuberculosis (Fig. 10-6) is a simple channel of five subunits. One of the two transmembrane helices forms the wall of the pore. A third C-terminal helix extends the pore 4 nm into the cytoplasm. The central pore is lined with polar residues except for a gate at its narrowest constriction, where an isoleucine and a value reduce the diameter to about 0.2 nm. Tension in the plane of the membrane created by osmotic stress is believed to rearrange these helices and open the channel. Cations pass through the open channels indiscriminately at high rates, since they lack a selectivity filter like that of KcsA. This response avoids osmotic lysis of the cell. Such channels are widespread in prokaryotes and are also found in eukaryotes.

Inward Rectifier Potassium Channels

The Kir family of channels has the same evolutionary origin as KcsA (S5-P-S6 [Fig. 10-2]). Like KcsA (Fig. 10-3), Kir channels consist of two transmembrane helices with a P loop in between. The P loop and helix S6 line the K+-selective pore. In spite of these common features, these channels vary in many respects.

Several channels in this family (Kir2.1, Kir2.3, Kir3 family, and Kir4.1) are inward rectifiers. A rectifier is an electronic component that passes current preferentially in one direction. Inward rectifier K+ channels pass K+ into the cell when the membrane potential is below EK (Appendix 10-2), a membrane potential that is not achieved physiologically. Above the resting potential, these K+ channels pass only a small K+ current out of the cell when they open. The reason is that impermeant cytoplasmic cations, Mg2+, and polyamines (ornithine metabolites having net positive charges of 2+ to 4+) bind to negatively charged residues on the cytoplasmic end of the S6 segment of open channels and block the passage of K+. Despite their low permeability, these channels help to maintain the resting membrane potential in many cells and to repolarize excitable cells during an action potential.

Divergence from a common ancestor created a number of channels with differing physiological properties:

Epithelial Sodium Channels

Epithelial Na+ channels accelerate the rate-limiting step in Na+ transport, an essential process that moves salt and water across epithelia in a number of organs (Fig. 10-1A). Typically, epithelial Na+ channels in the apical plasma membrane provide pores for Na+ to diffuse down its concentration gradient into the cytoplasm, and Na+/K+-ATPases in the basolateral plasma membrane pump Na+ out of the cell into the underlying extracellular space. Water follows Na+ through water channels. Renal collecting tubules use this strategy to resorb salt and water. Lung epithelial cells do the same to clear fluid from air spaces. Mice with knockout mutations in the lung epithelial Na+ channel gene die at birth with fluid in their lungs.

Epithelial Na+ channels consist of multiple α-, β-, and γ-subunits, but their stoichiometry is not known. All have two hydrophobic segments that are thought to be transmembrane helices but no verified P loops. The second putative helix probably lines a pore that is 10 times more permeable to Na+ than to K+. The channel opens and closes randomly for relatively long periods, between 0.5 and 5 seconds, unaffected by the membrane potential or any known natural ligand. The drug amiloride blocks epithelial Na+ channels, so they are called amiloride-sensitive Na+ channels to distinguish them from voltage-gated Na+ channels. The steroid hormone aldosterone, produced in response to salt loss, increases the plasma membrane content of Na+ channels and the rate of Na+ resorption by the kidney.

Liddle’s syndrome illustrates the importance of epithelial Na+ channels. Mutations in the C-terminal tails of the β- or γ-subunits of epithelial Na+ channels increase the open time of the channels, leading to excess salt and water resorption by the kidney. Humans with these mutations develop severe high blood pressure at a young age. Hypersecretion of aldosterone by adrenal tumors has similar effects. One type of epithelial sodium channel expressed in brain is activated by the acidic environment when the blood supply is compromised in a stroke. They admit not only Na+ but also Ca2+, which is responsible for much of the damage in stroke pa-tients.

Channels with Four Transmembrane Helices

K+ channels with four transmembrane segments and two P loops (Fig. 10-2, TWIK) are abundant in animal genomes, with 40 to 50 genes in C. elegans. Two of these subunits form a channel with four domains similar to KcsA. They help to establish the resting potential of the plasma membrane by allowing K+ to leak out of the cell, independent of the membrane potential. These leak channels are activated by volatile anesthetics, leading to hyperpolarization of the membrane and reduced excitability.

Voltage-Gated Cation Channels

Voltage-gated channels have two main functions. First, voltage-gated K+ and Na+ channels produce action potentials in excitable cells (see Fig. 11-6). Depolarization of the membrane opens these channels transiently, driving the membrane potential first toward the Na+ equilibrium potential (Appendix 10-2) and then back toward the K+ equilibrium potential. Second, voltage-gated Ca2+ channels convert electrical signals into chemical signals when they admit Ca2+ to the cytoplasm, where it acts as a second messenger (see Figs. 11-8, 11-9, and 26-12) to stimulate secretion, activate protein kinases, trigger muscle contraction, or influence gene expression.

