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Marine Biological Laboratory, Woods Hole, MA 02543

Correspondence to R.F. Rakowski: rakowski{at}ohio.edu; or D.C. Gadsby: gadsby{at}rockefeller.edu

Top ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES

 
Palytoxin binds to Na⁺/K⁺ pumps in the plasma membrane of animal cells and opens an electrodiffusive cation pathway through the pumps. We investigated properties of the palytoxin-opened channels by recording macroscopic and microscopic currents in cell bodies of neurons from the giant fiber lobe, and by simultaneously measuring net current and ²²Na⁺ efflux in voltage-clamped, internally dialyzed giant axons of the squid Loligo pealei. The conductance of single palytoxin-bound "pump-channels" in outside-out patches was 7 pS in symmetrical 500 mM [Na⁺], comparable to findings in other cells. In these high-[Na⁺], K⁺-free solutions, with 5 mM cytoplasmic [ATP], the K_0.5 for palytoxin action was 70 pM. The pump-channels were 40–50 times less permeable to N-methyl-D-glucamine (NMG⁺) than to Na⁺. The reversal potential of palytoxin-elicited current under biionic conditions, with the same concentration of a different permeant cation on each side of the membrane, was independent of the concentration of those ions over the range 55–550 mM. In giant axons, the Ussing flux ratio exponent (n') for Na⁺ movements through palytoxin-bound pump-channels, over a 100–400 mM range of external [Na⁺] and 0 to –40 mV range of membrane potentials, averaged 1.05 ± 0.02 (n = 28). These findings are consistent with occupancy of palytoxin-bound Na⁺/K⁺ pump-channels either by a single Na⁺ ion or by two Na⁺ ions as might be anticipated from other work; idiosyncratic constraints are needed if the two Na⁺ ions occupy a single-file pore, but not if they occupy side-by-side binding sites, as observed in related structures, and if only one of the sites is readily accessible from both sides of the membrane.

P. Artigas' and D.C. Gadsby's address is Laboratory of Cardiac/Membrane Physiology, Rockefeller University, 1230 York Avenue, New York, NY 10021.

F. Palma's and M. Holmgren's address is National Institutes of Health, NINDS, Bethesda, MD 20892.

P. De Weer's address is Department of Physiology, University of Pennsylvania, School of Medicine, 3700 Hamilton Walk, Philadelphia, PA 19104.

Abbreviations used in this paper: NMG⁺, N-methyl-D-glucamine; PPTEA, phenylpropyltriethylammonium.

	INTRODUCTION

Top ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES

 
Palytoxin is a potent marine toxin that impairs ATPase activity of the Na⁺/K⁺ pump and simultaneously increases cation permeability of mammalian cells (for reviews see Habermann, 1989; Tosteson, 2000). Two lines of evidence initially established that palytoxin interacts with the Na⁺/K⁺ pump itself. First, palytoxin elicited ouabain-sensitive cation flux in yeast cells (which lack endogenous Na⁺/K⁺ pumps) only after expression of both Na⁺/K⁺-ATPase and ß subunits, and not of either subunit alone (Scheiner-Bobis et al., 1994). Second, incorporation of in vitro–translated Na⁺/K⁺-ATPase and ß subunits into lipid bilayers permitted palytoxin to open cation channels with a unitary conductance of 10 pS (Hirsh and Wu, 1997), similar to that of the relatively nonselective channels opened by palytoxin in the surface membrane of mammalian cells (Ikeda et al., 1988; Muramatsu et al., 1988). Furthermore, scanning cysteine accessibility measurements (for review see Horisberger, 2004; see also Reyes and Gadsby, 2006) have demonstrated that several positions along the fourth, fifth, and sixth transmembrane helices of the Na⁺/K⁺ pump are water accessible in palytoxin-bound "pump-channels." Amino acids at some of those positions are homologous to ion-coordinating residues in crystal structures of the related Ca²⁺-ATPase (Toyoshima et al., 2000; Møller et al., 2005), and had been assigned cation-binding roles in the Na⁺/K⁺ pump on the basis of mutagenesis results (Nielsen et al., 1998; Pedersen et al., 1998). It appears, therefore, that not only is the Na⁺/K⁺ pump the target of palytoxin, but the ion pore of the palytoxin-bound pump-channel comprises at least part of the pathway normally negotiated by the pumped Na⁺ and K⁺ ions.

Additional evidence suggests that current flow through the ion channels opened by palytoxin is controlled by two gates in series that normally alternately regulate access to the ion-binding sites deep within the Na⁺/K⁺ pump (Artigas and Gadsby, 2003a; Harmel and Apell, 2006). Thus, the open probability of palytoxin-bound pump-channels can be modified by replacing extracellular Na⁺ ions with K⁺ ions, or by altering the intracellular [ATP]. Because these are the physiological ligands of the Na⁺/K⁺ pump that drive the conformational changes that underlie its Na⁺/K⁺ transport cycle, their influence on the gating of palytoxin-bound pump-channels supports the use of palytoxin as a tool for probing the Na⁺/K⁺ pump's ion translocation pathway.

Here we present the results of experiments to further characterize that pathway in Na⁺/K⁺ pumps of squid giant axons. Extracellular, but not intracellular, application of palytoxin was shown long ago to depolarize squid axons by rendering them leaky to Na⁺ and other small monovalent cations (Pichon, 1982; Muramatsu et al., 1984). We first verified that palytoxin-bound pump-channels in outside-out patches excised from the neurons that give rise to the squid giant axons displayed characteristics comparable to those observed in mammalian cells. We then exploited those characteristics to examine both unidirectional and net Na⁺ ion movement through palytoxin-bound pump-channels in voltage-clamped, internally dialyzed squid giant axons. Although it is well known that, in its E1P conformation, the Na⁺/K⁺ pump is capable of binding up to three Na⁺ ions and of occluding them inside the protein core (for review see Glynn and Karlish, 1990), evidence suggests that palytoxin stabilizes an E2P-like conformation (Artigas and Gadsby, 2004; Harmel and Apell, 2006; Reyes and Gadsby, 2006) that, during the normal transport cycle, occludes two K⁺ or Na⁺ ions (Glynn and Karlish, 1990; Sturmer and Apell, 1992). Interestingly, we found that the Ussing flux ratio exponent, n', was close to 1.0 for palytoxin-bound pump-channels in all experimental conditions tested. We speculate how the characteristic side-by-side arrangement of the ion-binding sites in this family of P-type ATPases might result in an ion pathway that, when both gates are open, behaves like an ion channel rarely occupied by more than one ion.

