Abstract
Voltage-gated Ca2+ channels (VGCC) directly control muscle contraction and neurotransmitter release, and slower processes such as cell differentiation, migration, and death. They are potently inhibited by RGK GTP-ases (Rem, Rem2, Rad, and Gem/Kir), which decrease Ca2+ channel membrane expression, as well as directly inhibit membrane-resident channels. The mechanisms of membrane-resident channel inhibition are difficult to study because RGK-overexpression causes complete or near complete channel inhibition. Using titrated levels of Gem expression in Xenopus oocytes to inhibit WT P/Q-type calcium channels by ∼50%, we show that inhibition is dependent on channel inactivation. Interestingly, fast-inactivating channels, including Familial Hemiplegic Migraine mutants, are more potently inhibited than WT channels, while slow-inactivating channels, such as those expressed with the Cavβ2a auxiliary subunit, are spared. We found similar results in L-type channels, and, remarkably, Timothy Syndrome mutant channels were insensitive to Gem inhibition. Further results suggest that RGKs slow channel recovery from inactivation and further implicate RGKs as likely modulating factors in channelopathies.
Introduction
Voltage-gated Ca2+ channels (VGCC) are critical for nerve, heart, and muscle function. Their opening triggers neurotransmitter release and muscle contraction, and can initiate slower processes such as cell migration, gene transcription and cell death. Not surprisingly, mutations in VGCC have been directly implicated in epilepsy, migraine, Alzheimer’s disease, blindness, pain, schizophrenia, atrial fibrillation, and several other neurological and cardiovascular disease (; ; ; ; ; ; ). The immediate effect of some of these mutations, which are often in the channel’s pore-forming subunit (Cavα1), is to alter channel inactivation, leading to an aberrant Ca2+ influx. For example, Timothy Syndrome is caused by a single point mutation that dramatically slows channel inactivation, affecting both nerve and cardiac muscle function—patients suffer from arrhythmias that lead to cardiac arrest by the age of four and are often diagnosed with autism spectrum disorder ().
The main pore-forming α1 subunit of calcium channels, Cavα1, is composed of 4 homologous domains (I-IV, Figure 1A), each containing six transmembrane helices (S1-S6). The four domains are connected by intracellular loops named I-II, II-III, and the III-IV loop. In high voltage-activated (HVA) calcium channels, which are L-, N-, P/Q- and R-type, the I-II loop contains a region that anchors the auxiliary cytosolic β subunit, or Cavβ (; ; ). The β subunit is essential for channel trafficking to the membrane, and controls channels gating. For example, the Cavβ2a subunit, whose expression is developmentally regulated, dramatically slows channel inactivation (; ).
FIGURE 1
The presence of the β subunit is also required for HVA channel regulation by the small monomeric RGK-GTPases: Rem, Rem2, Rad, Gem/Kir (
In a previous study, we rendered a P/Q channel completely insensitive to RGK inhibition, by replacing its IIS1-IIS3 region with that of the RGK- insensitive LVA T-type channel, CaV3.1 (
In this study, we investigated Gem inhibition of P/Q- and L-type Ca2+ channels (Cav2.1 and Cav1.2 respectively) expressed in Xenopus oocytes. Using titrated low levels of Gem expression that inhibit currents by ∼50% we revealed that Gem stabilizes P/Q channels in the inactivated state and slows recovery from inactivation. We also found that Gem differentially inhibits WT channels versus mutants with altered inactivation, including mutants associated with known channelopathies. Most notably, the Timothy Syndrome mutation renders L-type channels insensitive to Gem, exposing RGKs as potential players in this and other channelopathies.
