Voltage-gated calcium (CaV) channels deliver Ca2+ to trigger cellular functions ranging from cardiac muscle contraction to neurotransmitter release. The mechanism by which these channels select for Ca2+ over other cations is thought to involve multiple Ca2+-binding sites within the pore. Although the Ca2+ affinity and cation preference of these sites have been extensively investigated, the effect of voltage on these sites has not received the same attention. We used a neuronal preparation enriched for N-type calcium (CaV2.2) channels to investigate the effect of voltage on Ca2+ flux. We found that the EC50 for Ca2+ permeation increases from 13 mM at 0 mV to 240 mM at 60 mV, indicating that, during permeation, Ca2+ ions sense the electric field. These data were nicely reproduced using a three-binding-site step model. Using roscovitine to slow CaV2.2 channel deactivation, we extended these measurements to voltages <0 mV. Permeation was minimally affected at these hyperpolarized voltages, as was predicted by the model. As an independent test of voltage effects on permeation, we examined the Ca2+-Ba2+ anomalous mole fraction (MF) effect, which was both concentration and voltage dependent. However, the Ca2+-Ba2+ anomalous MF data could not be reproduced unless we added a fourth site to our model. Thus, Ca2+ permeation through CaV2.2 channels may require at least four Ca2+-binding sites. Finally, our results suggest that the high affinity of Ca2+ for the channel helps to enhance Ca2+ influx at depolarized voltages relative to other ions (e.g., Ba2+ or Na+), whereas the absence of voltage effects at negative potentials prevents Ca2+ from becoming a channel blocker. Both effects are needed to maximize Ca2+ influx over the voltages spanned by action potentials.

## INTRODUCTION

Voltage-gated calcium (CaV) channels are involved in processes ranging from neurotransmitter release to cardiac muscle contraction, and mutations in CaV channels have been shown to cause diseases including migraines, autism, epilepsy, and cardiac insufficiency (Bidaud et al., 2006; Catterall et al., 2008; Liao and Soong, 2010; Rajakulendran et al., 2012; Schmunk and Gargus, 2013). One function of voltage-gated channels is to produce changes in membrane voltage. However, CaV channels have an additional function, which is to deliver the second messenger Ca2+ into the cell. Thus, the mechanism by which these channels selectively allow the permeation of Ca2+ has been a burning question for several decades. Ca2+ has micromolar affinity for the CaV channel pore in which it functions as a blocker of Na+ and K+ flux through these channels (Almers and McCleskey, 1984; Hess et al., 1986; Rosenberg and Chen, 1991). However, such a strong affinity should preclude Ca2+ permeation of the channel. Several models emerged to explain this paradox, which postulate the existence of a high-affinity site in tandem with one or more low-affinity sites in the channel pore. These additional sites overcome the Ca2+ block by either disrupting the bound Ca2+ via a repulsion mechanism (Hess and Tsien, 1984) or forcing the blocking Ca2+ to move inward along lower-affinity binding sites (Dang and McCleskey, 1998). These models were developed for L-type (CaV1.2) channels, but their predictions have not been fully tested, nor were they tested for other CaV channels such as N-type (CaV2.2) channels. In addition, the impact of voltage on permeation has not been completely explored for any CaV channels, yet Ca2+ influx through these channels most often occurs in the context of changing voltages such as those generated by action potentials.

Most of the information on the voltage control of ions in the CaV channel pore comes from studies in which a monovalent cation (e.g., Na+) was used as the permeating ion, while divalent cations (e.g., Ca2+) were used as the blocking ion (Almers et al., 1984; Hess et al., 1986; Rosenberg and Chen, 1991; Kuo and Hess, 1993a). The ability of micromolar Ca2+ or Ba2+ to block Na+ currents shows that the calcium channel pore has a high-affinity binding site for divalent cations (Almers and McCleskey, 1984; Hess and Tsien, 1984; Dang and McCleskey, 1998). Furthermore, the ionic block at the high-affinity site is voltage dependent with depolarization increasing the off-rate of the blocking ion. This indicates that ions at that site sense the transmembrane electrical field (Hess et al., 1986; Thévenod and Jones, 1992; Carbone et al., 1997; Block et al., 1998).

In contrast, studies that have focused on permeation have shown that voltage has little or no effect on the movement of ions within the CaV channel pore. Kuo and Hess (1993b) found that changes in transmembrane voltage failed to alter the impact of divalent cations, like Ba2+, on the off rate of another divalent cation (e.g., Cd2+) from the CaV1.2 channel high-affinity site. Voltage also had little or no impact on the Na+ block of current generated by Ca2+ through CaV2.2 channels (Polo-Parada and Korn, 1997). Permeation of CaV3.1 channels was examined over a wide voltage range (−120 to 30 mV) and found to have little or no voltage dependence (Khan et al., 2008).

The apparent difference in voltage dependence between the blocking and permeation sites might suggest that only the blocking site is located within the electric field. One possibility is that large distances separate the blocking and permeation sites. However, this is at odds with the recent crystal structure, which shows several adjacent Ca2+-binding sites within a Ca2+-permeant NaV channel (Tang et al., 2014). Alternatively, the apparent absence of a voltage effect on permeation could suggest a very steep voltage gradient within the pore that includes only the high-affinity blocking site. One problem is that most of the permeation studies have previously focused on voltages <0 mV (Kuo and Hess, 1993b,c; Polo-Parada and Korn, 1997), whereas the blocking studies have used a wider range of voltages (Hess et al., 1986; Thévenod and Jones, 1992; Carbone et al., 1997; Block et al., 1998). In addition, evidence from both simulation and anomalous mole fraction (MF) effect (AMFE) studies support an effect of voltage on permeation of CaV1.2 channels at voltages ≥0 mV (Campbell et al., 1988; Friel and Tsien, 1989).

Here we examine the effect of voltage on the permeation of Ca2+ and Ba2+ through CaV2.2 channels using permeation affinity measurements, anomalous MF, and computer simulations. We find that voltage impacts the apparent affinity of these ions for both blocking and permeating the channel with the strongest effects at voltages >0 mV. These experimental data were used to provide parameters for the three-binding-site step model of Dang and McCleskey (1998), which was able to fit the effect of voltage on Ca2+ permeation. However, we could not find parameters that would reproduce the concentration and voltage dependence of AMFE between Ca2+ and Ba2+. The AMFE data were reproduced after we added a fourth site to the model. Based on our model, we conclude that four Ca2+-binding sites are required to produce Ca2+ and Ba2+ flux through CaV2.2 channels, which is consistent with the recent structural information from a calcium channel pore engineered in a bacterial voltage-gated sodium channel (Tang et al., 2014).

## MATERIALS AND METHODS

### Cells

Adult bullfrogs (Rana catesbeiana) were chilled to 4°C, brain pithed, decapitated, and spine pithed before the paravertebral sympathetic ganglia were removed. The method of sacrifice was approved by the Institutional Animal Care and Usage Committee. Neurons were dissociated with collagenase/dispase digestion and trituration (Kuffler and Sejnowski, 1983; Jones, 1987; Elmslie et al., 1992). Cells were maintained for 1–14 d at 4°C in L-15 medium supplemented with 10% fetal bovine serum and penicillin/streptomycin.