	MATERIALS AND METHODS

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Isolation and Culture of Giant Fiber Lobe Neurons
Neuronal cell bodies of the squid, Loligo pealei, were dissociated following Llano and Bookman (1986) and Gilly et al. (1990). In brief, the giant fiber lobe dissected from the stellate ganglion was incubated for 40–45 min in filtered sea water containing 10 mg/ml of protease Type XIV (Sigma-Aldrich). After several washes with fresh sea water, the lobe was placed in culture medium and the cells were dispersed by gentle mechanical disruption with a fire-polished glass pipette. Dispersed cells were seeded onto glass coverslips that had been immersed in ethanol, flamed, and treated with poly-L-lysine overnight (1 mg/ml in 0.15 M Trizma, pH 8.5). The cell culture medium was Leibovitz L-15 (GIBCO BRL) supplemented with (in mM) 263 NaCl, 4.6 KCl, 9 CaCl₂, 50 MgCl₂, 2 HEPES, 2 L-glutamine, 6% FBS (GIBCO BRL), 50 U/ml penicillin, and 50 mg/ml streptomycin; pH 7.8 with NaOH. Cells were incubated at 17°C and used for recording within the first week of culture.

Patch Recording Methods and Solutions
Currents in outside-out patches (Hamill et al., 1981) were recorded at room temperature (19–23°C) using pipettes pulled from borosilicate glass (PG52151–4; WP Instruments) with a horizontal puller (P90; Sutter Instruments) and with tips coated with Sylgard. When filled with 500 mM Na⁺ solution, the pipette had a resistance of 1.5–12 M for macroscopic, or 7–40 M for single-channel current recordings. Currents were recorded with an Axopatch 200B amplifier, filtered at 1 kHz (8 pole Bessel), and sampled at 5 kHz using a Digidata 1322A A/D converter and pClamp 9 software, and also continuously acquired in parallel at lower rates with a Minidigi 1A and Axoscope 9 (Axon Instruments, Inc.). Single-channel current records were digitally filtered at 100 Hz and baseline drifts were subtracted using Clampfit 9.

External solutions used for measuring single-channel conductance and evaluating concentration dependence of palytoxin action in patches contained (in mM) 520 or 560 sulfamic acid, 460 or 500 NaOH (as specified in figure legends), 10 CaCl₂, 40 Mg(OH)₂, and 10 HEPES; NaOH was replaced with equimolar KOH or N-methyl-D-glucamine (NMG⁺) in Na⁺-free solutions. The internal (pipette) solution contained (in mM) 470 sulfamic acid, 500 NaOH, 10 phenylpropyltriethylammonium (PPTEA)-SO₄, 10 MgCl₂, 5 Tris-ATP, 10 EGTA, and 20 HEPES (for most single-channel recordings, 9 MgCl₂ was replaced with 9 Mg-sulfamate to improve signal-to-noise ratio). For determination of biionic reversal potentials, external solutions contained (in mM) 540 sulfamic acid, 550 NaOH or tetramethylammonium (TMA)OH, 1 CaCl₂, 2 MgCl₂, and 10 HEPES, and the internal solution contained (in mM) 520 sulfamic acid, 550 NaOH, 10 PPTEA bromide, 2 MgCl₂, 1 Tris-ATP, 10 EGTA, and 10 HEPES. Other external and internal Na⁺ (or TMA⁺) concentrations were obtained by isoosmotic replacement of Na⁺ (or TMA⁺) sulfamate with sucrose. The osmolality of all solutions in patch recording experiments was 970–1,000 mOsm kg^–1, their pH was 7.4, and all external solutions contained 0.2 µM TTX.

Solutions for Internal Dialysis
The standard external solution contained (in mM) 400 Na isethionate, 75 Ca sulfamate, 0.1 Tris EDTA, 5 Tris HEPES (pH 7.7), 1 3,4-diaminopyridine, and 0.2 µM TTX. In Na⁺-free external solutions, Na isethionate was replaced with 400 mM NMG sulfamate or 400 K sulfamate; the Na⁺ and NMG⁺ solutions were mixed to vary [Na⁺], and external solutions containing both Na⁺ and K⁺ were obtained by mixing or by adding K⁺ from a 0.5M K-sulfamate stock solution. The internal dialysate contained (in mM) 100 Na HEPES, 20 NMG HEPES, 50 glycine, 50 PPTEA-SO₄, 5 dithiothreitol, 50 BAPTA NMG, 10 Mg HEPES, 5 MgATP, 5 NMG phosphoenolpyruvate, and 5 NMG phosphoarginine, pH 7.5, and ²²Na⁺ as needed. The osmolalities of dialysate and extracellular solutions were adjusted to be the same, within 1%, and were 930 mOsm kg^–1.

Measurement of Net Membrane Current and Unidirectional ²²Na⁺ Flux
Simultaneous measurements of membrane current and ²²Na⁺ efflux in voltage-clamped, internally dialyzed Loligo pealei giant axons were as previously described (Rakowski, 1989; Rakowski et al.,1989). A 23-mm segment of squid giant axon, cannulated at both ends, was threaded with a cellulose acetate capillary rendered porous to low molecular weight solutes to allow internal dialysis, a blackened Pt wire for passing current, and a 3 M KCl–filled glass capillary electrode for recording voltage. The voltage difference between this internal electrode positioned in the middle of the axon segment and an external flowing 3 M KCl reference electrode positioned near the solution outflow was controlled by a stable, low noise voltage clamp (Rakowski, 1989). The experimental chamber consisted of two lateral pools containing the cannulated axon ends and a central pool, physically separated by grease seals. The central pool was superfused with the external experimental solution kept at 21–22°C. The end and central pools were kept at the same potential by two ancillary voltage clamp circuits to prevent current flow between them. The superfusate from the central pool was collected and the efflux of ²²Na⁺ across the axon membrane in the experimental region was measured by either liquid scintillation or gamma counting. Where shown, data points and error bars indicate the mean ± SEM.

Online Supplemental Material
The supplemental material is available at http://www.jgp.org/cgi/content/full/jgp.200709770/DC1. Fig. S1 demonstrates that TTX-sensitive current and ²²Na⁺ efflux are equivalent in a squid axon under zero-trans conditions, confirming that they emanate from the same controlled area of axon membrane. Fig. S2 illustrates simultaneous measurements of current and ²²Na⁺ efflux flowing through palytoxin-opened Na/K pump-channels during four consecutive applications of palytoxin to a single axon, at three different membrane potentials.

