Mechanisms Responsible for ω-Pore Currents in Cav Calcium Channel Voltage-Sensing Domains

Mutations of positively charged amino acids in the S4 transmembrane segment of a voltage-gated ion channel form ion-conducting pathways through the voltage-sensing domain, named omega-current. Here, we used structure modeling and MD simulations to predict pathogenic omega-currents in Ca(V)1.1 and Ca(V)1.3 Ca2+ channels bearing several S4 charge mutations. Our modeling predicts that mutations of Ca(V)1.1-R1 (R528H/G, R897S) or Ca(V)1.1-R2 (R900S, R1239H) linked to hypokalemic periodic paralysis type 1 and of Ca(V)1.3-R3 (R990H) identified in aldosterone-producing adenomas conducts omega-currents in resting state, but not during voltage-sensing domain activation. The mechanism responsible for the omega-current and its amplitude depend on the number of charges in S4, the position of the mutated S4 charge and countercharges, and the nature of the replacing amino acid. Functional characterization validates the modeling prediction showing that Ca(V)1.3-R990H channels conduct omega-currents at hyperpolarizing potentials, but not upon membrane depolarization compared with wild-type channels.