Voltage-gated channels share a common domain organization (Fig. 10-2). Crystal structures of voltage-gated K+ channels from a thermophilic Archaea and rat brain (Fig. 10-7) confirmed that hydrophobic segments S5 and S6 are transmembrane helices with a P loop just like KcsA. The P loop is the selectivity filter, since transplantation of the P loop from one channel to another can yield a chimeric channel with the ion conductance of the foreign P loop. Hydrophobic segments S1 to S4 form a separate domain lateral to the central pore.

In voltage-gated K+ channels, the domains consisting of S1 to S6 are four separate polypeptides that associate noncovalently as homo-oligomers or hetero-oligomers. Animal voltage-gated Na+ and Ca2+ channels consist of four similar but nonidentical domains (each with S1 to S6) linked in a single polypeptide (Fig. 10-2). Voltage-gated channels have additional specialized domains and/or subunits, but the four main domains carry out the basic functions.

The probability that a voltage-sensitive channel is open depends on the membrane potential (Fig. 10-8). The transition is sharp, likely because all four domains respond cooperatively. A negative internal membrane potential stabilizes the closed state. A voltage sensor couples membrane depolarization to channel opening, physically moving charged residues a small distance across the lipid bilayer. Helix S4 is a key part of the sensor. One side of this helix has a spiral of positively charged lysines or arginines. Spectroscopic measurements suggest that the S4 helix makes a subtle motion such as a rotation in response to membrane depolarization. This movement would bring positive charges on S4 closer to the external side of the membrane, accounting for the charge movement that is detected as a “gating current.” Movement of S4 pulls on the helix connecting S4 and S5 (Fig. 10-7A), producing force to open the gate of the channel.

Inactivation is accomplished by flexible parts of these channels, either a ball and chain at the N-terminus of some K+ channels (Fig. 10-7D) or a loop between the domains of Na+ channels. Inactivation depends on membrane depolarization in the sense that the channel must first open to expose a binding site for the inactivation peptide, which then occludes the pore and blocks conduction. As a result, the channel opens only transiently. Less is known about the transition from the inactivated state to the closed state, but a conformational change must occlude the pore before the ball dissociates from the cytoplasmic side of the pore.

Potassium Channels

All known voltage-gated K+ channels assemble from four α-subunits. Each subunit forms a voltage-gated channel domain with helices S1 to S6 and a P loop forming a central pore. Sequencing of the Drosophila shaker gene first revealed the architecture of these α-subunits.

Vertebrates and invertebrates use three strategies to produce voltage-gated K+ channels with diverse physiological properties. First, they express many different K+ channel proteins from about 20 genes (in Caenorhabditis elegans), augmented by alternate splicing of messenger RNAs. Metazoons appear to have four subfamilies of voltage-sensitive K+ channels. T1 domains near the N-termini of these subunits (Fig. 10-7A) restrict formation of tetramers to subunits from the same subfamily. Second, some K+ channels are heterotetramers, providing a combinatorial strategy with the potential to produce thousands of different tetramers. Third, soluble β-subunits associate with the cytoplasmic side of some α-subunits (Fig. 10-7A) and modify the behavior of the K+ channel tetramer. One type of voltage-gated K+ channel has a Ca2+ binding site at the C-terminus. Signaling events that raise cytoplasmic Ca2+ make these channels more sensitive to membrane depolarization, reducing the excitability of the membrane.

Shaker K+ channels are voltage-gated and rapidly inactivated by a globular “ball” on a flexible polypeptide “chain” at the N-termini of either α- or β-subunits (Fig. 10-7D). After a channel opens, a ball from any α- or β-subunit may inactivate the channel by binding in the open pore. Amputation of the ball residues eliminates inactivation, but a soluble peptide consisting of residues number 6 to 46 can rescue inactivation by binding open channels in reconstitution experiments.

Mutations in the gene for the cardiac K+ channel, called HERG, cause an autosomal-dominant human disease called long QT syndrome. The QT interval is the time between depolarization and repolarization of the heart muscle on electrocardiograms. HERG codes for a heart K+ channel of the delayed-rectifier type, which is responsible for repolarizing the membrane during action potentials (see Fig. 11-11). Mutant channels open more slowly in response to depolarization of the membrane. Affected patients have a mixture of normal and defective K+ channels, which prolongs the action potential and predisposes to abnormal cardiac rhythms and sudden death. Some HERG mutations also cause deafness.

Na+ Channels

Voltage-gated Na+ channels consist of one large α-subunit of four domains linked in series, each with S1 to S6 helices and a P loop (VG-NaCh [Fig. 10-2]). The 260-kD protein is 25% to 30% carbohydrate. These α-subunits alone form voltage-gated Na+ channels in vertebrate hearts and other organs. In some tissues, one or more small β-subunits help to target α-subunits to their proper places in the cell or modify channel behavior.

Vertebrates express more than 10 Na+ channel isoforms that share many common features: transient activation by membrane depolarization, selectivity for Na+ over K+ and other monovalent ions, and the capacity to propagate action potentials. They differ slightly in their sensitivity to local anesthetics and neurotoxins. Neurons, cardiac muscle, and neonatal skeletal muscle express isoforms with a polypeptide insert between domains I and II containing five to seven phosphorylation sites that modulate channel activity.