	RESULTS

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Conductance of Single Palytoxin-bound Pump-Channels
We first examined characteristics of palytoxin-bound squid Na⁺/K⁺ pump-channels in membrane patches excised from enzymatically dissociated giant-fiber lobe neurons, the neurons in the stellate ganglion whose axons fuse to form the giant axons. In outside-out patches, with 500 mM Na⁺ on both sides of the membrane and 5 mM ATP in the pipette, exposure to picomolar concentrations of palytoxin allowed individual Na⁺/K⁺ pump-channel transformation events to be detected as tiny inward current steps at negative membrane potentials (Fig. 1 A). Because palytoxin remains tightly bound, the pump-channels continued to open and close long after patches were washed free of unbound toxin (Fig. 1, A and B). This allowed measurements of current steps at several voltages (Fig. 1 B) and construction of single-channel current–voltage curves (e.g., Fig. 1 C). Single pump-channel conductance measured in this way in five patches averaged 7.4 ± 0.2 pS.

View larger version (35K): [in this window] [in a new window] [Download PPT slide]   Figure 1. Conductance of the palytoxin-bound Na/K pump-channels in squid. (A) Outside-out patch from a giant fiber lobe neuron held at –40 mV with symmetrical 500 mM Na+. The patch showed no endogenous channel activity before the exposure to 50 pM palytoxin. After 12 s of exposure to palytoxin, the first Na/K pump-channel opened, immediately following which the toxin was removed. During toxin washout, a second pump-channel opened. (B) Current records acquired at holding potentials of –60, –70, and –80 mV are shown on the left and the corresponding current amplitude histograms on the right. Histograms were fitted with multiple-peak Gaussian functions (solid lines) to estimate the single-channel current amplitude at each potential. (C) Voltage dependence of the single-channel current. Solid line represents a least-squares straight line fit with a slope of 7.9 ± 0.6 pS.

View larger version (17K): [in this window] [in a new window] [Download PPT slide]   Figure 2. Apparent affinity for palytoxin. (A) Outside-out patch from a giant fiber lobe neuron held at –50 mV. Top, horizontal bars designate bath ionic composition and the concentration of palytoxin used. Bottom, current trace. The dotted line indicates the zero current level. Palytoxin concentrations were increased when approximately steady current levels were reached at each dose. The brief vertical deflections in the current record indicate I-V measurements. (B) Membrane current traces in response to 50 ms voltage steps from –100 to 100 mV (displayed here in 40-mV increments) in external solutions containing NMG+ or Na+ before (a and b) and after complete treatment with palytoxin (c and d). (C) Average palytoxin-induced current (I after palytoxin minus I before palytoxin) during the last 5 ms of every pulse under each ionic condition plotted against the applied voltage. The relative permeability of NMG+ (PNMG/PNa) was 0.024 ± 0.002 as calculated from the large shift in reversal potential (Vrev = –94 ± 2 mV). (D) Normalized and averaged dose response curve for palytoxin obtained from six patches. The solid line represents a Michaelis-Menten equation fit with a K0.5 = 74 ± 21 pM.

Biionic Reversal Potentials (TMA_o⁺/Na_i⁺) Are Independent of the Absolute Concentration of the Two Permeant Ions
One test for multiple ion occupancy of single-file pores is to examine their reversal potentials under biionic conditions, but with different values for the identical concentrations of the two permeant ions on opposite sides of the membrane. If a single-file channel is occupied by at most one ion, the biionic reversal potential is expected to remain constant, independent of the absolute ion concentrations (Läuger, 1973; Levitt, 1986; Zarei and Dani, 1994).

Because TMA⁺ is somewhat more permeant than NMG⁺ in palytoxin-bound pump-channels (Artigas and Gadsby, 2004), we paired internal Na⁺ with external TMA⁺ (instead of NMG⁺) to more accurately measure reversal potentials. The reversal potential in nominally symmetrical Na⁺ solutions ([Na⁺] = 55, 165, or 550 mM) averaged 0.1 ± 0.7 mV (n = 11). We determined biionic potentials in each patch as the reversal potential shift (V_rev) on quickly switching from the Na⁺-containing external solution to one containing the same concentration of TMA⁺. Fig. 3 (A and B) shows examples of palytoxin-induced currents activated in outside-out patches initially exposed to symmetrical solutions containing 550 mM Na⁺ (A) or 55 mM Na⁺ (B). The corresponding, roughly linear, palytoxin-induced current–voltage curves, with reversal potentials close to 0 mV (Fig. 3 C, filled symbols), were obtained by subtraction of currents recorded during voltage-step episodes marked b and c, and f and g, respectively. Equivalent palytoxin-induced current–voltage curves at the same internal Na⁺ concentrations, but after switching to external solutions containing 550 mM (Fig. 3 A) or 55 mM (Fig. 3 B) TMA⁺, were obtained by subtracting currents from episodes a and d, and e and h, respectively, which yielded reversal potentials negative to –50 mV. On average, V_rev upon replacing external Na⁺ with TMA⁺ (Fig. 3 D) was the same at ion concentrations of 55 mM (–58 ± 2 mV), 165 mM (–57 ± 3 mV), and 550 mM (–57 ± 1 mV), indicating that P_TMA/P_Na was concentration independent over this range, with a mean value of 0.102 ± 0.004 (n = 11).

View larger version (27K): [in this window] [in a new window] [Download PPT slide]   Figure 3. The Na+/TMA+ biionic potential is independent of the absolute concentration of these permeant ions. (A and B) Outside-out patches from giant fiber lobe neurons held at –50 mV with pipettes containing 550 (A) or 55 (B) mM Na+. Top, horizontal bars designate bath ionic composition and application of palytoxin (10 nM). Bottom, current trace; the dotted line indicates the zero current level, and the brief vertical deflections indicate episodes in which 50-ms-long voltage pulses (–120 to +40 mV in 10-mV increments) were applied. (C) Palytoxin-induced I-V relationships with bath solutions containing 550 mM Na+ (from A; filled circles, c-b), 550 mM TMA+ (from A; open circles, d-a), 55 Na+ (from B; filled triangles, g-f) and 55 TMA+ (from B; open triangles, h-e). (D) Changes in Vrev (VrevTMAo+ – VrevNao+) at three different permeant ion concentrations. Mean values (number of experiments given in parentheses) were –58 ± 2, –57 ± 3, and –57 ± 1 mV for permeant ion concentrations of 55, 165, and 550 mM, respectively.

Under Zero-Trans Conditions (Na⁺-free External Solution) Palytoxin-induced ²²Na⁺ Efflux and Outward Current Have the Same Size and Time Course
As established for Na⁺ ion movement via TTX-sensitive channels, Fig. 4 confirms that under zero-trans conditions, unidirectional Na⁺ efflux and net current flowing through palytoxin-bound pump-channels are also equivalent. When this axon, held at –20 mV, with 100 mM internal Na⁺ and in Na⁺-free, NMG⁺-containing external solution, was exposed (at c) to 10 nM palytoxin, outward current (continuous noisy black trace) and ²²Na⁺ efflux (determined at 1.5-min intervals; blue line) increased promptly and in parallel; their time courses and amplitudes (after scaling by Faraday's constant) were the same, as expected if they derive from the same population of palytoxin-bound Na⁺/K⁺ pump-channels.

