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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">778534</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2021.778534</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>A Novel Spider Toxin Inhibits Fast Inactivation of the Na<sub>v</sub>1.9 Channel by Binding to Domain III and Domain IV Voltage Sensors</article-title>
<alt-title alt-title-type="left-running-head">Peng et&#x20;al.</alt-title>
<alt-title alt-title-type="right-running-head">Gr4b Slows Fast Inactivation of Na<sub>v</sub>1.9</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Peng</surname>
<given-names>Shuijiao</given-names>
</name>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1484326/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Minzhi</given-names>
</name>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Xiao</surname>
<given-names>Zhen</given-names>
</name>
<uri xlink:href="https://loop.frontiersin.org/people/1296199/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Xiao</surname>
<given-names>Xin</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Luo</surname>
<given-names>Sen</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liang</surname>
<given-names>Songping</given-names>
</name>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhou</surname>
<given-names>Xi</given-names>
</name>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1483105/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Liu</surname>
<given-names>Zhonghua</given-names>
</name>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/478308/overview"/>
</contrib>
</contrib-group>
<aff>The National and Local Joint Engineering Laboratory of Animal Peptide Drug Development, College of Life Sciences, Hunan Normal University, <addr-line>Changsha</addr-line>, <country>China</country> </aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/778429/overview">Jean-Marc Sabatier</ext-link>, Aix-Marseille Universit&#xe9;, France</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/35316/overview">Peter Ruben</ext-link>, Simon Fraser University, Canada</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/28694/overview">Richard J Lewis</ext-link>, The University of Queensland, Australia</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Xi Zhou, <email>xizh@hunnu.edu.cn</email>; Zhonghua Liu, <email>liuzh@hunnu.edu.cn</email>
</corresp>
<fn fn-type="equal" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this&#x20;work</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to Pharmacology of Ion Channels and Channelopathies, a section of the journal Frontiers in Pharmacology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>06</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>778534</elocation-id>
<history>
<date date-type="received">
<day>17</day>
<month>09</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>05</day>
<month>11</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Peng, Chen, Xiao, Xiao, Luo, Liang, Zhou and Liu.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Peng, Chen, Xiao, Xiao, Luo, Liang, Zhou and Liu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>Venomous animals have evolved to produce peptide toxins that modulate the activity of voltage-gated sodium (Na<sub>v</sub>) channels. These specific modulators are powerful probes for investigating the structural and functional features of Na<sub>v</sub> channels. Here, we report the isolation and characterization of &#x3b4;-theraphotoxin-Gr4b (Gr4b), a novel peptide toxin from the venom of the spider <italic>Grammostola rosea.</italic> Gr4b contains 37-amino acid residues with six cysteines forming three disulfide bonds<italic>.</italic> Patch-clamp analysis confirmed that Gr4b markedly slows the fast inactivation of Na<sub>v</sub>1.9 and inhibits the currents of Na<sub>v</sub>1.4 and Na<sub>v</sub>1.7, but does not affect Na<sub>v</sub>1.8. It was also found that Gr4b significantly shifts the steady-state activation and inactivation curves of Na<sub>v</sub>1.9 to the depolarization direction and increases the window current, which is consistent with the change in the ramp current. Furthermore, analysis of Na<sub>v</sub>1.9/Na<sub>v</sub>1.8 chimeric channels revealed that Gr4b preferentially binds to the voltage-sensor of domain III (DIII VSD) and has additional interactions with the DIV VSD. The site-directed mutagenesis analysis indicated that N1139 and L1143 in DIII S3-S4 linker participate in toxin binding. In sum, this study reports a novel spider peptide toxin that may slow the fast inactivation of Na<sub>v</sub>1.9 by binding to the new neurotoxin receptor site-DIII VSD. Taken together, these findings provide insight into the functional role of the Na<sub>v</sub> channel DIII VSD in fast inactivation and activation.</p>
</abstract>
<kwd-group>
<kwd>Na<sub>v</sub>1.9</kwd>
<kwd>fast inactivation</kwd>
<kwd>domain III voltage-sensor</kwd>
<kwd>spider peptide toxin</kwd>
<kwd>neurotoxin receptor site</kwd>
</kwd-group>
<contract-num rid="cn001">31800655 32071262&#x20;31770832 31570782&#x20;31872718</contract-num>
<contract-num rid="cn002">2020RC4023 2021RC3092</contract-num>
<contract-num rid="cn003">2020JJ5359</contract-num>
<contract-num rid="cn004">19C1159</contract-num>
<contract-sponsor id="cn001">National Natural Science Foundation of China<named-content content-type="fundref-id">10.13039/501100001809</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Science and Technology Program of Hunan Province<named-content content-type="fundref-id">10.13039/501100019081</named-content>
</contract-sponsor>
<contract-sponsor id="cn003">Natural Science Foundation of Hunan Province<named-content content-type="fundref-id">10.13039/501100004735</named-content>
</contract-sponsor>
<contract-sponsor id="cn004">Scientific Research Foundation of Hunan Provincial Education Department<named-content content-type="fundref-id">10.13039/100014472</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Voltage-gated sodium (Na<sub>v</sub>) channels are important transmembrane proteins that play a vital role in the generation and propagation of action potentials in excitable cells, such as central and peripheral neurons, cardiac and skeletal muscle myocytes, and neuroendocrine cells (<xref ref-type="bibr" rid="B18">Goldin 2001</xref>; <xref ref-type="bibr" rid="B8">Catterall 2012</xref>; <xref ref-type="bibr" rid="B30">Mantegazza and Catterall 2012</xref>). Nine Na<sub>v</sub> channels (denoted Na<sub>v</sub>1.1&#x2013;Na<sub>v</sub>1.9) have been identified in human (<xref ref-type="bibr" rid="B53">Yu and Catterall 2003</xref>). The subtypes can be divided into two categories according to their sensitivity to TTX: TTX-sensitive (Na<sub>v</sub>1.1&#x2013;1.4, Na<sub>v</sub>1.6, and Na<sub>v</sub>1.7) or TTX-resistant (Na<sub>v</sub>1.5, Na<sub>v</sub>1.8, and Na<sub>v</sub>1.9). Notably, these subtypes have different tissue-specific localization and functions. The Na<sub>v</sub>1.1&#x2013;Na<sub>v</sub>1.3 subtypes are expressed primarily in the central nervous system (CNS); the Na<sub>v</sub>1.6 subtypes are expressed in the central and peripheral nervo us system; the Na<sub>v</sub>1.7&#x2013;Na<sub>v</sub>1.9 subtypes are mainly expressed