Voltage-gated Na+ channels depolarize the plasma membrane during action potentials (see Fig. 11-6), so their distribution effectively defines the excitable regions of nerve cell membranes (see Fig. 11-9A). When activated by membrane depolarization, Na+ channels cycle from closed to open to inactivated in 1 to 2 msec. At the threshold voltage, most Na+ channels open synchronously over a narrow range of membrane potential (Fig. 10-8). Open channels are selectively permeable to Na+ (PNa/PK = 12 to 45). In 1 to 2 msec after opening, the channel inactivates when a short cytoplasmic segment between domains III and IV binds to and blocks the open pore. The channel remains inactivated until the membrane repolarizes. Then the channel rearranges to the closed state without reopening. Inactivation does not depend on membrane potential, but because it rarely occurs unless the channel is open, inactivation appears to be voltage dependent.

Local anesthetics and a variety of neurotoxins block Na+ channels, inhibiting generation of action potentials. Several of these agents are specific for Na+ channels in particular tissues. For example, Na+ channels of sensory nerves and cardiac muscle cells are sensitive to local anesthetics, such as lidocaine and procaine. They bind to Na+ channels in the open state and block passage of Na+. Because they reduce the excitability of cardiac muscle, local anesthetics are used to treat potentially fatal disorders of cardiac rhythm. Anyone who has had dental work knows that local anesthetics also block the perception of painful stimuli. Snails use paralytic toxins to paralyze their prey, and puffer fish toxins are a health hazard for those who eat this fish.

Mutations in the gene for a heart Na+ channel are another cause of long QT syndrome in humans. Patients have a mixture of normal and defective Na+ channels. Most of the time, the mutant channels open and close normally, but occasionally, they fail to inactivate, sustaining the inward Na+ current that depolarizes the membrane. These rare abnormal events in a large population of Na+ channels delay the repolarization of the membrane, prolong the action potential, and predispose the patient to abnormal cardiac rhythms and sudden death.

Calcium Channels

Ca2+ channels are structurally the most complex voltage-gated ion channels (VG-CaCh [Fig. 10-2]). Heart Ca2+ channels were purified by using their affinity for dihydropyridine drugs, so they are also called dihydropyridine receptors. The a1-subunit has four internally homologous domains with sequence features similar to a Na+ channel. It forms voltage-gated, Ca2+-selective channels. The a2-subunit is a glycoprotein with no homology to other channel subunits. Its role is uncertain, but coexpression of a2 appears to be essential for assembly and normal gating kinetics of a1. The roles of the other, smaller peptide subunits designated β, γ, and δ are less well characterized.

Like voltage-gated Na+ channels, Ca2+ channels are activated by membrane depolarization, inactivated by a first-order process, and returned to the resting state when the membrane repolarizes. Inactivation is generally slower than that for Na+ channels.

Ca2+ channels have numerous functions. First, in some cells, Ca2+ channels contribute to membrane depolarization during action potentials. Given the very low Ca2+ concentration inside cells (see Fig. 26-12), open Ca2+ channels have a powerful effect on membrane potential. During an action potential, Ca2+ currents supplement Na+ currents in vertebrate heart cells and replace Na+ currents in heart pacemaker cells (see Fig. 11-11) and some invertebrate neurons.

Second, given their long activity cycles, Ca2+ channels can convert electrical signals (membrane depolarization) into chemical signals by raising the cytoplasmic Ca2+ concentration. In cardiac muscle, Ca2+ triggers the release of Ca2+ from internal stores to stimulate contraction (see Fig. 39-15). In nerve terminals, an influx of Ca2+ triggers the secretion of neurotransmitters (see Figs. 11-8 and 11-9). In some neurons, changes in postsynaptic Ca2+ levels are associated with changes in the strength of synaptic signals. These changes constitute one level of synaptic learning (see Fig. 11-10).

Third, plasma membrane Ca2+ channels act as voltage sensors in skeletal muscle. Action potentials stimulate Ca2+ channels, which use direct physical contact to activate Ca2+ release channels located in the endoplasmic reticulum (see Fig. 39-15). The released Ca2+ stimulates contraction.

To carry out these diverse physiological functions, vertebrate cells express a variety of Ca2+ channel proteins with different physiological properties. Traditionally, Ca2+ channels have been divided into several classes, termed N, T, L, and P/Q, based on their sites of expression, voltage required for activation, open channel currents, inactivation kinetics, and sensitivity to drugs (Table 10-2). For example, only L-type calcium channels are sensitive to dihydropyridines, which are used therapeutically to dilate blood vessels by relaxing smooth muscle. N-type Ca2+ channels resist dihydropyridines but are blocked selectively and nearly irreversibly by w-conotoxin, which prevents neurotransmitter release at some synapses. Although this classification is still useful, the continued discovery of channels with novel properties has blurred these distinctions. Now cDNA cloning, expression, and characterization of single molecules provide more discrimination.