View larger version (17K): [in this window] [in a new window] [Download PPT slide]   Figure 4. Palytoxin-induced current and 22Na+ efflux under zero-trans conditions. The axon was internally dialyzed with 93 mM Na+, superfused with 400 mM NMG+, Na+- and K+-free solution, and voltage clamped at –20 mV. Membrane current (noisy solid trace) and 22Na+ efflux (blue lines, 1.5-min sample intervals) were measured simultaneously. To allow direct comparison of changes in current and flux they are plotted at equivalent vertical gain and the baseline current was set equal to the flux at time zero. At a, 10 mM K+ was added to the Na+-free solution to activate the Na+,K+-ATPase. The red line shows that three times the change in current on adding 10 mM K+ is equivalent to the change in 22Na efflux, as expected for a pump stoichiometry of 3 Na+/2 K+. The solution was changed back to Na+- and K+-free at b. At c, 10 nM palytoxin was added to the superfusate. At d, palytoxin was omitted and 10 µM ouabain was added. At e, ouabain was omitted and 10 nM palytoxin restored.

A subsequent 20-min re-exposure to 10 nM palytoxin (beginning at e), with concomitant withdrawal of ouabain, failed to transform any pumps into ion channels, presumably because they were protected by persistently bound ouabain under these conditions (but see Figs. 7 and 8, below).

Action of Palytoxin and Ouabain in 400 mM [Na⁺], K⁺-free, External Solution
At high (400 mM) external Na⁺, responses to 20 nM palytoxin applied to an axon, held at 0 mV, and with 100 mM internal Na⁺, appeared larger (Fig. 5) than expected from the results in Na⁺-free NMG⁺ external solution (e.g., Fig. 4). In the axon of Fig. 5, before its accelerating action was precipitously interrupted by addition of 100 µM ouabain, palytoxin activated >35 (compared with 15) pmol cm^–2 s^–1 of ²²Na efflux within 10 min, and a net current (15 µA cm^–2) that was larger than predicted, assuming independence. The smaller response in Fig. 4 likely reflects partial block of palytoxin-bound pump-channels by external NMG⁺, as observed in outside-out patches (Fig. 2 C). A further contrast with Fig. 4 is the order-of-magnitude slower reversal of palytoxin action upon its withdrawal in the presence of saturating concentrations of ouabain (1 mM was no more effective than 100 µM; Fig. 5). The palytoxin pump complex is evidently stabilized at high external [Na⁺] (compare Artigas and Gadsby, 2004).

View larger version (21K): [in this window] [in a new window] [Download PPT slide]   Figure 5. Determination of the flux ratio exponent n' for Na/K pump-channels opened by palytoxin. The axon was internally dialyzed with 98 mM Na+ and superfused with 400 mM Na+, and held at 0 mV. Simultaneous measurements of unidirectional 22Na+ efflux (top trace) and net current (bottom trace) were used to estimate the flux ratio exponent n' for Na/K pump-channels opened by 20 nM palytoxin. The inset figure illustrates the procedure to account for the delay between current measurements and the fraction collector that collected radioactive samples. Least-squares fits of Eq. 1 to the current and flux data were repeated for successive 5-s increments of delay, to find the delay time that minimized the sum of squared deviations for the estimate of n'. In this experiment, a time delay of 4.70 min resulted in a minimum in the sum of squares and gave an estimate for n' of 1.16. Baseline values (blue lines) for 22Na+ efflux and net current were used to correct measured values in the determinations of n'. The red trace represents the measured efflux data transformed by Eqs. 1 and 2 using the best-fit n' and delay value obtained from the fits. In the presence of external Na+, saturating concentrations of ouabain fully reverse palytoxin-induced 22Na+ efflux in 100 min. Vertical current displacements are in response to voltage staircases, with 0.5 mV steps, from –5 to 5 mV applied to monitor membrane conductance during the decline in current and flux.

(1)

where [Na⁺]_i and [Na⁺]_o are the internal and external Na⁺ concentrations, V is the membrane potential, and R, T and F have their usual meanings.

Although palytoxin-bound pump-channels select poorly among small monovalent cations (Ikeda et al., 1988; Muramatsu et al., 1988; Tosteson et al., 1991; Artigas and Gadsby, 2004), under the conditions of these experiments, Na⁺ ions are the principal charge carriers. This is because Na⁺ ions are 50-fold more permeant than NMG⁺ (Fig. 2; Artigas and Gadsby, 2004) or Ca²⁺ (Rouzaire-Dubois and Dubois, 1990; Artigas and Gadsby, 2004), the other major cations present. The observed correspondence between palytoxin-induced outward current and unidirectional Na⁺ efflux into Na⁺-free external solution (Fig. 4) supports the essentially Na⁺-selective behavior of palytoxin-bound pump-channels in these conditions. So, on the assumption that Na⁺ was the charge-carrying species, we used the measured palytoxin-elicited increments in unidirectional efflux (_out) and net current (I) to calculate the palytoxin-induced increment in unidirectional Na⁺ influx (_in),

(2)

and then substituted the ratio _out/_in for _out/_in in Eq. 1 to compute the flux ratio exponent n' for the channels opened by palytoxin.

In the experiment of Fig. 5, with 400 mM Na_o⁺ and 100 mM Na_i⁺ and the axon held at 0 mV, an efflux/influx ratio of 0.25 (100/400) is expected if the Ussing flux ratio exponent were 1.0. An initial estimate of n' can be garnered as follows. The peak increase in inward current caused by palytoxin was 16.0 µA cm^–2 (equivalent to 165.8 pmol cm^–2 s^–1), and the peak increase in Na⁺ efflux was 40.4 pmol cm^–2 s^–1, giving a calculated peak change in influx equivalent to 206.2 pmol cm^–2 s^–1. Thus the peak response gives an efflux/influx ratio of 0.20, expected (via Eq. 1) for n' 1.14. As n' must be independent of the fraction of open pump-channels, a similar calculation can be repeated for each pair of palytoxin-induced current and flux measurements, made at 1.5-min intervals, during the activation or deactivation time course. In practice, all data pairs within a given time period were simultaneously least-squares fit to yield a single estimate for n'. The period (marked by red traces, see below) was chosen to allow reliable extrapolation of baseline (e.g., straight blue lines in Fig. 5) values of current and ²²Na⁺ efflux and to ensure that palytoxin-induced increments in current and flux were of significant magnitude. The procedure illustrated in Fig. 5 inset was used to synchronize the current and efflux records, to account for the (imprecisely known) delay between experimental chamber and the fraction collector that collected radioactive samples. The least-squares fit was repeated for successive 5-s increments of assumed delay, to find the delay time that minimized the sum of squared deviations for the estimate of n'; in the inset of Fig. 5 this occurred for a time delay of 4.70 min and gave n' = 1.16. This method of synchronization was employed for all estimations of n' reported here. The time period over which current and flux data were analyzed to calculate n' in Figs. 5–9 and Fig. S2 is indicated by the red traces, which represent the measured efflux data, transformed using Eqs. 1 and 2 and the best-fit n' to generate a "computed current," and plotted over the measured current after synchronization by the least-squares delay. The superposition illustrates the goodness of fit.

