Chap. 11B. Biological Membranes & Transport • The Composition and Architecture of Membranes • Membrane Dynamics • Solute Transport Across Membranes Fig. 11-3. Fluid mosaic model for plasma membrane structure. Overview of Transporter Types While nonpolar compounds such as O2 and CO2 can pass though bilayers spontaneously by what is called simple diffusion, all polar compounds and ions require a membrane protein to cross a membrane. Movement of the solute down its concentration gradient from a high concentration on one side to a low concentration on the other side does not require the investment of energy. If movement is against an electrochemical gradient (defined next slide), then energy must be invested to drive transport. A variety of names are applied to membrane transporters. The types of transporters found in nature, and discussed in this chapter, are illustrated in Fig. 1126. Solute Movement Across a Permeable Membrane The direction in which a charged solute moves spontaneously across a permeable membrane depends on both the chemical gradient (the difference in solute concentrations) and the electrical gradient (Vm) across the membrane. Together these two factors are called the electrochemical gradient or the electrochemical potential. As shown in Fig. 11-27a (left), an electrically neutral solute moves from the side of high concentration to the lower concentration, and net movement stops when the concentrations on both sides of the membrane become equal. An charged solute’s movement (right) is governed by both the electrical gradient (Vm) and the ratio of concentrations (C2/C1). Net ion movement continues until the electrochemical gradient (potential) reaches zero. Transporters Lower the ∆G‡ for Passage of Polar Solutes Through Membranes The rate of spontaneous passage of a polar solute through a lipid bilayer is very slow due to the activation energy barrier for the process. Both the removal of the hydration shell around the solute, and the transmembrane passage itself require energy that makes the process thermodynamically unfeasible (Fig. 11-28). The activation energy barrier for this process is akin to the activation energy barrier for an chemical reaction. Similar to enzymes, membrane transporters reduce the activation energy barrier for movement of polar solutes across a bilayer. By binding to the solute specifically, released binding energy compensates for the endergonic process of desolvation. Further, the pathway through the membrane protein is lined with hydrophilic amino acid residues unlike the fatty acyl chains of membrane lipids. As a result, the rate of transmembrane passage typically is increased by many orders of magnitude. The movement of an uncharged solute, such as glucose, through a membrane is known as facilitated diffusion, or passive transport. Proteins that perform facilitated diffusion are often called transporters or permeases. Ion Channels vs Transporters (Pumps) (I) Ion channels allow movement of their solutes down their concentration gradients (“downhill”) only. Movement is dictated by the ion’s charge and the electrochemical gradient across the membrane. To allow solute movement, a single gate (structural domain) opens allowing the ion to enter the channel and move across the membrane (Fig. 11-29a). Ion channels transport their solutes much faster than transporters (next slide) and rates of movement can approach the limit of unhindered diffusion (tens of millions of ions per second per channel). Ion channels typically are specific for a given ion. However, because there is no binding site for the ion inside the channel, transport does not display saturation kinetics, as does transport by transporters. Kinetic curves for transport by ion channels show a liner dependence of transport rate vs solute concentration. Ion Channels vs Transporters (Pumps) (II) In contrast to ion channels, transporters (pumps) bind their solutes with high affinity, are saturable in the the same sense as enzymes, and transport solutes at rates well below the limits set by free diffusion. Structurally, transporters can be viewed as having two gates, one facing each side of the membrane (Fig. 11-29b). The rate of transport is slowed due to the added time required for two gates to open and close. Although transport may be several orders of magnitude slower than that of ion channels, pumps can move solutes against an electrochemical gradient with the investment of energy. As discussed above, passive transporters move solutes only down their concentration gradients. Active transporters can move ions against the electrochemical