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Calcium-gated potassium channel blockade via membrane-facing fenestrations
Chen Fan1,2, Emelie Flood3,4, Nattakan Sukomon1
1Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA.
Quaternary ammonium blockers access potassium channels through membrane fenestrations, not just the intracellular entryway. This discovery offers new strategies for selectively targeting large-conductance calcium-activated (BK) channels.
Area of Science:
- Biophysics
- Structural Biology
- Molecular Pharmacology
Background:
- Large-conductance calcium-activated (BK) channels are crucial ion channels implicated in various physiological processes.
- Quaternary ammonium blockers are known to inhibit BK and MthK channels in both open and closed states.
- Previous models assumed blocker entry via the intracellular entryway, posing challenges for understanding closed-state channel block.
Purpose of the Study:
- To investigate alternative pathways for quaternary ammonium blocker access into closed potassium channels.
- To determine the role of membrane-facing fenestrations in blocker binding to BK and MthK channels.
- To explore novel strategies for selective drug targeting of BK channels.
Main Methods:
- Utilized atomistic free energy simulations to model blocker-channel interactions.
- Investigated a mutant MthK channel with narrowed fenestrations.
- Compared blocker sensitivity between wild-type and mutant channels.
Main Results:
- Demonstrated that intracellular blockers access the MthK channel pore through membrane-facing fenestrations.
- Showed that a mutant channel with narrower fenestrations exhibited no closed-state block by TPeA.
- Identified similar fenestrations in apo BK channels, suggesting a conserved access pathway.
Conclusions:
- Membrane fenestrations serve as a non-canonical pathway for blocker access into closed potassium channels.
- This finding challenges previous assumptions about blocker entry mechanisms.
- The fenestration pathway provides a novel target for developing selective drugs for BK channels.
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