in the peripheral nervous system (PNS); Na<sub>v</sub>1.4 is present in skeletal muscle; and Na<sub>v</sub>1.5 is mainly expressed in cardiac muscle (<xref ref-type="bibr" rid="B16">Dib-Hajj et&#x20;al., 1998</xref>; <xref ref-type="bibr" rid="B18">Goldin 2001</xref>; <xref ref-type="bibr" rid="B38">Renganathan et&#x20;al., 2002</xref>; <xref ref-type="bibr" rid="B17">Fukuoka et&#x20;al., 2008</xref>; <xref ref-type="bibr" rid="B8">Catterall 2012</xref>; <xref ref-type="bibr" rid="B2">Bennett et&#x20;al., 2019</xref>). Structurally, Na<sub>v</sub> channel consist of an approximately 260&#xa0;kDa pore-forming &#x3b1;-subunit and one or more associated &#x3b2;-subunits of 30&#x2013;40&#xa0;kDa (<xref ref-type="bibr" rid="B8">Catterall 2012</xref>; <xref ref-type="bibr" rid="B2">Bennett et&#x20;al., 2019</xref>). The &#x3b1;-subunit has four homologous domains (I&#x2013;IV). Each domain consists of six transmembrane segments (S1&#x2013;S6) that form a voltage-sensing domain (VSD) containing S1&#x2013;S4 and a central pore-forming domain (PD) containing S5, two P-loop, and S6 (<xref ref-type="bibr" rid="B7">Catterall 2000</xref>). The 4&#x2013;8 positively charged arginine or lysine residues at every third position in S4 act as gating charges, which are required for voltage-dependent activation (<xref ref-type="bibr" rid="B35">Numa and Noda 1986</xref>; <xref ref-type="bibr" rid="B9">Catterall et&#x20;al., 2017</xref>). The gating charges move outward upon membrane depolarization and initiate the voltage-dependent activation and inactivation of Na<sub>v</sub> channels (<xref ref-type="bibr" rid="B22">Jiang et&#x20;al., 2020</xref>). These characteristics endow the various conformation transformations of Na<sub>v</sub> channel via an electromechanical coupling mechanism to open and close the pore. The three major states are defined as resting, activation, and inactivation.</p>
<p>Inactivation, which is an intrinsic property of Na<sub>v</sub> channels, is a complex process that includes two distinct modes: fast and slow. Fast inactivation involves an inactivation particle in the cytoplasmic linker between DIII and DIV binding to the intracellular side of the pore (<xref ref-type="bibr" rid="B46">Vassilev et&#x20;al., 1988</xref>; <xref ref-type="bibr" rid="B8">Catterall 2012</xref>). In contrast, slow inactivation is when the pore domain undergoes conformational rearrangements during prolonged depolarization (<xref ref-type="bibr" rid="B40">Silva and Goldstein 2013</xref>). Na<sub>v</sub> channels undergo fast inactivation on a millisecond timescale to interrupt Na<sup>&#x2b;</sup> conductance, which was first described by Hodgkin and Huxley in 1952 (<xref ref-type="bibr" rid="B20">Hodgkin and Huxley 1952</xref>). The intracellular loop between DIII and DIV forms the fast inactivation gate in which the three hydrophobic amino acids, namely Ile, Phe, and Met (IFM motif), are the key sequence (<xref ref-type="bibr" rid="B49">West et&#x20;al., 1992</xref>; <xref ref-type="bibr" rid="B8">Catterall 2012</xref>). The cryo-EM structure of eukaryotic Na<sub>v</sub> channels shows a potential allosteric blocking mechanism for fast inactivation (<xref ref-type="bibr" rid="B52">Yan et&#x20;al., 2017</xref>). The IFM motif plugs into the compact hydrophobic pocket formed by the S4&#x2013;S5 linker of DIII and DIV and the intracellular ends of S5 and S6 of DIV (<xref ref-type="bibr" rid="B33">McPhee et&#x20;al., 1994</xref>, <xref ref-type="bibr" rid="B32">1995</xref>, <xref ref-type="bibr" rid="B31">1998</xref>; <xref ref-type="bibr" rid="B24">Kellenberger et&#x20;al., 1996</xref>; <xref ref-type="bibr" rid="B41">Smith and Goldin 1997</xref>; <xref ref-type="bibr" rid="B22">Jiang et&#x20;al., 2020</xref>). Although the mechanism of the development of fast inactivation is unclear, we believe that the fast inactivation allosteric process requires voltage-sensing and electromechanical coupling, which may involve a contribution from one or more VSD to cause the conformational changes. Fluorescent labeling studies have shown that the VSDs in DI-DIII of the Na<sub>v</sub>1.4 channel are activated by depolarization faster than in DIV, which is consistent with the time course of activation and fast inactivation (<xref ref-type="bibr" rid="B10">Cha et&#x20;al., 1999</xref>; <xref ref-type="bibr" rid="B11">Chanda and Bezanilla 2002</xref>; <xref ref-type="bibr" rid="B27">Kubota et&#x20;al., 2017</xref>). This suggests that the activation gate opening of the Na<sub>v</sub> channel is in contact with the outward movement of voltage sensors in DI-DIII, whereas fast inactivation is initiated by subsequent movement of the voltage sensor in DIV. Moreover, the known &#x3b1;-scorpion toxins, which inhibit the outward movement of DIV VSD to prevent DIV activation, slow the fast inactivation of Na<sub>v</sub> channels (<xref ref-type="bibr" rid="B4">Campos et&#x20;al., 2008</xref>; <xref ref-type="bibr" rid="B15">Clairfeuille et&#x20;al., 2019</xref>). These findings demonstrate that DIV initiates fast inactivation of Na<sub>v</sub> channels. However, whether other domain VSDs participate in the development of fast inactivation remains unknown, although evidence to date suggests that is not the&#x20;case.</p>
<p>Venomous animals (spiders, scorpions, cone snails, etc.) have evolved the ability to produce peptide toxins with high affinity to target Na<sub>v</sub> channels for the capture of prey or enhanced defenses against predators (<xref ref-type="bibr" rid="B43">Stevens et&#x20;al., 2011</xref>). These peptide toxins (also known as neuropeptide toxins) are useful pharmacological tools for exploring the physiological roles of Na<sub>v</sub> channels and a potentially rich source for drug discovery. The interactions between these toxins and Na<sub>v</sub> channels can occur in two different ways: by occluding pores (pore blockers) or altering gating kinetics (gating modifier toxins). At least three distinct binding sites of neuropeptide toxins have been identified (<xref ref-type="bibr" rid="B43">Stevens et&#x20;al., 2011</xref>). Peptide toxins binding to site 1 use the first mechanism, e.g., some &#x3bc;-conotoxins from cone snails are site 1 pore blockers. Site 1 is mainly localized in the extracellular loops between S5 and S6 of DI&#x2013;DIV (<xref ref-type="bibr" rid="B12">Chau et&#x20;al., 2011</xref>). Site 3 toxins, like &#x3b1;-toxins (from scorpion, spider and sea anemone), slow fast inactivation and bind to the S3&#x2013;S4 extracellular loop in domain IV (<xref ref-type="bibr" rid="B45">Thomsen and Catterall 1989</xref>; <xref ref-type="bibr" rid="B6">Catterall et&#x20;al., 2007</xref>). Site 4 peptide toxins (&#x3b2;-toxins) regulate activation kinetics by binding to the extracellular loop connecting the S3-S4 segments in DII (<xref ref-type="bibr" rid="B6">Catterall et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B50">Xiao et&#x20;al., 2008</xref>; <xref ref-type="bibr" rid="B42">Song et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B54">Zhang et&#x20;al., 2020</xref>). It is known that the central pore of Na<sub>v</sub> channel-mediated ion flow and the DII VSD is associated with channel activation and the DIV VSD is responsible for fast inactivation of channels. Thus, these peptide toxins can serve as pharmacological tools to provide insight into the structural and functional features of Na<sub>v</sub> channels.</p>