gradient. So-called primary active transporters use energy derived from a chemical reaction such as ATP hydrolysis to drive transport. Secondary active transporters capitalize on the energy stored in the electrochemical gradient by coupling the transport of one solute uphill and paying the energetic cost by transporting a second solute downhill. Passive Transport: the RBC Glucose Transporter (I) A family of 12 passive transporters for glucose (GLUT) proteins is encoded in the human genome. These transporters only catalyze downhill transport of the sugar into, and sometimes, out of cells. The GLUT1 transporter of erythrocytes is a 45 kDa type III integral membrane protein that has 12 hydrophobic transmembrane segments that are thought to adopt the helical conformation (Fig. 11-30a). Erythrocytes rely on blood glucose for their energy production. Blood glucose is maintained at about 5 mM between meals, and at this concentration glucose constantly flows downhill into RBCs due to consumption of glucose for energy production via glycolysis. Nine of the 12 helices contain a few polar and charged amino acid residues which are thought to line the path taken by glucose through the transporter (Fig. 11-30a, b & c). Passive Transport: the RBC Glucose Transporter (II) The process of solute transport by a transporter such as GLUT1, is analogous to an enzymatic reaction. The “enzyme” is the transporter, T, and the substrate is the solute outside the cell, Sout, and the product is the solute inside, Sin. When the initial rate (v0) of solute transport is measured as a function of external solute concentration the resulting kinetic plot is hyperbolic (shows saturation kinetics) and approaches a Vmax at high external solute concentrations (Fig. 11-31). The kinetic curves for solute transport are described by a kinetic equation similar to the Michaelis-Menten equation for an enzyme, namely V0 = Vmax [S]out/(Kt +[S]out) where Kt is analogous to the Km and is equivalent to the solute concentration at which the velocity of transport is half-maximal. Passive Transport: the RBC Glucose Transporter (III) Solute transport by a transporter such as GLUT1 can be described by the kinetic scheme shown below (left). T1 and T2 refer to transporter states where the solute binding site is facing out and in, respectively. A structural model for conformational changes in transporters is illustrated for GLUT1 in Fig. 11-32. Note the presence of two gates in the transporter and how the binding of glucose to the T1 structure triggers a conformational change that exposes the glucose binding site to the inside of the cell in the T2 structure. Although not shown in the kinetic equations, the figure shows that it is possible for the transporter to convert between T1 and T2 conformations without being bound to the ligand. GLUT1 is highly specific for transport of D-glucose. Kt values for transport of D-mannose and D-galactose are 3-to5-fold higher, and are 500-fold higher for L-glucose. Kinetic Properties of Glucose Transporters The kinetic properties of GLUT proteins are matched to the physiological functions of the tissues in which they are expressed (Table 11-3). Two examples, GLUT3 in the CNS and GLUT2 in the liver & pancreas, are described below. Note, that the average blood glucose level is 5.5 mM and typically ranges (red arrows in the graphs) from 4.4-6.6 mM in humans during the day. GLUT3: High affinity (Kt = ~1 mM) = 1 mM Transport near maximal under all physiological conditions. GLUT2: Low affinity (Kt = 17 mM) = 17 mM Allows cells to respond to blood glucose level. Liver only takes up glucose rapidly in the fed state. Pancreatic ß cells can sense an increase in blood glucose and release insulin. Insulin-Activated Glucose Transport Skeletal muscle and adipose tissue synthesize an “insulinrecruitable” transporter (GLUT4) that is shuttled from intracellular vesicles to the cytoplasmic membrane in response to insulin binding to these cells. This increases the number of GLUT4 proteins in the membrane and increases the rate of uptake of glucose into these tissues by 15-fold or more (Vmax effect). In uncontrolled diabetes, glucose is not efficiently transported into these large tissue beds, resulting in elevated blood glucose level. In insulin overdose, transport becomes excessive depriving the CNS of glucose. RBC Chloride-bicarbonate Exchanger The formation of bicarbonate from dissolved CO2 by the RBC enzyme, carbonic anhydrase, increases the blood’s carrying capacity for CO2. Carbonic anhydrase activity is closely coordinated with that of a membrane transporter