Results
As mentioned, we had previously created an RGK-insensitive chimeric P/Q channel harboring the IIS1-IIS3 region from T-channels. Compared to WT channels, which were significantly inhibited (Figure 1A, top), this chimera was insensitive (Figure 1A middle), confirming our previous study (
Calcium channel inactivation serves a critical role in limiting Ca2+ influx into the cell, and is often disrupted in calcium channel mutants and calcium channelopathies. Thus, to investigate whether the chimeras had unique biophysical properties that interfered with Gem inhibition, we first examined channel inactivation. We coexpressed WT PQ or chimeric PQ(TIIS1-IIS2) channels with β3 and α2δ subunits in Xenopus oocytes and studied their inactivation properties using 1,500 ms long voltage steps, instead of the usual 50 ms steps. Interestingly, we found that chimeric channels inactivated at a dramatically reduced rate compared to WT channels when stimulated with long voltage pulses (Figure 1B, 7% ± 4% vs. 77% ± 5% inactivation at 0 mV for mutant vs. WT channels respectively, p < 0.01).
We thus wondered whether slowed channel inactivation per se was causing the chimera’s resistance to RGK inhibition. If there was a causative relationship between the two, i.e., if slowed channel inactivation underlies the insensitivity to RGKs, then any mutation outside of the IIS1-IIS2 region that slows inactivation should have a similarly protective effect. Furthermore, if RGK-mediated inhibition was indeed dependent on channel inactivation, then mutations that speed channel inactivation should heighten RGK inhibition.
To that end, we introduced several single point mutations into different regions of the P/Q channel, producing channels with very different inactivation properties—mutations F709C and I712C slowed inactivation, while N707C and N1513C significantly sped the time constant of inactivation, three-fold, compared to WT channels (Figure 2A; Supplementary Figure S1). To ensure that there are sufficient currents to study, we injected a concentration of Gem cRNA that produces ∼50% inhibition of WT P/Q-channels [see Methods (
FIGURE 2

Different mutations in PQ channels that alter inactivation also alter sensitivity to Gem. (A) Various mutant channels (red dot indicates mutation site) with differing inactivation kinetics (see Supplementary Figure S1) were expressed in Xenopus oocytes and their currents during 0.5 s voltage steps recorded. The vertical bar to the left of the currents indicates 10 µA. Currents were recorded in the presence or absence of Gem but shown here are those in the presence or absence of HA-Gem. In this set of experiments the amount of HA-tagged Gem RNA injected into the oocytes was adjusted to a level that gives ∼50% inhibition in WT P/Q-channels (top bar gaph) so both increases and a decreases in Gem potency can be observed in the mutants. Ten Oocytes were collected after recording for each of the experimental groups in the westerns in (B) which show similar amounts for HA-Gem expression for all conditions. See Methods for HA-Gem quantification.
These results suggest the possibility that channel inactivation, independent from a particular channel region, can dictate the strength of Gem inhibition.
The β2a subunit ameliorates Gem-mediated inhibition
To further probe this hypothesis we took advantage of the fact that HVA channels can be modulated with a unique β subunit splice variant, β2a, that dramatically slows channel inactivation [
FIGURE 3

Coexpression of the Cavβ2a subunit can abolish Gem inhibition of P/Q-channels and Gem delays channel recovery from inactivation. (A) Co-expression of P/Q channels with the β2a subunit, which slows inactivation, abolishes inhibition by Gem (“+Gem” indicates the addition of 0.03 ng/cell of Gem cRNA). Inhibition can be restored using larger amounts of injected Gem cRNA (“+++” bar graphs are for cells with with 0.3 ng of Gem cRNA/cell). (B) Recovery from inactivation was studied using minute long pulses to 0 mV followed by recovery from inactivation at a holding potential of −80 mV. During recovery, short test pulses to 0 mV were given every 10 s (top panel) and currents recorded in the presence or absence of Gem (lower panel). (C) The average time course of recovery from inactivation (note log scale); currents were normalized to post-recovery levels. Smooth lines show an exponential fit to the average time course of recovery (τ = 8.6 s without Gem and 34.3 s with Gem). Bar graphs show standard whisker plots for the time constants, which were significantly different, p < 0.01. (D) A diagram based on
Gem slows channel recovery from inactivation
One interpretation of the results thus far is that channels that rarely enter the inactivated state are less sensitive to Gem while those that readily enter the inactivated state are more sensitive to Gem. A possible mechanism for this could be that Gem stabilizes channels in the inactivated state. If this is true, Gem should slow channel recovery from inactivation. To investigate this idea, we studied P/Q channel recovery from inactivation in the presence or absence of Gem; we used brief pulsing to assess current recovery following a long, 2 s inactivating pulse to 0 mV. As shown in Figures 3B, C, recovery from inactivation in the absence of Gem was fast, with a time constant of ∼8.6 s. On the other hand, in the presence of Gem, channels recovered from inactivation significantly slower, with a time constant of ∼33.4 s, suggesting that Gem may retard channel recovery from inactivation (p < 0.01).
