Chloride permeation through the cystic fibrosis transmembrane conductance regulator (CFTR) Cl channel is blocked by a broad range of anions that bind tightly within the pore. Here we show that the divalent anion Pt(NO2)42− acts as an impermeant voltage-dependent blocker of the CFTR pore when added to the intracellular face of excised membrane patches. Block was of modest affinity (apparent Kd 556 μM), kinetically fast, and weakened by extracellular Cl ions. A mutation in the pore region that alters anion selectivity, F337A, but not another mutation at the same site that has no effect on selectivity (F337Y), had a complex effect on channel block by intracellular Pt(NO2)42− ions. Relative to wild-type, block of F337A-CFTR was weakened at depolarized voltages but strengthened at hyperpolarized voltages. Current in the presence of Pt(NO2)42− increased at very negative voltages in F337A but not wild-type or F337Y, apparently due to relief of block by permeation of Pt(NO2)42− ions to the extracellular solution. This “punchthrough” was prevented by extracellular Cl ions, reminiscent of a “lock-in” effect. Relief of block in F337A by Pt(NO2)42− permeation was only observed for blocker concentrations above 300 μM; as a result, block at very negative voltages showed an anomalous concentration dependence, with an increase in blocker concentration causing a significant weakening of block and an increase in Cl current. We interpret this effect as reflecting concentration-dependent permeability of Pt(NO2)42− in F337A, an apparent manifestation of an anomalous mole fraction effect. We suggest that the F337A mutation allows intracellular Pt(NO2)42− to enter deeply into the CFTR pore where it interacts with multiple binding sites, and that simultaneous binding of multiple Pt(NO2)42− ions within the pore promotes their permeation to the extracellular solution.

## Introduction

Ion channels allow the selective movement of ions across cell membranes at very high rates. This process is best understood in highly selective K+ channel pores that can now be observed at atomic resolution (Doyle et al., 1998; Zhou et al., 2001). These pores contain several K+ ion binding sites, and multiple K+ ions move through the pore in a concerted fashion (Bernèche and Roux, 2001; Morais-Cabral et al., 2001). The permeation mechanism so unequivocally proven by the K+ channel X-ray crystal structure (Morais-Cabral et al., 2001; Zhou et al., 2001), that ions bind to specific sites within the pore, and unbinding and rapid conduction then results from electrostatic repulsion between ions bound simultaneously within the pore, had long been suggested based on functional evidence from electrophysiological experimentation (Hodgkin and Keynes, 1955; Neyton and Miller, 1988a,b; Jiang and MacKinnon, 2000). A similar mechanism probably also accounts for Ca2+ selectivity and permeation in voltage gated Ca2+ channels (Sather and McCleskey, 2003).

Recently, crystal structures of ClC Cl channels have been presented (Dutzler et al., 2002, 2003). In a fascinating parallel with the K+ channels described above, Cl ions are observed bound to three sites in the ClC channel pore, and these binding sites are as close together as 4 Å (Dutzler et al., 2003). Again as with K+ channels, this agrees with prior functional evidence that ClC channels have multiion pores that are capable of holding more than one anion simultaneously (Pusch et al., 1995; Fahlke et al., 1997; Rychkov et al., 1998; Winters and Andreoli, 2002; Hebeisen et al., 2003). This might suggest a similar Cl permeation mechanism in these channels to that now accepted for K+ channel permeation (Dutzler et al., 2003). Other, structurally unrelated classes of Cl channels also show biophysical properties of multiion pore behavior (Bormann et al., 1987; Halm and Frizzell, 1992; Tabcharani et al., 1993; Dawson et al., 1999; Qu and Hartzell, 2000).

The cystic fibrosis transmembrane conductance regulator (CFTR) is a phosphorylation-regulated, ATP-dependent epithelial Cl channel (Sheppard and Welsh, 1999). As with most Cl channels, CFTR is weakly selective between different anions, although it selects strongly for anions over cations (Dawson et al., 1999). Its anion permeability sequence is similar to a classical Hofmeister or lyotropic sequence, with anions that are more easily dehydrated (lyotropes) tending to show a higher permeability than anions that retain their waters of hydration more strongly (kosmotropes) (Dawson et al., 1999). Lyotropic anions also bind relatively tightly within the CFTR Cl channel pore, and as such they act as effective open-channel blockers of Cl permeation (Tabcharani et al., 1993; Smith et al., 1999; Linsdell, 2001a; Linsdell and Gong, 2002). This mechanism of action is similar to that of a broad range of organic anions that act as open channel blockers of CFTR (Hwang and Sheppard, 1999; Linsdell, 2001b). These large blockers tend to act preferentially or exclusively from the intracellular side of the membrane, implying a structural asymmetry in the pore (Linsdell and Hanrahan, 1996a; Hwang and Sheppard, 1999; Linsdell, 2001b; Zhou et al., 2002).