TRP Channels

Organisms from most parts of the phylogenetic tree use the TRP family of channels for sensation of diverse stimuli, including chemicals, osmolarity of their environment, and temperature. TRP channels enable humans to sense bitter and sweet tastes, high temperature (and hot spices), and cool temperatures (and cooling chemicals). Mutations that cause defects in fly photoreception led to the first known TRP (transient receptor potential) channel. Some of the large family of nearly 30 mammalian TRP genes were subsequently discovered by sequence homology and assigned function by physiological tests. Other TRP channels were found by expression cloning of cDNAs that allowed test cells to respond to hot spices or cooling chemicals by admitting Ca+2.

No high-resolution structures are available, but the sequences of TRP channels indicate six transmembrane helices and a possible P-loop (Fig. 10-9). These subunits form tetrameric channels that are thought to be similar in architecture to voltage-sensitive K-channels, including a gate on the cytoplasmic side of the ion-conduct-ing pore.

All TRP family members are cation channels, admitting modest amounts of both extracellular Na+ and Ca+2 when active. Diverse stimuli activate the various TRP channels, but the mechanisms are still poorly understood and subject to controversy. In the simplest case, extracellular ligands such as hot spices or cooling chemicals open particular channels. High temperature also activates the hot spice channels, accounting for the perception of such spices as being “hot.” The brain cannot discern whether the TRP channels in a sensory nerve are activated by heat or a spice. Similarly, cold temperatures activate another TRP channel that responds also to cooling chemicals such as menthol. Signaling mechanisms downstream from seven-helix receptors and receptors tyrosine kinases (see Chapter 24) activate other TRP channels, in some cases by producing a second messenger (see Chapter 26) such as the membrane lipids PIP2 and diacylglycerol.

Channels Gated by Intracellular Ligands

Genes for families of channels gated by cytoplasmic Ca2+, cyclic nucleotides, or β/γ-subunits of trimeric γ-proteins (see Fig. 25-9) diverged from K+ channels relatively recently in evolution, about the time when animals diverged from fungi. Their sequences are similar to each other (LC ligand-gated [Fig. 10-2]).

Ca2+-activated K+ channels are first cousins of voltage-gated K+ channels. They have six transmembrane segments and a P loop. The Ca2+-binding protein, cal-modulin (see Fig. 3-12C), binds constitutively to the cytoplasmic tail following S6. Ca2+, entering the cytoplasm through the plasma membrane or released from intracellular stores (see Fig. 26-12), binds this associated calmodulin and activates the channel by making it more sensitive to membrane depolarization. Expression from different genes and alternative splicing produce a variety of these channels with different physiological properties.

Cyclic nucleotide–gated ion channels have six membrane-spanning segments with a P loop and a C-terminal cyclic nucleotide–binding domain homologous with bacterial cyclic nucleotide–binding proteins (Fig. 10-10). Four of these subunits, some of which may be different isoforms, form a functional channel. Binding of cyclic adenosine monophosphate (cAMP) to the cytoplasmic receptor domain opens a pore for Na+ and Ca2+ and depolarizes the membrane. Changes in cyclic nucleotide concentration provide a sharp on/off switch, as ligand must occupy at least three of the four subunits to open the channel. Ca2+ entering the cytoplasm binds to calmodulin associated with the N-terminal cytoplasmic part of the protein. This provides negative feedback to the channel.

Ion channels gated by intracellular cyclic nucleotides are particularly important in sensory systems, including olfaction (see Fig. 27-1) and vision (see Fig. 27-2). Odorant molecules stimulate olfactory sensory neurons by binding seven-helix receptors in the plasma membrane. These receptors work through trimeric γ-proteins to increase the cytoplasmic concentration of cAMP. cAMP opens cAMP-gated cation channels, depolarizes the membrane, and activates voltage-gated Na+ channels to fire an action potential. Visual transduction also uses a cyclic nucleotide–gated channel. Light activates a seven-helix receptor, leading to a decline in cytoplasmic cyclic guanosine monophosphate (cGMP). This closes cGMP-gated channels, hyperpolarizing the photoreceptor plasma membrane and reducing the secretion of neurotransmitter (see the next section).

Ion Channels Gated by Extracellular Ligands

Channels that are gated by chemicals mediate communication between nerve terminals and other nerves or muscles. This communication takes place at specializations called synapses, which facilitate chemical transmission (see Figs. 11-8 and 11-9). On the sending side, presynaptic terminals are specialized for exocytosis of chemicals called neurotransmitters, which they package in small synaptic vesicles. Neurotransmitters include acetylcholine, serotonin, glutamic acid, glycine, and γ-aminobutyric acid (GABA) (see Fig. 11-7). When an action potential arrives at a nerve terminal, voltage-gated Ca2+ channels admit Ca2+ to the cytoplasm, causing synaptic vesicles to fuse with the plasma membrane, releasing transmitter outside the cell. Transmitters diffuse to the postsynaptic membrane in micro-seconds.

On the receiving side, the transmitter activates ligand-gated ion channels in the postsynaptic membrane. Many of these receptor-channels appear to have diverged from a still mysterious common ancestor, but glutamate receptors had a separate origin in bacteria. Some ligand-gated channels trigger action potentials in the postsynaptic membrane by admitting cations, which drive the membrane potential toward threshold. Others inhibit action potentials by admitting Cl, which hyperpolarizes the postsynaptic membrane.

