How Sodium and Calcium Ions Pass Through Batrachotoxin-Bound Sodium Channel

Steroidal sodium channel agonist batrachotoxin (BTX), one of the most potent animal toxins, dramatically increases calcium permeation and alters other channel characteristics. In a cryoEM structure of rat sodium channel Nav1.5 with two BTX-B molecules, one toxin binds between repeats III and IV and exposes to the pore lumen two oxygen atoms and protonatable nitrogen. The mechanism of ion permeation and selectivity in BTX-bound channel is unclear. Here Monte Carlo energy-minimized profiles of sodium and calcium ions pulled through the pore were computed in models with various protonated states of the DEKA lysine and BTX-B. The only model where the ions readily passed by the DEKA lysine and BTX-B involved their deprotonated nitrogens. In this model, electronegative atoms of BTX-B attracted a permeant cation that stabilized the "dunked" lysine through electrostatic interactions and nearby water molecules. This would retard reprotonation of the lysine and its "uplifting" to the DEKA carboxylates, which otherwise attracts calcium. The results suggest how sodium and calcium ions pass through BTX-bound sodium channel and why BTX increases calcium permeation. The study supports an earlier hypothesis that during the sodium ion permeation cycle, the DEKA lysine alternates between uplifted and dunked conformations in the protonated and deprotonated states, respectively, while the sodium-displaced proton and the sodium ion nullify the net electrical charge at the DEKA region.