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Copyright © 2008 The Biophysical Society. All rights reserved.
Biophysical Journal, Volume 95, Issue 5, 2254-2264, 1 September 2008

doi:10.1529/biophysj.107.128371

Channels, Receptors, and Electrical Signaling

Gating Consequences of Charge Neutralization of Arginine Residues in the S₄ Segment of K_v7.2, an Epilepsy-Linked K⁺ Channel Subunit

Francesco Miceli^*, Maria Virginia Soldovieri^*, Ciria C. Hernandez^†, Mark S. Shapiro^†, Lucio Annunziato^* and Maurizio Taglialatela^*, ‡, ,  

^* Section of Pharmacology, Department of Neuroscience, University of Naples Federico II, Naples 80131, Italy
^† Department of Physiology, University of Texas Health Science Center, San Antonio, Texas 77229
^‡ Department of Health Science, University of Molise, Campobasso, Italy

Address reprint requests to Maurizio Taglialatela, Division of Pharmacology, Dept. of Neuroscience, School of Medicine, University of Naples Federico II, Ed. 19, Via Pansini 5, 80131 Naples, Italy. Tel.: 39-081-7463310/3318; Fax: 39-081-7463323.

Potassium (K⁺) currents play critical roles in a wide range of physiological processes such as the propagation of electrical signals by nerve cells, muscle contraction, cell volume regulation, and secretion of hormones and neurotransmitters 1. A wide variety of K⁺ currents has been described, each showing distinct tissue distribution and subcellular localization, often with peculiar biophysical, pharmacological, and modulatory properties. Several factors are involved in generating such extraordinary functional heterogeneity; the primary factor involves the large diversity in genes encoding for K⁺ channel subunits.

In voltage-gated K⁺ channels (K_v channels), which represent the largest family of K⁺ channels, specific conformational transitions triggered by membrane potential changes regulate the probability of channel opening. The K_v channels assemble as tetramers of identical or compatible subunits, each containing six transmembrane segments (S₁–S₆). Within each subunit, the S₅–S₆ domain contributes to the formation of the ion-selective pore and the inner pore gate, whereas the S₁–S₄ region forms the voltage sensor domain (VSD).

The recently solved structure of three bacterial nonvoltage-gated K⁺ channels, KcsA 2, MthK 3,4, and KirBac1.1 5, whose membrane core of each subunit only contains the regions corresponding to the S₅–S₆ domain and the intervening linker, has provided a valuable structural model to explain the molecular mechanisms of ion permeation, selectivity, and pore opening/closing behavior. In K_v channel subunits, pore opening is controlled by the VSD domain. Within this region, a critical gating role has traditionally been assigned to the S₄ segment that contains several positively charged residues spaced by mostly hydrophobic residues, and whose movement through the membrane electric field appears to represent the first gating transition in response to changes in membrane voltage 6,7. The crystal structure of the first voltage-gated K⁺ channel subunits containing six transmembrane segments including a VSD, i.e., the bacterial K_vAP 8 and the mammalian K_v1.2 9,10, seems to support such a view, although the intimate details of such movement, including the position of the VSD in the closed-channel configuration, the extent of VSD dislocation during activation (ranging from 2Å to 15–20Å), the relative role of the hydrophobic membrane interface, and the coupling of such movement to the inner pore gate, remain highly controversial 11.

Because of their fundamental role in regulating cellular excitability and ion distribution across the plasma membrane, K_v channels are implicated in several human disease conditions, including epilepsy, pain, migraine, arrhythmias, sensory dysfunction, and metabolic illnesses. In particular, mutations in four of the five members of the K_v7 gene family (K_v7.1–K_v7.5) were associated with human channelopathies. Thus, gene defects affecting K_v7.1, which is mainly expressed in the heart, gastrointestinal epithelia, and inner ear, but not in the brain, are responsible for the chromosome 11-linked form of long QT syndrome, whereas those targeting K_v7.4 were found in families affected by a rare form of nonsyndromic autosomal-dominant hearing loss (DFNA2). Mutations in K_v7.2 and more rarely K_v7.3 genes were identified in families affected by an autosomally dominantly inherited epilepsy of the newborn defined as benign familial neonatal seizures (BFNS). Neuron-specific K_v7.2 and K_v7.3 subunits can form either homomeric or heteromeric K⁺ channels underlying the so-called M-current (I_KM) 12, a K⁺ current which regulates neuronal excitability, functioning as a brake for repetitive action potential firing and as a major determinant of spike frequency adaptation 13. It is widely thought that mutation-induced reduction in I_KM function can increase neuronal excitability, leading to epileptic phenotypes. Consequently, I_KM is regarded as a primary target for pharmacological intervention against hyperexcitability diseases 14,15.

Disease-causing mutations often indicate functionally relevant domains in the proteins affected. In K_v7.2, most BFNS-causing mutations are localized either in the large C-terminal domain, a critical region for subunit assembly and channel regulation by intracellular molecules, and in the VSD. In the VSD, mutations causing the substitution of two arginine (R) residues at positions 207 and 214 with tryptophan (W) were described in BFNS patients, highlighting their key role in K_v7.2 subunit function 16,17.