Effects of Na_o⁺, K_o⁺, and Ouabain on Palytoxin-induced Current and Flux
In Fig. 6, to more clearly display small changes, the flux ordinate (Fig. 6 A) is expanded relative to that for current (Fig. 6 B) . In the initial absence of external K⁺, with 100 mM Na_i⁺ and the axon held at 0 mV, raising Na_o⁺ from 0 to 400 mM (at a) resulted in transactivation of ²²Na⁺ efflux (reflecting, in part, pump-mediated Na⁺/Na⁺ exchange) and an inward net current shift (attributable to electrogenic Na⁺ flow through unidentified, non-TTX-sensitive, pathways). Addition (at b), followed shortly after by removal (at c), of 20 mM K_o⁺ then temporarily converted pump-mediated activity to electrogenic Na⁺/K⁺ exchange (whose maximum rate exceeds that of Na⁺/Na⁺ exchange via the pump; Gadsby et al., 1993), resulting in a temporary further increment of Na⁺ efflux accompanied by a, similarly temporary, small pump-mediated outward current shift.

View larger version (17K): [in this window] [in a new window] [Download PPT slide]   Figure 6. External K+ speeds the closure of Na/K pump-channels opened by palytoxin. The axon was internally dialyzed with 94 mM Na+ and held at 0 mV throughout the measurements of (A) 22Na+ efflux and (B) net membrane current. A detailed description of the experiment is given in the text. Blue lines indicate the extrapolated baselines for 22Na+ efflux and net current. The red trace represents the measured efflux data transformed by Eqs. 1 and 2 using the best-fit n' value of 0.96 and least-squares delay obtained as described in Fig. 5. After a saturating concentration of ouabain partially reverses palytoxin action, replacement of all external Na+ with K+ fully restores baseline current and 22Na+ efflux levels in 10 min.

Using the least-squares fitting procedure described for Fig. 5, the segment of palytoxin-induced flux and current data marked by the red trace in Fig. 6 gave an estimate for n' of 0.96.

Effect of Membrane Potential on the Value of n'
By exploiting the action of external K⁺ to close pump-channels and accelerate dissociation of palytoxin, repeated estimations of n' could be made for the same population of pump-channels under different conditions. Fig. 7 shows 1 of 11 experiments in which membrane potential was varied, in this case from 0 to –20 mV. Starting with K⁺-free and Na⁺-free (NMG⁺) external solution, and 100 mM Na_i⁺, at 0 mV, the switch to 400 mM Na_o⁺ (at a) caused the usual small increases in net inward current and ²²Na⁺ efflux (as in Fig. 6). Activation of electrogenic Na⁺/K⁺ pumping by addition of 20 mM K_o⁺ (at b) then also elicited the usual increment in Na⁺ efflux accompanied by an outward current shift. Pump inhibition by 100 µM ouabain (at c) in the presence of 20 mM K_o⁺ caused a reduction of Na⁺ efflux (by 16.4 pmol cm^–2 s^–1) and an inward current shift (of 0.52 µA cm^–2). These specific pump-mediated signals yield an F_out/I ratio of 3.04, close to the 3.0 expected for stoichiometric 3 Na⁺:2 K⁺ transport (Rakowski et al., 1989). For similarly treated axons that contributed n' values included in Table I, ouabain-sensitive F_out/I ratios averaged 3.09 ± 0.13, n = 5, supporting the identical origins of flux and current signals in all of these experiments .

View larger version (16K): [in this window] [in a new window] [Download PPT slide]   Figure 7. Membrane potential does not alter the flux ratio exponent n'. The axon was internally dialyzed with 99 mM Na+ and exposed twice to palytoxin, at two different membrane potentials, 0 and –20 mV. (A) Membrane potential. (B) 22Na+ efflux. (C) Net membrane current. The experiment is described in detail in the text. Use of 400 mM external K+ to accelerate recovery from its action permitted more than one exposure to palytoxin. Blue and red lines have the same meaning as in previous figures.

Following a second exposure to 400 mM K_o⁺ solution (from j to k) to complete the recovery from palytoxin action (signaled by the return of current and flux levels to near extrapolated baseline values; blue lines), membrane potential was stepped from 0 to –20 mV (at l). This caused a small inward holding current shift but no measurable change in Na⁺ efflux. At –20 mV, brief application of 10 nM palytoxin (from m to n) caused a larger increase in inward current, but smaller increase in Na⁺ efflux, than seen earlier at 0 mV. Nevertheless, the value of n' estimated from the palytoxin-induced flux and current changes at –20 mV was 1.14, identical to that determined at 0 mV. Switching to Na⁺-free 400 mM K_o⁺ solution (o to p) again led to almost complete recovery of Na⁺ efflux and membrane current. Fig. S2 shows an experiment similar to that of Fig. 7 but with four applications of palytoxin, at holding potentials of –20, 0, –40, and again 0 mV.

Influence of [Na⁺]_o on the Value of n'
We used the same protocol, transient exposure to palytoxin with termination of its action by ouabain, and recovery speeded by external K⁺, to examine the influence of [Na⁺]_o on the flux-ratio exponent n' of palytoxin-bound pump-channels. In the axon of Fig. 8, with 100 mM Na_i⁺, n' was estimated first in 400 mM Na_o⁺ at a holding potential of –20 mV, then in 400 mM Na_o⁺ at –40 mV, and finally in 100 mM Na_o⁺ at –40 mV, yielding values for n' of 1.14, 1.06, and 1.11, respectively.

View larger version (22K): [in this window] [in a new window] [Download PPT slide]   Figure 8. External Na+ concentration does not alter the flux ratio exponent n'. The axon was internally dialyzed with 99 mM Na+ and subjected to three applications of palytoxin, two at 400 mM and one at 100 mM external [Na+]. (A and B) Na+ and K+ composition of the superfusate. (C) Membrane potential. (D) 22Na+ efflux and net membrane current. Top bars mark palytoxin treatments (solid bars; 5 nM) and ouabain exposures (hatched bars; 100 µM). The sequence of changes in the external solution composition is similar to that described for the experiment in Fig. 7. Blue and red lines have the same meaning as in previous figures.

