Inactivation-deficient mutant reveals two conformational states involved in the use-dependent ttx blockade of human cardiac na+ channel. Dumaine, Robert, Hali A. Hartmann. Departments of Molecular Physiology and Biophysics, Baylor College of Medicine, Houston TX 77030
APStracts 2:0483H, 1995.
We used a fast inactivation deficient mutant (QQQ) of the human heart sodium channel [alpha]-subunit (hH1a) to assess the influence of the inactivation gate on TTX use-dependent block (UDB) and post -repolarization block (PRB). Post-repolarization block had similar time courses in both channels, suggesting no direct interaction of the inactivation gate with the TTX binding site. The use-dependent block in hH1a saturated with high concentrations of TTX while it did not in QQQ, revealing the modulatory action of fast inactivation on UDB. TTX did not stabilize the inactivated states of QQQ and the extra-block developing during long depolarizations suggest a higher affinity site involved in the gating of the channel. These results cannot be solely explained by a slow recovery from the block in the inactivated states. They suggest a common use-dependent block mechanism for hH1a and QQQ, involving a high affinity site. We propose that an activated state is primarily responsible for UDB during short depolarization, in the range of the action potential plateau, and that fast inactivation modulates the accessibility of the toxin to this site.

Received 10 November 1994; accepted in final form 12 October
1995.
APS Manuscript Number H1003-4.
Article publication pending Am. J. Physiol. (Heart Circ. Physiology).
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on 6 November 95