In this study, mutagenesis, macroscopic and single-channel electrophysiology, and molecular modeling experiments were performed to evaluate the role of each of the six R residues present in the S₄ segment in the gating of K_v7.2 channels, by replacing them individually with neutral glutamines (Q). Moreover, to clarify the possible role of steric bulk of the residues introduced at positions 207 and 214 in BFNS pathogenesis, the properties of the channels carrying smaller Q residues at positions 207 and 214 were compared with those of channels in which the same positions were occupied by bulkier W residues.

Mutations were engineered in human K_v7.2 cDNA (cloned into pcDNA3.1) by sequence overlap extension polymerase chain reaction (PCR), using Pfu DNA polymerase, as previously described 17. After PCR, mutation-containing fragments were cloned into K_v7.2, using NotI and PmlI restriction enzymes. All sequences were verified with the Big Dye Terminator Cycle Sequencing Kit in an ABI Prism 310 automated sequencer (Applied Biosystems, Foster City, CA). Wild-type (wt) and mutant cDNAs were expressed in Chinese hamster ovary (CHO) cells by transient transfection. The CHO cells were grown in 100-mm plastic petri dishes in DMEM containing 10% fetal bovine serum, nonessential amino acids (0.1mM), penicillin (50 U/mL), and streptomycin (50μg/mL) in a humidified atmosphere at 37°C with 5% CO₂. For electrophysiological experiments, cells were seeded on glass coverslips (Carolina Biological Supply Company, Burlington, NC) and transfected the next day, using Lipofectamine 2000 (whole-cell recordings; Invitrogen, Milan, Italy) or Polyfect (single-channel recordings; Qiagen, Valencia, CA), according to the manufacturer's protocols. A plasmid encoding for enhanced green fluorescent protein (Clontech, Palo Alto, CA) was used as a transfection marker, with total cDNA in the transfection mixture kept constant at 4μg.

Currents from CHO cells were recorded at room temperature (20–22°C) 1 day after transfection, with an Axopatch 200A (Molecular Devices, Union City, CA), using the whole-cell configuration of the patch-clamp technique, with glass micropipettes of 3–5 MΩ resistance. The extracellular solution contained (in mM): 138 NaCl, 2 CaCl₂, 5.4 KCl, 1 MgCl₂, 10 glucose, and 10 HEPES, pH 7.4, with NaOH. The pipette (intracellular) solution contained (in mM): 140 KCl, 2 MgCl₂, 10 EGTA, 10 HEPES, 5 Mg-ATP, 0.25 cAMP, pH 7.3–7.4, with KOH. We used pCLAMP software (version 6.0.4, Molecular Devices) for data acquisition and analysis. To generate conductance/voltage (G/V) curves, cells were held at −80mV and then depolarized for 3s from −80 to +20/+70mV in 10-mV increments, followed by an isopotential pulse at 0mV of 350-ms duration. Current values recorded at the beginning of the 0-mV pulse were normalized and expressed as a function of the preceding voltages. The data were fit to a Boltzmann equation of the following form: y=max/[1+exp(V_1/2-V)/k], where V is the test potential, V_1/2 is the half-activation potential, and k is the slope factor. To analyze current-activation kinetics, the current traces recorded in response to incremental voltage steps were fitted to a single-exponential function of the following form: y=amp exp(−t/τ)+c, where amp indicates the amplitude of the exponential component, and τ indicates the time constant. The tetraethylammonium (TEA) blockade was quantified by measuring the percentage of current inhibition at 0mV produced by a 2-min drug application.

For single-channel recordings, channel activity in cell-attached patches was measured 48–96h after transfection. Pipettes had resistances of 7–15 MΩ when filled with a solution that contained (in mM): 105 NaCl, 50 KCl, 2 CaCl₂, 1 MgCl₂, and 10 HEPES, pH 7.4, with NaOH. Cells were bath-perfused with a solution containing (in mM): 175 KCl, 4 MgCl₂, and 10 HEPES, pH 7.4, with KOH. This high (K⁺) solution served to clamp the resting membrane potential near 0mV. Recording and analysis methods were similar to those described previously 18,19. Currents were recorded using an Axopatch 1-D amplifier (Molecular Devices). The data were acquired using Pulse software (HEKA Electronik, Lambrecht, Germany), sampled at 5kHz, and filtered at 500 or 200Hz. Single-channel data were analyzed using PulseFit and TAC (Bruxton, Seattle, WA). Open and closed events were analyzed using the “50% threshold criterion.” All events were carefully checked visually before being accepted. Open probability (p_o) histograms were generated using TACFit (Bruxton). The total number of channels in a given patch was estimated on the basis of two common assumptions: 1), that all of the channels in a patch behaved in an identical manner, i.e., they were homogeneous; and 2), that the P_o of one channel did not depend on the gating state of the other(s), i.e., they were independent. Under these assumptions, only one channel in the patch was considered to be present if no superimposed openings were observed for a sufficiently long period of time that depended on the P_o of any given channel. In the case of multiple channels in the patch, the number of open channels was governed by the binomial distribution 20. In our case, we evaluated the total number of channels in the patch by continuously recording for >1min at strongly depolarized potentials, at which P_o was the highest (∼0.2). Using this method, we estimated a maximal error rate of 3.8%, which is within the error of the pooled measurements. When superimposed openings were observed, the total number of channels in the patch was estimated from the maximal number of superimposed openings. At any given potential, the single-channel amplitude (i) was calculated by fitting all-point histograms with single or multi-Gaussian curves. The difference between fitted “closed” and “open” peaks was taken as i. Distributions of open and closed times were logarithmically binned and fitted with exponential densities by the method of maximum likelihood, as previously described 18. Single-channel conductance was calculated from the slope of the I/V chord fitted by linear regression, using GraphPad Prism version 4.0 for Windows (GraphPad Software, San Diego, CA).