in the RBC membrane known as the chloride-bicarbonate exchanger. In respiring tissues, CO2 produced by catabolism enters the blood and spontaneously diffuses through the RBC membrane. There carbonic anhydrase converts it to bicarbonate (via carbonic acid), and the exchanger transfers it to the blood while bringing in one chloride ion. In the lungs the process reverses, and the CO2 that leaves the RBC is exhaled. The chloride-bicarbonate exchanger is an integral membrane protein that is structurally similar to GLUT proteins. It increases the rate of bicarbonate transport across the RBC membrane by more than a million fold. Because both ions are negatively charged, the exchange is electroneutral. The coupling of chloride and bicarbonate ion movement is obligatory. In the absence of one ion, transport of the other ceases. Three General Classes of Transporters Transporters differ in the number of solutes transported and in the direction each solute moves. Transporters that carry only one solute, such as the GLUT proteins, are called uniporters. Transporters such as the chloride-bicarbonate exchanger carry out cotransport. Because the exchanger’s two solutes move in opposite directions it is considered an antiporter. When the two solutes move in the same direction across the membrane the transporter is called a symporter. Note that this classification system does not indicate whether transport is active or passive. Intro. to Active Transport Unlike passive transport, active transport can move solutes against a concentration or electrochemical gradient. Such transporters actually establish solute gradients across cells. The movement of a solute “uphill” requires energy. Two types of energy transduction systems are widely used in nature (Fig. 11-35). In primary active transport, energy is obtained by absorption of sunlight, an oxidation reaction, or the breakdown of ATP. The energy released from hydrolysis of ATP, for example, drives conformational changes in the transporter that allow it to move a solute against its concentration gradient. In secondary active transport, the energy released from the movement of one solute down it concentration gradient is used to move a second solute against its concentration gradient. Typically, the concentration gradient for the first solute has been established by a primary active transport system. Sodium gradients often serve in this function. Energy Cost of Active Transport For uncharged solutes the free energy change for transport is given by the equation ∆Gt = 2.303 RT log (C2/C1) where C2 is the concentration of the solute in the final compartment, and C1 is its concentration in the initial compartment. For a 10-fold difference in concentration (i.e.,C2 = 10C1), the energy cost is 5.7 kJ/mol. When the solute is an ion, transport becomes electrogenic due to the separation of positive and negative charges. This creates an electrical potential across the membrane. Cells maintain electrical potentials across their membrane. The typical plasma membrane electrical potential is about 0.05 V (with the inside negative). When charged solutes are transported across a membrane the free energy equation for transport requires another term, namely ∆Gt = 2.303 RT log (C2/C1) + ZF∆ In this equation, Z is the charge of the ion, F is the Faraday constant (96,480 J/V.mol), and ∆ is the transmembrane electrical potential in volts. The use of these two equations in calculating the energetic cost of active transport is illustrated in the next two slides. P-type ATPases (I) The P-type ATPases are a family of cation active transporters that drive transport using energy derived from ATP hydrolysis. They are all type III integral membrane proteins, and have 8 or 10 transmembrane segments. They are also inhibited by the phosphate analog vanadate. During the transport cycle they are reversibly autophosphorylated on a conserved Asp residue located within their phosphorylation (P) domain (Fig. 11-36a). The kinase function of the enzyme resides in the nucleotide-binding (N) domain. Phosphorylation causes large conformational changes that allow the transport (T) domain to transport ions across the membrane. The actuator (A) domain communicates movements of the N and P domains to the ion-binding sites, and also has a phosphatase activity that removes the phosphate attached to the phosphorylation domain at the end of each pumping cycle. P-type ATPases (II) The P-type ATPases are widespread and perform critical processes in many organisms (Fig. 11-36). For example the Na+K+ ATPase of animal cells creates electrochemical gradients