Open-channel blockers have previously been used to reveal multiion pore behavior in the CFTR channel pore (Tabcharani et al., 1993; Zhou et al., 2002; Gong and Linsdell, 2003a). Most recently, we have used the highly permeant monovalent pseudohalide anion Au(CN)2 as a functional probe of anion binding sites in the CFTR pore (Gong et al., 2002a; Gong and Linsdell, 2003a,b). Here we characterize the blocking effects of divalent pseudohalide anions on CFTR, and provide evidence that binding of multiple anions within the CFTR pore promotes their permeation through the channel. We suggest that such a multiion mechanism may be part of the normal Cl ion permeation process.

## Materials And Methods

Experiments were performed on two mammalian cell lines, baby hamster kidney (BHK) and Chinese hamster ovary (CHO) cells. BHK cells used for macroscopic current recording were transiently transfected with wild-type or mutant forms of human CFTR in the pIRES2-EGFP vector (CLONTECH) as described previously (Gong et al., 2002a). Briefly, plasmid DNA was precomplexed with Plus reagent (Life Technologies) for 15 min, followed by Lipofectamine (Life Technologies) for a further 15 min. Complexed DNA was then diluted in supplement-free medium to a final concentration of 0.5 μg ml−1 and added to the cells. After 5 h at 37°C and 5% CO2, the medium was completely replaced with normal medium containing 5% fetal bovine serum. Transiently transfected cells could be identified by fluorescence microscopy within 24 h and were used for patch clamp recording 1–4 d after transfection. CHO cells used for single-channel recording were stably transfected with wild-type human CFTR (Tabcharani et al., 1991). In most cases, recordings were made using the excised, inside-out configuration of the patch clamp technique, as described in detail previously (Linsdell and Gong, 2002). Briefly, CFTR channels were activated after patch excision by exposure to 15–60 nM protein kinase A catalytic subunit (PKA) plus 1 mM MgATP. For blocker experiments, both the extracellular (pipette) and intracellular (bath) solutions contained (mM): 150 NaCl, 10 N-tris[hydroxymethyl]methyl-2-aminoethanesulfonate (TES), 2 MgCl2, except where extracellular [Cl] was reduced to 4 mM by replacement of 150 mM NaCl by 150 mM Na gluconate, NaNO3, or NaClO4. For all macroscopic current block experiments except in Fig. 2 A, CFTR channels were “locked” in the open state by addition of 2 mM sodium pyrophosphate (PPi) to the intracellular solution after attainment of full PKA-stimulated current amplitude (Gunderson and Kopito, 1994) as described previously (Gong et al., 2002a; Linsdell and Gong, 2002; Gong and Linsdell, 2003a,b). To estimate Pt(NO2)42− permeability, the intracellular solution contained (mM): 100 K2Pt(NO2)4, 10 TES, 2 MgCl2, and the extracellular solution was (mM): 150 KCl, 10 TES, 2 MgCl2. In some cases (Fig. 3 C), outside-out patches were employed; here both the intracellular (pipette) and extracellular (bath) solutions contained (mM): 150 NaCl, 10 TES, 2 MgCl2, and CFTR channel activity was maintained by inclusion of 50 nM PKA plus 1 mM MgATP in the pipette solution. Putative blockers (K2Pt(NO2)4, K2PtCl4, K3Fe(CN)6, K3Co(CN)6) were added to the bath solution from stocks made up in normal experimental solutions. All solutions were adjusted to pH 7.4 using NaOH or KOH as appropriate. Given voltages have been corrected for calculated or measured liquid junction potentials. All chemicals were from Sigma-Aldrich except PKA (Promega) and K2Pt(NO2)4, K2PtCl4, and K3Co(CN)6 (Strem Chemicals).