Three-dimensional models of wt and mutant K_v7.2 subunits were generated by homology modeling, using known structures of K_v channel subunits available in the Protein Data Bank (PDB), using SWISS-MODEL, a program that performs automated sequence-structure comparisons 21. The model generated was analyzed using both the DeepView module of the Swiss-PDBViewer (version 3.7, available at http://www.expasy.ch/spdbv/) and PyMOL (available at http://pymol.sourceforge.net/).

The K_v7.2 subunit sequence showed homology with a recently described chimeric channel in which the voltage-sensor paddle (corresponding to the S_3b–S₄ region) of K_v2.1 was transferred into the Kv1.2 subunit 22 (PDB accession number 2R9RH; 29% of sequence identity) and to K_v1.2 10 (PDB accession number 2A79B; 26% of sequence identity). In this study, the homology model was built using the 2R9RH structure as template.

Data are expressed as mean±SE. Statistically significant differences between data were evaluated using Student's t test.

The upper panel of Fig. 1 shows a schematic representation of a single K_v7.2 subunit, indicating the six transmembrane segments, the intervening linkers, and the intracellular N and C termini. An alignment of the primary sequence of S₄ and surrounding regions of all K_v7 family members and other K⁺ channel subunits is shown in the lower part of Fig. 1, revealing a variable number of positive charges, ranging from seven in Shaker, six in K_v7.2–7.5 channels, and only four in K_v7.1 subunits. Each of the six charged arginine residues is numbered from R1 to R6 according to their relative position in the linear sequence. For K_v7.2, the six R residues corresponded to residues R198, R201, R207, R210, R213, and R214. In all K_v7 subunits, the positively charged R corresponding to position 204 in K_v7.2, which is located in the middle of the S₄ segment and is highly conserved in most ion channel subunits, is replaced by an uncharged Q residue. To investigate the relative contribution of each S₄ R residue in K_v7.2vol.age-dependent gating, we engineered mutant constructs in which each of the six R residues was replaced with Q, thus generating the mutant subunits which were named R1Q, R2Q, R3Q, R4Q, R5Q, and R6Q (corresponding to the mutations R198Q, R201Q, R207Q, R210Q, R213Q, and R214Q, respectively). These constructs were expressed in CHO cells, and the functional properties of the channels generated were measured using the whole-cell configuration of the patch-clamp technique.

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Figure 1

Schematic topology of a K_v7.2 subunit and sequence alignment of the S₄ region among voltage-gated K⁺ channels. Shaded area corresponds to the S₄ sequence. On top of the K_v7.2 sequence, amino-acid substitutions associated with BFNS are shown. Below the K_v7.2 sequence are the positions and nomenclatures of the mutations investigated.

Cells heterologously expressing homomeric K_v7.2 subunits (wtK_v7.2) displayed voltage-dependent, K⁺-selective currents characterized by a rather slow time course of activation and deactivation, and a threshold for current activation around −60mV (Fig. 2). When conditioning depolarizing pulses from −80mV to +20mV were followed by an isopotential test pulse to 0mV (as described in Materials and Methods), the instantaneous current amplitude of the test pulse was saturated at 0mV. Heterologous expression of all homomeric K_v7.2 subunits carrying the indicated mutations in S₄ yielded currents comparable in size to the currents recorded from cells expressing wtK_v7.2 channels. The current density, expressed in pA/pF, and measured at potentials in which the conductance was saturated (+20/+70mV, see below), was 50±6, 35±12, 46±12, 47±8, 40±10, 41±13, and 33±7 for wtK_v7.2, R1Q, R2Q, R3Q, R4Q, R5Q, and R6Q, respectively (n=6–18). As expected, all of the mutant channels retained their selectivity for K⁺ over Na⁺ ions. Using standard intracellular and extracellular recording solutions (see Materials and Methods), the current reversal potentials (expressed in mV) were −78±1, −76±1, −79±1, −77±1, −75±1, −75±1, and −79±1, for wtK_v7.2, R1Q, R2Q, R3Q, R4Q, R5Q, and R6Q, respectively (n=3–8).