across many cells including neurons. These gradients are then exploited in nervous system signaling. The sarcoplasmic/endoplasmic reticulum Ca2+ ATPase (SERCA) pump and the plasma membrane Ca2+ ATPase pump maintain cytosolic calcium levels at about 1 M. This is important for signal transduction systems that are dependent on intracellular calcium levels. In the mammalian stomach, parietal cells have a H+K+ ATPase that pumps protons into the lumen of the stomach acidifying it. Lastly, lipids flippases are structurally and functionally related to P-type ATPases. Mechanism of the SERCA Pump The SERCA pump (Fig. 11-37) moves two Ca2+ ions across the membrane and hydrolyzes one ATP per catalytic cycle. When ATP binds to the E1 conformation of the pump two Ca2+ ions bind to their sites which face the cytoplasm. On phosphorylation of the P domain the conformation of the pump converts to the E2 form, in which the Ca2+ binding sites now face the lumen of the ER or sarcoplasmic reticulum. In this conformation, the binding sites have lower affinity for these ions which are released from the pump. After dephosphorylation of the P domain the enzyme reverts to its E1 state and another cycle can begin. The Na+K+ ATPase of Animal Cells The Na+K+ ATPase of the cytoplasmic membranes of animal cells is primarily responsible for setting and maintaining the intracellular concentrations of Na+ and K+ inside and outside cells. This pump is thought to act analogously to the SERCA pump, except that 3 Na+ ions are pumped out of the cell while 2 K+ ions are pumped in per ATP hydrolyzed. Both ions move against their concentration gradients which actually are maintained by this pump. Due to the difference in the number of charges moved across the membrane, transport is electrogenic and is responsible for the creation of a -50 to -70 mV electrical potential across the membrane (inside negative). The potential established across the plasma membrane is central to electrical signaling in neurons, and the gradient of sodium ions is used to drive the uphill cotransport of different solutes in many cell types. The consumption of energy by this ATPase accounts for 25% of the energy expenditure of a human at rest. V-type & F-type ATPases V-type (vacuolar) and F-type (mitochondrial inner membrane) ATPases have elaborate structures consisting of an integral membrane domain through which protons are transported uphill, and a globular peripheral domain which hydrolyzes ATP to provide energy for proton transport (Fig. 11-39). V-type ATPases are responsible for acidifying intracellular compartments such as lysosomes and the vacuoles of fungi and higher plants. Although bacteria like E. coli can use an F-type ATPase to create a proton gradient across the inner membrane, in mitochondria the enzymes are used to synthesize ATP. The reactions of the mitochondrial electron transport chain lead to pumping of protons from the matrix to the intermembrane space and the build up of a large proton gradient. Protons then flow downhill into the matrix through the ATPase resulting in synthesis of ATP. Note that the cytosol and matrix sides of the membrane are mislabeled in Fig. 11-39b. ABC Transporters ABC transporters are a large family of ATP-dependent active transporters that have evolved to recognize many different solutes. They all contain cytoplasmic nucleotide binding domains (NBDs) where ATP is bound and hydrolyzed, and multiple transmembrane segments through which solutes are pumped (Fig. 11-39). The name ABC transporters stems from the fact that the NBDs are also called ATPbinding cassettes. Some ABC transporters are highly specific for a single solute (e.g., the E. coli vitamin B12 importer, Panel b), whereas others are more promiscuous (e.g., the mammalian multidrug transporter (MDR1 or P glycoprotein, Panel a). MDR1 is responsible for the resistance of many tumors to chemotherapeutic drugs like adriamycin, doxorubicin, and vinblastine, all of which are pumped out of malignant cells by MDR1. In non-malignant cells, MDRs pump toxic compounds out of cells. The Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) (I) The CFTR transporter is a member of the ABC transporter family that is important for keeping the mucus on the surfaces of epithelial cells moist and of the right viscosity so that microorganisms can be trapped and cleared from cell surfaces by ciliary motion. The transporter is very important in epithelial cells lining the lung airway, the digestive tract, and exocrine glands such as the pancreas. Hereditary defects in the CFTR gene in homozygotes cause the