<p>In this study, we identified and characterized the spider peptide toxin Gr4b from the venom of the spider <italic>Grammostola rosea</italic>, which is a gating modifier and significantly inhibits fast inactivation of the Na<sub>v</sub>1.9 channel. Like the previously described Na<sub>v</sub>1.9 peptide toxin HpTx1 (<xref ref-type="bibr" rid="B55">Zhou et&#x20;al., 2020</xref>), Gr4b also inhibits the currents of Na<sub>v</sub>1.4 and Na<sub>v</sub>1.7 but does not affect Na<sub>v</sub>1.8. Interestingly, Gr4b displays a novel effect on Na<sub>v</sub>1.9, which occurs mostly through binding to the DIII S3-S4 linker to slow fast inactivation. This is distinct from HpTx1 which only binds to the DIV S3-S4 linker. Thus, the results of our study provide direct evidence for the role of DIII VSD in Na<sub>v</sub> channel fast inactivation and provide a new tool to probe the structural and functional features of Na<sub>v</sub> channels.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>Materials and Methods</title>
<sec id="s2-1">
<title>Venom Collection and Toxin Purification</title>
<p>As described in previous studies, the venom of the <italic>Grammostola rosea</italic> spider was collected by electrical stimulation. The collected venom was lyophilized and stored at &#x2212;80&#xb0;C. Subsequently, the venom was dissolved in 0.1% trifluoroacetic acid (TFA) in double-distilled water to a final concentration of 10&#xa0;mg/ml immediately before being subjected to reversed-phase high-performance liquid chromatography (RP-HPLC) purification. First, reverse-phase HPLC purification was performed using a water HPLC system (Waters Alliance, 2695 HPLC system) with an Ultimate<sup>&#xae;</sup> XB-C18 column (10 &#xd7; 250&#xa0;mm, 5&#xa0;&#x3bc;m, Welch Materials Inc., Shanghai, China) with a flow rate of 3&#xa0;ml/min and a gradient of 10&#x2013;55% A for more than 45&#xa0;min (solvent A: 0.1% trifluoroacetic acid in acetonitrile, solvent B: 0.1% trifluoroacetic acid in water). The absorbance was measured at 215&#xa0;nm. The fractions were collected, lyophilized, and then stored at &#x2013;20&#xb0;C until the next subdivision. Next, the target fraction containing Gr4b was subjected to a second round of RP-HPLC (Waters Alliance, 2695 HPLC system) using an analytic XB-C18 column, (300&#xa0;&#xc5;, 4.6&#x20;mm &#xd7; 250&#xa0;mm, Welch Materials Inc., Shanghai, China) with a linear increasing acetonitrile gradient (acetonitrile at an increasing rate of 0.5% per minute and a flow rate of 1&#xa0;ml/min) to obtain the purified Gr4b. The molecular weight of the peptide was confirmed by matrix assisted laser desorption/ionization-time of-flight mass-spectrometry (MALDI-TOF-TOF MS) spectrometry (AB SCIEX TOF/TOFTM 5800 system, Applied Biosystems, United&#x20;States). The N-terminal amino acid sequence of the peptide was determined by automated Edman degradation in a PPSQ-53A protein sequencer (Shimadzu Corporation, Kyoto, Japan).</p>
</sec>
<sec id="s2-2">
<title>Plasmid Constructs and Mutagenesis</title>
<p>Rat Na<sub>v</sub>1.4, human Na<sub>v</sub>1.7 and rat Na<sub>v</sub>1.8 cDNA clones were kindly gift from Dr. Theodore Cummins (Stark Neurosciences Research Institute, Indiana University School of Medicine, Indianapolis, IN, United&#x20;States) and were subcloned into the pCMV or pCDNA3.1-blank vectors. Human Na<sub>v</sub>1.9 was subcloned into the pEGFP-N1 vector. The C-terminal of hNa<sub>v</sub>1.9 was linked to GFP to construct a fusion protein channel (hNa<sub>v</sub>1.9-eGFP), which was as described in our previous studies (<xref ref-type="bibr" rid="B56">Zhou et&#x20;al., 2017</xref>). Mutations were made using the site-directed mutation method or recombination-based cloning using GenBuilder&#x2122; Cloning Kit (GenScript, United&#x20;States). Primers presented in <xref ref-type="sec" rid="s9">Supplementary Tables 1&#x2013;4</xref>. All mutations were verified by DNA sequencing.</p>
</sec>
<sec id="s2-3">
<title>Cell Culture and Transfection</title>
<p>ND7/23 and HEK293T&#x20;cells were maintained at 37&#xb0;C in a humidified 5% CO<sub>2</sub> incubator in Dulbecco&#x2019;s Modified Eagle&#x2019;s Medium (DMEM) supplemented with 10% fetal bovine serum, 100&#xa0;&#x3bc;g/ml streptomycin, 100&#xa0;U/ml penicillin, and 2&#xa0;mM&#xa0;L-glutamine. The cells were trypsinized, diluted with 1&#xa0;ml of culture medium, and seeded at a 1:5 ratio in 35&#xa0;mm Petri dishes for culture. When grown to 80&#x2013;90% confluence, the ND7/23 cells were transfected with hNa<sub>v</sub>1.9-GFP or hNa<sub>v</sub>1.9-GFP mutants using the X-tremeGENE HP DNA Transfection Reagent (Roche, Basel, Switzerland) according to the manufacturer&#x2019;s instructions. ND7/23 cells were used for hNa<sub>v</sub>1.9-GFP chimeric channel expression and the conditions were as previously described (<xref ref-type="bibr" rid="B56">Zhou et&#x20;al., 2017</xref>), the beta subunits (&#x3b2;1 and &#x3b2;3) are endogenously expressed in the cell lines used to study Na<sub>v</sub>1.9 (<xref ref-type="bibr" rid="B39">Rogers et&#x20;al., 2016</xref>). Transfections for the other plasmids were performed using Lipofectamine 2000 (Invitrogen, Carlsbad, CA, United&#x20;States) following the manufacturer&#x2019;s instructions. Na<sub>v</sub> channel plasmid (4&#xa0;&#xb5;g) plus 0.5&#xa0;&#xb5;g pEGFP-N1 (except for hNa<sub>v</sub>1.9) plasmid were co-transfected into HEK293T or ND7/23 (rNa<sub>v</sub>1.8 and hNa<sub>v</sub>1.9 only) cells. The cells were seeded onto several 3.5&#xa0;cm dishes at a 1:10 ratio at 4&#x2013;6&#xa0;h after transfection. Cells with green fluorescent protein (GFP) were selected for whole-cell patch-clamp analysis at 24&#x2013;36&#xa0;h post-transfection.</p>
</sec>
<sec id="s2-4">
<title>Electrophysiology Recordings</title>
<p>Whole-cell current recordings were performed using an EPC-10 USB patch-clamp amplifier operated by Patch Master software (HEKA Elektronik, Lambrecht, Germany). The recording pipettes were fabricated from borosilicate glass capillaries using a two-step vertical microelectrode PC-10 puller (Narishige Group, Tokyo, Japan), and the pipette resistance was controlled to be 2.0&#x2013;3.0&#xa0;M&#x2126;. Voltage-clamp recordings were acquired with Patch Master software 2&#x20;&#xd7; 73 (HEKA Elektronik) 4&#xa0;min after establishing whole-cell configuration, and the currents elicited were sampled at 20&#xa0;kHz and filtered at 5&#xa0;kHz. After breaking in, the serial resistance was controlled below 5&#xa0;M&#x2126;, the voltage error was minimized by using 80% serial resistance compensation, and the compensation speed value was 10&#xa0;&#xb5;s. For recording Na<sub>v</sub> channel currents, the external solution contained (mM): 150 NaCl, 2 KCl, 1.5 CaCl2, 1 MgCl2 and 10 HEPES (pH 7.4, adjusted with NaOH); the pipette solution contained (in mM): 35 NaCl, 105 CsF, 10 EGTA, 10 HEPES (pH 7.4, adjusted with CsOH). The osmotic pressure of the intracellular fluids and extracellular fluids is adjusted to 300&#x2013;320&#xa0;mOsm with sucrose. Before use, Gr4b was dissolved in ddH<sub>2</sub>O to make a 250&#xa0;&#x3bc;M stock solution at &#x2212;20&#xb0;C. TTX was dissolved in DMSO to make a 1&#xa0;mM stock solution. TTX was added to bath solution to a final concentration of 1&#xa0;&#xb5;M when used to inhibit TTX-sensitive (TTX-S) Na<sub>v</sub> channels. Unless otherwise indicated, all chemicals were products of Sigma-Aldrich (St. Louis, MO, United&#x20;States). For electrophysiology experiments, the stock solution of Gr4b was diluted with fresh bath solution to a concentration of tenfold of the interested concentration, 30&#xa0;&#xb5;l of the concentrated peptide was diluted into the recording chamber (containing 270&#xa0;&#xb5;l bath solution) far from the recording pipet (the recording cell), and was mixed by repeatedly pipetting to achieve the specified final concentration.</p>