### Recordings

Neurons were voltage clamped in the whole-cell configuration using an Axopatch 200A amplifier (Molecular Devices). Capacitance and series resistance (ranging from 0.3 to 4 MΩ) were compensated 80–85%. Experiments were controlled with a Macintosh II computer (Apple Inc.) running S3 data acquisition software written by S. Ikeda (National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD). Currents were digitized with a MacAdios II analogue-digital converter (GW Instruments) and stored on hard disk. Leak currents were subtracted using a −P/4 protocol. Voltage steps were 10 ms in length unless otherwise noted. Step and tail currents were sampled at 50 Hz and they were typically filtered at 5 kHz. All recordings were performed at room temperature (24°C). Pipettes were pulled from Schott 8250 glass (Garner Glass Co.) on a P-97 puller (Sutter Instrument).

### Data analysis

Data were analyzed using Igor Pro (WaveMetrics) running on a Macintosh computer. The step current was measured as the mean of 10 points at the end of a 10-ms voltage step. Tail currents were measured as the mean of three to five points beginning 300 µs from the end of the step current.

The affinity (Kd) of ion binding to a certain site will change with voltage if the binding site is located in the electrical field. From the trend of those changes in Kd with voltage, the electric distance (the fraction of electrical field sensed 1 > δ > 0) of the binding site can be calculated according to the Woodhull equation (Woodhull, 1973):

$Kd(0)/Kd(V)=exp[(−zF/RT)Vδ],$
(1)

where Kd(0) and Kd(V) are the apparent Kd at membrane potential 0 mV and any given voltage V, respectively. F, R, and T are Faraday’s constant, the gas constant, and the temperature in kelvin, respectively. δ is the fractional electrical field sensed at the binding site, and z is the valence of the ion that binds to the site. Because measured EC50 was our best estimate of Kd, we substituted EC50 for Kd in the Woodhull equation.

### Solutions

To isolate Ca2+ currents, Na+ and K+ were replaced in the internal and external solutions with the impermeant cation NMDG. NMDG has been shown to provide better CaV current isolation than inorganic monovalent cations (Jones and Marks, 1989), but some data can be interpreted as external NMDG producing a small block of CaV2.2 channels (IC50 = 320 mM; Zhou and Jones, 1995). However, the impact of this small effect on our results should be minimal because our maximum NMDG concentration is 115 mM. The internal solution (pH 7.2) contained (mM) 61.5 NMDG-Cl, 6 MgCl2, 14 creatine phosphate, 2.5 NMDG-HEPES, 5 Tris-ATP, 10 NMDG-EGTA, and 0.3 Li GTP. The extracellular solution contained (mM) 110 NMDG-Cl, 10 NMDG-HEPES, and 3 CaCl2. For experiments requiring higher divalent cation concentrations, 3 mM Ca2+ was replaced by 10, 30, or 100 mM CaCl2, and the NMDG-Cl concentration was reduced to maintain osmolarity. Some experiments were performed using 300 mM Ca2+ in which NMDG-Cl was replaced by 300 mM CaCl2. We did not attempt to adjust other solutions to match the high osmolarity of the 300 mM Ca2+ solution, but this solution was applied for only short durations because the CaV current declined with continued application. We did not investigate the source for this decline, but possible reasons include (a) Ca2+-dependent inactivation of CaV2.2 channels (Liang et al., 2003; Goo et al., 2006), as the high [Ca2+]i overwhelms the buffering capacity of EGTA, and (b) the high osmolarity of the external solution negatively impacting the recording. Except for 300 mM Ca2+, the osmolarity of the external solutions was 240 mOsm and that for the internal solution was 200 mOsm. All solutions were titrated to pH 7.2 with NMDG-base. The AMFE measures the interference of one permeant ion with the permeation of another permeant ion. We investigated AMFE between Ca2+ and Ba2+ by mixing external solutions containing the same concentration of either Ca2+ or Ba2+ to obtain Ba2+ MFs of 0, 0.3, 0.7, 0.9, and 1. For these experiments, CaCl2 was replaced by an equal concentration of BaCl2.

Some experiments examined divalent cation block of monovalent cation current through CaV2.2 channels. For these experiments, methylamine (MA) was used as the charge carrier because it does not permeate sodium or potassium channels and, thus, provides excellent isolation of CaV2.2 current (Liang and Elmslie, 2002). The extracellular solution contained (mM) 90 MA-Cl, 10 NMDG-HEPES, and 10 nM HEDTA, and the CaCl2 concentration was varied to obtain the desired free Ca2+ concentration. The total Ca2+ concentration ([Ca2+]o) was calculated from the desired free [Ca2+]o and the stability constant of HEDTA (Martell and Smith, 1974) using computer programs based on Fabiato and Fabiato (1979). These solutions were titrated to pH 7.2 with NMDG-base, and the osmolarity ranged from 220 to 250 mOsm.

### Limitation of this dataset

There are two problems that could negatively impact our permeation data. One is poor voltage control and the other is CaV2.2 current isolation. Good membrane voltage control is an issue that requires constant attention when patch clamping. Voltage control can be degraded when currents become large and fast, as when tail currents are measured at high divalent cation concentrations (Zhou and Jones, 1995). To guard against poor voltage control, we used low resistance electrodes that yielded series resistances ranging from 0.3 to 4 MΩ and compensated the series resistance by 80–85%. We also monitored the tail currents to ensure monophasic deactivation kinetics as expected from proper voltage control (Jones, 1990).

The second potential problem was isolation of CaV2.2 current. The CaV current in bullfrog sympathetic neurons is comprised of 90–95% CaV2.2 (N-type) current when recorded in 3 mM Ba2+ (Jones and Marks, 1989; Elmslie et al., 1992), but 75% when recorded in 3 mM Ca2+ (Liang and Elmslie, 2001). The difference between Ca2+ and Ba2+ results from the increased impact of a CaV2.3-like current that we call Ef current (Liang and Elmslie, 2001). Ef current is more prominent in Ca2+ and at high divalent cation concentrations (Elmslie et al., 1994; Liang and Elmslie, 2001). Thus, as Ca2+ concentration increases, the fraction of CaV current generated by CaV2.2 channels decreases. One method to address this problem would be to block Ef current using Ni2+, which is the only known blocker. However, there is no Ni2+ concentration that would block the majority of Ef current without affecting CaV2.2 (Liang and Elmslie, 2001). In addition, Ni2+ block is dependent on both [Ca2+]o and voltage (Zamponi et al., 1996) so that block will change as we altered these parameters to investigate permeation. Based on previous work, we estimate that impact of Ef current varies from 12 to 25% of the total CaV current when changing from 3 to 100 mM [Ca2+]o (Liang and Elmslie, 2001), which suggests that CaV2.2 current dominates even at high [Ca2+]o. For this reason, we believe that our permeation data primarily reflect the activity of CaV2.2 channels.