The pulse to 0 mV promotes inactivation from the open state (Figure 3D, thick arrow near 0 mV), but VGCC can also inactivate from “intermediate” closed states (
Gem differentially inhibits WT channels versus those associated with channelopathies
We next wondered whether Gem inhibition could be a contributing factor in channelopathies, many of which are associated with altered inactivation properties. One of the most studied calcium channelopathies, Timothy Syndrome (TS), is an L-type Cav1.2 channelopathy characterized by arrhythmias and, often, autism or autism spectrum disorder (
To test whether Gem could differentially regulate WT and TS channels, and to simultaneously test whether our findings in P/Q channels, which belong to the CaV2 family of VGCC extend to L-type channels, we introduced the above two mutations that can cause Timothy Syndrome into human Cav1.2 (L-type) channels. The mutations dramatically slowed channel inactivation (Figure 4A), as expected (
FIGURE 4

Human disease mutations dramatically alter sensitivity to Gem inhibition. (A) WT and the indicated disease mutants of human PQ and L-channels were coexpressed with β3 and α2δ subunits. Red dots indicate mutations sites. (B) T. S. mutants show dramatic resistance to Gem inhibition, while PQ channel mutants exhibit increased inhibition. White whisker plots are normalized peak currents from cells without HA-Gem, while black bars reflect fold reduction in peak currents from cells co-expresing HA-Gem. Differences in average current amplitudes were statistically significant at the p < 0.01 level, as indicated by the “**”. Similar results with untagged Gem are in Supplementary Figure S4. (C) Westerns show HA-Gem levels in cell lysates (pooled from 8 oocytes for each condition), and were quantified using ImageJ. N ≥ 8 for each sample.
Next, we investigated two point mutations in the PQ-type Ca2+ channel that speed channel inactivation: one associated with Familial Hemiplaegic Migraine, with a devastating type of progressive cerebellar atrophy, ataxia, and, often, a coma [FHM; T666M located in the pore loop of domain II (
Discussion
In this paper, we demonstrate several important findings. 1) Gem inhibition of P/Q-channels in expression systems is not necessarily complete, and can be titrated in Xenopus oocytes to achieve a lower level of inhibition that is more physiologically relevant. 2) Gem slows P/Q-channel recovery from inactivation, and has a differential effect on channels with differing inactivation kinetics. 3) The β2a subunit of VGCC, which slows inactivation, blunts RGK-mediated inhibition. 4) Timothy Syndrome channels are insensitive to Gem inhibition, suggesting they lack a key aspect of regulation that would have potentially curbed the excessive Ca2+ influx into cells. In addition, Gem is a likely exacerbating factor in several human disease mutations that alter calcium channel inactivation.