</sec>
<sec id="s2-5">
<title>Data Analysis</title>
<p>Data were analyzed using the PatchMaster v2x73 (HEKA Elektronik, Lambrecht, Germany), Igor Pro 6 (Wave Metrics, Lake Oswego, OR, United&#x20;States), Office Excel 2010 (Microsoft Corporation, WA, United&#x20;States), and GraphPad Prism 7 (GraphPad Software Inc., CA, United&#x20;States). All data points are shown as mean&#x20;&#xb1; standard error of the mean (SEM), and n was presented as the number of separate experimental cells. The Boltzmann function was used to fit steady-state activation and deactivation curves. Concentration-response curves were fitted using the Hill equation. One-way ANOVA was used to assess the difference between multiple groups. Significant levels were set at <italic>p</italic>&#x20;&#x3c;&#x20;0.05.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec id="s3-1">
<title>Toxin Purification and Identification</title>
<p>The venom of the spider <italic>Grammostola rosea</italic> contains several classes of peptide toxins that target ion channels (<xref ref-type="fig" rid="F1">Figure&#x20;1A</xref>). For example, GpTx1 and PaurTx3 are potent inhibitors of the Na<sub>v</sub>1.7 channel (<xref ref-type="bibr" rid="B34">Murray et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B13">Chen et&#x20;al., 2020</xref>), HaTx1 and VsTx1 significantly inhibit the currents of the K<sub>v</sub>2.1 channel (<xref ref-type="bibr" rid="B14">Chen et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B1">Bemporad et&#x20;al., 2006</xref>), and GsMTx2/4 blocks mechanosensitive ion channels (<xref ref-type="bibr" rid="B37">Oswald et&#x20;al., 2002</xref>). Due to poor heterologous expression in mammal cells, pharmacological studies of the Na<sub>v</sub>1.9 channel have lagged. Previously, we succeeded in achieving functional expression of the Na<sub>v</sub>1.9 channel in heterologous cells (<xref ref-type="bibr" rid="B56">Zhou et&#x20;al., 2017</xref>). Using this system, we first identified a spider peptide toxin that activates the Na<sub>v</sub>1.9 channel and produces pain in mice (<xref ref-type="bibr" rid="B55">Zhou et&#x20;al., 2020</xref>). In order to identify more specific and novel peptide toxins for Na<sub>v</sub>1.9, we used patch-clamp recording to screen animal peptide toxins for the ability to affect the Na<sub>v</sub>1.9 channel. Crude venom was fractionated by RP-HPLC, as shown in <xref ref-type="fig" rid="F1">Figure&#x20;1B</xref>. By screening the panel, venom fractions with significant Na<sub>v</sub>1.9 regulation activity were identified; a fraction potently inhibited the fast inactivation of Na<sub>v</sub>1.9 (<xref ref-type="fig" rid="F1">Figure&#x20;1B</xref>). This fraction was further purified by RP-HPLC, and approximately 8&#xa0;&#x3bc;g of purified peptide toxin was obtained from 1&#xa0;mg crude spider venom (<xref ref-type="fig" rid="F1">Figure&#x20;1C</xref>). The purity of this peak was confirmed by MALDI&#x2013;TOF MS analysis which revealed a peptide toxin with a molecular weight of 4,348.6&#xa0;Da, which was consistent with the calculated molecular mass (4,348.01&#xa0;Da). (<xref ref-type="fig" rid="F1">Figure&#x20;1D</xref>). N-terminal Edman sequencing and the venom gland transcriptome cDNA data determined a novel 37-residue peptide toxin named Gr4b (rational nomenclature: &#x3b4;-theraphotoxin Gr4b) (<xref ref-type="bibr" rid="B25">Kimura et&#x20;al., 2012</xref>), as shown in <xref ref-type="fig" rid="F1">Figure&#x20;1E</xref>. Sequencing alignment showed that Gr4b shares highly sequence similarity with Family 2 Na<sub>v</sub>-targeting spider toxins (NaSpTx), which comprise 42&#x2013;44 residues and contained six residues and form a conserved cysteine pattern-inhibitor cystine knot (ICK) motif (<xref ref-type="bibr" rid="B26">Klint et&#x20;al., 2012</xref>) (<xref ref-type="fig" rid="F1">Figure&#x20;1E</xref>). NaSpTx Family 2 toxins have various ion channel activities that inhibit K<sub>v</sub>, Ca<sub>v</sub>, and Na<sub>v</sub> channels (<xref ref-type="bibr" rid="B26">Klint et&#x20;al., 2012</xref>). Interestingly, the members of the NaSpTx Family 2 Toxins JZTX-XI and Df1a display dual modulatory effects on specific Na<sub>v</sub> channels, simultaneously inhibiting peak current and slowing fast inactivation (<xref ref-type="bibr" rid="B28">Liao et&#x20;al., 2006</xref>; <xref ref-type="bibr" rid="B26">Klint et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B44">Tang et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B5">Cardoso et&#x20;al., 2017</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Purification and identification of Gr4b. <bold>(A)</bold> The spider G. <italic>Grammostola rosea.</italic> <bold>(B)</bold> RP-HPLC profile of crude venom from spider <italic>Grammostola rosea</italic>. The asterisk indicated the peak containing Gr4b. <bold>(C)</bold> Gr4b was purified to homogeneity by analytical RP-HPLC. <bold>(D)</bold> MALDI-TOF MS spectrum showing a monoisotopic M&#x2b;H<sup>&#x2b;</sup> of 4348.6&#xa0;Da. <bold>(E)</bold> Sequence alignment of Gr4b with similar toxins in NaSpTx family2; black lines show the disulfide linkage. </p>
</caption>
<graphic xlink:href="fphar-12-778534-g001.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>Effect of Gr4b on Na<sub>v</sub> Channel Subtypes</title>
<p>The Na<sub>v</sub>1.9 current was evoked to &#x2212;40&#xa0;mV by a 100-ms depolarization potential from a holding potential of &#x2212;120&#xa0;mV in ND7/23 cells. A concentration of 250&#xa0;nM Gr4b slowed the fast inactivation of Na<sub>v</sub>1.9, leading to a large sustained current (<xref ref-type="fig" rid="F2">Figure&#x20;2A</xref>). The half-maximum effective concentration (EC<sub>50</sub>) of Gr4b was determined to be 25&#x20;&#xb1; 1.0&#xa0;nM (<xref ref-type="fig" rid="F2">Figure&#x20;2B</xref>). Next, we evaluated the effect of Gr4b on a range of Na<sub>v</sub> channels expressed in HEK293T or ND7/23 cells. Interestingly, Gr4b inhibited Na<sub>v</sub>1.4 and Na<sub>v</sub>1.7 channels in HEK293T&#x20;cells, with preference for Na<sub>v</sub>1.7 (<xref ref-type="fig" rid="F2">Figures 2C&#x2013;E</xref>). As shown in <xref ref-type="fig" rid="F2">Figures 2D,E</xref>, 250&#xa0;nM Gr4b completely inhibited Na<sub>v</sub>1.7 currents with a half-maximum inhibition concentration (IC<sub>50</sub>) value of 27&#x20;&#xb1; 3.0&#xa0;nM. It had substantially weaker effects on Na<sub>v</sub>1.4, with an IC<sub>50</sub> value of 411&#x20;&#xb1; 184&#xa0;nM (<xref ref-type="fig" rid="F2">Figures 2C,E</xref>). However, application of up to 2.5&#xa0;&#x3bc;M Gr4b had no effect on Na<sub>v</sub>1.8 subtype in ND7/23 cells (<xref ref-type="fig" rid="F2">Figure&#x20;2F</xref>). Taken together, these results suggest that Gr4b has different actions on different Na<sub>v</sub> channel subtypes.