Current traces were filtered at 50 Hz (for single-channel currents) or 100 Hz (for macroscopic currents) using an eight-pole Bessel filter, digitized at 250 Hz to 1 kHz, and analyzed using pCLAMP8 software (Axon Instruments, Inc.). Macroscopic current-voltage relationships were constructed using depolarizing ramp protocols (Linsdell and Hanrahan, 1996a; Linsdell and Gong, 2002) or conventional voltage steps. Except where indicated, background (leak) currents recorded before addition of PKA were subtracted digitally, leaving uncontaminated CFTR currents (Linsdell and Hanrahan, 1996a, 1998). The macroscopic current reversal potential (Fig. 4) was estimated by fitting a polynomial function to the leak-subtracted current-voltage relationship.

Blocker concentration-inhibition relationships (Fig. 1, B and D) were fitted by an equation of the form:

$\mathrm{Fractional\ unblocked\ current}={1}/{\left[1+\left({B}/{K_{\mathrm{d}}}\right)^{\mathrm{n}_{\mathrm{H}}}\right]\mathrm{,}}$
(1)

where B is the blocker concentration, Kd the apparent blocker dissociation constant, and nH the slope factor or Hill coefficient.

The relationship between the fractional unblocked current and membrane voltage was routinely fitted by the simplest version of the Woodhull (1973) model of voltage-dependent block:

${I}/{I_{0}}={K_{\mathrm{d}}\left(\mathrm{V}\right)}/{\left\{K_{\mathrm{d}}\left(\mathrm{V}\right)+\left[\mathrm{B}\right]\right\}\mathrm{,}}$
(2)

where I is the current in the presence of blocker, I0 is the control, unblocked current, and Kd(V) is the voltage dependent dissociation constant, the voltage dependence of which is given by:

$K_{\mathrm{d}}\left(\mathrm{V}\right)=K_{\mathrm{d}}\left(0\right)\mathrm{exp}\left({{-}z\mathrm{{\delta}}VF}/{RT}\right)\mathrm{,}$
(3)

where zδ is the effective valence of the blocking ion (actual valence multiplied by the fraction of the transmembrane electric field apparently experienced during the blocking reaction), and F, R, and T have their normal thermodynamic meanings.

All other methodological details were as described in detail recently (Linsdell and Gong, 2002; Gong et al., 2002a,b). Experiments were performed at room temperature, 21–24°C. Mean values are given as mean ± SEM. Statistical comparisons between groups were performed using a two-tailed t test, with P < 0.05 being considered statistically significant.

## Results

### Block of CFTR by Divalent Pseudohalide Anions

The monovalent pseudohalide anion Au(CN)2 is a potent blocker of the CFTR Cl channel when added to the intracellular side of the membrane (Linsdell and Gong, 2002). We investigated the inhibitory effects of divalent and trivalent pseudohalide anions using a similar approach (Fig. 1) . Addition of Pt(NO2)42− or PtCl42− to the intracellular solution caused a voltage-dependent block of macroscopic CFTR currents in inside-out membrane patches (Fig. 1 A) after channel “locking open” with PPi (see below). In contrast, Fe(CN)63− and Co(CN)63− had no apparent effect on CFTR currents at intracellular concentrations up to 1 mM (Fig. 1 A). Fig. 1 also shows the concentration and voltage dependence of inhibition by Pt(NO2)42− (Fig. 1, B and C) and PtCl42− (Fig. 1, D and E). The straight line fits to Fig. 1, C and E suggest a Kd at 0 mV of 556 μM for Pt(NO2)42− and 969 μM for PtCl42−, and an effective valence, zδ, of −0.432 for Pt(NO2)42− and −0.167 for PtCl42− (see materialsandmethods). Subsequent experiments focused on the more potent of these blockers, Pt(NO2)42−.

As previously described for Au(CN)2 (Linsdell and Gong, 2002), the apparent affinity of block by Pt(NO2)42− was decreased by treatment of the channels with PPi (Fig. 2 A), although this effect was far less striking than for Au(CN)2 (Linsdell and Gong, 2002). Under the conditions shown in Fig. 2 A, the mean Kd(0), estimated by fitting to Eq. 2, was increased from 137 ± 12 μM (n = 5) in the absence of PPi to 482 ± 62 μM (n = 9) after PPi-stimulation (P < 0.05). The effect of PPi on the inhibition of CFTR channels by intracellular Au(CN)2 was shown previously to be due to alteration of channel gating by Au(CN)2 (Linsdell and Gong, 2002). To obviate any similar effects of Pt(NO2)42− on channel gating and to isolate effects on open CFTR channels, all experiments other than those shown in Figs. 2 A and 3 were performed on CFTR channels that had been “locked open” using 2 mM PPi, as in previous studies (Gong and Linsdell, 2003a,b).