Withdrawal of ATP
Consistent with findings on mammalian Na⁺/K⁺ pumps, in which withdrawal of ATP decreased the apparent affinity for palytoxin action (Artigas and Gadsby, 2004) and lowered the open probability of palytoxin-bound pump-channels (Artigas and Gadsby, 2003a), palytoxin action on Na⁺/K⁺ pumps in squid axons dialyzed with nucleotide-free solution was slower (Fig. 9, compare with Figs. 5 and 6). The axon in Fig. 9 had been predialyzed with 100 mM Na_i⁺ solution without nucleotides for 80 min before the start of the records illustrated. Addition of 10 mM K⁺ to the Na⁺-free external solution (a to b) then elicited no measurable K_o⁺-activated Na⁺/K⁺ pump current or ²²Na⁺ efflux. However, after switching to K⁺-free 400 mM Na_o⁺ solution (at c), a high concentration of palytoxin (25 nM; d to e) slowly increased inward current and ²²Na⁺ efflux, yielding an estimate for n' of 1.03, indistinguishable from the values obtained in the presence of 5 mM ATP. In the nominal absence of ATP, even low concentrations of external K⁺ (20 mM at f, 50 mM at g) were effective in accelerating closure of palytoxin-bound pump-channels, also in accord with results on mammalian Na⁺/K⁺ pumps (Artigas and Gadsby, 2003a, 2004). Palytoxin caused similar slow increases in current and flux in all three such experiments without ATP.

View larger version (17K): [in this window] [in a new window] [Download PPT slide]   Figure 9. Absence of nucleotide does not alter the flux ratio exponent n'. The axon was internally dialyzed with nucleotide-free, 99 mM Na+ solution and held at 0 mV throughout. (A and B) Na+ and K+ composition of the superfusate. (C) 22Na+ efflux and net membrane current. The inset amplifies the data for the period between 40 and 80 min, showing the lack of outward electrogenic pump current or associated increase of 22Na+ efflux after addition of 10 mM K+ to the Na+-free external solution. A detailed description of the experiment is given in the text. Blue and red lines have the same meaning as in previous figures.

	DISCUSSION

Top ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES

Interactions of Palytoxin with Na/K Pumps in Squid Neurons and Axons
For technical reasons, we made some measurements in patches excised from giant-fiber lobe neurons of the stellate ganglion and we made others in the giant axons that emanate from those neurons. But available data suggest that a single Na⁺/K⁺ pump -subunit (SqNaK 1; Genbank/EMBL/DDBJ no. EF467997) is the major isoform in this contiguous giant axon system (Colina et al., 2007). Messenger RNA for SqNaK 1 is abundant in the giant-fiber lobe neurons, and all 16 Na⁺/K⁺ pump -subunit clones isolated from a squid stellate ganglion EST library were homologous to the SqNaK 1 sequence. Moreover, PCR reactions using degenerate primers exclusively amplified this sequence (Colina et al., 2007).

The estimated K_0.5 of 70 pM (Fig. 2 D) for palytoxin activation of current in outside-out patches from giant fiber lobe neurons, with internal and external solutions containing high [Na⁺] (but no K⁺), is similar to the K_0.5 of 30 pM found for Na⁺/K⁺ pumps in HEK293 cells under comparable (other than ionic strength) conditions (Artigas and Gadsby, 2004). Also similar to findings on Na⁺/K⁺ pumps in mammalian cells (Artigas and Gadsby, 2003a, 2004), replacing external Na⁺ with K⁺ accelerated palytoxin unbinding from pumps in squid axons (Figs. 6–9). Acceleration of the decay of current and ²²Na efflux by external K⁺ can be interpreted as K⁺-induced closure of the Na⁺/K⁺ pump's external gate, with occupation of the ion-binding sites by occluded K⁺ ions. Because palytoxin binds most tightly to, and hence stabilizes, a conformation with the extracellular gate open, the action of external K⁺ promotes dissociation of palytoxin (Artigas and Gadsby, 2004; Harmel and Apell, 2006).

Withdrawal of nucleotides (by internal dialysis), until [ATP] in the axon was too low to support measurable Na⁺/K⁺ exchange, did not prevent palytoxin from slowly increasing conductance (Fig. 9). We previously found that even submicromolar [ATP] could enhance palytoxin apparent affinity in mammalian Na⁺/K⁺ pumps, probably by supporting pump phosphorylation (Artigas and Gadsby, 2003b, 2004). Nevertheless, at such low [ATP], the apparent affinity for palytoxin binding and the open probability of palytoxin-bound Na⁺/K⁺ pump-channels were both lower than at millimolar [ATP] levels (Artigas and Gadsby, 2003a). Similarly lowered palytoxin affinity, and open probability of pump-channels, after dialyzing intra-axonal [ATP] down to submicromolar levels, can explain the relatively slow response to palytoxin in Fig. 9.

Two of our findings in squid axons demonstrate that palytoxin and ouabain can both simultaneously occupy the same pump molecule, as established for mammalian Na⁺/K⁺ pumps (Artigas and Gadsby, 2004). First, squid Na⁺/K⁺ pumps are inhibited, practically irreversibly, by submicromolar ouabain concentrations (Baker et al., 1969), and yet after addition of 100 µM ouabain, enough to inhibit every pump in the axon (Fig. 7 c), palytoxin still readily transformed Na⁺/K⁺ pumps into channels (Fig. 7, e and m). Palytoxin must therefore have interacted with squid Na⁺/K⁺ pumps to which ouabain was already bound. Second, addition of 100 µM ouabain, shortly after withdrawal of palytoxin, promptly diminished the net current and ²²Na efflux flowing through palytoxin-bound Na⁺/K⁺ pump-channels (Fig. 7 g; Fig. 8, c, i, and o; Fig. S2, c, i, o, and u). Because in all cases palytoxin-induced current and efflux were still growing at the time of ouabain addition, ouabain must have acted on palytoxin-bound pump-channels. The slower time courses of palytoxin-induced current and efflux increase observed when palytoxin was applied after ouabain (Figs. 7, 8, and S2), rather than before ouabain (Figs. 5 and 6), support the proposal that ouabain unbinding from the palytoxin-ouabain pump complex is the rate-limiting step for pump-channel opening (Artigas and Gadsby, 2004). Because ouabain would remain tightly bound to the Na⁺/K⁺ pump in the absence of palytoxin, these results also further demonstrate that palytoxin binds to and destabilizes the ouabain pump complex, and that ouabain keeps palytoxin-bound pump-channels closed (Artigas and Gadsby, 2004).