### Modeling

The three-site model was written in SCOP (Simulation Resources, Inc.) by S. Jones (Case Western Reserve University, Cleveland, OH) based on that published by Dang and McCleskey (1998). The model has three energy wells and four barriers (Fig. 1). Their depths and heights, respectively, are constrained by some experimental data. Lansman et al. (1986) demonstrated that Ca2+ enters the pore at a rate of ∼109/M/s, the value expected from diffusion-limited ion movement. Thus, the two external barriers were set to ≥8.6 kT (Almers and McCleskey, 1984). In addition, model parameters were set to give reasonable single-channel current amplitudes of ∼1.5 pA at 0 mV in 100 mM Ba2+ (Yue and Marban, 1990; Elmslie, 1997).

Well depth values were obtained from experimental data from CaV2.2 channels. Those data for Ca2+ are presented here, but data for Ba2+ came from other publications. The Ba2+ EC50 for permeation at 0 mV was obtained from Zhou and Jones (1995), whereas the IC50 for Ba2+ block of monovalent current was from Liang and Elmslie (2002). The values for the high-affinity binding site were set using the IC50 for block of monovalent cations, whereas the EC50 for permeation was used to set the values for the enhancement sites (Fig. 1). At 0 mV, the electrical field does not affect ion movement. Therefore, we used data from this voltage to set well depths. For simplicity, the well depths for the two enhancement sites were identical in the three-site model (Dang and McCleskey, 1998).

The model calculates current based on ion movement across each barrier, which depends on the barrier height and well depth, electrical distance, and applied voltage. Ion concentration only affects the rates of entering into the first well from outside and the third well from inside (Fig. 1). Here is the example for calculating rates of “hopping” over the first barrier:

$k1a=[a]o*kTh*exp(−barrier height)*exp(−zA*mV*d1/RTF)km1a=kTh*exp(well depth−barrier height)*exp(zA*mV*dm1/RTF),$

where k, T, h, R, and F have their usual thermodynamic meanings, [a]o is concentration of ion “a” outside, mV is the applied voltage, zA is the charge of ion “a,” and d1 is the electrical distance of the first well. k1a is the forward rate constant (moving into the channel), whereas km1a is the backward rate constant over the same barrier (moving out of the channel).

### Online supplemental material

Contents include two figures showing how repulsion diminishes or abolishes the concentration dependence of AMFE. The three-well, four-barrier model was used, and the energy profiles for Ba2+ and Ca2+ in Fig. S1 were based on physiologically relevant block and permeation values. Fig. S2 shows results from another simulation using repulsion with an altered Ba2+ energy profile in an attempt to improve the fits by altering parameters.

## RESULTS

### Ca2+ block

As a first step toward determining the permeation properties of the CaV2.2 channel, we examined the Ca2+ block of monovalent cation current (MA+; see Materials and methods; Fig. 2). The blocking [Ca2+]o ranged from 0.03 to 100 µM, and step voltages ranged from −40 to 80 mV. As shown in Fig. 2 (A and B), progressively increasing [Ca2+]o produced larger block of monovalent cation current at −20 mV that reached a maximum at 30 µM. When measured at different step voltages, both the affinity for Ca2+ and maximum block changed. The affinity for Ca2+ decreased with depolarization (EC50 for block increased), whereas the maximum block decreased (Fig. 2, C and D). For example, the EC50 changed from 0.2 µM at −40 mV to 2.5 µM at 80 mV, and the maximum block decreased from 87 ± 7% at −40 mV to 24 ± 6% at 80 mV. Both of these changes are consistent with the idea that Ca2+ ions sense the transmembrane voltage when occupying the high-affinity blocking site. We estimated the electrical distance of the Ca2+ blocking site using the Woodhull equation (Eq. 1), which yielded a relative electrical distance (∂) of 0.34 for Ca2+ entering from the extracellular side of the pore (Fig. 2 E).

### Ca2+ permeation is voltage dependent

The impact of voltage on permeation has yet to be experimentally investigated at voltages >0 mV, so we wanted to measure the Ca2+ EC50 for permeation at different voltages. However, changing [Ca2+]o, which is required to determine the EC50, will also affect the gating of CaV channels (Brink, 1954; Hille, 1992). This dual effect was revealed by examination of current-voltage (I-V) relationships in different [Ca2+]o (Fig. 3). With each increase in [Ca2+]o, the current increased because of the larger driving force on Ca2+, but the peak of the I-V shifts to more depolarized voltages as a result of surface charge screening by divalent cations (Zhou and Jones, 1995). Thus, step current measurements do not isolate the Ca2+ effects on permeation from the gating effects. Because of this mixed effect, the peak step current measurements do not give an accurate estimate of CaV channel permeation (Zhou and Jones, 1995).

Tail currents can be used to isolate gating from permeation when changing [Ca2+]o because the tail currents are measured at the same voltage regardless of [Ca2+]o (Zhou and Jones, 1995; Wang et al., 2005). Using a step voltage of 100 mV to fully activate the CaV2.2 channels at all [Ca2+]o, we measured tail current at 0 mV in different [Ca2+]o and calculated an EC50 = 16 mM (Fig. 4). In separate neurons, we conducted similar experiments while altering the tail voltage to determine whether the EC50 for permeation is voltage dependent (Fig. 5).

The plot of normalized tail current amplitude versus [Ca2+]o shows that Ca2+ permeation of CaV2.2 channels changes with voltage (Fig. 5). The tail current amplitude at 0 mV reached a maximum at 100 mM Ca2+, whereas that at 40 and 60 mV was clearly smaller in 100 versus 300 mM Ca2+. This observation is borne out by fitting the data using the mass action equation, which yielded an EC50 = 13 mM for 0 mV versus 71 mM for 40 mV. The EC50 was even larger for 60 mV (240 mM; Fig. 5, B and C). The EC50 showed a monotonic increase with voltage, which further supports voltage-dependent interaction of Ca2+ with the CaV2.2 channel during permeation (Fig. 5, B and C). In an effort to more stringently test the voltage dependence of permeation hypothesis, we attempted to fit dose–response curves at different voltages with Hill equations using the same EC50 but different KMAX values, but this effort was unsuccessful. Thus, Ca2+ permeation of CaV2.2 channels appears to be strongly voltage dependent at voltages ≥0 mV.

We ran simulations using the three-site well and barrier or step permeation model (Dang and McCleskey, 1998) to determine whether this model could fit our experimental data. This model has two low-affinity sites that flank a high-affinity site (Fig. 1), which essentially function to enhance the off rate of bound ions (enhancement sites). The well depth for the high-affinity site was set to the EC50 for Ca2+ block of monovalent current at 0 mV (0.7 µM; Fig. 2), whereas the depth of the flanking enhancement wells was set using the permeation EC50 at 0 mV (13 mM; Fig. 4). We used the values at 0 mV to exclude the effect of transmembrane voltage. The position of these wells within the electric field was adjusted to match the voltage dependence of Ca2+ block and permeation EC50. With a single set of parameters (Fig. 5 legend), the model could reproduce the voltage dependence of permeation. Fig. 5 C shows dose–response curves (lines) fit to simulated data points (small symbols) that also successfully reproduce the experimental data (large symbols) at all voltages.