Reducing extracellular Cl concentration from 154 to 4 mM (by replacement with the impermeant anion gluconate) strengthened the block and decreased its voltage dependence (Fig. 2, B and C), again in common with previous studies using Au(CN)2 (Gong and Linsdell, 2003a) and other open channel blockers (McDonough et al., 1994; Sheppard and Robinson, 1997; Linsdell and Hanrahan, 1999; Gong et al., 2002b; Zhou et al., 2002). With both high and low extracellular Cl concentrations, the voltage dependence of block was well described by a simple Woodhull model (Fig. 2 C). Fits to Eq. 2 such as those in Fig. 2 C indicate a Kd(0) of 482 ± 62 μM (n = 9) with 154 mM Cl and 154 ± 13 μM (n = 9) with 4 mM Cl (P < 0.0001), and a zδ of −0.321 ± 0.011 (n = 9) with 154 mM Cl and –0.222 ± 0.029 (n = 9) with 4 mM Cl (P < 0.01). Similar, statistically significant effects of both PPi and changing the extracellular Cl concentration were observed for block by PtCl42− (unpublished data).

At the single-channel level, intracellular Pt(NO2)42− caused a voltage-dependent decrease in CFTR unitary current amplitude (Fig. 3, A and B) that was of similar potency to the block of PPi-stimulated macroscopic currents (e.g., Fig. 1 A). For example, the fractional current remaining in the presence of 300 μM Pt(NO2)42− at −80 mV was 0.358 ± 0.032 (n = 6) for macroscopic currents and 0.379 ± 0.009 (n = 5) for single-channel currents; and, at +50 mV, 0.725 ± 0.028 (n = 6) for macroscopic currents and 0.753 ± 0.031 (n = 5) for single-channel currents. In contrast, addition of extracellular Pt(NO2)42− caused a weaker, less voltage-dependent reduction in unitary current amplitude of CFTR channels in outside-out membrane patches (Fig. 3, C and D). All of these results are consistent with Pt(NO2)42− acting as an unremarkable open-channel blocker of the CFTR Cl channel.

### Permeability of Pt(NO2)4

Previously, divalent pseudohalides including Pt(NO2)42− have been described as being impermeant in the CFTR Cl channel (Smith and Dawson, 2001). We attempted to measure the permeability of Pt(NO2)42− ions when present in the intracellular solution (Fig. 4). With 100 mM Pt(NO2)42− plus 4 mM Cl in the intracellular solution, and 154 mM Cl in the extracellular solution, the current reversal potential was −95 ± 5 mV (n = 3) (Fig. 4 C), similar to the calculated Cl equilibrium potential of −93 mV, consistent with Pt(NO2)42− being unable to carry current through the CFTR channel.

### Block of CFTR Pore Mutants

Other CFTR open channel blocking anions have previously been suggested to interact with key residues in the pore-forming sixth transmembrane (TM6) region of the channel protein (McDonough et al., 1994; Walsh et al., 1999; Zhang et al., 2000; Gong et al., 2002a,b; Gupta and Linsdell, 2002; Gong and Linsdell, 2003b). We investigated the interaction of intracellular Pt(NO2)42− with CFTR channels bearing mutations at each of five key TM6 residues: R334, K335, F337, T338, and S341 (Fig. 5). The I-V relationships of these mutants showed varying degrees of inward rectification, as previously quantified by Gupta and Linsdell (2003). Block of R334C and S341A appeared somewhat weaker than for wild-type CFTR, whereas K335A and T338A showed a similar degree of block as wild-type (Fig. 5, A–C). In all four of these mutants, the voltage dependence of block still appeared well described by a simple Woodhull model (Fig. 5 B). In contrast, block of F337A was poorly described by the Woodhull model (Fig. 5 B), with block of this mutant appearing to be very much more voltage dependent at negative voltages than at positive voltages (Fig. 5 B). Although estimation of the blocking effects of Pt(NO2)42− at 0 mV membrane potential suggested a slight but significant weakening of block in F337A compared with wild-type (Fig. 5 C), direct comparison of the blocking effects of 300 μM Pt(NO2)42− on wild-type and F337A (Fig. 5 D) suggests that while block is weakened in this mutant at depolarized voltages, the block is actually stronger in F337A than in wild-type at strongly hyperpolarized voltages. Neither of these effects were observed in another F337 mutant, F337Y, which was blocked in an apparently similar manner as wild-type (Fig. 5, C and E).