Permeation Characteristics of Palytoxin-opened Channels in Squid Na/K Pumps
The single-channel conductance of palytoxin-opened channels in squid Na⁺/K⁺ pumps, 7 pS in 500 mM [Na⁺] solutions (Fig. 2), is similar to that of 8 pS for pump-channels in HEK cells, 7 pS in cardiac myocytes, and 5 pS in Xenopus oocytes, in all cases in 150 mM [Na⁺] solutions (Artigas and Gadsby, 2004, 2006). Comparable values, 7–10 pS, were reported previously for palytoxin-bound pump-channels in a variety of preparations (e.g., Ikeda et al., 1988; Muramatsu et al., 1988; Hirsh and Wu, 1997; Wang and Horisberger, 1997). The similar conductances of palytoxin-opened channels in squid and in vertebrates, even though the former were measured at three to four times higher ionic strength, support the suggestion (Colina et al., 2007) that evolution has tuned the electrostatic environment near the external mouth of each pump's permeation pathway to adapt its function to the ionic strength of the prevailing extracellular milieu. In addition, the palytoxin-bound pump-channels of both HEK cells and squid neurons show a small but measurable permeability to NMG⁺, with P_NMG/P_Na being 0.024 in squid (Fig. 2 C) and 0.021 in HEK pump-channels, and both are more permeable to TMA⁺ than to NMG⁺, with P_TMA/P_Na being 0.10 in squid (Fig. 3) and 0.16 ± 0.02 (n = 5) in HEK pump-channels (Artigas and Gadsby, 2004).

Although NMG⁺ ions evidently permeate palytoxin-bound pump-channels, if slowly, external NMG⁺ ions appear to partly block Na⁺ efflux through them. Thus, at large positive membrane potentials (>50 mV), outward Na⁺ current through pump-channels in outside-out patches was immediately reduced almost twofold (Fig. 2, A–C) by suddenly replacing 460 mM external Na⁺ with 460 mM external NMG⁺ (see Fig. 1 legend in Artigas and Gadsby, 2004). A further indication of block by external NMG⁺ is that palytoxin-induced ²²Na efflux was smaller in axons bathed in 400 mM NMG⁺ (Fig. 4) than in axons bathed in 400 mM Na⁺ (e.g., Figs. 5, 6), despite their identical 100 mM internal [Na⁺]; nonindependence of Na⁺ movements (see below) would be expected to have the opposite effect, diminishing ²²Na efflux in the presence of external Na⁺. A reduction of the apparent affinity for palytoxin in the absence of external Na⁺ could possibly contribute to this smaller palytoxin response in external NMG⁺, but it could not account for the near-instantaneous blocking action of NMG⁺ (Fig. 2, A–C); that block is rapidly relieved on switching back to Na⁺ solution even after washout of unbound palytoxin (e.g., Artigas and Gadsby, 2004, 2006).

Na⁺ Ion Occupancy and Permeation in Palytoxin-bound Pump-Channels
Measurable permeation of pump-channels by NMG⁺, in both squid neurons (Fig. 2) and HEK cells (Artigas and Gadsby, 2004), indicates that the narrowest region of their pore must be 7.5 Å wide. This raises the question of whether Na⁺ ions can pass each other in these channels and perhaps move independently of one another, or whether instead they are constrained to move in single file and, if so, whether the open channel contains a queue of several Na⁺ ions, or just one Na⁺ ion at a time. To address these questions we took two different approaches.

The first established that the reversal potentials of palytoxin-induced currents under similar biionic conditions, i.e., with equal concentrations of internal Na⁺ and external TMA⁺ as the permeant ions, were independent of those concentrations over a 10-fold range, from 55 to 550 mM (Fig. 3). The ratio of the permeabilities of these two ions, at least as defined for Nernst-Planck electrodiffusion (e.g., Hille and Schwarz, 1978), must therefore also be independent of concentration.

The second approach used simultaneous measurements of palytoxin-induced net current and unidirectional ²²Na efflux to calculate corresponding unidirectional Na⁺ influx, and hence the Ussing flux ratio exponent, n'. These estimates depend on the accuracy of the simultaneous current and flux measurements as well as on the validity of the assumption that they derive from the same area of axon membrane, i.e., from the axon segment in the central superfusion pool that is isolated electrically by auxiliary voltage-clamp circuitry and mechanically by narrow grease seals (Rakowski, 1989; Rakowski et al., 1989). We previously demonstrated that all these requirements are met by showing that, in Na_o⁺-free solution, TTX-induced decrements of ²²Na efflux and of net outward current are equivalent (Rakowski et al., 1989, 2002); we have repeated that demonstration here (Fig. S1). We also established, for several of the axons used here to obtain n' values of palytoxin-bound pump-channels, that ouabain-sensitive, Na⁺/K⁺ pump–mediated ²²Na efflux and net outward current displayed the ratio (equivalent to 3.0) appropriate for stoichiometric 3 Na⁺:2 K⁺ transport (Rakowski et al., 1989); and we obtained the same stoichiometry for K_o⁺ activation of the pump in Na_o⁺-free solution, in the experiment of Fig. 4 (a to b). These results validate the comparisons of fluxes and currents presented here. Hence, the finding that, with Na_o⁺-free solution, palytoxin elicited equivalent increments in ²²Na efflux and in outward current (Fig. 4, c to d) allowed the further conclusion that Na⁺ ions were the principal current carriers through pump-channels during the present experiments designed to estimate flux ratios (Figs. 5–9). Mean values of n' were determined for 100 mM Na_i⁺, with 400 mM Na_o⁺ at 0, –20, and –40 mV, and with 100 mM Na_o⁺ at –40 mV (Table I). They included estimates in the nominal absence of ATP, they were all close to 1.0, and they were not statistically significantly different from each other or from the overall average, which was 1.05 ± 0.02 (n = 28), barely statistically significantly different from 1.0 (P < 0.01).

Our findings with the two approaches, i.e., the independence of biionic reversal potential from ion concentration and a flux ratio exponent of 1.0, could be explained by any of several possibilities ranging from the very general to the highly constrained. Thus, pump-channels (a) could allow free diffusion of Na⁺ ions and obey the independence principle (Hodgkin and Huxley, 1952), or (b) they could contain a single Na⁺ ion-binding site, or (c) they could be multisite channels that do not show single-filing, or (d) multisite single-file channels that rarely contain more than one ion at a time (e.g., Läuger, 1973; Hille and Schwarz, 1978; Levitt, 1986; Zarei and Dani 1994; Hille, 2001), or (e) they could be multiply occupied single-file channels with permeation characteristics that meet certain specific constraints (Kohler and Heckmann, 1979; Schumaker and MacKinnon, 1990).