We then used the model to predict the Ca2+ EC50 at voltages <0 mV (Fig. 5 C). At these voltages and high [Ca2+]o, the CaV2.2 channels deactivate too rapidly to permit accurate measurements of tail current amplitude. Surprisingly, the results showed smaller changes in EC50 with voltages <0 mV compared with voltages >0 mV with only a slight difference in the EC50 values at −40 versus −60 mV (2.9 vs. 2.3 mM, respectively). Thus, the step model of permeation, with a single set of parameters, predicts minimal voltage dependence of permeation at voltages <0 mV and strong voltage dependence of permeation at voltages >0 mV (Campbell et al., 1988).

As a test of this model prediction, we needed to overcome the limitations imposed by fast deactivation to examine permeation at voltages <0 mV. We used roscovitine to slow N-channel deactivation sufficiently to allow the tail measurement at voltages <0 mV (Buraei et al., 2005, 2007; Yarotskyy and Elmslie, 2009). Initially, we had to exclude the possibility that roscovitine affects permeation. Therefore, we compared permeation at voltages ≥0 mV with (Fig. 6) versus without (Fig. 5) roscovitine to determine whether EC50 values were altered. The EC50 values obtained in roscovitine were similar to those without roscovitine. For example, at 0 mV, the EC50 = 20 versus 13 mM, and at 40 mV, EC50 = 90 versus 71 mM for roscovitine versus nonroscovitine datasets (Fig. 6). Thus, it appears that roscovitine does not modulate N-channel permeation.

One observation is that the EC50 in roscovitine was consistently larger than that in control (compare Fig. 5 with Fig. 6). Although we do not believe that roscovitine modulates permeation, this difference could result from the slower tail currents in roscovitine providing more accurate measurements at hyperpolarized voltages. Another possibility is variability from one dataset to another. Either way, the differences are fairly small, and the voltage dependence of permeation at voltages >0 mV is clear from both the control (Fig. 5) and roscovitine data (Fig. 6).

Because we validated the use of roscovitine to study CaV2.2 channel permeation, we measured EC50 at voltages <0 mV. As predicted, the Ca2+ dose–response curves at voltages <0 mV showed smaller changes with voltage (Fig. 6). For example, the change in EC50 from 0 to −20 mV was 4 mM (20 to 24 mM, respectively), whereas the change from 0 to 20 mV was 28 mM (20 to 48 mM, respectively). One obvious difference between our roscovitine experimental data and our simulated results (Fig. 5 C) was that the experimental EC50 values were much larger (Fig. 6). For example, at −40 mV our experimental EC50 = 31 mM was 10-times larger than the EC50 = 2.9 mM from the simulated data. Although the model correctly predicted the smaller change in EC50 with voltage at voltages <0 mV, the discrepancy with the experimental values suggests that different model parameters may be needed.

### Electrical distance of the enhancement site

The data show an effect of voltage on permeating Ca2+ ions, which supports the placement of the enhancement (or permeation) sites of the model within the electrical field (Fig. 1). As with the Ca2+ blocking data, we used the Woodhull equation (Eq. 1) to estimate the electrical distance of the enhancement site (Woodhull, 1973). Fig. 7 shows the relative change in EC50 with voltage for Ca2+ permeation for data with and without roscovitine. Because the Woodhull equation (Eq. 1) returns a monotonic change in relative EC50 versus voltage, we fit only the data at voltages ≥0 mV (Fig. 7) to yield an electrical distance (∂) of ∼0.55 for permeating Ca2+ ions entering from extracellular side of the channel. This ∂ value is larger than that for the high-affinity site that was obtained from Ca2+ blocking data (∂ = 0.34). Thus, it seems likely that the ∂ value for permeation includes the electrical distances from multiple Ca2+-binding sites. One way to study multiple binding sites in ion channel pores is by studying the AMFE.

### AMFE

AMFE is defined as the occurrence of smaller currents in the presence of a mixture of two permeant ionic species, as compared with the currents in the presence of either one alone (Almers and McCleskey, 1984; Hess and Tsien, 1984; Hille, 1992). AMFE has been demonstrated in Ba2+/Ca2+ mixtures for both CaV1.2 (Almers and McCleskey, 1984; Hess and Tsien, 1984; Friel and Tsien, 1989) and CaV2.2 channels (Wakamori et al., 1998). Thus, AMFE data can provide an independent dataset with which to probe the concentration and voltage dependence of permeation, as well as our permeation model (Fig. 5). As we did with Ca2+ permeation, we measured tail currents to examine AMFE so that permeation/block would be isolated from gating effects. While keeping the total ionic strength of the solutions equal, the MFs used for this study were 0, 0.1, 0.3, 0.7, 0.9, and 1, which corresponded to solutions with 0, 10, 30, 70, 90, and 100% Ba2+, with the balance coming from Ca2+. Fig. 8 shows an example of AMFE in a total Ba2+ + Ca2+ = 10 mM at a tail voltage of 20 mV. The current is the smallest at MF = 0.7 (70% Ba2+ + 30% Ca2+). Note also that the current in 100% Ba2+ (MF = 1) is roughly 1.3-times larger than that in 100% Ca2+ (MF = 0; Fig. 8).

The concentration dependence of AMFE was studied using total divalent cation concentrations of 3, 10, and 30 mM and the same six MFs listed above. By limiting the maximum divalent cation concentration to 30 mM, we were able to resolve tail currents down to −20 mV. Fig. 9 presents AMFE data normalized to the current in MF = 0 (100% Ca2+).

There are several general themes that can be gleaned from the AMFE data. First, for any given divalent cation concentration (3, 10, or 30 mM), the largest AMFE (minimal current) is observed at the most depolarized voltage (40 mV for these data; Fig. 10). Second, for any given voltage, the largest AMFE (minimal current) is observed at the lowest divalent cation concentration (3 mM for these data). Thus, the deepest AMFE minimum was found in 3 mM divalent cations at 40 mV. In contrast, there are relatively few conditions that yielded AMFE at divalent cations = 30 mM, which occurred at the most depolarized voltage (40 mV). Thus, it is clear from these data that AMFE of CaV2.2 channels is both concentration and voltage dependent.

One observation that has been consistently made when recording from both CaV1.2 and CaV2.2 currents is that the current in Ba2+ is larger than that in Ca2+ (Almers and McCleskey, 1984; Hess and Tsien, 1984; Liang and Elmslie, 2001; Goo et al., 2006). Although Fig. 10 shows this is the case for most voltages and divalent cation concentrations, three remarkable exceptions are shown. In 3 mM divalent cations at 40 mV, the Ca2+ current (MF = 0) is larger than the Ba2+ current (MF = 1), whereas the two currents are roughly equal at 20 mV. The Ca2+ and Ba2+ currents are also equal amplitude at 40 mV in 10 mM divalent cations (Fig. 10). Thus, at some voltages and divalent cation concentrations, Ca2+ will produce larger currents than Ba2+.