### The Interaction between Pt(NO2)4 and F337A-CFTR

Compared with the unremarkable block of wild-type CFTR by intracellular Pt(NO2)42− (Figs. 13), block of F337A-CFTR appears complex. Block of this mutant appears to be strongly favored by negative membrane potentials (Fig. 5, A, B, and D). However, when we investigated the block at the most negative voltages that we were able to keep membrane patches (−150 mV) with a low extracellular Cl concentration (4 mM), we noticed an anomalous voltage-dependent increase in Pt(NO2)42−-blocked current in F337A but not in wild-type, F337Y or T338A (Fig. 6). Under these conditions, the strength of Pt(NO2)42− block in wild-type, F337Y, and T338A increases with increasingly negative voltages, eventually leading to a negative slope of the current-voltage relationship in the presence of blocker (Fig. 6 B). However, in F337A, the current in the presence of blocker increases again at voltages more negative than around −80 mV, suggesting that as the membrane potential is made very negative blocking ions are swept from the pore and Cl is able more easily to permeate. This kind of behavior has been observed in cation selective channels (French and Wells, 1977; French and Shoukimas, 1985; Bähring et al., 1997; Huang et al., 2000; Huang and Moczydlowski, 2001; Nimigean and Miller, 2002; Kerschbaum et al., 2003) and is most easily explained by blocker permeation through the channel. Thus, at very negative voltages, Pt(NO2)42− ions can escape from the F337A channel pore, but apparently not from the pore of wild-type, F337Y or T338A, by passing through the channel and into the extracellular solution—a process previously termed “punchthrough” (Nimigean and Miller, 2002).

Interestingly, Pt(NO2)42− punchthrough in F337A was observed at low (Fig. 6) but not high extracellular Cl concentrations (Fig. 7), suggesting that extracellular Cl ions can prevent Pt(NO2)42− from passing through this mutant channel. Punchthrough was also apparently prevented by the highly permeant nitrate (NO3−) ion in the extracellular solution (Fig. 7). However, when the lyotropic perchlorate (ClO4) anion, which binds tightly in the CFTR pore (Linsdell, 2001a) but is only weakly permeant (Linsdell and Hanrahan, 1998), was present in the extracellular solution, punchthrough was still observed (Fig. 7).

Concentration-inhibition experiments with low extracellular Cl concentrations confirmed the multiple apparent effects of the F337A mutation on the apparent affinity of Pt(NO2)42− block (Fig. 8). At relatively depolarized voltages (e.g., 0 mV; Fig. 8 C), Pt(NO2)42− blocked wild-type more strongly than F337A (i.e., the concentration-inhibition curve for wild-type lies to the left); whereas at hyperpolarized voltages (e.g., −130 mV, Fig. 8 D), the mutant is more potently inhibited. However, these experiments also illustrate that the punchthrough mechanism that relieves block of F337A but not wild-type at strongly hyperpolarized voltages is dependent not only on voltage but also on the blocker concentration. This concentration dependence is shown more clearly in Fig. 9. As expected, increasing the concentration of blocker from 100 to 300 μM strengthened the block at positive voltages (Fig. 9 A). However, this increase in blocker concentration caused an anomalous weakening of block at very negative voltages (Fig. 9, A and B). Indeed, the degree of block seen with 300 μM Pt(NO2)42− was significantly less than that with 100 μM at each voltage between −110 and −150 mV (P < 0.05 in each case). Increasing the concentration of Pt(NO2)42− further, to 1 mM, strengthened the block at all voltages (Fig. 9 B). Confirming that Pt(NO2)42− can itself relieve Pt(NO2)42− block of F337A-CFTR, increasing the concentration of blocker from 100 to 300 μM during an individual experiment reduced current amplitude over most of the voltage range, but anomalously increased current amplitude below about −100 mV (Fig. 9, C–E). These current traces also suggest a possible explanation for this inverted concentration dependence. Relief of block by punchthrough is not apparent at 100 μM Pt(NO2)42− (Fig. 9 D) or any concentration below this (unpublished data); however, punchthrough is clearly seen at 300 μM (Fig. 9 D) and 1 mM (Fig. 6). This suggests that the ability of Pt(NO2)42− to permeate through the F337A channel pore is dependent on its own concentration. While we have not attempted to estimate the “permeability” of Pt(NO2)42− in F337A-CFTR, we note that concentration-dependent ionic permeabilities are a well-known manifestation of anomalous mole fraction behavior (Hille, 2001).