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Effect of Gr4b on Na<sub>v</sub> channel subtypes. <bold>(A)</bold> Representative current traces showing that Gr4b slowed the fast inactivation of Na<sub>v</sub>1.9 expressed in ND7/23 cells. The currents evoked by 100&#xa0;ms depolarization to &#x2212;40&#xa0;mV from holding potentials of &#x2212;120&#xa0;mV. <bold>(B)</bold> The dose-response curves for the Gr4b-induced inhibition of the fast inactivation of Na<sub>v</sub>1.9, EC<sub>50</sub> of 25&#x20;&#xb1; 1&#xa0;nM (n &#x3d; 6). <bold>(C,D)</bold> Representative current traces show that Gr4b blocked the currents of Na<sub>v</sub>1.4 and Na<sub>v</sub>1.7. Currents were elicited by 50&#xa0;ms depolarizing steps to &#x2212;10&#xa0;mV from a holding potential of &#x2212;90&#xa0;mV. <bold>(E)</bold> Dose-response curves for Gr4b inhibiting Na<sub>v</sub>1.4 and Na<sub>v</sub>1.7 currents. The IC<sub>50</sub> values were 411&#x20;&#xb1; 184&#xa0;nM and 27&#x20;&#xb1; 3&#xa0;nM for hNa<sub>v</sub>1.4 and Na<sub>v</sub>1.7, respectively (n &#x3d; 4&#x2013;6). <bold>(F)</bold> Representative traces show that the Na<sub>v</sub>1.8 currents are unaffected by Gr4b (n &#x3d; 4). Representative current traces from ND7/23 cells expressing Na<sub>v</sub>1.8 in the absence (black) and presence of 250&#xa0;nM (red) or 2.5&#xa0;&#x3bc;M (blue) Gr4b. Currents were elicited by 50&#xa0;ms depolarizing steps to 10&#xa0;mV from a holding potential of &#x2212;90&#xa0;mV.</p>
</caption>
<graphic xlink:href="fphar-12-778534-g002.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>Effect of Gr4b on Activation and Inactivation of Na<sub>v</sub>1.9</title>
<p>A major effect of gating modifier toxins on Na<sub>v</sub> channels is modification of the voltage dependence of channel activation and inactivation. Gr4b plays the role of a gating modifier toxin to slow fast inactivation of the Na<sub>v</sub>1.9 channel. To clarify the mode of action of Gr4b, we used the saturation concentration (250&#xa0;nM) to analyze the effects of Gr4b on the voltage dependence of activation and inactivation properties of the Na<sub>v</sub>1.9 channel. As shown in <xref ref-type="fig" rid="F3">Figure&#x20;3A</xref>, Gr4b inhibited the fast inactivation currents at all tested voltages, but did not change the threshold of the initial activation voltage or the reversal potential of the Na<sub>v</sub>1.9 current (<xref ref-type="fig" rid="F3">Figure&#x20;3B</xref>). However, the peak of the current was significantly shifted by &#x2b;10&#xa0;mV (<xref ref-type="fig" rid="F3">Figure&#x20;3B</xref>). In addition, Gr4b shifted the voltage dependence of the activation curve to a more positive potential by approximately 12.5&#xa0;mV (Control: &#x2212;51.3&#x20;&#xb1; 2.7 mV, Gr4b: &#x2212;38.8&#x20;&#xb1; 2.9 mV, n &#x3d; 8, <italic>p</italic>&#x20;&#x3c; 0.0001) (<xref ref-type="fig" rid="F3">Figure&#x20;3C</xref> and <xref ref-type="table" rid="T1">Table&#x20;1</xref>). Furthermore, a remarkable change was observed in the slopes of the curves from 6.3&#x20;&#xb1; 0.3&#xa0;mV in the control to 11.2&#x20;&#xb1; 0.4&#xa0;mV in the presence of Gr4b (<xref ref-type="fig" rid="F3">Figure&#x20;3C</xref> and <xref ref-type="table" rid="T1">Table&#x20;1</xref>, <italic>p</italic>&#x20;&#x3c; 0.0001), indicating that toxin binding might affect the cooperativity of the four voltage sensors of the Na<sub>v</sub>1.9 channel. As shown in <xref ref-type="fig" rid="F3">Figure&#x20;3C</xref> and <xref ref-type="table" rid="T1">Table&#x20;1</xref>, the steady-state inactivation curve was significantly shifted to a positive direction by approximately 37.1&#xa0;mV in the presence of 250&#xa0;nM Gr4b (Control: &#x2212;53.7&#x20;&#xb1; 2.2&#xa0;mV, Gr4b: &#x2212;16.6&#x20;&#xb1; 2.7&#xa0;mV, n &#x3d; 6, <italic>p</italic>&#x20;&#x3c; 0.0001), whereas the slope of the curve was not changed (Control: 10.0&#x20;&#xb1; 0.8&#xa0;mV, Gr4b: 11.3&#x20;&#xb1; 0.7&#xa0;mV, n &#x3d; 6). We also found that Gr4b introduced a non-inactivated component in the steady-state inactivation curve around the test potential. The &#x3b2;1 subunit is known to modulate the kinetics of fast inactivation (<xref ref-type="bibr" rid="B47">Vijayaragavan et&#x20;al., 2001</xref>; <xref ref-type="bibr" rid="B48">Vijayaragavan et&#x20;al., 2004</xref>). Because Gr4b affects inactivation kinetics, we tested whether overexpression of the &#x3b2;1 with Na<sub>v</sub>1.9 altered the effect of the toxin. As shown in <xref ref-type="fig" rid="F3">Figures 3D,E</xref> and <xref ref-type="table" rid="T1">Table1</xref>, Gr4b significantly inhibited the fast inactivation currents of Na<sub>v</sub>1.9&#x20;co-expression with &#x3b2;1 in ND7/23 cells, and shifted the kinetics of fast inactivation and activation to positive potential, similar to that of the effect of toxin on Na<sub>v</sub>1.9 expression in ND7/23 cells. The predicted window currents of the Na<sub>v</sub>1.9 channel were obviously improved in the presence of 250&#xa0;nM Gr4b (<xref ref-type="fig" rid="F3">Figure&#x20;3C</xref>). Indeed, 250&#xa0;nM Gr4b robustly increased the peak of the ramp current of Na<sub>v</sub>1.9 currents in ND7/23 cells by 42.40% (Control: &#x2212;404.0&#x20;&#xb1; 116.3 pA, Gr4b: &#x2212;701.1&#x20;&#xb1; 236.6 pA, n &#x3d; 5, <italic>p</italic>&#x20;&#x3c; 0.05) (<xref ref-type="fig" rid="F3">Figure&#x20;3F</xref> and <xref ref-type="table" rid="T2">Table&#x20;2</xref>). Consistent with the effect of Gr4b on activation, the peak of the ramp current was observably shifted by 21.9&#xa0;mV (Control: &#x2212;47.4&#x20;&#xb1; 1.5 mV, Gr4b: &#x2212;25.6&#x20;&#xb1; 3.4 mV, n &#x3d; 5, <italic>p</italic>&#x20;&#x3c; 0.001), potentially increasing Na<sup>&#x2b;</sup> influx (<xref ref-type="fig" rid="F3">Figure&#x20;3F</xref> and <xref ref-type="table" rid="T2">Table&#x20;2</xref>). Based on these findings, Gr4b is clearly a gating modifier that alters the voltage dependence of activation and inactivation of the Na<sub>v</sub>1.9 channel.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Effect of Gr4b on activation and inactivation of Na<sub>v</sub>1.9. <bold>(A)</bold> Representative current traces of Na<sub>v</sub>1.9 tested by different voltages, in the absence (black) and presence of 250&#xa0;nM Gr4b (red). <bold>(B)</bold> Current-voltage (I&#x2013;V) curves for the Na<sub>v</sub>1.9 channel in the absence (black) or presence (red) of 250&#xa0;nM Gr4b (n &#x3d; 8). <bold>(C)</bold> Voltage-dependent steady-state activation (G/G<sub>max</sub>, n &#x3d; 8) and fast inactivation (I/I<sub>max</sub>, n &#x3d; 6) of Na<sub>v</sub>1.9 in the absence (black) or presence (red) of 250&#xa0;nM Gr4b. Currents were elicited by a cluster of depolarizations from &#x2212;100&#xa0;mV to &#x2b;70&#xa0;mV (in 10&#xa0;mV increments) from the holding potential of &#x2212;120&#xa0;mV for 50&#xa0;ms. For simplicity, only part of the currents were shown. The voltage dependence of steady-state inactivation was estimated by using a standard double-pulse protocol, in which a 50&#xa0;ms depolarizing test potential to &#x2212;30&#xa0;mV followed a 500&#xa0;ms prepulse (ranged from &#x2212;120&#xa0;mV to &#x2b;50&#xa0;mV, in 10&#xa0;mV increment). <bold>(D)</bold> Representative current traces showing that Gr4b slowed the fast inactivation of Na<sub>v</sub>1.9&#x20;co-expressed with &#x3b2;1 in ND7/23 cells. The currents evoked by 100&#xa0;ms depolarization to &#x2212;40&#xa0;mV from holding potentials of &#x2212;120&#xa0;mV. <bold>(E)</bold> Voltage-dependent steady-state activation (G/G<sub>max</sub>, n &#x3d; 5) and fast inactivation (I/I<sub>max</sub>, n &#x3d; 6) of Na<sub>v</sub>1.9&#x20;co-expressed with &#x3b2;1 in the absence (black) or presence (red) of 250&#xa0;nM Gr4b. <bold>(F)</bold> Compared with control treatment, 250&#xa0;nM Gr4b significantly enhances the ramp currents of Na<sub>v</sub>1.9 channels expressed in ND7/23&#x20;cells.</p>