Stimulation of ligand-gated channels is transient because of an inactivating conformational change called desensitization and because neurotransmitters are rapidly removed from the synaptic cleft between the cells (see Figs. 11-8 and 11-9). An extracellular enzyme degrades acetylcholine. Carriers (see Chapter 9) remove all other neurotransmitters by pumping them back into the presynaptic cell.

Glutamate Receptors

Glutamate receptors depolarize the postsynaptic membrane when glutamate binding opens a cation channel that is permeable to both Na+ and K+ (see Fig. 11-9). This depolarization of the plasma membrane excites the cell by activating voltage-sensitive sodium channels to trigger an action potential. Eukaryotic glutamate receptor channels (Fig. 10-11) have an extracellular ligand-binding domain and four hydrophobic segments: M2 is a P loop between transmembrane helices M1 and M3. Four subunits form a channel with their P loops on the cytoplasmic side of the plasma membrane rather than outside, like KcsA and its many relatives. A change in the conformation of the extracellular domain induced by glutamate binding opens a pore through the middle of the channel. Successive binding of glutamate to each of the four subunits opens the pore in steps (although binding is usually too fast to resolve these partially open states).

Multiple genes, alternative splicing, and RNA editing (see Fig. 16-7) all provide a diversity of glutamate receptor subunits, which assemble into homomeric and heteromeric channels used in different parts of the nervous system. Three families of isoforms are sensitive to different pharmacologic agonists in addition to glutamate: N-methyl-d-aspartate (NMDA), α-amino-3-hydroxy-5-methyl-4-isoxazole propionate (AMPA), or kainate. NMDA receptors are more permeable to Ca2+ than to Na+ and K+. Because excess intracellular Ca2+ can be damaging, overstimulation of NMDA receptors by glutamate released from cells during strokes or constitutive activation of NMDA receptors by point mutations can kill nerve cells.

Eukaryotic glutamate receptor channels apparently originated in Bacteria by fusion of genes for a periplasmic amino acid–binding protein (similar to Escherichia coli glutamine-binding protein) and an S5/P/S6 potassium channel similar to KcsA. The domain organiza-tion of plant glutamate receptors is similar to that of animal brain glutamate receptors. Glutamate receptors participate in the response of developing plants to light.

Nicotinic Acetylcholine Receptor

The best-characterized ligand-gated channel is an excitatory cation channel—the nicotinic acetylcholine receptor from the plasma membrane of skeletal muscle cells. This receptor triggers action potentials that stimulate muscle contraction (see Figs. 11-8 and 39-14). It is called the nicotinic acetylcholine receptor because it also binds the tobacco alkaloid nicotine. Related nicotinic acetylcholine receptors in the central nervous system are the targets in tobacco addiction.

The muscle nicotinic acetylcholine receptor is a pentamer of four different, but homologous, subunits with the composition a2bge (Fig. 10-12). Each subunit has a large N-terminal extracellular segment, four transmembrane α-helices (M1 to M4), and a large cytoplasmic segment between M3 and M4. M2 α-helices from the five subunits line a central transmembrane pore like staves of a barrel. Hydrophobic side chains line this pore except for a few negative charges that may contribute to cation selectivity. Three other α-helices of each subunit separate the M2 helices from the surrounding lipid. The N-terminal segments of each subunit form massive extracellular domains, each folded into similar, highly twisted β-sandwiches. The α-subunits have deep cavities that bind acetylcholine.

Gating and ion selectivity of acetylcholine receptors differ in concept from the P-loop family of channels. In closed channels, the narrowest part of the closed pore is less than 7 Å in diameter, too small for hydrated K+ and Na+ ions, and the hydrophobic pore does not provide a passage for unhydrated ions. Acetylcholine binding to the two α-subunits changes the conformations of the extracellular domains, which rotate the M2 helices and open a channel that is more permeable to K+ and Na+ than to Ca2+. The resulting permeability to all three ions causes the membrane potential to collapse toward a reversal potential (see the section titled “Net Current through Ion-Selective Channels”) around 0 mV. This triggers voltage-gated Na+ channels to initiate a self-propagating action potential in the muscle plasma membrane with nearly 100% efficiency (see Fig. 11-8).

Muscle cells and some central nervous system neurons express more than two dozen different isoforms of nicotinic acetylcholine receptors, most with a mixture of subunits but some with five identical subunits.

Many toxins bind nicotinic acetylcholine receptors, blocking transmission of impulses between motor nerves and skeletal muscle (Table 10-1). -Bungarotoxin has been used to characterize the receptor. Curare is a powerful muscle relaxant that is used during surgery because it blocks acetylcholine-binding sites without opening the channel. Local anesthetics, such as procaine, bind within the channel and block ion conductance.

Some people produce autoimmune antibodies to nicotinic acetylcholine receptors, resulting in a disease called myasthenia gravis. When antibody binds to the receptor, the skeletal muscle internalizes the receptor, reducing its response to acetylcholine and causing weakness.