The raw, unsubtracted current traces in Fig. 9 E show that the changes in current amplitude that underlie the negative slope conductance and apparent punchthrough observed during depolarizing voltage ramps occur over a slow timescale. To ensure that this did not, in fact, reflect time-dependent changes in F337A current amplitude, Pt(NO2)42− block of F337A was also studied using a voltage-step protocol (Fig. 10). F337A-CFTR currents were practically time-independent in the absence and presence of Pt(NO2)42− (Fig. 10 A). Confirming this, the voltage dependence of Pt(NO2)42− block was similar to that observed with voltage ramps (Fig. 9 D), whether currents were measured early (100 ms; Fig. 10 B) or late (350 ms; Fig. 10 C) after the voltage step. The timecourse of Pt(NO2)42− block was also confirmed using voltage steps to −150 mV (Fig. 11). Current amplitude was effectively instantly affected by addition of Pt(NO2)42−(Fig. 11 A).

Punchthrough of Pt(NO2)42− in F337A was blocked by extracellular Cl ions (Fig. 7). As a result, block of this mutant by 300 μM Pt(NO2)42− showed a complex dependence on external Cl concentration (Fig. 12). At positive voltages, Pt(NO2)42− block was weakened by extracellular Cl (Fig. 12), as already shown for wild-type (Fig. 2 C); this effect, which is observed for many different CFTR open channel blockers, presumably reflects “knock off” of blocking Pt(NO2)42− ions within the pore (McDonough et al., 1994; Linsdell et al., 1997; Zhou et al., 2002; Gong and Linsdell, 2003a). At very negative voltages, however, Pt(NO2)42− block of F337A is anomalously strengthened by high extracellular Cl concentrations (Fig. 12). As described above, this block-enhancing effect of Cl ions appears to result from Cl preventing Pt(NO2)42− from exiting the pore to the extracellular solution; this explanation is analogous to a “lock in” mechanism first described in Ca2+-activated K+ channels (Neyton and Miller, 1988a).

## Discussion

CFTR is potently inhibited by the highly permeant monovalent pseudohalide anion Au(CN)2 (Linsdell and Gong, 2002). Under conditions similar to those used here (Fig. 1), we estimated a Kd at 0 mV of <200 μM for open channel block by intracellular Au(CN)2 ions. Block is weaker for the divalent pseudohalides Pt(NO2)42− (Kd 556 μM at 0 mV) and PtCl42− (Kd 969 μM at 0 mV), while the trivalent anions Fe(CN)63− and Co(CN)63− appear ineffective as blockers (Fig. 1). Thus, based on this limited survey of pseudohalide anions, there appears to be a charge-dependent process excluding polyvalent anions from the CFTR pore.

Pt(NO2)42− inhibits wild-type CFTR more potently from the intracellular than the extracellular solution (Fig. 3). When applied intracellularly, it blocks in a voltage-dependent manner (Fig. 1, A and C) by reducing apparent unitary current amplitude (Fig. 3, A and B). Block is strengthened by decreasing extracellular Cl concentration (Fig. 2 C) and weakened after mutagenesis of TM6 residues R334, F337, and S341 (Fig. 5). Thus, the inhibitory effects of Pt(NO2)42− are similar to a broad range of other anions that act as open channel blockers of the CFTR pore (McDonough et al., 1994; Linsdell and Hanrahan, 1996a,b, 1999; Sheppard and Robinson, 1997; Hwang and Sheppard, 1999; Linsdell, 2001b; Gong et al., 2002b; Zhou et al., 2002). Indeed, it is not even a particularly potent open channel blocker (see above). Our interest in this substance stems from the consequences of a mutation within the pore (F337A) that apparently turns the channel from being Pt(NO2)42− impermeable to Pt(NO2)42− permeable (Fig. 6) and destroys the apparent simplicity of blocking effect seen in wild-type.