serious disease known as cystic fibrosis. Due to decreased transport of water along with the transporter’s solute, chloride ion, the mucus on the surface of the lung airway becomes dehydrated, thick and excessively sticky. This traps pathogenic bacteria, notably S. aureus and P. aeruginosa, in the airway leading to repeated infections that damage the lungs and reduce respiratory efficiency (Fig. 2, Box 112). It is not uncommon that death due to respiratory insufficiency occurs by age 30. Defective CFTR alleles are most prevalent in Caucasians, and about 5% of white Americans are carriers of one defective gene. The Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) (II) The CFTR transporter, although a member of the ABC transporter family, has some unusual structural features not common in this family of pumps. Namely, the transporter is actually a channel protein that is regulated by ATP binding to the cytoplasmic NBDs. When a regulatory (R) domain is phosphorylated and ATPs are bound to each NBD, the channel opens and chloride ion and water molecules flow out to the surface of the epithelial cell. If the R domain is not phosphorylated or ATP is not bound to the NBDs, the channel remains closed. The most common mutation that interferes with CFTR function in CF patients is the deletion of Phe508 in one of the NBDs. This mutation results in aberrant protein folding and failed insertion of CFTR into the membrane. Secondary Active Transport In secondary active transport, energy stored typically in a Na+ or H+ gradient across a membrane is exploited for transport of a second solute. Namely, the transport of Na+ or H+ down its electrochemical gradient releases energy to the transporter that drives conformational changes that result in the transport of the second solute uphill. As long as the net free energy change for the two processes is negative, transport can occur. Note that these proteins can be symporters or antiporters. Many examples of secondary active transporters occur in nature (Table 11-4). We will discuss two examples--the E. coli lactose permease and the vertebrate Na+-glucose symporter. The Lactose Transporter of E. coli (I) The lactose transporter (lactose permease, or galactoside permease) of E. coli is a proton-driven symporter (Fig. 11-41). During each cycle of transport one H+ and one molecule of lactose enter the cell. The proton is derived from a gradient of protons that is high outside the inner membrane and low inside that is created by proton pumps driven by fuel oxidation. The influx of a proton moving down the electrochemical gradient releases enough free energy to drive uptake of lactose against its concentration gradient. When energy yielding reactions of metabolism are blocked by cyanide (CN-), the lactose permease reverts to a membrane facilitator merely equilibrating the concentrations of lactose on the two sides of the membrane. Certain mutations discussed below have the same effect on the permease. The Lactose Transporter of E. coli (II) The lactose permease is a member of the major facilitator superfamily which contains 28 families of transporters. Most like the lac permease have 12 transmembrane segments and function as monomers. The structure of the permease has been determined by x-ray crystallography (Fig. 11-42). The six N-terminal and six Cterminal transmembrane segments are arranged with a rough twofold symmetry. Loops connecting the transmembrane segments project out into the periplasm and cytoplasm. The solutes bind to the permease deep within the interior of the membrane in a large aqueous cavity. The proposed mechanism for transmembrane passage of the solutes involves a rocking motion between the two domains. This “rocking banana” model is similar to that shown for the GLUT1 protein in Fig. 11-32. Extensive site-directed mutagenesis studies have revealed that only 6 residues are absolutely essential for cotransport of H+ and lactose. Charge pairing between two of these, Glu325 and Arg302 (green), which is affected by protonations, determines the two conformations and to which side of the membrane the lactose binding site is exposed. Mutations at either of these residues converts the permease to a simple facilitator. Intestinal Na+-glucose Symporters The uptake of glucose and amino acids from the lumen of the small intestine into intestinal epithelial cells (enterocytes) occurs via secondary active transport with Na+. The transporter that catalyzes glucose uptake is known as the Na+-glucose symporter (Fig. 11-43). The energy used for glucose transport is stored in the electrochemical gradient