Regulation of Deactivation by an Amino Terminal Domain in Human Ether-à-go-go –related Gene Potassium Channels

Abnormalities in repolarization of the cardiac ventricular action potential can lead to life-threatening arrhythmias associated with long QT syndrome. The repolarization process depends upon the gating properties of potassium channels encoded by the human ether-à-go-go–related gene (HERG), especially those governing the rate of recovery from inactivation and the rate of deactivation. Previous studies have demonstrated that deletion of the NH₂ terminus increases the deactivation rate, but the mechanism by which the NH₂ terminus regulates deactivation in wild-type channels has not been elucidated. We tested the hypothesis that the HERG NH₂ terminus slows deactivation by a mechanism similar to N-type inactivation in Shaker channels, where it binds to the internal mouth of the pore and prevents channel closure. We found that the regulation of deactivation by the HERG NH₂ terminus bears similarity to Shaker N-type inactivation in three respects: (a) deletion of the NH₂ terminus slows C-type inactivation; (b) the action of the NH₂ terminus is sensitive to elevated concentrations of external K⁺, as if its binding along the permeation pathway is disrupted by K⁺ influx; and (c) N-ethylmaleimide, covalently linked to an aphenotypic cysteine introduced within the S4–S5 linker, mimics the N deletion phenotype, as if the binding of the NH₂ terminus to its receptor site were hindered. In contrast to N-type inactivation in Shaker, however, there was no indication that the NH₂ terminus blocks the HERG pore. In addition, we discovered that separate domains within the NH₂ terminus mediate the slowing of deactivation and the promotion of C-type inactivation. These results suggest that the NH₂ terminus stabilizes the open state and, by a separate mechanism, promotes C-type inactivation.