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Figure 2

Representative current traces of wt and R1Q, R3Q, R4Q, R5Q, and R6Q K_v7.2 mutants expressed in CHO cells. Each family of currents was recorded from a different cell held at −80mV and then depolarized for 3s from −120 to +20/+70mV in 10-mV increments, followed by an isopotential pulse at 0mV of 350-ms duration. For each set of recordings, arrows indicate current traces corresponding to the threshold potential and the 0-mV pulse. Current scale, 200 pA; timescale, 0.2s.

The voltage dependence of activation was markedly affected in K_v7.2 channels carrying the neutralization of each of the S₄ R residues (Fig. 2). In particular, when compared to wt channels, the currents carried by the R1Q mutant K_v7.2 channels activated at lower membrane potentials, and were already significantly activated at the holding potential of −80mV. In fact, hyperpolarizing pulses from −80mV to −120mV caused the R1Q channels to deactivate, generating inwardly directed currents that relaxed toward zero. Moreover, during the isopotential test pulse to 0mV that followed the conditioning pulses from −120mV to +20mV, the instantaneous currents saturated at conditioning pulses below −20mV. On the other hand, homomeric R3Q, R4Q, R5Q, and R6Q channels displayed currents with more positive activation thresholds. The R5Q mutant displayed the most dramatic effect, whereas the R6Q mutant was only slightly different from wtK_v7.2 channels.

To quantify the relative changes prompted by each of the S₄ mutations on the voltage dependence of the activation of K_v7.2 channels, we plotted the normalized current amplitudes at the start of the 0-mV isopotential pulse as a function of membrane potential (Figure 3A). These data were fit to a Boltzmann equation to obtain the half-activation potential (V_1/2; Figure 3B) and the slope factor (k; Figure 3C) for each channel type. The resulting V_1/2 values (expressed in mV) were −39.5±1.2, −66.0±2.3, −16.9±2.7, 0.0±3.6, 24.8±3.1, and −5.5±1.7, for channels composed of wt, R1Q, R3Q, R4Q, R5Q, and R6Q K_v7.2 subunits, respectively. The k values (expressed as mV/e-fold) were: 10.7±0.6, 13.4±0.7, 11.3±0.6, 16.9±1.0, 13.1±0.9, and 13.3±1.0, for channels composed of wt, R1Q, R3Q, R4Q, R5Q, and R6Q K_v7.2 subunits, respectively. Collectively, these results suggest that each of the R residues in the K_v7.2 S₄ segment plays an important role in channel gating. In particular, neutralization of the R1 residue located at the N-terminal end of S₄ caused a hyperpolarizing shift in the voltage dependence of activation, whereas neutralization of the R3, R4, R5, and R6 residues, positioned toward the C-terminal end of the S₄ segment, caused gating changes in the opposite direction, i.e., a positive shift of the voltage dependence of activation.

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Figure 3

Analysis of gating properties of wt and R1Q, R3Q, R4Q, R5Q and R6Q K_v7.2 channels. (A) Steady-state activation curves, obtained by plotting normalized currents at the beginning of the 0-mV pulse as a function of the preceding conditioning potential. Continuous lines represent Boltzmann fits of the experimental data. V_1/2 (expressed in mV, B) and k (expressed in mV/e-fold, C) values obtained for each indicated channel from the analysis of the data in A. *Values significantly different (p<0.05) from the corresponding value of wtK_v7.2 channels.

The S₄ mutants described so far displayed varying shifts in the voltage dependence of activation, but all still behaved qualitatively similar to wtK_v7.2 channels. However, the replacement of the R2 residue with a glutamine residue (R2Q) unexpectedly yielded channels that displayed a significant loss of time-dependent kinetics (Figure 4A). The R2Q channels behaved as K⁺-selective leak channels that were largely open at all test potentials. Indeed, the recorded R2Q currents had a reversal potential of a K⁺-selective pore (−79±1mV). When the normalized current amplitudes, measured at the end of test pulses from −120mV to +40mV, were plotted against the membrane potential for R2Q K_v7.2 channels, the I/V was completely linear within the potential range from −120mV to −20mV, suggesting that the channels carrying the R2Q mutation largely lost their voltage-dependent gating (Figure 4B). Using the same protocol, the normalized I/V of wtK_v7.2 channels failed to show an inward current component at potentials more negative than −60mV, because of the strong tendency of channels to close at such potentials (Figure 4B). A slight inward rectification of the I/V relationship, suggestive of a decrease in conductance at depolarizing pulses more positive than −20mV, was observed for R2Q channels (Figure 4A), and was similarly observed in wtK_v7.2 channels studied at the macroscopic or single-channel level 18,19.

