Voltage-gated ion channels (VGICs) share a common architecture consisting of a central ion-conducting pore module (PM) and four peripheral voltage-sensing domains (VSDs)
4,5. Voltage-gated potassium (K
V) and bacterial Na
V channels are homotetramers of subunits containing six transmembrane segments (S1–S6)
5,6, whereas vertebrate Na
V and calcium (Ca
V) channels contain four linked homologous domains in a single polypeptide
7. The S5 and S6 segments of four subunits (or domains) form the PM
7. The VSDs (S1–S4) place highly conserved S4 gating charges in the membrane electric field, where depolarization causes their outward movement during channel activation
7. S4 movement is coupled through the S4–S5 linker to the intracellular activation gate to open the pore
4,5. In mammalian Na
V channels, two physically distinct inactivation processes control the activity of Na
V channels. Fast inactivation operates on the millisecond time scale and is quickly reversed upon repolarization, permitting Na
V channels to be rapidly available for reactivation
7. A tethered cytoplasmic inactivation gate connecting the third and fourth homologous domains confers fast inactivation through a hinged-lid mechanism
7. Fast inactivation can be removed by intracellular protease treatment
8 or mutations of the inactivation gate
9 and can be restored by addition of inactivation-gate peptides
10. By contrast, slow inactivation develops much more slowly during repetitive firing of action potentials and opposes high-frequency spike generation
2,3. Its essential physiological role is highlighted by disease mutations that affect slow-inactivation
3 and clinically relevant channel blocking drugs bind to and stabilize slow-inactivated states
11,12. In contrast to fast inactivation, the structures and mechanisms involved in slow inactivation of Na
V channels remain poorly defined.
Bacterial Na
V channels share key physiological properties with their more complex vertebrate descendants, including voltage-dependent activation, inactivation, and pharmacological sensitivity
6. However, their simple homotetrameric structure leaves bacterial Na
V channels without the fast inactivation gate found in mammalian Na
V channels. Therefore, bacterial Na
V channels are thought to undergo an inactivation process similar to slow inactivation
13. Mutations near the selectivity filter
13,14, along the pore-lining S6 helices
15–17, and within VSDs of bacterial Na
V channels have dramatic effects on inactivation, similar to slow inactivation in mammalian Na
V channels (
Supplementary Discussion). We previously reported the structure of NavAb from
Arcobacter butzleri captured in a potentially pre-open state with four activated VSDs and a closed PM
4. In space group
I222, the structural model of NavAb-I217C was nearly four-fold symmetric with two very similar molecules in the asymmetric unit. The ion conductance pathway displayed a selectivity filter with a central orifice of ~4.6 Å lined by four Glu177 side-chains, followed by two sequential carbonyl sites fit to coordinate a Na
+ ion in complex with a square planar array of hydrating waters
4. The nearly four-fold symmetrical S6 segments formed a large central cavity and a tightly closed intracellular activation gate
4. Four lateral pore fenestrations of similar size and shape were seen connecting the hydrophobic membrane phase to the central cavity, and the activated VSDs were arranged in a square array around the PM
4. Here, through crystallographic and electrophysiological studies, we now describe the structure of NavAb in two potentially inactivated states.
When expressed in
Trichopulsia ni cells, the wild-type NavAb channel (NavAb-WT) activates and inactivates during 7-ms depolarizing pulses from −180 mV to −40 mV (). Repetitive 7-ms pulses cause a late phase of slow inactivation that is dependent on the frequency of depolarization and nears completion in 600 s at 0.2 Hz (). By comparison, NavAb-I217C enters this deep slow-inactivated state more slowly and less completely, and its voltage-dependence of activation is shifted toward more negative potentials in a manner that is consistent with stabilization of the pre-open state (
Supplementary Fig. 1,
Supplementary Tables 1 and 2;
Supplementary Results). The unusually strong, negatively shifted, and slowly reversible inactivation of NavAb-WT in
Trichopulsia ni cells suggests that it might enter the late slow-inactivated state during our purification and crystallization procedures and never recover from it.
To gain insights into the native structure of NavAb-WT, we solubilized and purified it in a mild detergent and reconstituted it into a phosphatidylcholine-based bicelle system as described for NavAb-I217C
4. Merohedrally twinned crystals formed in space group
P4
2 and the NavAb-WT structure was phased and refined to 3.2 Å resolution (
Supplementary Table 3). NavAb-WT channels are arranged in the crystals as though each is embedded in a phospholipid membrane bilayer (
Supplementary Fig. 2). Remarkably, the structure of NavAb-WT differs substantially from our previously reported S6-cysteine mutant channels
4 (). Four molecules in the
P4
2 asymmetric unit give rise to two independent NavAb-WT channels composed of dimers of AB and CD subunit conformations, respectively (NavAb-AB and NavAb-CD; ). The NavAb-AB and NavAb-CD models are each unique and strikingly asymmetric in structure ( and
Supplementary Figs. 3–5). All VSDs are in an activated conformation, and the PM of both channel appears occluded by collapse of the S6 helices of subunits B or C toward the central axis (
Supplementary Figs. 3–5).
