Key result
Ca2+ enhances calmodulin sequestration of the NaV1.5 IQ motif distinct from neuronal NaV1.2.
Why the study?
How NaV conduction responds to changes in intracellular Ca2+ concentration remained an area of investigation following crystal structures proposing trimeric complexes that restructure with Ca2+.
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The study provides structural and kinetic insights into how Ca2+ and calmodulin modulate the cardiac sodium channel NaV1.5, advancing the understanding of its gating mechanisms.
Abstract Voltage-gated sodium channels (NaV) are important for life. Alterations to the synchronized timing of ion conduction can create life-threatening conditions. How NaV conduction responds to changes in intracellular Ca²⁺ concentration has been the subject of extensive investigation. Crystal structures of the cardiac NaV (NaV1.5) cytosolic components were reported as trimeric complexes that are restructured in the presence of Ca²⁺. These results formed the basis for a gating model where two NaV1.5 molecules interact to alter function in response to Ca²⁺ concentration. Here, we investigated the binding site surface of these trimeric interactions in solution. NMR demonstrated that these trimeric complexes do not form in solution. Analysis of the available structural data indicated that the NaV1.5 IQ motif can only accommodate interaction with one protein at a time. Our NMR data were consistent with the NaV1.5 C-terminal domain (CTD) and the Ca²⁺- sensing protein calmodulin (CaM) engaging the same binding site surface of the NaV1.5 IQ motif. Titrations of IQ motif peptide into a 1:1 mixture of ¹⁵N CTD : CaM sample revealed the NaV1.5 channel is biophysically distinct from neuronal NaV1.2 as Ca²⁺ enhanced CaM's ability to sequester the NaV1.5 IQ motif from the NaV1.5 CTD. Stopped-flow kinetic measurements quantified Ca²⁺ release rates from the CaM-IQ and CaM-inactivation gate (IGATE) complexes to provide insight into complex lifetimes. Our work advanced understanding the molecular machinery that underlies NaV1.5 gating (CTD-IGATE and CTD-IQ motif interactions) and provided insight into the structural details of CaM-facilitated NaV1.5 modification (CaM-IQ motif and CaM-IGATE interactions).
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Gyawu et al. (2025) studied NaV1.5 channel function. NMR and stopped-flow kinetic measurements revealed that Ca2+ enhances calmodulin's ability to sequester the NaV1.5 IQ motif from the NaV1.5 C-terminal domain, distinct from neuronal NaV1.2.
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