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Figure 4

Biophysical and pharmacological properties of mutant R2Q K_v7.2 channels. (A) Representative current traces recorded using a voltage protocol in which the cell was held at −80mV and then depolarized for 1.5s from −120 to +40mV in 20-mV increments, followed by an isopotential pulse at 0mV of 350-ms duration. Below the traces is a schematic drawing of the voltage pulse protocol applied. A₁ and A₂ values refer to the beginning and end of 0-mV pulses, where current amplitudes were measured to calculate the time-dependent component (A₂–A₁/A₂). (B) Plot of instantaneous currents normalized at the value obtained at −20mV for both wt (squares, n=20) and R2Q (circles, n=10) K_v7.2 channels. (C) Currents from CHO cells expressing R2Q K_v7.2 channels were recorded using 2-s voltage steps to 0mV, delivered at a frequency of 0.1Hz from a holding voltage of −80mV. As indicated, the cell was sequentially exposed to control solution (C) and to 0.3, 3, 30, and 100mM TEA_e (each for ∼2min), followed by washout (W). In both A and C, the current scale is 100 pA, and the timescale is 0.1s.

To estimate the fraction of the current displaying slow time-dependent activation at depolarizing voltages in R2Q channels, we measured the current amplitudes at the beginning (A₁, Figure 4A) and end (A₂, Figure 4A) of the 0-mV pulse (350-ms duration), delivered after prepulses to −120 or −100mV. When averaging these values from several cells, we found the A₂–A₁/A₂ ratio to be 9.1%±1.0% (n=4) and 6.9%±1.1% (n=18) of the total current, respectively. This result suggested that a rather small fraction of the R2Q macroscopic current retained time-dependent kinetics; more than 90% of the macroscopic current between −120mV and 0mV appeared to be completely time-independent. We were unable to verify whether hyperpolarizing pulses more negative than −120mV caused further R2Q channel deactivation because of the poor patch stability after long pulses at these negative voltages.

To confirm that these time-independent currents were carried by mutant R2Q K_v7.2 channels, we tested their sensitivity to the pore-blocker tetraethylammonium, applied extracellularly (TEA_e). Homomeric wtK_v7.2 channels are highly sensitive to TEA_e12. Perfusion with increasing concentrations of TEA_e (0.3–100mM) caused a similar dose-dependent and reversible blockade of currents in cells expressing wt or R2Q K_v7.2 channels (Figure 4C). The percentage of current blocked at 0mV in homomeric wt and R2Q K_v7.2 channels was 63%±9% and 57%±3%, respectively, using 0.3mM TEA_e, and 89%±2% and 88%±2%, respectively, using 3mM TEA_e (n=5). The similar TEA_e sensitivity of wt and R2Q mutant K_v7.2 channels strongly suggested that the observed time- and voltage-independent currents are effectively carried by mutant R2Q K_v7.2 channels, and that the mutation did not affect the pore properties of these channels.

Given the dramatic gating changes observed in macroscopic current recordings from R2Q K_v7.2 channels, we performed single-channel measurements to evaluate the effects of the mutation on channel p_o and opening/closing kinetics as a function of voltage, as well as on single-channel conductance. To this end, we used the cell-attached configuration to avoid possible perturbations of the intracellular milieu, and to retain intact the biochemical machinery required for channel modulation 23. We used a pipette (extracellular) solution containing 50mM K⁺ to shift the equilibrium potential for K⁺ ions to about −30mV, allowing us to measure both inward and outward currents, using pulse or ramp protocols from hyperpolarized (−100/−80mV) to depolarized (0/+40mV) potentials.

Figure 5A shows representative recordings obtained from wt and R2Q K_v7.2 channels, both using ramp (Fig. 5, top) and pulse (Fig. 5, bottom) voltage protocols. When the membrane voltage was ramped from −100mV to +40mV, openings of wtK_v7.2 channels were only detected in the outward direction (above −30mV). In contrast, openings of R2Q channels were recorded throughout the entire voltage range, in both the inward and outward directions, according to changes in the driving force predicted for membrane potential. Similar results were also obtained using pulses to −80mV or 0mV. The p_o of wtK_v7.2 channels was unmeasurable at −80mV (because no openings were detected), and reached a maximal value of 0.17±0.01 (n=14) at a depolarized potential of 0mV. Consistent with previous work 18,19, such p_o values did not increase with further membrane depolarization (data not shown). Interestingly, the p_o recorded at 0mV from the R2Q mutant K_v7.2 channel was similar to that obtained from wt channels at the same potential. Moreover, we were unable to detect statistically significant differences in p_o values measured between −80mV or 0mV in R2Q mutant K_v7.2 channels (Figure 5B), a result consistent with the marked loss of voltage dependence observed in macroscopic current recordings within the same voltage range. Kinetic analysis of homomeric K_v7.2 channels, similar to heteromeric K_v7.2/K_v7.3 channels and native I_KM, suggest the presence of at least three shut and two open states 18. The distributions of shut and open times obtained from single R2Q mutant K_v7.2 channels was also adequately fitted by three and two exponentials, respectively, at both −80mV and 0mV of membrane potentials. As shown in Table 1, the time constants for each of the three closed states (τ_c1, τ_c2, and τ_c3) and the two open states (τ_o1 and τ_o2), as well as their relative contributions, were unaltered between −80 and 0mV, again supporting the dramatic loss of channel voltage dependence observed for K_v7.2 R2Q channels within this voltage range.