created by the Na+K+ ATPase, which operates from the basal side of the enterocyte. The concentration of sodium inside these cells is kept lower than in the intestinal lumen due to the action of the ATPase. Because glucose uptake is performed by an active transport process, small concentrations of this nutrient can be efficiently absorbed. Subsequently, absorbed glucose moves downhill into the bloodstream through the passive glucose uniporter, GLUT2, that is expressed in enterocytes. Worked Example 11-3 (continued) Ionophores: Valinomycin Ionophores are hydrophobic peptides that bind to ions such as K+ and Na+ and transport them across membranes. They carry these ions down their concentration gradients, dissipating the gradient and equilibrating the concentration of the ion on both sides of the membrane. Valinomycin (Fig. 11-44), which carries K+, and monensin, which carries Na+ are used as antibiotics. Both have a central hydrophilic cavity to which the ion binds, and a hydrophobic exterior which makes the complex capable of passing through the fatty acyl chains of membrane lipids. Ultimately, they kill microorganisms by disrupting secondary transport processes and energy-conserving reactions. Aquaporins (I) Aquaporins (AQPs) are a large family of integral membrane proteins that serve as channels for movement of water molecules across membranes. They are widely distributed in nature, and eleven are known in mammals (Table 11-5). Aquaporins often function in the production of fluids by exocrine glands such as sweat, saliva, and tears. They also are important in urine production and water retention in the nephrons of the kidneys. For example AQP2 in the epithelial cells of the renal collecting ducts is regulated by vasopressin (antidiuretic hormone). Increased levels of vasopressin stimulate reabsorption of water. In the rare disease, diabetes insipidus, a genetic defect in AQP2 leads to impaired reabsorption of water in the kidney and excessive urination (polyuria) (Box 11-1). Aquaporins (II) AQPs only transport water molecules in the direction dictated by the osmotic gradient (i.e., towards the side of the membrane having the higher solute concentration). Water molecules are known to flow through a AQP1 channel at a rate of about 109 per second. AQPs do not allow the passage of protons as hydronium ions, which would dissipate electrochemical gradients. X-ray crystallographic studies of AQP1 have revealed how water molecules pass through the channel and protons are excluded (Fig.11-45). AQPs occur as tetramers in the membrane where each subunit contains six transmembrane segments and contains a transmembrane pore that allows water molecules to pass in single file. The pore narrows in the middle of the membrane to 2.8Å which is about the size of a water molecule. The narrow constriction also is lined with positively charged residues which repel hydronium ions. Also water molecules are prevented from orienting in a hydrogen bonded network within the pore so that protons cannot pass through by “proton hopping”. AQPs commonly are gated, and regulated so water only passes through when necessary. Intro. to Ion Channels The last general type of transporter covered in Chap. 11 is ionselective channels. These are widely dispersed in nature and are perhaps best known for their roles in generating action potentials that carry signals from one end of a neuron to another. In myocytes, rapid opening of Ca2+ channels in the sarcoplasmic reticulum releases the Ca2+ that triggers muscle contraction. In many cells, an alternating cycle of events occurs wherein the Na+K+ ATPase generates a membrane potential, and ion channels open and partially break down that potential. The flux of ions through ion channels is very high, approaching 107 to 108 ions per second which is near the diffusion controlled limit. Unlike the other transporters we have discussed, transport is also not saturable and is linear as a function of ion concentration. Ions flow only down their concentration gradients. Lastly, ion channels are gated and open in response to some cellular event. Gating can be achieved via the binding of ligands (ligand-gated channels) or by changes in the transmembrane electric potential (voltage-gated channels). A channel typically opens in a fraction of a millisecond and remains open for only milliseconds. Ion Channel Methods The movement of ions through ion channels is measured electrically using a technique called patchclamping (Fig. 11-46). With this procedure the flux of ions through a single channel can be accurately measured. Changes in