</caption>
<graphic xlink:href="fphar-12-778534-g003.tif"/>
</fig>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>The effects of Gr4b on activation and inactivation of Na<sub>v</sub>1.9.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="3" align="center"/>
<th colspan="6" align="center">Control</th>
<th colspan="6" align="center">250&#xa0;nM Gr4b</th>
</tr>
<tr>
<th colspan="3" align="center">Voltage dependence of Activation (mV)</th>
<th colspan="3" align="center">Voltage dependence of Inactivation (mV)</th>
<th colspan="3" align="center">Voltage dependence of Activation (mV)</th>
<th colspan="3" align="center">Voltage dependence of Inactivation (mV)</th>
</tr>
<tr>
<th align="center">V<sub>1/2</sub>
</th>
<th align="center">k</th>
<th align="center">n</th>
<th align="center">V<sub>1/2</sub>
</th>
<th align="center">k</th>
<th align="center">n</th>
<th align="center">V<sub>1/2</sub>
</th>
<th align="center">k</th>
<th align="center">n</th>
<th align="center">V<sub>1/2</sub>
</th>
<th align="center">k</th>
<th align="center">n</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Na<sub>v</sub>1.9</td>
<td align="center">&#x2212;51.3&#x20;&#xb1; 2.7</td>
<td align="center">6.3&#x20;&#xb1; 0.3</td>
<td align="center">8</td>
<td align="center">&#x2212;53.7&#x20;&#xb1; 2.2</td>
<td align="center">10.0&#x20;&#xb1; 0.8</td>
<td align="center">6</td>
<td align="center">&#x2212;38.8&#x20;&#xb1; 2.9<sup>&#x2a;&#x2a;&#x2a;&#x2a;</sup>
</td>
<td align="center">11.2&#x20;&#xb1; 0.4<sup>&#x2a;&#x2a;&#x2a;&#x2a;</sup>
</td>
<td align="center">8</td>
<td align="center">&#x2212;16.6&#x20;&#xb1; 2.7<sup>&#x2a;&#x2a;&#x2a;&#x2a;</sup>
</td>
<td align="center">11.3&#x20;&#xb1; 0.7</td>
<td align="center">6</td>
</tr>
<tr>
<td align="left">Na<sub>v</sub>1.9 &#x2b; <italic>&#x3b2;</italic>1</td>
<td align="center">&#x2212;60.0&#x20;&#xb1; 1.3</td>
<td align="center">9.3&#x20;&#xb1; 1.5</td>
<td align="center">5</td>
<td align="center">&#x2212;63.2&#x20;&#xb1; 4.4</td>
<td align="center">10.0&#x20;&#xb1; 0.9</td>
<td align="center">5</td>
<td align="center">&#x2212;54.3&#x20;&#xb1; 0.9<sup>&#x2a;&#x2a;</sup>
</td>
<td align="center">13.4&#x20;&#xb1; 1.9<sup>&#x2a;&#x2a;&#x2a;</sup>
</td>
<td align="center">5</td>
<td align="center">&#x2212;38.9&#x20;&#xb1; 6.6<sup>&#x2a;</sup>
</td>
<td align="center">23.1&#x20;&#xb1; 4.0<sup>&#x2a;</sup>
</td>
<td align="left">5</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Data are presented as the mean&#x20;&#xb1; SEM. <sup>&#x2a;&#x2a;</sup>
<italic>p</italic>&#x20;&#x3c; 0.01, <sup>&#x2a;&#x2a;&#x2a;</sup>
<italic>p</italic>&#x20;&#x3c; 0.001, <sup>&#x2a;&#x2a;&#x2a;&#x2a;</sup>
<italic>p</italic>&#x20;&#x3c; 0.0001. Parametric paired two-tailed <italic>t</italic>-test was used. n is presented as the number of the separate experimental&#x20;cells.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>The effects of Gr4b on ramp current of Na<sub>v</sub>1.9.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="center"/>
<th colspan="4" align="center">Control</th>
<th colspan="4" align="center">250&#xa0;nM Gr4b</th>
</tr>
<tr>
<th align="center">Voltage of the peak current (mV)</th>
<th align="center">n</th>
<th align="center">The peak current of ramp (pA)</th>
<th align="center">n</th>
<th align="center">Voltage of the peak current (mV)</th>
<th align="center">n</th>
<th align="center">The peak current of ramp (pA)</th>
<th align="center">n</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Na<sub>v</sub>1.9</td>
<td align="left">&#x2212;47.4&#x20;&#xb1; 1.5</td>
<td align="left">5</td>
<td align="left">&#x2212;404.0&#x20;&#xb1; 116.3</td>
<td align="left">5</td>
<td align="left">&#x2212;25.6&#x20;&#xb1; 3.4<sup>&#x2a;&#x2a;&#x2a;</sup>
</td>
<td align="left">5</td>
<td align="left">&#x2212;701.1&#x20;&#xb1; 236.6</td>
<td align="left">5</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Data are presented as the mean&#x20;&#xb1; SEM. <sup>&#x2a;</sup>
<italic>p</italic>&#x20;&#x3c; 0.05, <sup>&#x2a;&#x2a;&#x2a;</sup>
<italic>p</italic>&#x20;&#x3c; 0.001, when compared with Control. Parametric paired two-tailed <italic>t</italic>-test was used. n is presented as the number of the separate experimental&#x20;cells.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s3-4">
<title>Kinetics of Dissociation of Gr4b From Na<sub>v</sub>1.9</title>
<p>We further investigated the binding kinetics of toxin on the Na<sub>v</sub>1.9 channel. As shown in <xref ref-type="fig" rid="F4">Figure&#x20;4A</xref>, the time course for 250&#xa0;nM Gr4b inducing the inhibited inactivation currents of Na<sub>v</sub>1.9 was characterized by a slow onset of action, with a &#x3c4;<sub>on</sub> value of 42.8&#x20;&#xb1; 3.5&#x20;s (n &#x3d; 3). Inhibition of fast inactivation by Gr4b slowed the reversible recovery upon perfusion bath solution washing, with a recovery of approximately 54.39% of the control current within 2.5&#xa0;min (<xref ref-type="fig" rid="F4">Figure&#x20;4A</xref>). These results indicate that Gr4b has a strong affinity for the Na<sub>v</sub>1.9 channel.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Kinetics of dissociation of Gr4b from Na<sub>v</sub>1.9. <bold>(A)</bold> Time course of the inhibition of fast inactivation by 250&#xa0;nM Gr4b and the recovery upon washing with bath solution, in which the ratios of I<sub>95</sub>/I<sub>peak</sub> were plotted as a function of time, &#x3c4;<sub>on</sub> &#x3d; 42.8&#x20;&#xb1; 3.5&#x20;s (n &#x3d; 3). <bold>(B)</bold> Diagram showing the protocol for dissociation analysis (<bold>upper</bold>). Representative current showing in the presence of 0.25&#xa0;&#x3bc;M Gr4b, progressively prolonged strong depolarization (to 80&#xa0;mV) led to a greater degree of Na<sub>v</sub>1.9 current recovery from Gr4b inhibition (<bold>below</bold>). <bold>(C)</bold> Time course of dissociation of 250&#xa0;nM Gr4b from Na<sub>v</sub>1.9&#xa0;at 80&#xa0;mV (&#x3c4; &#x3d; 105.6&#x20;&#xb1; 36.3&#xa0;ms, n &#x3d; 4), 40&#xa0;mV (&#x3c4; &#x3d; 240.0&#x20;&#xb1; 26.9&#xa0;ms, n &#x3d; 4), and 20&#xa0;mV (&#x3c4; &#x3d; 473.5&#x20;&#xb1; 90.8&#xa0;ms, n &#x3d; 4). Cells expressing Na<sub>v</sub>1.9 were incubated in Gr4b for 110&#x20;s at a holding potential of &#x2212;120&#xa0;mV to allow binding. The rate of toxin dissociation was determined with the illustrated pulse paradigm by stepping to a depolarizing pulse of 80, 40, or 20&#xa0;mV for 0&#x2013;1,028&#xa0;ms, returning to &#x2212;120&#xa0;mV for 100&#xa0;ms to allow recovery from fast inactivation, and then assessing the effect of the depolarizing pulse with a 100&#xa0;ms test pulse to &#x2212;30&#xa0;mV. Data are presented as the mean&#x20;&#xb1; SEM.</p>