### Adding a fourth site to the model reproduces AMFE

Using the three-site model of Dang and McCleskey (1998), we were able to reproduce our current versus [Ca2+]o relationships at voltages ≥0 mV. To simulate AMFE, we needed parameters for Ba2+ permeation and block, which we obtained from the literature. We used 23.5 mM as the EC50 for Ba2+ permeation at 0 mV (Zhou and Jones, 1995) and 3 µM for the EC50 of block at 0 mV (Liang and Elmslie, 2002). Adding these Ba2+ parameters to our three-site step model, we were unable to adequately fit our AMFE data (not depicted). To improve the correspondence between the simulated and experimental data, we altered the well depths, barrier heights, and electrical distances. However, we were never able to fit the data at all concentrations and all voltages using a single set of parameters (Fig. 10 A). A set of parameters that closely reproduces the data at 30 mM severely underestimated the AMFE at lower divalent cation concentrations (Fig. 10 A). In contrast, if we fit the data at 3 mM, the model produced too much AMFE at higher divalent cation concentrations.

The failure to reproduce our AMFE data at all concentrations and voltages suggested that additional model adjustments were needed. We reasoned that to deepen the AMFE at lower ionic concentrations, we would add at least one binding site. This new site needed to accomplish two tasks. The first was to deepen the Ca2+ block of Ba2+ current at low divalent cation concentrations (i.e., stronger AMFE at 3 mM). The second was to increase the relative Ba2+ current at depolarized voltages in high divalent cation concentrations (i.e., 40 mV at 30 mM; Fig. 10 A). The new site was added to the extracellular side of the pore and was given the same affinity for Ca2+ and Ba2+ to limit the number of additional free parameters. Using the parameters listed in the Fig. 10 legend, we were able to reproduce the concentration and voltage dependence of AMFE (Fig. 10 B). The failure of the three-site model along with the success of the four-site model supports the involvement of four Ca2+-binding sites in permeation of CaV2.2 channels.

## DISCUSSION

In this study we investigated the voltage dependence of calcium channel block, permeation, and AMFE using electrophysiological recordings and modeling. We found that (a) CaV2.2 channel block, permeation, and AMFE are all voltage dependent, (b) the voltage dependence of permeation is very strong at depolarized voltages but minimal at voltages <0 mV, (c) the voltage dependence of AMFE required the addition of a fourth site to our model, and (d) there are conditions in which Ca2+ currents are larger than, or equal to, Ba2+ currents.

### Voltage dependence of permeation

Studying CaV1.2 channels, Kuo and Hess (1993a) found no difference in the EC50 for Ba2+ permeation at −20 and −40 mV. In addition, Polo-Parada and Korn (1997) suggested there is no voltage dependence to a site external to the high-affinity blocking site of CaV2.2 channels. These measurements were confined to hyperpolarized voltages (<0 mV) and were consistent with a theoretical study that showed little or no effect of voltage on permeation at voltages <0 mV but larger effects at voltages ≥0 mV (Campbell et al., 1988). Our results expand the voltage range of both experimental and theoretical studies to reveal a strong voltage dependence of permeation that was only apparent at voltages ≥0 mV.

Recent studies of CaV3.1 current showed little or no voltage dependence of permeation at voltages up to 30 mV (Khan et al., 2008), which was reproduced by a two-well–three-barrier model (Lopin et al., 2010). Although the apparent absence of voltage effects on permeation is similar to findings from CaV1.2 and CaV2.2 channels, there are clear differences in the data from voltages >0 mV between CaV2.2 and CaV3.1 channels. We find a robust increase in the apparent EC50 over these voltages (Fig. 5), whereas the data from CaV3.1 channels are basically flat over the same voltage range (Khan et al., 2008). The reason for this difference is not clear, but it is notable that the presumed selectivity filter of CaV3.1 channels has two aspartates and two glutamates compared with the four glutamates of CaV2.2 channels (Cens et al., 2007). In addition, differences between the S5 and S6 regions of CaV channels have been shown to significantly contribute to differences in permeation (Cibulsky and Sather, 2003).

There are several implications to the effect of voltage on permeation. (a) Slope conductance as a measure of ion channel permeability should be used with caution because it combines permeation across a range of voltages over which the affinity of the channel for the permeating ions could be changing. Thus, changes in binding site affinity with voltage, along with driving force, determine the slope conductance of a CaV2.2 channel.

(b) Because Ca2+ is a second messenger, it is important to maintain Ca2+ influx as much as possible at depolarized voltages even though the driving force is low. The apparent decrease in the affinity of CaV2.2 channels for Ca2+ with voltages >0 mV increases the Ca2+ off rate from its binding sites and, thus, Ca2+ influx at these depolarized voltages, such as during an action potential. In essence, this mechanism allows the channel to treat Ca2+ at depolarized voltages like it otherwise treats Ba2+ (which generally produces larger currents than Ca2+; Fig. 9). Likewise, the affinity of the channel for external Na+ is expected to become even lower at depolarized voltages to effectively increase the competitiveness of Ca2+ to permeate CaV2.2 channels. The relatively increased Ca2+ influx from this mechanism may be important for delivering sufficient and consistent Ca2+ to trigger neurotransmitter release (Gentile and Stanley, 2005). If CaV1.2 channel permeation is also voltage dependent (Friel and Tsien, 1989), this mechanism could be critical to delivering Ca2+ during the plateau phase of the cardiac action potential. This channel mechanism along with the recently proposed nanodomains that severely restrict calcium diffusion (Tadross et al., 2013), together, could ensure sufficient Ca2+ levels needed to maintain activation of Ca2+-binding proteins that are coupled to CaV channels, without causing Ca2+ overload.

(c) The affinity of CaV2.2 channels for Ca2+ changes little at voltages <0 mV, which helps to maintain the influx of Ca2+ at hyperpolarized voltages. If the affinity for Ca2+ became too high at these hyperpolarized voltages, Ca2+ would become a blocking ion instead of a permeating ion. Thus, the limited effect of voltage at hyperpolarized voltage helps, along with driving force, to keep Ca2+ influx high.

### AMFE

The measurement of AMFE in CaV channels has helped to shape the idea that permeation of these channels involves multiple ions moving through the pore in single file (Almers and McCleskey, 1984; Hess and Tsien, 1984). AMFE has been most often studied in L-type (CaV1.2) channels (Almers and McCleskey, 1984; Hess and Tsien, 1984; Friel and Tsien, 1989; Wang et al., 2005), but one study used voltage steps to demonstrate a small Ca2+-Ba2+ AMFE in CaV2.2 channels (Wakamori et al., 1998).

We used AMFE to test the voltage dependence of permeation and provide an independent dataset by which to test our permeation model. The concentration and voltage dependence of permeation was clearly evident in our AMFE results. This supports previous work by Friel and Tsien (1989), who demonstrated using CaV1.2 channels that AMFE could be lost at either high divalent cation concentrations or hyperpolarized voltages. Their explanation was that AMFE could only be observed under conditions in which the binding sites within the channels are not saturated. Our results and modeling support this conclusion. At any given voltage, if the affinity of the channel is sufficiently high to bind either species of divalent cation in the mix, then no AMFE will be observed. However, AMFE can be observed either by depolarizing the test voltage (to lower the affinity) or by reducing the divalent cation concentration (to lower the occupancy).