ClC Chloride Channels

Organisms ranging from bacteria to yeast and animals have genes for members of a large family of ClC chloride channels. ClCs control membrane excitability and contribute to volume regulation and epithelial transport. Like P-loop cation channels, ClCs are selective for a particular ion, Cl in this case, and are gated by the membrane potential. Nevertheless, P-loop cation channels and ClCs differ in evolutionary origins and structure.

ClC subunits are triangular transmembrane proteins formed from 18 α-helices (Fig. 10-13). These helices surround a pore that passes through the middle of each subunit, like the pores of ammonia channels (Fig. 10-14), aquaporins (Fig. 10-15), and porins (see Fig. 7-8C). Several helices around the pore extend only part way across the lipid bilayer. Highly conserved residues in the loops between these helices form the selectivity filter for Cl in the middle of the protein and the membrane bilayer. Two subunits associate tightly in the lipid bilayer, so each channel has two pores.

The best-known member of the family is ClC0 from skeletal muscle. Like voltage-gated cation channels, ClC0 channels open when the membrane depolarizes and subsequently inactivate. In contrast to cation channels, which have a single conductance state, active Cl channels conduct at two levels: 10 or 20 pS (picosiemens; see the section titled “Net Current through Ion-Selective Channels”). The pairing of two subunits, each with a pore capable of conducting at 10 pS, explains this behavior. When active, either one or both subunits conduct Cl. A negatively charged glutamate side chain is believed to block the pore of inactive channels and to swing out of the way in active channels. In an unexpected turn of events, physiological analysis of the bacterial ClC channel used for structural studies revealed many features of a carrier that exchanges Cl for H+ rather than features of a typical ion channel behavior like other members of this family. This is one of several examples of blurred distinctions among channels, carriers, and pumps.

Mutations in Cl channel genes cause several human diseases. Defective skeletal muscle ClC1 channels cause recessive and dominant myotonias. Mutations in kidney ClC5 channels predispose individuals to the formation of kidney stones.

Ammonia Channels

One ancient channel family evolved in early prokaryotes to conduct ammonia across the cell membrane. Ammonia can directly penetrate lipid bilayers, but these channels allow low concentrations of ammonia to serve as a source of nitrogen that prokaryotes use to synthesize proteins and nucleic acids. Bacteria, Archaea, and eukaryotes still depend on these channels. In humans, these channels conduct both ammonia and carbon dioxide across the plasma membranes of red blood cells, where they are known as Rh antigens (Box 10-1). These channels are also important for ammonia transport in the human kidney and liver.

Ammonia channels consist of three identical subunits, each composed of 11 transmembrane helices and having its own conducting pore (Fig. 10-14). These are the only known trimeric channels (Fig. 10-2). The interfaces between these subunits are tightly sealed, but each subunit has a narrow internal pore that is highly selective for ammonia and methylammonium. Chloride channels (Fig. 10-13) and aquaporins (Fig. 10-15) also have conducting pores through subunits rather than the more common strategy of forming pores at a central interface among subunits. Both substrates (ammonium NH4+ and methylammonium CH3NH3+) are charged in aqueous solution and must leave behind a proton to pass through the pore as uncharged species (NH3, CH3NH2). They pick up a replacement proton on the other side of the membrane as they exit the channel. Selectivity is achieved by the tight fit of the substrates in the hydrophobic pore and by transient formation of an unusual hydrogen bond within the pore. With millimolar ammonium on one side of a membrane, these channels conduct hundreds of ammonia molecules per second without leaking water, protons, or other charged species.

Water Channels

Water diffuses relatively slowly across lipid bilayers, so membranes are barriers to water movement unless the membranes contain water channels. Such channels were postulated years ago to explain the water permeability of certain cell membranes, but they eluded identification until investigators tested a small hydrophobic protein from red blood cells for water channel activity. When expressed in frog eggs, this protein made the eggs permeable to water, so they swelled and burst when placed in hypotonic media. Knowledge of this aquaporin rapidly led to the characterization of a family of related water channels from many species, including bacteria, fungi, and plants. A related channel transports glycerol across bacterial membranes.

Aquaporins provide highly permeable pores for water to cross membranes. Four identical subunits form a stable tetramer in the plane of the membrane (Fig. 10-15). Each subunit has a narrow pore that is selective for water passing through the middle of a bundle of α-helices. About 10 water molecules line up in a pore about 0.3 nm in diameter. Hydrogen bonding of waters with a pair of asparagine residues at a narrow point in the pore allows the channel to be selective for water. The two halves of the protein arose by a gene duplication, since their sequences are remarkably similar.

Osmotic pressure created by pumps, carriers, and the macromolecular composition of the cytoplasm drives water through aquaporins at rates exceeding 109 molecules per second. This explains why red blood cells rapidly swell and shrink passively, depending on the osmolarity of the surrounding fluid (see Fig. 7-6). Water channels have no gates, so they are open constitutively.

