TY - GEN N2 - Voltage-gated Na+ (NaV) channels comprise a macromolecular complex, whose members tailor their function according to cell type. Key members are the non-covalently bound NaV 1 and 3 subunits that regulate channel gating, expression, and pharmacology. To probe the molecular basis of this regulation, we applied voltage-clamp fluorometry to measure how the subunits affect conformations within the cardiac NaV channel (NaV1.5) voltage-sensing domains (VSDs). The pore-forming NaV1.5-subunit contains four domains (DI-DIV), each with a VSD. Our results show that 1 and 3 regulate NaV1.5 by altering DIII- and DIV-VSD activation, an interaction that is significantly altered by atrial fibrillation-variants in both subunits. 1 and 3 strongly affected the interaction of Class Ib anti-arrhythmic drugs, lidocaine and ranolazine, with the DIII-VSD. Our results demonstrate that 1 and 3 regulation of the NaV1.5 VSDs can significantly determine NaV1.5 pathology and its therapeutic response. DO - 10.7936/K7J102MF DO - DOI AB - Voltage-gated Na+ (NaV) channels comprise a macromolecular complex, whose members tailor their function according to cell type. Key members are the non-covalently bound NaV 1 and 3 subunits that regulate channel gating, expression, and pharmacology. To probe the molecular basis of this regulation, we applied voltage-clamp fluorometry to measure how the subunits affect conformations within the cardiac NaV channel (NaV1.5) voltage-sensing domains (VSDs). The pore-forming NaV1.5-subunit contains four domains (DI-DIV), each with a VSD. Our results show that 1 and 3 regulate NaV1.5 by altering DIII- and DIV-VSD activation, an interaction that is significantly altered by atrial fibrillation-variants in both subunits. 1 and 3 strongly affected the interaction of Class Ib anti-arrhythmic drugs, lidocaine and ranolazine, with the DIII-VSD. Our results demonstrate that 1 and 3 regulation of the NaV1.5 VSDs can significantly determine NaV1.5 pathology and its therapeutic response. AD - Washington University in St. Louis AD - Washington University in St. Louis T1 - Dataset for Figure 1: Mechanisms of non-Covalent Subunit Regulation of Nav Channel Gating and Pharmacology DA - 2018-05-07 AU - Zhu, Wendy AU - Silva, Jonathan R. L1 - https://data.library.wustl.edu/record/3/files/ReadMe_sb_8e45577c_hXdxRy.txt L1 - https://data.library.wustl.edu/record/3/files/Silva_Figure1.zip LA - eng PY - 2018-05-07 ID - 3 L4 - https://data.library.wustl.edu/record/3/files/ReadMe_sb_8e45577c_hXdxRy.txt L4 - https://data.library.wustl.edu/record/3/files/Silva_Figure1.zip KW - Medical engineering KW - biomedical engineering TI - Dataset for Figure 1: Mechanisms of non-Covalent Subunit Regulation of Nav Channel Gating and Pharmacology Y1 - 2018-05-07 L2 - https://data.library.wustl.edu/record/3/files/ReadMe_sb_8e45577c_hXdxRy.txt L2 - https://data.library.wustl.edu/record/3/files/Silva_Figure1.zip LK - https://data.library.wustl.edu/record/3/files/ReadMe_sb_8e45577c_hXdxRy.txt LK - https://data.library.wustl.edu/record/3/files/Silva_Figure1.zip UR - https://data.library.wustl.edu/record/3/files/ReadMe_sb_8e45577c_hXdxRy.txt UR - https://data.library.wustl.edu/record/3/files/Silva_Figure1.zip ER -