We found no evidence for Pt(NO2)42− permeability in wild-type CFTR (Figs. 4 and 6), consistent with previous work (Smith and Dawson, 2001). However, punchthrough of Pt(NO2)42− at negative voltages suggests that this anion is capable of passing through the pore of F337A-CFTR (Figs. 6, 7, and 911). As described by Nimigean and Miller (2002), the punchthrough phenomenon may be able to reveal very low levels of permeability inaccessible by other experimental means, and punchthrough of Pt(NO2)42− was only observed under highly specific conditions (in F337A only, at voltages more negative than approximately −80 mV, low extracellular permeant anion concentration, and Pt(NO2)42− concentrations of at least 300 μM). Nevertheless, the results shown in Fig. 6 suggest that the F337A mutation confers Pt(NO2)42− permeability on the pore. Previously, we showed that the mutations F337A and F337S, but not F337Y, disrupted the ability of the CFTR channel pore to select between permeant anions on the basis of free energy of hydration (Linsdell et al., 2000) and suggested that F337 contributes to a lyotropic anion “selectivity filter.” In contrast, mutations of the adjacent TM6 residue (T338), including T338A, altered the selectivity between different lyotropic anions but not that for lyotropes over kosmotropic anions (Linsdell et al., 1998). The slight Pt(NO2)42− permeability of F337A therefore suggests that this divalent anion might normally be prevented from passing through the pore for similar reasons that limit the permeability of kosmotropic anions like F. In contrast, the T338A mutation appears to enhance unblock by permeation of the lyotropic Au(CN)2 ion (Gong and Linsdell, 2003b). Previously, CFTR monovalent/divalent anion selectivity has been suggested to involve the TM6 residue S341 (McCarty and Zhang, 2001).

In addition to allowing Pt(NO2)42− permeability, the F337A mutation has a complex effect on the apparent affinity of Pt(NO2)42− block (Figs. 5 D and 8, B and D): block appears weaker than for wild-type at positive voltages yet stronger than in wild-type at negative voltages (and then weakens again in F337A due to punchthrough; see below). The block observed in F337A is poorly fitted by conventional models that assume a single binding site (Fig. 5 B). We suggest that this reflects binding to more than one site in the F337A-CFTR pore; a low affinity site that is accessible at all voltages, and a higher affinity site that is increasingly accessed at more negative voltages. The existence of more than one Pt(NO2)42− binding site in the F337A pore is also supported by the apparent anomalous mole fraction dependence of Pt(NO2)42− permeability (Fig. 9). Since this complex blocking behavior is observed in F337A but not in wild-type or F337Y, we suggest that by allowing Pt(NO2)42− to permeate through the pore, the F337A mutant also allows this blocker to reach a binding site which is normally inaccessible or much less easily accessed. We cannot rule out that Pt(NO2)42− also acts at multiple sites in the wild-type pore.