Various human tissues express 12 different aquaporin isoforms. Aquaporin-1 is found in red blood cells, renal proximal tubules, blood vessel endothelial cells, and the choroid plexus (which makes spinal fluid in the brain). A few humans carry mutations that inactivate aquaporin-1; remarkably, homozygotes have no symptoms, despite the low water permeability of their red blood cells (and presumably other tissues that depend on this isoform). Aquaporin-2 is required for renal collecting ducts to reabsorb water. A patient with inactivating mutations in both aquaporin-2 genes suffered from severe water loss, called nephrogenic diabetes insipidus. Antidiuretic hormone (vasopressin) controls the placement of aquaporin-2 in the collecting duct membrane. It activates a seven-helix receptor, causing cytoplasmic vesicles storing aquaporin-2 to fuse with the plasma membrane. This increases the permeability of apical plasma membranes to water, allowing it to move from the urine into the hypertonic extracellular space of the renal medulla. Reaction of sensitive cysteine residues with mercuric chloride closes the water pores of aquaporins. This explains how mercurials, used therapeutically as diuretics in the past, inhibit the reabsorption of water filtered by the kidney. The reversible inhibition of aquaporins with mercurials provides a test for their participation in physiological processes.

Aquaporins are also important in plants, which depend on water to maintain turgor and to expand cells in growing tissues. When the stomata in leaves open, water moves continuously from roots through xylem vessels and cells in tissues to exit from leaves as vapor. The movement across cell and tonoplast membranes depends on aquaporins. Water deprivation induces expression of tonoplast aquaporins in some plants and may provide a mechanism for plants to compete for water when it is scarce.

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Single-Channel Recordings with Patch Electrodes

Patch-clamp microelectrodes (Fig. 10-16A) provide the best way to characterize the behavior of individual channels. A small-diameter, fire-polished glass capillary is pressed onto the surface of a cell and suction is used to form a high-resistance seal (10 to -50 gigaohms). The membrane patch is small enough to contain just a few ion channels. The electrode becomes part of an electric circuit that can measure current or voltage across the membrane. The high-resistance seal between micropipette and membrane ensures that more electrical current (composed of ions) flows through a single open channel than leaks in around the side of the electrode. When a channel opens, a sensitive ammeter connected to the micropipette records the direction and magnitude of ion flow through the channel as an electrical current. Patch electrodes give direct information about both current and the time that individual channels spend open or closed.

Variations of the patch-clamp technique provide access to channel properties. Leaving the membrane patch on the cell (cell-attached configuration) reveals properties of the channels in their cellular context. Lifting the membrane patch off the cell (excised-patch configuration) exposes the cytoplasmic surface of the membrane to ions, enzymes, or second messengers that the investigator adds to the bath. Similarly, the investigator can test the effects of potential ligands, drugs, and ions in the micropipette.

APPENDIX 10-2 The Biophysical Basis of Membrane Potentials

The membrane potential arises from separation of charges across an insulating surface (Fig. 10-17). The lipid bilayer provides the insulation required to separate charges. Either pumps or channels can produce unpaired charges. Pumps that transport unpaired ions generate membrane potentials directly. Channels that pass un-paired ions can use ion concentration gradients across membranes to generate membrane potentials. The concentration gradient provides a diffusional force to drive ions through channels. Because channels are ion specific, an excess of charge builds up after very few ions cross a membrane. This excess charge creates a membrane potential and stops the net movement of additional ions across the membrane.

This discussion starts with a qualitative description of forces behind membrane potentials and then develops a quantitative account of membrane potentials with single or multiple types of ion channels.

Quantitative Relationships

The quantitative description of membrane potentials by the Nernst equation is the central concept of electrophysiology. This relationship between an ion concentration gradient and a balancing membrane potential is derived as follows, using K+ as an example.

The concentration gradient provides the first force. Jo is the rate (expressed in ions per second) of efflux through the K+-selective pore. Ji is the rate of influx. The fluxes are proportionate to the concentrations on the side from which the ions come. The ratio of these rates is equal to the ratio of the inside and outside K+ concentrations, Ki and Ko:

image

A typical cell has a Ki:Ko ratio of about 35.

The membrane potential provides a second force. A positive potential gives a positive ion a higher energy, driving it down the electrical gradient. A negative potential has the opposite effect. The difference in electrical energy per mole of ions is equal to zFE, where z is the valence (+1 for K+), F is the faraday constant (105 coulombs/mol), and E is the potential in volts. This difference in energy enters the equation for the flux ratio as an exponential term (the “Boltzmann factor”), with the electrical energy difference divided by the thermal energy:

image

where R is the gas constant and T is the absolute temperature.

The K+ fluxes in and out are equal when

image

This famous Nernst equation can be rearranged to give the equilibrium (Nernst) potential in terms of the ion concentrations.

image

RT is the thermal energy of a mole of particles. The ratio RT/zF has the dimensions of voltage and provides the electrical potential that gives a mole of charged particles with valence z an electrical energy (zFE) equal to the thermal energy (RT). At physiological temperatures, its value is about 25 mV for univalent ions where z = 1. The ratio of RT/zF establishes the range of potentials (tens of millivolts) that occur in cells.