Most studies of RGK proteins are overexpression studies in HEK293 cells, or other systems, where VGCC currents are nearly completely abolished, complicating mechanistic studies (
Here, we took advantage of two previous studies establishing that Xenopus oocytes can be used to carefully control the levels of calcium channel subunit expression (
Our finding that Gem differentially reduces the fraction of available channels in intermediate closed states (at −60 mV, Figure 3) has implications for cells with high frequency action potentials that push channels into the intermediate closed states, as first described for VGCC by
One of the most potent physiological regulators of calcium channel gating and particularly channel inactivation is the Cavβ subunit, whose tissue and developmental regulation is tightly regulated (
RGK proteins have been previously implicated in other human disease. For example, the failing heart has a three-fold higher level of Gem (
Episodic Ataxia 2 (
Finally, our study reveals a dramatically reduced effectiveness of Gem to inhibit Timothy Syndrome channels, Importantly, based on our westerns here and elsewhere in the paper, the levels of Gem expression did not predict the levels of inhibition. For example, the highest levels of HA-Gem expression was in oocytes coexpressing the TS2 mutation (G402S), yet they were not inhibited (Figure 4).
While rare, the slowed inactivation in TS fatally prolongs the QT interval. Autism, on the other hand, is diagnosed only in a subset of patients (
Interestingly, several other proteins differentially modulate WT vs. TS channels. To give two examples, CamKII phosphorylates TS channels at a novel consensus site created by the mutation, which may contribute to the channels’ slowed inactivation (
Recently, great potential has been revealed for the use of RGK proteins in gene therapy for calcium channel-related cardiovascular disease (
Materials and methods
Oocyte preparation and expression
Ovarian lobes were obtained from adult Xenopus laevis (from Xenopus One) under anesthesia in a manner approved by the institutional IACUC, and some were obtained directly from Xenopus one. Stages V–VI oocytes were prepared by treatment with 2.5 mg/mL collagenase A (Boehringer Mannheim) for 1.5–2.5 h in a shaking incubator at RT and 200 rpm, in a solution containing 82.4 mM NaCl, 2.5 mM KCl, 1 mM MgCl2, and 5 mM hepes (pH 7.6). Next, they were rinsed twice (15 min each time) with ND96 solution containing 96 mM NaCl, 2.5 mM KCl, 1 mM MgCl2, 5 mM hepes, 1.8 mM CaCl2, 100 units/mL penicillin, and 100 μg/mL streptomycin (pH 7.6). Single defoliculated oocytes were individually selected under a dissection scope and 50 nL cRNA mixtures injected using a Nanoject II from Drummond. The cRNA were synthesized and capped in vitro, and varying amounts (0.03–5 ng) were injected into selected oocytes in various combinations, and the oocytes incubated at 18°C for 3–5 days before recordings. The cDNAs encoding various constructs were subcloned into a modified oocytes expression vector pGEMHE. The constructs included wildtype (WT) or mutated human Cav2.1 (isoform 2), WT or mutant human cardiac Cav1.2, rat skeletal muscle α2δ, WT rat brain β3, WT human skeletal muscle Gem or N-terminally HA tagged Gem, and human Cavβ2a. For the PQ(TIIS1-IIS2) channel chimera, PCR mutagenesis was used and CaV2.1 (GenBank accession number X57477) residues R482-G542, comprising IIS1-IIS2, were replaced with residues K738-G798 from Cav3.1 (AJ012569). In the IIS1-IIS3 chimera, CaV2.1 residues 482-K572, were replaced with residues K738-G828 of CaV3.1, as we previously described (
Electrophysiology
All experiments were performed at 22°C. Whole-oocyte recordings used two-electrode voltage clamp (OC725 from Warner Instruments), electrodes were filled with 3 mM KCl and had a resistance of 0.5–1 MΩ. The bath solution contained (in mM) 40 Ba(OH)2, 50 NaOH, 2 KCl, 2 BaCl2, and 5 hepes; pH was adjusted to 7.4 using methanesulfonic acid, and the solution was filtered to remove impurities. All data were analyzed with Clampfit and were represented as mean ± SD (N = number of observations). Significance was determined using two-tailed Student’s t-test. Voltage protocols were from a holding potential of −80 mV and 50 ms or 1,500 ms voltage steps ranging from −60 to +50 were applied in increments of 10 mV every 1 or every 10 s (for the longer steps).