The second reason we performed the AMFE experiments was to test our three-site permeation model. However, after extensive parameter manipulation, we were unable to reproduce our AMFE data using a single set of model parameters, which motivated us to produce a four-site model (see below).

### Ca2+ current larger than Ba2+ current

NaV channels select by exclusion, like a molecular sieve (Sun et al., 1997). In other words, these channels have energy barriers that are too high to be overcome by larger ions, such as K+. However, CaV channels developed selectivity by having binding sites, or energy wells, that specifically accommodate some but not other ions (Hille, 1992). Because of these binding sites, it is thought that ions with the highest affinity (deeper wells) will have the slowest mobility to yield smaller currents (Hess et al., 1986), which is the explanation for larger Na+ and Ba2+ currents (which have shallower wells) compared with Ca2+ currents through CaV channels. Remarkably, at depolarized voltages (40 mV) in physiological concentrations of divalent cations ∼3 mM, we found that Ca2+ currents were larger than Ba2+ currents (Fig. 9 A, 40 mV). The explanation is that even though Ba2+ binds with a lower affinity than Ca2+ to the sites within the pore, at depolarized voltages this affinity becomes so low that multiple occupancy of the channel, required for permeation, is drastically diminished for Ba2+. In contrast, Ca2+ binds with a higher affinity than Ba2+, which helps it better maintain multiple occupancy of the channel to generate more current at very depolarized voltages.

### Permeation models

Multiple models have been proposed to explain the permeation of Ca2+ through CaV1.2 channels. These include barrier-well models based on Eyring rate theory (Almers and McCleskey, 1984; Hess and Tsien, 1984; Dang and McCleskey, 1998) and models based on Poisson-Nernst-Plank theory (Nonner and Eisenberg, 1998; Rodriguez-Contreras et al., 2002). We chose to investigate the barrier-well models, but our data on the concentration and voltage dependence of CaV2.2 channel permeation will be useful for testing other models of CaV channel permeation.

The original barrier-well permeation models postulated two high-affinity binding sites for divalent cations within the pore (Almers and McCleskey, 1984; Hess and Tsien, 1984). Permeation was achieved in these models by including a mutual repulsion factor that accelerated the exit of divalent cations from the pore. Another version of this model added two low-affinity binding sites to the two high-affinity sites, which helped explain the block of Ca2+ flux by internal Li+ (Kuo and Hess, 1993c). However, these models were abandoned after mutagenesis experiments supported only a single high-affinity site (Yang et al., 1993; Ellinor et al., 1995). In response, Dang and McCleskey (1998) produced the three-site model with only a single high-affinity binding site and two bracketing sites (enhancement sites). The lower affinity of the enhancement sites produced high rates of Ca2+ flux by providing steps, or energetically favorable sites, from which ions could leave the pore and, thus, did not require repulsion.

Given the success of the three-site model in reproducing CaV1.2 channel data, we were interested in testing it on our dataset from CaV2.2 channels. We were able to identify a set of parameters that would reproduce the voltage and concentration dependence of Ca2+ permeation, but we could not find a common set of parameters that would reproduce AMFE across different voltages and divalent cation concentrations. Although we initially constrained the parameters for the model by experimental measurements, we allowed them to vary in our attempts to reproduce the AMFE data. Again, no single parameter set could be found.

Ions getting into a pore that is already occupied by another ion (in a different site) may or may not encounter repulsion from ions already in the pore (Almers and McCleskey, 1984; Hess and Tsien, 1984). We introduced repulsion into the three-site model in an attempt to improve the correspondence between our simulated and experimental AMFE data. Simply adding repulsion to our model enhanced AMFE at high divalent cation concentrations (Fig. S1), whereas other parameter adjustments minimized AMFE at low concentrations (Fig. S2). Thus, repulsion appeared to make AMFE less concentration dependent, which was opposite of the effect needed to improve the correspondence with our data.

With the failure of repulsion to improve our simulated AMFE data, we added a fourth binding site (well) to the external side of the channel (the loading site; Fig. 11). We reasoned that adding a fourth site to the extracellular side of the pore would decrease the occupancy of the external enhancement site, giving rise to a deeper AMFE. Because of its location, we named this site the loading site (Fig. 11).

We were able to reproduce our AMFE data using the four-site model. We set the well depth (i.e., binding affinity) for the loading site to be the same for Ca2+ and Ba2+ (Fig. 11). Without experimental guidance for setting the parameters for this site, we felt it was best to limit the additional free parameters that would come with the added site. Therefore, a single value for well depth and another for the degree of the transmembrane voltage sensed at the site were the only parameters added to the model. All intrapore barriers were given the same energy value (Fig. 11), which also helped to limit the free parameters for these models.

The addition of the loading site corrected two problems with the three-site model, which were (1) insufficient AMFE at low divalent concentrations and (2) small Ba2+ currents (MF = 1) at depolarized voltages (Fig. 11). For the insufficient AMFE at low divalent concentrations, the four-site model increased the depth of AMFE by decreasing the occupancy of the enhancement site by divalent ions that now divide their time between the loading and the enhancement sites. As concluded by Friel and Tsien (1989), AMFE requires that the binding sites within the pore be unsaturated. At low divalent cation concentrations, the loading site allows Ba2+ to split its time between the two outside low-affinity wells without leaving the pore, which is energetically less favorable. In contrast, the occupancy of the enhancement site was not sufficiently decreased to prevent permeation. For the second problem, at high divalent cation concentrations and depolarized voltages, the existence of the loading site helps Ba2+ increase its occupancy of the enhancement site to create larger Ba2+ currents.

The fitting of our AMFE data required adding a fourth site to the model. Unfortunately, structural information is not yet available for any CaV channels, so the number of binding sites within the channel is not known. However, a structure was recently obtained from the bacterial NaV channel that was modified to selectively allow Ca2+ permeation (Tang et al., 2014). Interestingly, the structures showed two Ca2+-binding sites bracketing the selectivity filter (presumed high-affinity site), with one or two additional sites at the entrance to the pore. Future structural studies will provide more detailed information, but data from this structure and our modeling are consistent with a Ca2+-selective ion channel having four or perhaps five ion-binding sites along the permeation pathway.

## Acknowledgments

This paper was supported by the Dyson College 2014 Faculty Summer Research Grant Program (Z. Buraei).

The authors declare no competing financial interests.

Sharona E. Gordon served as editor.