</caption>
<graphic xlink:href="fphar-12-778534-g004.tif"/>
</fig>
<p>Gating modifier toxins typically affect channel gating by regulating the voltage-sensor of the channel. In turn, the affinity of the toxins to the channel is also regulated by the stimulus voltage, e.g., the spider toxin ProTx-II inhibits the current of the Na<sub>v</sub>1.7 channel with a significant voltage dependence (<xref ref-type="bibr" rid="B51">Xiao et&#x20;al., 2010</xref>). We previously reported that binding of the gating modifier toxins HNTX-III, HpTx1, and HWTX-IV was reversed by prolonged strong depolarizations that activate the voltage sensor (<xref ref-type="bibr" rid="B50">Xiao et&#x20;al., 2008</xref>; <xref ref-type="bibr" rid="B51">Xiao et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B55">Zhou et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B57">Liu et&#x20;al., 2013</xref>). Therefore, we examined whether prolonged strong depolarizations could reverse the inhibitory effect of Gr4b on Na<sub>v</sub>1.9 using the protocol described in <xref ref-type="fig" rid="F4">Figure&#x20;4B</xref>. As shown in <xref ref-type="fig" rid="F4">Figure&#x20;4B</xref>, a progressively longer strong depolarization (up to 80&#xa0;mV) led to an increase in the fraction of sodium current recovered from inhibition by Gr4b. A depolarization time lasting 1,028&#xa0;ms resulted in complete recovery of the slowed inactivated current. These data indicate that Gr4b dissociated from Na<sub>v</sub>1.9 in response to prolonged strong depolarizations. Furthermore, as shown in <xref ref-type="fig" rid="F4">Figure&#x20;4C</xref>, the degree of dissociation is positively related to the depolarization time and the depolarization voltage, i.e.,&#x20;increased depolarization time and potential were correlated with increased dissociation. From the time course of dissociation of the toxin after strong depolarizations in the presence of 250&#xa0;nM Gr4b, the dissociation time constant was fitted with a single exponential function and calculated to be 105.6&#x20;&#xb1; 36.3&#xa0;ms, 240.0&#x20;&#xb1; 26.9&#xa0;ms, and 473.5&#x20;&#xb1; 90.8&#xa0;ms for 80&#xa0;mV, 40&#xa0;mV, and 20&#xa0;mV (n &#x3d; 4 each), respectively. These results suggest that the rate of Gr4b dissociation is voltage-dependent and that stronger depolarization is correlated with a higher rate of dissociation.</p>
</sec>
<sec id="s3-5">
<title>Gr4b Inhibits Fast Inactivation of Na<sub>v</sub>1.9 via the VSD of DIII and DIV</title>
<p>Because Gr4b dissociation from Na<sub>v</sub>1.9 is voltage-dependent, we hypothesized that the toxin may be bound to the VSD of the channel. Neurotoxins that act on Na<sub>v</sub> channels can target six different sites in the channels, with site 3 (DIV VSD) being the hotspot for spider peptide toxins to inhibit fast inactivation (<xref ref-type="bibr" rid="B43">Stevens et&#x20;al., 2011</xref>). One well-characterized example of a Na<sub>v</sub>1.9 modulating peptide is HpTx1 from spider venom, which inhibits fast inactivation of the Na<sub>v</sub>1.9 channel by binding to the DIV S3&#x2013;S4 linker (<xref ref-type="bibr" rid="B55">Zhou et&#x20;al., 2020</xref>). In the present study, the underlying mechanism of action of Gr4b on Na<sub>v</sub>1.9 channels was similar to that described for HpTx1. To identify the critical region of Na<sub>v</sub>1.9 for toxin-induced inhibition of fast inactivation, several chimeric channels were constructed. Since Na<sub>v</sub>1.8 is resistant to Gr4b, a chimera strategy was used to screen the critical modules (VSD) responsible for the toxin&#x2019;s ability to reduce fast inactivation of Na<sub>v</sub>1.9. Firstly, we made the chimera Na<sub>v</sub>1.9/1.8 DIV VSD, in which the DIV VSD (DIV S1&#x2013;S4) of Na<sub>v</sub>1.9 was replaced with the corresponding domain of Na<sub>v</sub>1.8. As shown in <xref ref-type="fig" rid="F5">Figure&#x20;5B</xref>, compared with the wildtype (WT) channel, we observed that a Gr4b concentration of 250&#xa0;nM reduced the efficacy of the Na<sub>v</sub>1.9/1.8 DIV VSD chimeric channel (<xref ref-type="fig" rid="F5">Figures 5B,F</xref>). But the steady-state activation curve was significantly shifted to a positive direction by approximately 8&#xa0;mV in the presence of 250&#xa0;nM Gr4b (Control: &#x2212;45.8&#x20;&#xb1; 3.4 mV, Gr4b: &#x2212;37.8&#x20;&#xb1; 3.5 mV, n &#x3d; 3, <italic>p</italic>&#x20;&#x3c; 0.05) and the slope of the curve was also significantly changed (Control: 6.9&#x20;&#xb1; 0.6 mV, Gr4b: 10.7&#x20;&#xb1; 1.4 mV, n &#x3d; 3, <italic>p</italic>&#x20;&#x3c; 0.05) (<xref ref-type="table" rid="T3">Table&#x20;3</xref>), that consistent with the effect of Gr4b on WT channel. Nevertheless, it still produced large inhibition of fast inactivation of the chimera channel at 2.5&#xa0;&#x3bc;M, similar to that of WT-Na<sub>v</sub>1.9. However, at this concentration, the toxin did not seem to affect Na<sub>v</sub>1.8. Therefore, these results indicate that the channel DIV VSD might be involved in the Gr4b&#x2013;Na<sub>v</sub>1.9 interaction to inhibit fast inactivation and that additional binding areas may&#x20;exist.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>DIII VSD and DIV VSD of Na<sub>v</sub>1.9 is involved in interacting with Gr4b. <bold>(A)</bold>The topological structure of Na<sub>v</sub>1.9 (blue) and rNa<sub>v</sub>1.8 (grey), the numbers indicated the border of the transmembrane domains. <bold>(B&#x2013;D)</bold> Representative normalized current traces, voltage-dependent steady-state activation and voltage-dependent steady-state inactivation show that the chimera channels (constructed as the cartoon illustrated) Na<sub>v</sub>1.9/1.8 DIV VSD, Na<sub>v</sub>1.9/1.8 DIII VSD, Na<sub>v</sub>1.9/1.8 DIII &#x26; DIV VSD, in the absence (black), presence of 250&#xa0;nM Gr4b (red) or 2.5&#xa0;&#x3bc;M Gr4b (blue). <bold>(E)</bold> The dose-response curves for the Gr4b-induced inhibition of the fast inactivation of Na<sub>v</sub>1.9/1.8 DIV VSD, EC<sub>50</sub> of 1.5&#x20;&#xb1; 0.25&#xa0;&#x3bc;M (n &#x3d; 4). <bold>(F)</bold> The effect of Gr4b on the channel of WT and Na<sub>v</sub>1.9/1.8 chimeras. Dot plots display the effect of 250&#xa0;nM Gr4b on the persistent current (I<sub>95</sub>/I<sub>peak</sub>) (n &#x3d; 14 for WT; n &#x3d; 12 for Na<sub>v</sub>1.9/1.8 DIII VSD, n &#x3d; 14 for Na<sub>v</sub>1.9/1.8 DIV VSD and n &#x3d; 9 for Na<sub>v</sub>1.9/1.8 DIII &#x26; DIV VSD). One-way ANOVA with Dunnett&#x2019;s Multiple Comparison Test and compared with WT, <sup>&#x2a;&#x2a;&#x2a;&#x2a;</sup>
<italic>p</italic>&#x20;&#x3c; 0.0001.</p>
</caption>
<graphic xlink:href="fphar-12-778534-g005.tif"/>
</fig>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>The effects of 250&#xa0;nM Gr4b on activation of Na<sub>v</sub>1.9 mutants.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="3" align="left"/>