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Figure 5

Single-channel properties of wt and R2Q K_v7.2 channels. (A, top) Representative single-channel traces recorded using a ramp voltage protocol (from −100mV to+40mV; 3-s duration). (Bottom) representative single-channel sweeps obtained using pulses to the indicated potentials (−80mV and 0mV). (B) Plot of open probability obtained at −80mV and 0mV, as indicated (n=8–14 patches for each data set). (C) Plot of unitary current-voltage relationships of single wt and R2Q K_v7.2 channels. Straight lines represent linear fits of experimental data. Each data point derives from the analysis of 5–7 patches. Current scale, 0.5 pA; timescale, 0.5s.

Finally, despite these marked changes in voltage dependence of p_o, single-channel K⁺ conductance was not affected by the mutation, at 20.8±1.2 pS and 21.2±0.4 pS for wt and R2Q K_v7.2 channels, respectively (n=6), further arguing against a significant effect of the mutation on the conduction pathway of the K_v7.2 channel (Figure 5C).

The S₄ region in K_v7.2 is a “hot spot” for mutations responsible for BFNS. In fact, both uncharged and charged substitutions were identified in several families affected by the disease; these are indicated above the sequence alignment shown in Figure 1A. In particular, Dedek et al. 16 described the substitution of the R3 residue with a tryptophan (W) in a family affected by an unusual association of BFNS and neuromuscular abnormalities (myokymia). In another BFNS family, Castaldo et al. 17 found a mutation involving the R to W replacement at position R6. In addition, while this work was in preparation, a family affected by peripheral-nerve excitability (but not BFNS) that carried the R3Q mutation in K_v7.2 was described 24. To ascertain whether the previously described functional consequences introduced in K_v7.2 channels by the R3Q and R6Q mutations are only related to the loss of the positive charge of the R residue or to the specific properties of the side chains of the R-replacing amino acid, we compared the properties of the macroscopic currents of Q-substituted (R3Q and R6Q) and W-substituted (R3W and R6W) R3 or R6 residues in K_v7.2 channels, using the whole-cell configuration of the patch-clamp technique.

The results suggest that significant differences exist when K_v7.2 channels carrying the R3Q and the R3W substitutions are compared, with respect to both activation kinetics and steady-state properties. Although both substitutions caused a depolarizing shift in the midpoint potentials (V_1/2) of steady-state activation, the effect was more dramatic when the R3 position was occupied by a W compared with the R3Q substitution (Fig. 6). Moreover, the activation kinetics were very different. The fitting of current traces recorded at +20mV to a single exponential function yielded activation time constants of 100±4ms for wt, 255±42ms for R3Q, and 1166±260 for Q3W K_v7.2 channels (n=5). These results clearly suggest that, at position R3, both charge and side-chain size influence the gating properties of K_v7.2.

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Figure 6

Comparison between gating properties of K_v7.2 channels carrying Q- or W-substituted R3 or R6 residues. (A) Representative current traces recorded using same voltage protocol described in Fig. 2. Insets, Comparisons of initial parts of normalized current traces at +20mV for the indicated channels. (B) Steady-state activation curves, obtained by plotting normalized currents at the beginning of the 0-mV pulse as a function of the preceding conditioning potential. Continuous lines represent Boltzmann fits of the experimental data. V_1/2 (expressed in mV, C) and k (expressed in mV/e-fold, D) values were obtained for each indicated channel. *Values significantly different (p<0.05) from corresponding value for wtK_v7.2 channels. Current scale, 200 pA; timescale, 0.2s.

In contrast, substitution at position R6 with either Q or W residues resulted in similar effects on K_v7.2 channel gating. In fact, both steady-state and kinetic properties of K_v7.2 channels carrying the R6Q or R6W substitution were indistinguishable, because the activation V_1/2, the slope factors k, and the activation time constants (125±15ms and 199±42ms for R6Q and R6W channels, respectively; n=4–6) were identical in homomeric channels formed by R6Q or R6W subunits (Fig. 6).

K_v7.2 subunits participate to the formation of I_KM, a widespread regulator of neuronal excitability. Mutations in the K_v7.2 gene cause BFNS, a rare form of human epilepsy. Two BFNS-causing mutations in K_v7.2 affect positively charged residues (R207 and R214) in the S₄ segment, whose role in the voltage-sensing of K_v channels is firmly established. In agreement with this hypothesis, gating changes were described in K_v7.2 channels carrying such mutations 16,17. This study was undertaken to dissect the contribution of each of the six arginine residues present in the S₄ segment on the voltage-sensing of K_v7.2 channels. To this aim, each of these residues was substituted by glutamine residues, thus neutralizing the positive charge, and the functional properties of the mutant K_v7.2 channels were studied using whole-cell and single-channel patch-clamps upon their heterologous expression in CHO cells. The results suggest that each of the charged arginines in the S₄ segment of K_v7.2 subunits plays a significant role in voltage-dependent channel gating. Strikingly, neutralization of a single R at position 201 was sufficient to cause a significant loss of voltage dependence in channel activation.