## References

References
Almers
,
W.
, and
E.W.
McCleskey
.
1984
.
Non-selective conductance in calcium channels of frog muscle: calcium selectivity in a single-file pore
.
J. Physiol.
353
:
585
608
.
Almers
,
W.
,
E.W.
McCleskey
, and
P.T.
.
1984
.
A non-selective cation conductance in frog muscle membrane blocked by micromolar external calcium ions
.
J. Physiol.
353
:
565
583
.
Bidaud
,
I.
,
A.
Mezghrani
,
L.A.
Swayne
,
A.
Monteil
, and
P.
Lory
.
2006
.
Voltage-gated calcium channels in genetic diseases
.
Biochim. Biophys. Acta.
1763
:
1169
1174
.
Block
,
B.M.
,
W.C.
Stacey
, and
S.W.
Jones
.
1998
.
Surface charge and lanthanum block of calcium current in bullfrog sympathetic neurons
.
Biophys. J.
74
:
2278
2284
.
Brink
,
F.
1954
.
The role of calcium ions in neural processes
.
Pharmacol. Rev.
6
:
243
298
.
Buraei
,
Z.
,
M.
Anghelescu
, and
K.S.
Elmslie
.
2005
.
Slowed N-type calcium channel (CaV2.2) deactivation by the cyclin-dependent kinase inhibitor roscovitine
.
Biophys. J.
89
:
1681
1691
.
Buraei
,
Z.
,
G.
Schofield
, and
K.S.
Elmslie
.
2007
.
Roscovitine differentially affects CaV2 and Kv channels by binding to the open state
.
Neuropharmacology.
52
:
883
894
.
Campbell
,
D.L.
,
R.L.
Rasmusson
, and
H.C.
Strauss
.
1988
.
Theoretical study of the voltage and concentration dependence of the anomalous mole fraction effect in single calcium channels. New insights into the characterization of multi-ion channels
.
Biophys. J.
54
:
945
954
.
Carbone
,
E.
,
H.D.
Lux
,
V.
Carabelli
,
G.
Aicardi
, and
H.
Zucker
.
1997
.
Ca2+ and Na+ permeability of high-threshold Ca2+ channels and their voltage-dependent block by Mg2+ ions in chick sensory neurones
.
J. Physiol.
504
:
1
15
.
Catterall
,
W.A.
,
S.
Dib-Hajj
,
M.H.
Meisler
, and
D.
Pietrobon
.
2008
.
Inherited neuronal ion channelopathies: new windows on complex neurological diseases
.
J. Neurosci.
28
:
11768
11777
.
Cens
,
T.
,
M.
Rousset
,
A.
Kajava
, and
P.
Charnet
.
2007
.
Molecular determinant for specific Ca/Ba selectivity profiles of low and high threshold Ca2+ channels
.
J. Gen. Physiol.
130
:
415
425
.
Cibulsky
,
S.M.
, and
W.A.
Sather
.
2003
.
Control of ion conduction in L-type Ca2+ channels by the concerted action of S5–6 regions
.
Biophys. J.
84
:
1709
1719
.
Dang
,
T.X.
, and
E.W.
McCleskey
.
1998
.
Ion channel selectivity through stepwise changes in binding affinity
.
J. Gen. Physiol.
111
:
185
193
.
Ellinor
,
P.T.
,
J.
Yang
,
W.A.
Sather
,
J.F.
Zhang
, and
R.W.
Tsien
.
1995
.
Ca2+ channel selectivity at a single locus for high-affinity Ca2+ interactions
.
Neuron.
15
:
1121
1132
.
Elmslie
,
K.S.
1997
.
Identification of the single channels that underlie the N-type and L-type calcium currents in bullfrog sympathetic neurons
.
J. Neurosci.
17
:
2658
2668
.
Elmslie
,
K.S.
,
P.J.
Kammermeier
, and
S.W.
Jones
.
1992
.
Calcium current modulation in frog sympathetic neurones: L-current is relatively insensitive to neurotransmitters
.
J. Physiol.
456
:
107
123
.
Elmslie
,
K.S.
,
P.J.
Kammermeier
, and
S.W.
Jones
.
1994
.
Reevaluation of Ca2+ channel types and their modulation in bullfrog sympathetic neurons
.
Neuron.
13
:
217
228
.
Fabiato
,
A.
, and
F.
Fabiato
.
1979
.
Calculator programs for computing the composition of the solutions containing multiple metals and ligands used for experiments in skinned muscle cells
.
J. Physiol. (Paris).
75
:
463
505
.
Friel
,
D.D.
, and
R.W.
Tsien
.
1989
.
Voltage-gated calcium channels: direct observation of the anomalous mole fraction effect at the single-channel level
.
86
:
5207
5211
.
Gentile
,
L.
, and
E.F.
Stanley
.
2005
.
A unified model of presynaptic release site gating by calcium channel domains
.
Eur. J. Neurosci.
21
:
278
282
.
Goo
,
Y.S.
,
W.
Lim
, and
K.S.
Elmslie
.
2006
.
Ca2+ enhances U-type inactivation of N-type (CaV2.2) calcium current in rat sympathetic neurons
.
J. Neurophysiol.
96
:
1075
1083
.
Hess
,
P.
, and
R.W.
Tsien
.
1984
.
Mechanism of ion permeation through calcium channels
.
Nature.
309
:
453
456
.
Hess
,
P.
,
J.B.
Lansman
, and
R.W.
Tsien
.
1986
.
Calcium channel selectivity for divalent and monovalent cations. Voltage and concentration dependence of single channel current in ventricular heart cells
.
J. Gen. Physiol.
88
:
293
319
.
Hille
,
B.
1992
.
Ionic Channels of Excitable Membranes
. Second edition.
Sinauer Associates
,
Sunderland, MA
.
607 pp
.
Jones
,
S.W.
1987
.
Luteinizing hormone-releasing hormone as a neurotransmitter in bullfrog sympathetic ganglia
.
519
:
310
322
.
Jones
,
S.W.
1990
.
Whole-cell and microelectrode voltage clamp
.
In
Neurophysiological techniques: Basic methods and concepts.
Neuromethods
.
Vol. 14
.
A.A.
Boulton
,
G.B.
Baker
, and
C.H.
Vanderwolf
,
editors
.
The Humana Press, Inc.
,
Clifton, New Jersey
.
143
192
.
Jones
,
S.W.
, and
T.N.
Marks
.
1989
.
Calcium currents in bullfrog sympathetic neurons. I. Activation kinetics and pharmacology
.
J. Gen. Physiol.
94
:
151
167
.
Khan
,
N.
,
I.P.
Gray
,
C.A.
Obejero-Paz
, and
S.W.
Jones
.
2008
.
Permeation and gating in CaV3.1 (α1G) T-type calcium channels effects of Ca2+, Ba2+, Mg2+, and Na+
.
J. Gen. Physiol.
132
:
223
238
.
Kuffler
,
S.W.
, and
T.J.
Sejnowski
.
1983
.
Peptidergic and muscarinic excitation at amphibian sympathetic synapses
.
J. Physiol.
341
:
257
