RT Journal Article T1 Nav1.5 N-terminal domain binding to α1-syntrophin increases membrane density of human Kir2.1, Kir2.2 and Nav1.5 channels A1 Matamoros Campos, Marcos A1 Pérez Hernández, Marta A1 Amorós García, Irene A1 Barana Muñoz, Adriana A1 Núñez, Mercedes A1 Ponce Balbuena, Daniela A1 Sacristán, Sandra A1 Gómez García, Ricardo A1 Tamargo Menéndez, Juan A1 Caballero Collado, Ricardo A1 Jalife, José A1 Delpón Mosquera, María Eva AB Aims: Cardiac excitability and refractoriness are largely determined by the function and number of inward rectifier K⁺ channels (Kir2.1-2.3), which are differentially expressed in the atria and ventricles, and Nav1.5 channels. We have focused on how Nav1.5 and Kir2.x function within a macromolecular complex by elucidating the molecular determinants that govern Nav1.5/Kir2.x reciprocal modulation.Methods and results: The results demonstrate that there is an unexpected 'internal' PDZ-like binding domain located at the N-terminus of the Nav1.5 channel that mediates its binding to α1-syntrophin. Nav1.5 N-terminal domain, by itself (the 132 aa peptide) (Nter), exerts a 'chaperone-like' effect that increases sodium (I(Na)) and inward rectifier potassium (I(K1)) currents by enhancing the expression of Nav1.5, Kir2.1, and Kir2.2 channels as demonstrated in Chinese hamster ovary (CHO) cells and in rat cardiomyocytes. Site-directed mutagenesis analysis demonstrates that the Nter chaperone-like effect is determined by Serine 20. Nav1.5-Kir2.x reciprocal positive interactions depend on a specific C-terminal PDZ-binding domain sequence (SEI), which is present in Kir2.1 and Kir2.2 channels but not in Kir2.3. Therefore, in human atrial myocytes, the presence of Kir2.3 isoforms precludes reciprocal I(K1)-INa density modulation. Moreover, results in rat and human atrial myocytes demonstrate that binding to α1-syntrophin is necessary for the Nav1.5-Kir2.x-positive reciprocal modulation.Conclusions: The results demonstrate the critical role of the N-terminal domain of Nav1.5 channels in Nav1.5-Kir2.x-reciprocal interactions and suggest that the molecular mechanisms controlling atrial and ventricular cellular excitability may be different.Keywords: Inward rectifier current; Kir2.x; Sodium current; α1-syntrophin. PB Oxford University Press SN 1755-3245 YR 2016 FD 2016-05-15 LK https://hdl.handle.net/20.500.14352/92010 UL https://hdl.handle.net/20.500.14352/92010 LA eng NO Marcos Matamoros, Marta Pérez-Hernández, Guadalupe Guerrero-Serna, Irene Amorós, Adriana Barana, Mercedes Núñez, Daniela Ponce-Balbuena, Sandra Sacristán, Ricardo Gómez, Juan Tamargo, Ricardo Caballero, José Jalife, Eva Delpón, Nav1.5 N-terminal domain binding to α1-syntrophin increases membrane density of human Kir2.1, Kir2.2 and Nav1.5 channels, Cardiovascular Research, Volume 110, Issue 2, 15 May 2016, Pages 279–290, https://doi.org/10.1093/cvr/cvw009 NO Ministerio de Economía y Competitividad NO Instituto de Salud Carlos III NO Comunidad Autónoma de Madrid NO Mutua Madrileña NO BBVA NO Almirall Foundations NO National Heart Lung and Blood Institute of the US National Institutes of Health DS Docta Complutense RD 6 abr 2025