A simple model of Pt(NO2)42− movement in the F337A pore is shown in Fig. 13. Even in this mutant, Pt(NO2)42− unblock by permeation only occurs under extreme conditions (strongly hyperpolarized voltages, low extracellular Cl concentrations, and high Pt(NO2)42− concentration; Fig. 6), such that it appears that the blocker normally exits the F337A pore back into the intracellular solution. We therefore envision two barriers to Pt(NO2)42− permeation in the pore; one between the two binding sites that may be more easily overcome in F337A than in wild-type, and a second barrier external to the outermost Pt(NO2)42− binding site depicted in Fig. 13. In fact, the inability of Pt(NO2)42− to pass easily between a high-affinity binding site and the extracellular solution is implied by the fact that Pt(NO2)42− is a relatively weak blocker of wild-type CFTR when present in the extracellular solution (Fig. 3, C and D). With the addition of a second barrier to Pt(NO2)42− movement in the pore (Fig. 13), our model appears able to explain the complex interaction between Pt(NO2)42− and F337A-CFTR. At depolarized voltages, the blocker enters shallowly into the pore (Fig. 13 A), resulting in relatively weak block at these membrane potentials (Fig. 5 D). When the membrane is hyperpolarized, the blocker is driven further into the pore, where it encounters a higher affinity binding site (Fig. 13 B), resulting in a strong, highly voltage-dependent component of block (Fig. 5 D). The weak evidence supporting the existence of multiple anion binding sites in wild-type CFTR (such as the apparently concentration-dependent Hill coefficient; see Fig. 1, B and C) may in fact reflect a much lower, but nonzero, probability of Pt(NO2)42− accessing this second site in the wild-type pore. At low concentrations of Pt(NO2)42−, the blocker returns from the high affinity site in F337A to the intracellular solution (Fig. 13 B). However, when the blocker concentration is increased to at least 300 μM, it is able to pass through the channel and so block is relieved by a punchthrough mechanism (Figs. 6 and 13 C). This apparent concentration-dependent Pt(NO2)42− permeability is an unusually low concentration example of an anomalous mole fraction effect, usually ascribed to ion–ion interactions within multiion channel pores (Hille, 2001). Mechanistically, we suggest that at concentrations >300 μM, the F337A pore begins to show multiple occupancy by Pt(NO2)42− ions, and that repulsion between simultaneously bound ions is capable of expelling ions bound to the “outer” site into the extracellular solution, relieving the high-affinity block (Fig. 13 C). This punchthrough of Pt(NO2)42− is prevented by extracellular Cl or NO3 ions (Fig. 6), presumably by a “lock-in” effect (Fig. 13 D); Cl or NO3 binding in the outer mouth of the pore either physically or electrostatically prevents Pt(NO2)42− from exiting the pore, and so even in multiply occupied channels the blocker molecules ultimately return to the intracellular solution. Interestingly, this lock-in effect of the permeant anions Cl and NO3 is apparently not shared by the impermeant kosmotropic anion gluconate (Fig. 6) or the weakly permeant lyotropic anion ClO4 (Fig. 7), even though ClO4 has been shown to bind tightly within the pore (Linsdell, 2001a). Thus, it appears that extracellular anions need to be permeant in order to lock intracellular Pt(NO2)42− ions in the pore, perhaps reflecting that they must enter deeply into the pore from the extracellular solution to do so.

Previous evidence that CFTR has a multiion pore has come from anomalous mole fraction effects on anion unitary conductance (Tabcharani et al., 1993; but see Linsdell, 2001c) and from apparent interactions between permeant and blocking anions bound simultaneously within the pore (Zhou et al., 2002; Gong and Linsdell, 2003a). The present results suggest that multiple Pt(NO2)42− ions can bind simultaneously within the F337A-CFTR pore (and perhaps also wild-type CFTR), and also that Pt(NO2)42− binding may be able to occur concurrently with binding of extracellular Cl or NO3 ions. These results are therefore in agreement with previous results that permeant and blocking ions can bind simultaneously within the pore, and that the mutual destabilization associated with concurrent ion binding can speed anion exit from the pore (Zhou et al., 2002; Gong and Linsdell, 2003a). Furthermore, our results suggest that binding of multiple Pt(NO2)42− anions inside the pore promotes their permeability through the pore, probably by a similar destabilizing effect. Whether multiple Cl ions bind within the pore during the normal permeation mechanism is much more difficult to prove (Dutzler et al., 2003).

Our results suggest that, by removing a barrier to Pt(NO2)42− movement in the pore, the F337A mutation allows this anion to access a relatively high affinity binding site and simultaneously exposes it to multiion pore effects that destabilize its binding at high concentrations. This combination of tight binding and multiion destabilization leading to permeation has obvious parallels to the mechanism of cation permeation in voltage-gated K+ and Ca2+ channels, where the permeant ion binds tightly within the selectivity filter region, and is then destabilized and caused to permeate by repulsive interactions with other ions entering this region (Bernèche and Roux, 2001; Morais-Cabral et al., 2001; Sather and McCleskey, 2003). Potentially a similar mechanism may be used to allow rapid Cl ion permeation in anion channel pores.

## Acknowledgments

We thank Susan Burbridge for technical assistance, and Drs. Steve Barnes and John Hanrahan for comments on the manuscript.

This work was supported by the Canadian Institutes of Health Research and the Canadian Cystic Fibrosis Foundation (CCFF). X. Gong is a CCFF postdoctoral fellow. P. Linsdell is a CCFF scholar.

Olaf S. Andersen served as editor.

Abbreviations used in this paper: BHK, baby hamster kidney; CHO, Chinese hamster ovary; PPi, pyrophosphate; TES, N-tris[hydroxymethyl]methyl-2-aminoethanesulfonate; TM6, sixth transmembrane region.

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