The first possibility can be ruled out because the conductance of single palytoxin-bound pump-channels was found to be a saturable function of Na⁺ activity (Artigas and Gadsby, 2006), which means that Na⁺ movements through these channels do not obey independence; at high [Na⁺] activity, interactions of Na⁺ ions with pump-channels become influenced by Na⁺ ions already in the pores (e.g., Hille, 2001). The relatively low apparent affinity of the putative Na⁺ binding site(s) associated with this saturable behavior (K_0.5 300 mM [Na⁺] for pump-channels in Xenopus oocytes; Artigas and Gadsby, 2006) is consistent with the fluxes of millions of Na⁺ ions per second observed to flow through palytoxin-bound pump-channels (e.g., Fig. 1), under which conditions each Na⁺ ion must spend <1 µs inside an open channel.

Distinguishing between the remaining possibilities is difficult. Our results are all consistent with pump-channels being occupied by only a single ion, whether they contain a single binding site, or more than one binding site without, or with, single filing. However, Na⁺/K⁺ pumps are known to contain multiple ion-binding sites, and crystal structures of Ca²⁺-bound sarcoplasmic and endoplasmic reticular Ca²⁺ pumps, homologues of Na⁺/K⁺ pump subunits, all show that they are occupied by two Ca²⁺ ions. The ions lie deep inside the protein, nearly halfway across the membrane, but they are arranged side by side rather than in single file (Toyoshima et al., 2000, 2004; Sørensen et al., 2004; Toyoshima and Mizutani, 2004). Not surprisingly, models of the Na⁺/K⁺ pump -subunit based on those crystal structures picture similar side-by-side binding sites for three Na⁺ ions in E1-like conformations (Ogawa and Toyoshima 2002; Rakowski and Sagar, 2003), or for two K⁺ ions in E2-like conformations (Ogawa and Toyoshima 2002). Negative charges of conserved acidic side chains are expected to help coordinate the Na⁺ or K⁺ ions in these ion-binding sites in Na⁺/K⁺ pumps (Nielsen et al., 1998; Ogawa and Toyoshima 2002; Toyoshima and Nomura, 2002; Toyoshima et al., 2004; Møller et al., 2005). Indeed, side chains of residues in at least two of the positions that contribute to one of those ion-binding sites (site II, between the fourth and sixth transmembrane helices) are accessible from the ion pathway within palytoxin-bound pump-channels (Reyes and Gadsby 2006), arguing that Na⁺ ions flowing through them traverse, and hence at least transiently occupy, site II. But occupancy of more than one site by Na⁺ may be anticipated in palytoxin-bound pump-channels, because palytoxin is believed to stabilize an E2P-like conformation of the Na⁺/K⁺ pump (Artigas and Gadsby, 2004; Harmel and Apell, 2006; Reyes and Gadsby 2006), a conformation that in the absence of palytoxin binds two K⁺ ions (e.g., Glynn and Karlish, 1990) or two Na⁺ ions (e.g., Sturmer and Apell, 1992). Moreover, fluorescence levels of electrochromic styryl reporter dyes indicate occupancy of palytoxin-bound pump-channels by either two Na⁺ ions, two K⁺ ions, or two protons (Harmel and Apell, 2006). An intriguing possibility, then, is that in the present experiments palytoxin-bound pump-channels are also mostly occupied by two Na⁺ ions, but that they reside side by side, in sites I and II, rather than in single file. If only the site II ion has ready access to both sides of the membrane in the palytoxin-stabilized pump conformation, this could explain the observed behavior resembling that of a pore that is rarely occupied by more than one ion.

We note that, in contrast to this side-by-side architecture expected for ion-binding sites in Na⁺/K⁺ pumps, ion-binding sites in voltage-gated Na⁺ channels may be expected to align in single file (due to structural homology of their ion pore to that of K⁺ channels; Doyle et al., 1998). In squid axons, voltage-gated Na⁺ channels do display characteristics of single-file pores with two ion-binding sites (Begenisich and Cahalan, 1980), but, like palytoxin-bound Na⁺/K⁺ pumps, they exhibit an Ussing flux ratio exponent close to 1.0 (Begenisich and Busath, 1981; Rakowski et al., 2002); given their low apparent affinity for Na⁺, the preferred interpretation is that voltage-gated Na⁺ channels are single-file multisite pores that are seldom occupied by more than one ion at a time. Although it remains formally possible that palytoxin-bound Na⁺/K⁺ pump-channels are also single-file multisite pores with single ion occupancy, as noted above structural considerations and fluorescence data argue for occupancy by two ions. However, provided that certain kinetic constraints apply, the invariance of the biionic reversal potential and the flux ratio exponent close to 1.0 could also both be explained if pump-channels were single-file pores containing two Na⁺ ion-binding sites that are mostly occupied. The necessary constraints are that (a) the channels operate by a single-vacancy flux mechanism (which requires that rates of ion hopping between sites exceed ion exit rates), and furthermore, (b) in the biionic experiments, the ratio of the exit rates for the two ions approximate the square of the ratio of their hopping rates, and (c) in the flux ratio measurements, the rate of entry of Na⁺ ions into the pump-channels substantially exceeds their hopping rate (Kohler and Heckmann, 1979; Schumaker and MacKinnon, 1990). This specific combination of constraints seems idiosyncratic, but we know too little about the permeation properties of palytoxin-bound pump-channels to rule any of them out with any confidence.

Overall, in view of structural evidence for multiple side-by-side rather than single-file binding sites in this family of ion pumps, for expected occupancy of more than one site in palytoxin-bound Na⁺/K⁺ pump-channels, and yet for ready accessibility of only one of those sites, we postulate that pump-channels are nearly always occupied by two Na⁺ ions, side by side, but that their readily accessible ion pathway rarely contains more than a single Na⁺ ion, so accounting for their Ussing flux ratio exponent of 1.0. Different kinds of measurements will be required to test this hypothesis.

	ACKNOWLEDGMENTS

 
We thank Mr. Chandrakanth Reddy for computational assistance and Mark Mayer (National Institutes of Health [NIH], Bethesda, MD) for the donation of electrophysiological equipment.

This work was supported by NIH grants NS22979, NS11223, and HL36783, and National Science Foundation grant CCF-0622158. This research was also partially funded by the Intramural Research Program of the NIH, National Institute of Neurological Disorders and Stroke.

Ted Begenisich served as guest editor.

Submitted: 1 March 2007
Accepted: 22 May 2007

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