None of the mutations investigated here impeded channel function. In contrast, neutralization of the residues corresponding to K_v7.2 positions R4 or R5 in Shaker (ShB) channels 25, and R4 in hyperpolarization-activated cyclic-nucleotide gated channels (HCN2) 26, did not produce functional homomeric channels, possibly because of altered subunit trafficking and folding, leading to greatly reduced surface expression 27. Interestingly, incorporation into a tetrameric concatenamer of the rat homologue of Shaker (rRCK1) of a single subunit carrying the mutation corresponding to K_v7.2 R4Q or R5Q recovered functional channels displaying a negative and positive shift in current activation properties, respectively 28.

Neutralization of each of the R residues caused significant effects on K_v7.2 channel gating. The most striking effect on voltage dependence was seen when the R2 residue was replaced by a glutamine. The currents carried by mutant R2Q K_v7.2 channels displayed largely time- and voltage-independent activation, and behaved like those carried by K⁺-selective leak pores. Similar functional consequences on K⁺ channel gating were previously obtained in other voltage-dependent channels upon substitution of positively charged R residues in S₄. However, in Shaker (ShB) channels, at least three residues, corresponding to K_v7.2 R1, R2, and R3, need to be neutralized simultaneously to produce such a dramatic effect 29. In addition, residues immediately before the S₄ segment were involved in the stabilization of the activated conformation of the voltage sensor. Thus, Tang and Papazian 30 found that in K_v10.1 channels, the introduction of a negatively charged amino acid two residues before the first R in the S₄ segment (A345E), a substitution which reproduced the sequence of the voltage-independent olfactory cyclic nucleotide gated channels, produced a significant negative shift in the steady-state voltage dependence of activation. Mutations affecting uncharged residues at this same position in K_v7.2 were recently found in BFNS families 31. Thus, in agreement with our findings that the R1Q mutation also increased the stability of the voltage-sensor conformation in the activated position at more negative voltages, these results suggest that the net charge of the region corresponding to the end of the S₃–S₄ linker and the N-terminal portion of S₄ is a crucial gating determinant in K_v channels. Thus, an increased positive net charge within this region is likely to stabilize the resting (closed) state of the voltage sensor, whereas the introduction of negative charges or the removal of positive charges favors the activated (open) conformation. Such conclusions also seem valid for Na_v1.2vol.age-dependent Na⁺ channels, for which the removal of positive charges within the N-terminal half of S₄ produces negative shifts in the voltage dependence of activation, whereas more subtle and opposing effects are triggered by the neutralization of more distal positive charges 32. Moreover, direct gating-current measurements of the total gating-charge translocation in Shaker K⁺ channels suggest that movement of the N-terminal half, but not of the C-terminal end, of the S₄ segment underlies gating currents 33.

The dramatic changes in voltage-dependent gating observed in macroscopic current recordings from R2Q mutant K_v7.2 channels were confirmed by our single-channel measurements, because mutant channels showed no significant change in p_o or shut and open time distributions between −80 and 0mV. Moreover, our single-channel analysis also showed that the maximal p_o, which is primarily determined by voltage-independent transitions between closed and open states, did not show statistically significant differences between wt and R2Q mutant K_v7.2 channels, again suggesting that the mutation dramatically affected the conformational changes occurring between the nonconducting closed states of the channels where most of the voltage-dependent transitions occur 34. Moreover, the similar maximal p_o of wt and R2Q K_v7.2 channels is consistent with the hypothesis that the maximal p_o of K_v7 channels is not determined by voltage, but by phosphatidylinositol 4,5-bisphosphate affinity, which is apparently not affected by the S₄ mutants described here 35. In addition to single-channel measurements, further support for the hypothesis that the R2Q mutation does not significantly change the open pore structure also derives from the identical TEA_e sensitivity and K⁺ selectivity of wt and R2Q K_v7.2 channels.

As previously discussed, the functional consequences on voltage-dependent gating induced by the neutralization of R2 seem to be unique for K_v7.2 channels among other K_v channels. However, similar effects were also generated in the closely related cardiac K_v7.1 channels upon neutralizing the same R residue (R231A) 36. These authors interpreted such an effect as a consequence of the unique paucity of net charge present in the S₄ region of this channel (+3 in K_v7.1, whereas all other K_v7 members have +5). This view is supported by the formation of voltage-independent channels when K_v7.4 subunits carry a triple mutation (R207A, H216R, and Q220R), reproducing the net charge occurring in K_v7.1 subunits. However, our data suggest that the charge at the position corresponding to R2 has a primary role in stabilizing the resting conformation of the VSD, irrespective of the sequence of the C-terminal half of the S₄ segment because similar effects were produced by its neutralization in both K_v7.1 and K_v7.2 channels.