Another form of the Nernst equation is more convenient. Since ln(x) = 2.3 log(x) and 2.3 RT/F = 60 mV at 30°C, the Nernst equation can be rewritten as

image

Thus, the membrane potential is -60 mV when the K+ concentration inside is 10 times the concentration outside.

Nernst Potential for Various Ions

The Nernst potential can be calculated for each ion known to have a selective channel in cell membranes: Na+, K+, Ca2+, and Cl (Fig. 10-18). Given physiological gradients of these ions across the plasma membrane, the membrane potential could range from -98 to +128 mV, depending on which channels are open. In resting cells, only K+ channels are open, so the resting membrane potential is close to EK. Thus, variation of extracellular K+ concentration changes the membrane potential. In vertebrates, the normal extracellular K+ concentration is about 4 mM, but it varies from 2 mM to >8 mM in disease states. This fourfold variation in Ko changes the membrane potential by 30 to 37 mV, enough to affect cellular processes that are sensitive to the membrane potential. Other channels open and close selectively in response to extracellular or intracellular ligands, membrane potential, physical forces, or other factors (see text). Selective activation of channels is responsible for action potentials and other behavior of excitable membranes (see Fig. 11-6).

Net Current through Ion-Selective Channels

Another way to describe ionic current across a membrane is

image

where eo is the elementary charge. The dependence of current on membrane potential for real channels is complicated (Fig. 10-17B), so electrophysiologists approximate this current-voltage relationship of channels by a linear relationship, such as Ohm’s law (E = IR):

image

where g is conductance (inverse of resistance) and Eion is the reversal potential of a particular ion channel (the potential at which current reverses from out to in). For perfectly selective pores, the reversal potential for each ion equals its Nernst potential, even in the face of other ionic gradients. The unit used for current is siemens (equivalent to 1 ampere per volt). Most channels have currents in the picosiemens range (10−12 S).

For a simple pore, a plot of current versus mem-brane potential is linear, with no current at Eion; real channels are more complicated. Typical plots of current versus voltage deviate from a straight line. This is called rectification. Deviation may be attributable to voltage-dependent conformational changes in the channel protein or to nonpermeant ions blocking the pore.

Each channel contributes independently to the total current, so given n channels on a cell membrane, the total current is

image

Opening Na+ and K+ channels has opposite effects because the ion concentration gradients are reversed. The Nernst potential for Na+ is about +65 mV in a typical cell, given a 10-fold excess of Na+ outside the cell. Current through an Na+ channel is negative (i.e., inward) at membrane potentials below ENa. Thus, if a Na+ channel opens on a cell in which E equals 0, the membrane potential rises toward ENa.

Consequence of Multiple Channel Types Opening Simultaneously

More than one type of open channel creates a situation more complicated than the equilibrium described by the Nernst potential for a single-ion species (Figs. 10-18 and 10-19). Consider a cell with physiological ion gradients and two channels—one open K+ channel and one open Na+ channel—having conductances of gK and gNa. The total current through these two channels is the sum of the individual currents:

image

Figure 10-19 membrane potential and currents across a membrane with two types of channels. A, Dependence of currents on membrane potential resulting from opening either K+ channels or Na+ channels individually or together. In contrast to Figure 10-17, which shows ion fluxes in each direction, this is a plot of net current. EK and ENa are the equilibrium potentials (zero current) when only potassium or sodium channels are open. When both types of channels are open, the equilibrium potential (Eeff) is midway between the equilibrium potentials of the two types of channels. B, Distribution of positive (red) and negative (blue) ions across the plasma membrane and around a cell having a negative membrane potential. Excess negative charge builds up near the inside of the membrane, with the excess positive charge near the outside.

image

Note from this relationship that current is zero at the midpoint between EK and ENa, and the line has twice the slope of a single channel (i.e., twice the conductance).

Which channel predominates? The equation for Itotal can also be written as

image

where the effective conductance geff and reversal potential Eeff are given by

image

and

image

The two channels together act like a single channel with an effective conductance equal to the sum of their conductances and a reversal potential that is the weighted average of their reversal potentials, that is, weighted by their relative conductances (Fig. 10-19A).

Goldman, Hodgkin, and Katz formulated another equation for E. It uses permeability (P, in units of cm/sec) to describe the membrane potential:

image

This equation summarizes the concepts presented here about membrane potentials. Just two factors determine the membrane potential: (1) the concentration gradients of different ions (e.g., the Nernst potentials for each ion) and (2) the relative permeabilities of the membrane to these ions. When all Na+ and Cl channels are closed (PNa, PCl = 0), the equation reduces to the Nernst relationship for K. When all K+ and Cl channels are closed (PK, PCl = 0), the equation collapses to the Nernst relationship for Na+.

In nerve cells, the resting membrane is most permeable to K+ but also slightly permeable to Na+, so the resting potential is near EK. Opening more K+ channels or lowering extracellular K+ makes the resting potential more negative. Opening more Na+ channels or raising extracellular Na+ makes the resting potential more positive.