We aligned the WT NavAb-AB and NavAb-CD models onto the selectivity filter of NavAb-I217C, revealing conformational adjustments that include asymmetric collapse of the S6 activation gate (), narrowing of the selectivity filter, reshaping of the central cavity and lateral pore fenestrations, and displacement of the VSDs around the PM (see below). These structural features fit well with expectations of a Na
V channel captured in a slow-inactivated state (
Supplementary Discussion). Multiple slow-inactivated conformations are predicted from kinetic analyses of Na
V channels
3, and NavAb exhibits at least two inactivated states with different kinetics of recovery from inactivation, and differential effects of the S6 mutation I217C (
Supplementary Fig. 1). The observation of two discrete conformations of NavAb-WT provides a potential structural basis for these functional properties.
The inactivated state of a Na
V channel is expected to be non-conductive. The closed inner ends of the S6 segments in NavAb-I217C form a nearly square array (red circle, ) and superimpose well upon other closed-pore tetrameric ion channel structures
4,18. By contrast, the intracellular activation gate in NavAb-AB and NavAb-CD has closed in an unprecedented way. Two S6 segments from diagonally opposed subunits have moved closer to the central pore axis, while the adjacent S6 segments have shifted farther away (red oval, ), asymmetrically collapsing the S6 activation gate in these potentially inactivated states. This finding is consistent with biophysical studies
3,15–17 of bacterial and mammalian Na
V channels as well as pathological mutations that have implicated this pore region in slow-inactivation gating
3. This novel activation gate structure may represent a hallmark of the slow-inactivated state in Na
V channels, and is in sharp contrast to the dilated activation gate observed in inactivated KcsA potassium channels
19.
Conformational shifts of the S5 and S6 segments in NavAb are hinged at the extracellular side of the PM near where these segments connect to the pore (P)-helix and P2-helix, respectively (
Supplementary Fig. 4c–d). Two S6 segments in NavAb-AB engage an interaction with the S4–S5 linker from a neighboring subunit near the intracellular activation gate (). Electron density suggests the side-chain of Asn211 forms a stabilizing inter-subunit hydrogen bond with a backbone carbonyl in the S4–S5 linker (), which is not formed in NavAb-I217C (). Notably, Asn211 is the only universally conserved S6 residue in all Na
V channels (
Supplementary Fig. 6), yet its close interaction with the S4–S5 linker is seen only in two of the four subunits in NavAb-AB due to structural asymmetry. Mutations of the equivalent S6 Asn residue in domains I and III of vertebrate Na
V channels, but not in domains II and IV, have dramatic effects on slow-inactivation
20,21. Thus, NavAb may offer the first structural views of a conserved interaction occurring during slow inactivation in the Na
V channel family.
Structural adjustments throughout the PM in NavAb-AB and NavAb-CD culminate in dramatic effects at the selectivity filter, where accumulating evidence implicates molecular rearrangements in slow inactivation gating in bacterial and mammalian Na
V channels (
Supplementary Discussion). The selectivity filter in NavAb-I217C is rigidly anchored by a hydrogen bond (~3.0 Å) between Thr175 and Trp179 of neighboring subunits
4. This landmark interaction forces the Thr175 and Leu176 carbonyls to point towards the ion conduction pathway and positions the Glu177 side-chains squarely against the P2-helix (). In NavAb-AB, two of the key Thr175-Trp179 interactions have become unlatched, since only a very weak hydrogen bond (~3.8 Å) could exist between these partners (). In the unlatched subunits, Ser180 has also flipped its conformation to engage the Glu177 carboxylate of a neighboring subunit (), and formation of this new hydrogen bond may correlate with entry into the inactivated state
13. Concerted structural changes distort the geometry along the Thr175-Leu176 carbonyl funnel, which was perfectly sized to coordinate and conduct a fully hydrated square-planar Na
+ complex in NavAb-I217C (
Supplementary Figs. 7 and 8). Analysis of the NavAb-WT pore diameters indicates a 1–2 Å narrowing and distortion of the backbone carbonyl geometry in the central and inner Na
+ coordination sites of the selectivity filter (,
Supplementary Figs. 7 and 8), suggesting that NavAb would be less permissive to the conduction of optimally hydrated Na
+ ions in these inactivated states.
Consistent with the existence of multiple inactivated states in NavAb (,
Supplementary Fig. 1), the Thr175-Trp179 interaction network remains intact in NavAb-CD, as does the predominant side-chain conformation of Ser180 (). However, the Gln172 side-chain, which makes a strong interaction with the Glu177 backbone carbonyl in NavAb-I217C, is disengaged from this interaction in the NavAb-CD channel (). Loss of this supporting interaction would destabilize the selectivity filter, similar to unlatching the Thr175-Trp179 network described above in NavAb-AB. In fact, comparison of crystallographic temperature factors suggests that the entire P-helix displays increased mobility in these inactivated states (). Therefore, destabilization of the selectivity filter and concomitant remodeling of the outer pore vestibule in NavAb-WT (;
Supplementary Figs. 5 and 8) may correlate with entry into the inactivated state. This conclusion would be consistent with the effects of toxin binding, permeant ions, and mutations in the selectivity filter of mammalian Na
V channels on slow inactivation (
Supplementary Discussion)
3.