278
.
Kuo
,
C.C.
, and
P.
Hess
.
1993a
.
Block of the L-type Ca2+ channel pore by external and internal Mg2+ in rat phaeochromocytoma cells
.
J. Physiol.
466
:
683
706
.
Kuo
,
C.C.
, and
P.
Hess
.
1993b
.
Characterization of the high-affinity Ca2+ binding sites in the L-type Ca2+ channel pore in rat phaeochromocytoma cells
.
J. Physiol.
466
:
657
682
.
Kuo
,
C.C.
, and
P.
Hess
.
1993c
.
Ion permeation through the L-type Ca2+ channel in rat phaeochromocytoma cells: two sets of ion binding sites in the pore
.
J. Physiol.
466
:
629
655
.
Lansman
,
J.B.
,
P.
Hess
, and
R.W.
Tsien
.
1986
.
Blockade of current through single calcium channels by Cd2+, Mg2+, and Ca2+. Voltage and concentration dependence of calcium entry into the pore
.
J. Gen. Physiol.
88
:
321
347
.
Liang
,
H.
, and
K.S.
Elmslie
.
2001
.
E(f)-current contributes to whole-cell calcium current in low calcium in frog sympathetic neurons
.
J. Neurophysiol.
86
:
1156
1163
.
Liang
,
H.
, and
K.S.
Elmslie
.
2002
.
Rapid and reversible block of N-type calcium channels (CaV 2.2) by omega-conotoxin GVIA in the absence of divalent cations
.
J. Neurosci.
22
:
8884
8890
.
Liang
,
H.
,
C.D.
DeMaria
,
M.G.
Erickson
,
M.X.
Mori
,
B.A.
Alseikhan
, and
D.T.
Yue
.
2003
.
Unified mechanisms of Ca2+ regulation across the Ca2+ channel family
.
Neuron.
39
:
951
960
.
Liao
,
P.
, and
T.W.
Soong
.
2010
.
CaV1.2 channelopathies: from arrhythmias to autism, bipolar disorder, and immunodeficiency
.
Pflugers Arch.
460
:
353
359
.
Lopin
,
K.V.
,
C.A.
Obejero-Paz
, and
S.W.
Jones
.
2010
.
Evaluation of a two-site, three-barrier model for permeation in CaV3.1 (α1G) T-type calcium channels: Ca2+, Ba2+, Mg2+, and Na+
.
J. Membr. Biol.
235
:
131
143
.
Martell
,
A.
, and
R.M.
Smith
.
1974
.
Amino acids.
Critical Stability Constants
.
Vol. 1
.
Plenum Press
,
New York
.
Nonner
,
W.
, and
B.
Eisenberg
.
1998
.
Ion permeation and glutamate residues linked by Poisson-Nernst-Planck theory in L-type calcium channels
.
Biophys. J.
75
:
1287
1305
.
,
L.
, and
S.J.
Korn
.
1997
.
Block of N-type calcium channels in chick sensory neurons by external sodium
.
J. Gen. Physiol.
109
:
693
702
.
Rajakulendran
,
S.
,
D.
, and
M.G.
Hanna
.
2012
.
Neuronal P/Q-type calcium channel dysfunction in inherited disorders of the CNS
.
Nat. Rev. Neurol.
8
:
86
96
.
Rodriguez-Contreras
,
A.
,
W.
Nonner
, and
E.N.
Yamoah
.
2002
.
Ca2+ transport properties and determinants of anomalous mole fraction effects of single voltage-gated Ca2+ channels in hair cells from bullfrog saccule
.
J. Physiol.
538
:
729
745
.
Rosenberg
,
R.L.
, and
X.H.
Chen
.
1991
.
Characterization and localization of two ion-binding sites within the pore of cardiac L-type calcium channels
.
J. Gen. Physiol.
97
:
1207
1225
.
Schmunk
,
G.
, and
J.J.
Gargus
.
2013
.
Channelopathy pathogenesis in autism spectrum disorders
.
Front. Genet.
4
:
222
.
Sun
,
Y.-M.
,
I.
Favre
,
L.
Schild
, and
E.
Moczydlowski
.
1997
.
On the structural basis for size-selective permeation of organic cations through the voltage-gated sodium channel. Effect of alanine mutations at the DEKA locus on selectivity, inhibition by Ca2+ and H+, and molecular sieving
.
J. Gen. Physiol.
110
:
693
715
.
,
M.R.
,
R.W.
Tsien
, and
D.T.
Yue
.
2013
.
Ca2+ channel nanodomains boost local Ca2+ amplitude
.
110
:
15794
15799
.
Tang
,
L.
,
T.M.
Gamal El-Din
,
J.
Payandeh
,
G.Q.
Martinez
,
T.M.
Heard
,
T.
Scheuer
,
N.
Zheng
, and
W.A.
Catterall
.
2014
.
Structural basis for Ca2+ selectivity of a voltage-gated calcium channel
.
Nature.
505
:
56
61
.
Thévenod
,
F.
, and
S.W.
Jones
.
1992
.
Cadmium block of calcium current in frog sympathetic neurons
.
Biophys. J.
63
:
162
168
.
Wakamori
,
M.
,
M.
Strobeck
,
T.
Niidome
,
T.
Teramoto
,
K.
Imoto
, and
Y.
Mori
.
1998
.
Functional characterization of ion permeation pathway in the N-type Ca2+ channel
.
J. Neurophysiol.
79
:
622
634
.
Wang
,
X.
,
T.A.
Ponoran
,
R.L.
Rasmusson
,
D.S.
Ragsdale
, and
B.Z.
Peterson
.
2005
.
Amino acid substitutions in the pore of the CaV1.2 calcium channel reduce barium currents without affecting calcium currents
.
Biophys. J.
89
:
1731
1743
.
Woodhull
,
A.M.
1973
.
Ionic blockage of sodium channels in nerve
.
J. Gen. Physiol.
61
:
687
708
.
Yang
,
J.
,
P.T.
Ellinor
,
W.A.
Sather
,
J.F.
Zhang
, and
R.W.
Tsien
.
1993
.
Molecular determinants of Ca2+ selectivity and ion permeation in L-type Ca2+ channels
.
Nature.
366
:
158
161
.
Yarotskyy
,
V.
, and
K.S.
Elmslie
.
2009
.
Open-state occupancy prevents gating charge relaxation of N-type (CaV2.2) calcium channels
.
Biophys. J.
97
:
2446
2455
.
Yue
,
D.T.
, and
E.
Marban
.
1990
.
Permeation in the dihydropyridine-sensitive calcium channel. Multi-ion occupancy but no anomalous mole-fraction effect between Ba2+ and Ca2+
.
J. Gen. Physiol.
95
:
911
939
.
Zamponi
,
G.W.
,
E.
Bourinet
, and
T.P.
Snutch
.
1996
.
Nickel block of a family of neuronal calcium channels: subtype- and subunit-dependent action at multiple sites
.
J. Membr. Biol.
151
:
77
90
.
Zhou
,
W.
, and
S.W.
Jones
.
1995
.
Surface charge and calcium channel saturation in bullfrog sympathetic neurons
.
J. Gen. Physiol.
105
:
441
462
.

Abbreviations used in this paper:

• AMFE

anomalous MF effect

•
• CaV

voltage-gated calcium

•
• MA

methylamine

•
• MF

mole fraction