membrane potential typically occur in the millivolt range, and the electric current is in the micro- to picoampere range. The size and duration of the current that flows per opening event can be measured, as can the effects of membrane potential, regulatory ligands, and toxins on ion flow. Patch-clamping studies have revealed that as many as 104 ions can move through a single ion channel in 1 ms. The K+ Channel of S. lividans (I) Bacteria also contain ion channels, and one of the best studied channels comes from Streptomyces lividans (Fig. 11-47). Crystallographic studies have uncovered the structure of the channel and the basis for its selectivity for K+ ions. This channel protein consists of four identical subunits each of which contribute two transmembrane helices and a third short helix to the lining of the channel. The so-called selectivity filter of the channel allows K+ (radius 1.33 Å) to pass 104 times more readily than Na+ (radius 0.95 Å) and at a rate of 108 ions/s. The K+ Channel of S. lividans (II) The mechanism for the rapid and selective movement of K+ ions through the channel is summarized here. On both sides of the membrane, the entrances to the channel are wide and contain several negatively charged residues that attract Na+ and K+ ions. Selectivity for positive ions is also achieved via the short helices that project into the channel which have the negatively charged ends of their helix dipoles facing the path for ion movement. Initially, ions enter with their bound hydration spheres, but these are stripped off where the channel narrows and contacts between backbone carbonyl oxygens and the ions stabilize the unhydrated K+ ions. Na+ ions do not move readily through the constriction because their radii are to small to interact well with the carbonyl groups of the selectivity filter. Four K+ interaction sites occur in the selectivity filter. Two K+ ions move through the channel together with the ions occupying alternating sites (i.e., sites 1 and 3, then sites 2 and 4), then out. It is thought that charge repulsion between the two ions in the channel, and only weak interactions to the carbonyl oxygens keeps ions moving rapidly through the channel. The Mammalian Voltage-gated K+ Channel The tetrameric mammalian voltage-gated K+ channel, while structurally more complex than the S. lividans K+ channel, still exhibits many of the same structural features as the bacterial channel (Fig. 11-48). Namely, the ion selectivity filter is constructed from two transmembrane segments from each subunit, and K+ ions interact with carbonyl oxygens that replace the ion’s hydration shell as they pass through the interior of the protein. Gating is achieved due to repositioning of an arginine-containing S4 transmembrane helix in response to changes in membrane potential. This helix, which serves as a voltage sensor, is pulled toward the more negatively charged cytoplasmic side of the membrane keeping the channel closed in resting neurons. However, when the neuron membrane depolarizes as an action potential passes by, the helix moves outward opening the channel. K+ then flows out of the cell repolarizing the cell membrane (refer to Fig. 12-26). The Nicotinic Acetylcholine Receptor The nicotinic acetylcholine receptor is an ion channel that functions in passing an electrical signal from a motor neuron to a muscle fiber at neuromuscular junctions, signaling the muscle fiber to contract. This channel is an example of ligand-gated ion channels, and the ligand is acetylcholine which is released from the motor neuron. The channel transports Na+, Ca2+, and K+ ions into the myocyte depolarizing its membrane and signaling it to contract. On dissociation of acetylcholine from the receptor channel, the channel closes. The acetylcholine receptor channel is grouped in the same superfamily as the -aminobutyric acid (GABA), glycine, and serotonin receptors of neurons. Diseases Caused by Ion Channel Defects There are numerous diseases associated with mutations in genes encoding ion channels such as the acetylcholine receptor channel and the CFTR channel (Table 11-7). In addition, many channels are targeted by toxins and poisons that cause paralysis by interfering with neuromuscular transmission. For example, tetrodotoxin from the puffer fish binds to and inactivates voltage-gated Na+ channels of neurons. Dendrotoxin from the venom of the black mamba snake inhibits voltage-gated K+ channels in neurons. Tubocurarine, the active component of curare used as arrow poison in the Amazon region, interferes with the function of the acetylcholine receptor channel.