Sodium channels are integral membrane proteins that exist in a cell's plasma membrane and regulate the flow of sodium (Na+) ions into it. A number of receptors function as Na+-permeable ion channels, including some acetylcholine receptors and ionotropic glutamate receptors. In neuronal signalling, voltage gated sodium channels are especially important because they are responsible for a large part of the depolarization of the cell.
The α-subunit has four repeats, labeled I through IV, of the same 150 amino acid sequence. Each repeat contains six membrane-spanning regions labeled S1 through S6 (Kandel, 2000, p. 164). The highly conserved S4 region, thought to be the part of the channel that acts as its voltage sensor, has a positive amino acid at every third spot, with hydrophobic residues between these (Kandel, 2000, p. 164). It is thought that when stimulated by a change in transmembrane voltage, this subunit moves from within the pore toward the extracellular side of the cell, allowing the channel to become permeable to ions which would otherwise have been blocked by the subunit's positive charges.
Voltage-gated sodium channels can have three states: resting (closed), activated (open), and inactivated (closed). Channels in the resting state are thought to be blocked on their intracellular side by an "activation gate", which is removed in response to stimulation that opens the channel (Kandel, 2000, p. 163). The ability to inactivate is thought to be due to a tethered plug (formed by domains III and IV of the alpha subunit), called an inactivation gate, that blocks the inside of the channel shortly after it has been activated (Kandel, 2000, p. 166). During an action potential the channel remains inactivated for a few milliseconds after the neuron is finished depolarizing (Kandel, 2000, p. 156). The inactivation will be removed when the membrane potential of the neuron becomes negative after the falling phase of the action potential. This will allow the channels to be activated again during the next action potential. Genetic diseases that cause Na+ channels to be unable to inactivate cause muscle stiffness because muscles fire repetitive trains of action potentials (Kandel, 2000, p. 169).
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