To test the role of charge removal versus steric hindrance at pathophysiologically relevant R3 and R6 sites in K_v7.2, we compared the functional properties of channels in which these positions were substituted by a Q (with a similar size to R, but missing the charge) or a W (a bulkier, uncharged amino acid). The results suggest that steric bulk plays a relevant role at position 207, but not at position 214, where the main functional effect of the mutations seems to be consequent to the loss of the charge. In fact, K_v7.2 R3W channels displayed a further positive shift in the half-activation potential when compared with R3Q channels, together with a marked slowing in current-activation kinetics. In contrast, both these parameters were identical in R6W and R6Q K_v7.2 channels. This result suggests that the skeletal muscle myokymia accompanying BFNS in patients carrying the R3W mutation may be caused by the specific introduction of the W residue at the R3 position 16. However, this view was challenged by the discovery of a novel family in which peripheral-nerve hyperexcitability with muscle myokymia was associated with an R3Q mutation in K_v7.2, in the apparent absence of other neurological symptoms, including BFNS 24. Several hypotheses can be proposed to explain the lack of BFNS in R3Q-carrying myokymic patients, including a different degree of heteromeric association with K_v7.3, a different subcellular localization of homomeric versus heteromeric channels in forebrain versus spinal motorneurons, and different degrees of dominant-negative suppression of I_KM function prompted by the two mutations at the R3 site. On the other hand, despite the obvious difficulties in drawing genotype-phenotype correlations based only on these functional results 37, the fact that the R6W mutation only caused small functional changes on K_v7.2 channel-gating is compatible with the fact that patients carrying such mutation are only affected by classic BFNS, with no other peripheral signs of neuronal hyperexcitability 17.

To provide further insights into the possible structural consequences of the replacement of the R3 residue with Q or W, and into the overall mechanism for the presumed effect of S₄ mutations on K_v7.2 channel VSD displacement during gating, we built a homology model of the K_v7.2 VSD. As a template, we used the crystal coordinates of the activated configuration of a recently described chimeric channel in which the voltage-sensor paddle (corresponding to the S_3b–S₄ region) of K_v2.1 was transferred into the K_v1.2 subunit 22 (PDB accession number 2R9R). The sequence identity between K_v7.2 and the K_v1.2/2.1 chimera is 29%. In this chimeric channel, it was proposed that the resting and activated positions of the VSD are stabilized by ionized hydrogen bonds between the charged R subunits in the S₄ segment and two negatively charged clusters: one facing the extracellular side of the membrane and provided by the S₁ and S₂ helices, and another closer to the intracellular membrane surface, involving the S₂ and the S_3a helices. The two clusters are separated by a highly conserved phenylalanine (F137) residue positioned in the middle of S₂ (the so-called “phenylalanine gap”). As shown in Figure 7A, a similar spatial arrangement of charged residues within this region is evident from our K_v7.2 homology model. In particular, in the activated VSD configuration, R3 (R207) in K_v7.2 forms ionized hydrogen bonds with a negatively charged residue belonging to the external cluster (E130), whereas R4 (R210) is predicted to interact with negative charges of the inner cluster (E140 in S₂; D172 in S₃). Analysis of the model suggests that the replacement of R at position 207 with a neutral amino acid such as Q (Figure 7B) or W (Figure 7C) hampers this interaction. Thus, it seems plausible to hypothesize that in both R3Q and R3W channels, the activated configuration of the VSD is destabilized, explaining the positive shift in steady-state voltage dependence of activations observed in these mutants. Furthermore, as also suggested by biochemical experiments using cysteine-reacting methanethiosulfonate reagents in Shaker channels 38, the R3 residue in S₄ appears to flip up around the “phenylalanine gap” on its way across the membrane during the activation process 22. Therefore, it seems possible that the presence of a bulkier W at this position delays such movement more than the smaller Q residue, leading to a substantial slowing of R3W channel opening kinetics.

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Figure 7

Three-dimensional homology model of K_v7.2 VSD. For clarity, only regions corresponding to the S₂ and S₄ segments are shown, as indicated. (A) wtK_v7.2 subunit. (B) R3Q mutant K_v7.2 subunit. (C) R3W mutant K_v7.2 subunit. The peptide backbone is shown as gray ribbons. Residues at positions E130 (in S₂) and R207 (in S₄) are shown in green. Ionized hydrogen bonds are highlighted in yellow, and the highly conserved phenylalanine residue in S₂ is shown in orange.

As previously pointed out, the R2Q substitution led to a significant destabilization of the resting VSD conformation. Although the available structures only reveal the VSD conformation in their active states, analysis of the K_v1.2/2.1 chimera suggests that in the resting VSD conformation, the R1 residue is positioned at the level of the “phenylalanine gap” 22. Therefore, one could speculate that the highly conserved R2 side chain positioned below R1 could interact with the negatively charged residues of the inner cluster, to stabilize the resting VSD conformation. Therefore, the R2Q substitution, by preventing such an interaction, would cause the VSD to be largely locked in a permanently activated position.

In conclusion, our data show that each charged residue in S₄ has a different role in voltage-dependent gating of K_v7.2 channels. The N-terminal residues are more involved in stabilizing the resting conformation, and the more distal residues are more involved in controlling the activated position of the voltage-sensor. This analysis does not allow for the definition of a precise mechanism of VSD dislocation during the activation process of K_v7.2 channels. Nevertheless, by highlighting the relative functional role of each R residue in channel gating, these results provide molecular clues about the pathophysiology of BFNS and possibly other neuropsychological abnormalities associated with K_v7.2 mutations.