Western blots
The oocytes recorded using TEVC were frozen in liquid nitrogen immediately after usage. Cell lysis was performed by homogenization of 10 oocytes using a 25-G needle in a ∼15–20 µL/oocyte of a PBS solution supplemented with 1 mM EDTA, 10% Glycerol, 1%Triton, and 1:50 protease inhibitor (Halt cocktail, Pierce). Samples were centrifuged for 30 min at 10,000 g and 25 µL of the supernatant collected and mixed with 12.5 µL 3xSDS and boiled for 10 min as a whole protein control. The rest of the supernantant was incubated with gentle mixing overnight at 4°C with 20 µL of anti-HA coated beeds (Sigma), centrifuged, washed with the lysis solution with 1% total detergent three times for 5 min followed by a 5 min incubation and elution with HA peptide (0.8 mg/mL final, Genscript) dissolved in ∼40 µL wash buffer (about 2 µL/oocyte) with 0% detergent. Following centrifugation samples we boiled and are used for gels and western blots. After electrophoresis, the protein gel was transferred to the PVDF membrane and processed with the Odyssey Western blot kit (Li-Cor). The monoclonal mouse anti-HAantibody HA.11 (Covance) was used as the primary antibody. Alexa Fluor 680 goat anti-mouse IgG (Invitrogen) was used as the secondary antibody. Images were scanned and analyzed with the Odyssey Infrared Imaging System (Li-COR). To quantify western blots, we used ImageJ and measured Gem expression in relation to the levels of actin expression in the same lane (the loading control), and expressed this value as a percentage of the Gem co-expressed with the WT channel.
Statements
Data availability statement
The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/Supplementary Material.
Ethics statement
The animal study was reviewed and approved by the Institutional Animal Care and Use Committee; Columbia University.
Author contributions
ZB and JY conceived of the experiments; ZB, SD, RL-P, BC, GS, SK, and SA carried out the experiments, ZB and JY analyzed the data and wrote the manuscript, and ZB and ZC prepared the figures. All authors contributed to the article and approved the submitted version.
Funding
This work was supported by NIH grants R01NS053494 and R01GM085234 to JY and R15GM124013 to ZB; Dyson College of Arts and Sciences (Pace University) funding to ZB; and Pace University Provost’s office grant to SA and ZB.
Acknowledgments
We thank Terry Snutch for the Human PQ channel construct, Rocky Kass for the Human L-channel construct and the JY and ZB lab members for support.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher’s note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
Supplementary material
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fphys.2023.1155976/full#supplementary-material
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Summary
Keywords
ataxia, Ca2+, channelopathy, GTPase, heart, ion channel, inactivation, muscle
Citation
Allam S, Levenson-Palmer R, Chia Chang Z, Kaur S, Cernuda B, Raman A, Booth A, Dobbins S, Suppa G, Yang J and Buraei Z (2023) Inactivation influences the extent of inhibition of voltage-gated Ca+2 channels by Gem—implications for channelopathies. Front. Physiol. 14:1155976. doi: 10.3389/fphys.2023.1155976
Received
01 February 2023
Accepted
21 July 2023
Published
16 August 2023
Volume
14 - 2023
Edited by
Yong Yu, St. John’s University, United States
Reviewed by
Bernhard E. Flucher, Innsbruck Medical University, Austria
Manuel L. Covarrubias, Thomas Jefferson University, United States
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Copyright
© 2023 Allam, Levenson-Palmer, Chia Chang, Kaur, Cernuda, Raman, Booth, Dobbins, Suppa, Yang and Buraei.
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*Correspondence: Jian Yang, jy160@pace.edu; Zafir Buraei, zburaei@pace.edu
† These authors have contributed equally to this work
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