Overlaying the structural models of NavAb-AB and NavAb-CD onto NavAb-I217C provides insight into a network of structurally coupled residues unique to Na
V channels that scaffold the selectivity filter and line the surrounding S5 and S6 segments (). Structure- based sequence alignment of the four linked domains from mammalian Na
V channels pinpoints analogous residues in the PM of NavAb: Phe144 and Phe152 in the S5 segment, Leu170 and Phe171 in the P-helix, Trp179 in the P2-helix, and Phe198 and Ile202 in the S6 segment ( and
Supplementary Fig. 6). Notably, substitution of the Leu170 equivalent or the Ile202 equivalent in Na
V1.4 dramatically alters its slow-inactivation
22,23. These comparisons highlight an evolutionarily conserved network of residues coupling the conformation of the intracellular activation gate to the selectivity filter through a molecular mechanism that results in collapse of the pore into a prominent dimer-of-dimers arrangement for all of the functional elements in NavAb-WT.
The structural changes observed in NavAb-WT also alter the central cavity, where amino acid side-chains analogous to those involved in drug binding in mammalian Na
V channels
24–27 have a different spatial arrangement due to the asymmetric collapse of two S6 segments (). Local anesthetics and related pore blockers of mammalian Na
V channels block the NavAb homologue NaChBac in a state-dependent manner
6,16. If similar asymmetric conformational changes occur during inactivation of mammalian Na
V channels (
Supplementary Discussion), they could rationalize why pore-blocking drugs bind to and stabilize inactivated states of Na
V channels through interactions with only three of their four S6 segments
25,26.
Four striking lateral pore fenestrations in the PM of NavAb-I217C revealed a hydrophobic access pathway to the central cavity
4. Compared to the nearly identical pore fenestrations in NavAb-I217C, two diagonal fenestrations have narrowed in NavAb-AB, while the adjacent two fenestrations have opened wider ( and
Supplementary Figs. 9, 10). In NavAb-CD, both pairs of pore fenestrations are smaller than in NavAb-I217C ( and
Supplementary Fig. 9, 10). Therefore, different-sized drugs and other hydrophobic molecules could potentially gain access to the NavAb central cavity through these differentially-sized pore fenestrations ( and
Supplementary Figs. 9, 10). If mammalian Na
V channels have similar pore fenestrations, our NavAb structures predict they would provide dynamic drug access to the central cavity during different stages of channel gating, as postulated by the modulated receptor hypothesis of drug action
28.
We can now compare the VSD structures from a single VGIC captured in different pore conformations for the first time. The S4 segments in all NavAb structures have a similar 3
10 helical conformation from R1 to R4 (), suggesting S4 does not undergo a major conformational change during inactivation. Surprisingly, crystallographic temperature factors indicate that the S4 segment is the most well-ordered region of the VSD (). Upon superimposing the pore domains of NavAb, a hinge point is seen at the foot of the S5 segment (), as reported previously when comparing closed-pore NavAb-I217C and open-pore K
V1.2 structures
4. Hence, movements at this S5 gating hinge may be involved in both pore-opening
4 and inactivation gating. Our NavAb structures do not provide evidence for transition of the S4 segment into a “relaxed” conformation
29; however, we do observe repositioning of the entire VSD around the PM (). This movement of the VSD with respect to the PM is likely to be required for entry into the potentially inactivated states represented by the NavAb-AB and NavAb-CD models. Perhaps pivoting of the VSD around the PM at the S5 gating hinge forces collapse of two S6 segments into an asymmetric dimer-of-dimers conformation at the activation gate. Some gating-modifier toxins have binding determinants in both the VSD and neighboring PM of ion channels (
Supplementary Discussion), including Na
V channels
30, suggesting that nature has evolved a strategy to trap specific gating intermediates by binding toxins at this interface and locking the VSD and PM in fixed relative positions. This gating movement is a potential target for design of next-generation Na
V blocking drugs that could have increased voltage-dependence and improved subtype selectivity.
Our NavAb crystal structures provide insight into conformational changes that may underlie the process of slow inactivation, a conserved property of Na
V channels from bacteria to man (
Supplementary Discussion). During the conformational changes that we propose lead to slow inactivation, the NavAb channel dramatically alters its central pore, moving from a nearly square arrangement in the selectivity filter, pore-lining S6 segments, and activation gate, to a strikingly asymmetric arrangement in which the four subunits morph into two pairs of conformations. This structural transition has dramatic consequences for all functional elements of NavAb, providing new templates for understanding the slow-inactivation process, the effects of disease mutations, and the complex properties of drugs that block mammalian Na
V channels.