<th colspan="6" align="center">Control</th>
<th colspan="6" align="center">250&#xa0;nM Gr4b</th>
</tr>
<tr>
<th colspan="3" align="center">Voltage dependence of Activation (mV)</th>
<th colspan="3" align="center">Voltage dependence of Inactivation (mV)</th>
<th colspan="3" align="center">Voltage dependence of Activation (mV)</th>
<th colspan="3" align="center">Voltage dependence of Inactivation (mV)</th>
</tr>
<tr>
<th align="center">V<sub>1/2</sub>
</th>
<th align="center">k</th>
<th align="center">n</th>
<th align="center">V<sub>1/2</sub>
</th>
<th align="center">k</th>
<th align="center">n</th>
<th align="center">V<sub>1/2</sub>
</th>
<th align="center">k</th>
<th align="center">n</th>
<th align="center">V<sub>1/2</sub>
</th>
<th align="center">k</th>
<th align="center">n</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Na<sub>v</sub>1.9</td>
<td align="char" char="plusmn">&#x2212;51.3&#x20;&#xb1; 2.7</td>
<td align="char" char="plusmn">6.3&#x20;&#xb1; 0.3</td>
<td align="char" char=".">8</td>
<td align="char" char="plusmn">&#x2212;53.7&#x20;&#xb1; 2.2</td>
<td align="char" char="plusmn">10.0&#x20;&#xb1; 0.8</td>
<td align="char" char=".">6</td>
<td align="left">&#x2212;38.8&#x20;&#xb1; 2.9&#x2a;&#x2a;&#x2a;&#x2a;</td>
<td align="left">11.2&#x20;&#xb1; 0.4&#x2a;&#x2a;&#x2a;&#x2a;</td>
<td align="char" char=".">8</td>
<td align="left">&#x2212;16.6&#x20;&#xb1; 2.7&#x2a;&#x2a;&#x2a;&#x2a;</td>
<td align="char" char="plusmn">11.3&#x20;&#xb1; 0.7</td>
<td align="char" char=".">6</td>
</tr>
<tr>
<td align="left">Na<sub>v</sub>1.9/1.8 DIII VSD</td>
<td align="char" char="plusmn">&#x2212;48.6&#x20;&#xb1; 2.5</td>
<td align="char" char="plusmn">7.3&#x20;&#xb1; 0.5</td>
<td align="char" char=".">5</td>
<td align="char" char="plusmn">&#x2212;59.8&#x20;&#xb1; 1.3</td>
<td align="char" char="plusmn">6.3&#x20;&#xb1; 0.4</td>
<td align="char" char=".">6</td>
<td align="left">&#x2212;48.4&#x20;&#xb1; 1.0</td>
<td align="left">7.0&#x20;&#xb1; 0.4</td>
<td align="char" char=".">5</td>
<td align="left">&#x2212;58.5&#x20;&#xb1; 1.0</td>
<td align="char" char="plusmn">6.4&#x20;&#xb1; 0.5</td>
<td align="char" char=".">6</td>
</tr>
<tr>
<td align="left">Na<sub>v</sub>1.9/1.8 DIV VSD</td>
<td align="char" char="plusmn">&#x2212;45.8&#x20;&#xb1; 3.4</td>
<td align="char" char="plusmn">6.9&#x20;&#xb1; 0.6</td>
<td align="char" char=".">3</td>
<td align="char" char="plusmn">&#x2212;67.9&#x20;&#xb1; 3.8</td>
<td align="char" char="plusmn">10.0&#x20;&#xb1; 0.4</td>
<td align="char" char=".">6</td>
<td align="left">&#x2212;37.8&#x20;&#xb1; 3.5</td>
<td align="left">10.7&#x20;&#xb1; 1.4</td>
<td align="char" char=".">3</td>
<td align="left">&#x2212;54.7&#x20;&#xb1; 4.1<sup>&#x2a;&#x2a;</sup>
</td>
<td align="char" char="plusmn">13.7&#x20;&#xb1; 0.7<sup>&#x2a;&#x2a;</sup>
</td>
<td align="char" char=".">6</td>
</tr>
<tr>
<td align="left">Na<sub>v</sub>1.9/1.8 DIII&#x26;DIV VSD</td>
<td align="char" char="plusmn">&#x2212;47.7&#x20;&#xb1; 2.3</td>
<td align="char" char="plusmn">7.3&#x20;&#xb1; 0.4</td>
<td align="char" char=".">3</td>
<td align="char" char="plusmn">&#x2212;59.5&#x20;&#xb1; 1.6</td>
<td align="char" char="plusmn">6.0&#x20;&#xb1; 0.4</td>
<td align="char" char=".">5</td>
<td align="left">&#x2212;50.6&#x20;&#xb1; 2.1<sup>&#x2a;</sup>
</td>
<td align="left">7.3&#x20;&#xb1; 0.4</td>
<td align="char" char=".">3</td>
<td align="left">&#x2212;61.7&#x20;&#xb1; 1.3</td>
<td align="char" char="plusmn">7.3&#x20;&#xb1; 0.6<sup>&#x2a;&#x2a;</sup>
</td>
<td align="char" char=".">5</td>
</tr>
<tr>
<td align="left">Na<sub>v</sub>1.9/1.8 DIII S3-S4</td>
<td align="char" char="plusmn">&#x2212;55.0&#x20;&#xb1; 2.4</td>
<td align="char" char="plusmn">6.3&#x20;&#xb1; 0.5</td>
<td align="char" char=".">4</td>
<td align="char" char="plusmn">&#x2212;66.0&#x20;&#xb1; 3.4</td>
<td align="char" char="plusmn">7.3&#x20;&#xb1; 0.5</td>
<td align="char" char=".">4</td>
<td align="left">&#x2212;57.9&#x20;&#xb1; 2.2</td>
<td align="left">7.4&#x20;&#xb1; 0.7<sup>&#x2a;</sup>
</td>
<td align="char" char=".">4</td>
<td align="left">&#x2212;65.4&#x20;&#xb1; 3.9</td>
<td align="char" char="plusmn">7.5&#x20;&#xb1; 0.2</td>
<td align="char" char=".">4</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Data are presented as the mean&#x20;&#xb1; SEM. <sup>&#x2a;</sup>
<italic>p</italic>&#x20;&#x3c; 0.05, <sup>&#x2a;&#x2a;</sup>
<italic>p</italic>&#x20;&#x3c; 0.01, <sup>&#x2a;&#x2a;&#x2a;</sup>
<italic>p</italic>&#x20;&#x3c; 0.001, <sup>&#x2a;&#x2a;&#x2a;&#x2a;</sup>
<italic>p</italic>&#x20;&#x3c; 0.0001, when compared with Control. Parametric paired two-tailed <italic>t</italic>-test was used. n is presented as the number of the separate experimental&#x20;cells.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>The DIII VSD of Na<sub>v</sub> channels have been also shown to modulate channel inactivation (<xref ref-type="bibr" rid="B21">Hsu et&#x20;al., 2017</xref>). Thus, we hypothesized that DIII VSD also is critical for Gr4b inhibition of fast inactivation of Na<sub>v</sub>1.9. Thus we made the two chimeras Na<sub>v</sub>1.9/1.8 DIII VSD and Na<sub>v</sub>1.9/1.8 DIII &#x26; DIV VSD. The results showed that replacing these regions of Na<sub>v</sub>1.9 abolished the effects of Gr4b on the channel. Even at high concentrations (2.5&#xa0;&#x3bc;M), the chimeric channels were almost unaffected by Gr4b (<xref ref-type="fig" rid="F5">Figures 5C,D,F</xref>). However, the EC<sub>50</sub> of Gr4b was determined to be 1.5&#x20;&#xb1; 0.25&#xa0;&#x3bc;M in Na<sub>v</sub>1.9/1.8 DIV VSD channel (<xref ref-type="fig" rid="F5">Figure&#x20;5E</xref>). These results suggest that the DIII VSD of the Na<sub>v</sub>1.9 channel plays a key role in Gr4b-mediated inhibition of their fast inactivation currents. Furthermore, we observed that replacing DIII S3-S4 linker region of Na<sub>v</sub>1.9 abolished the effects of Gr4b on the channel also (<xref ref-type="fig" rid="F6">Figures 6A,B,J</xref>). To further elucidate the mechanism underlying Gr4b binding to Na<sub>v</sub>1.9, amino acid residues in the S3&#x2013;S4 linker of DIII were replaced by the alanine residues (<xref ref-type="fig" rid="F6">Figure&#x20;6A</xref>). The results indicated that three component residues (namely N1139, L1143, and S1145) were critical for Gr4b binding to DIII S3-S4. Mutations in N1139 and L1143 significantly reduced sensitivity to Gr4b (<xref ref-type="fig" rid="F6">Figures 6B&#x2013;J</xref> and <xref ref-type="table" rid="T4">Table&#x20;4</xref>). In addition, a mutation of Na<sub>v</sub>1.9 (S1145A) enhanced sensitivity to Gr4b (<xref ref-type="fig" rid="F6">Figures 6I,J</xref> and <xref ref-type="table" rid="T4">Table&#x20;4</xref>). Taken together, these results suggest that Gr4b preferentially binds to the DIII VSD and has additional interactions with the DIV VSD, while two residues (N1139 and L1143) in the DIII S3-S4 linker may affect the interaction of Na<sub>v</sub>1.9 with&#x20;Gr4b.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>DIII S3-S4 of Na<sub>v</sub>1.9 is involved in interacting with Gr4b. <bold>(A)</bold> Sequence alignments corresponding to Na<sub>v</sub> subtype domains III (DIII) S3-S4. <bold>(B)</bold> Representative normalized current traces, voltage-dependent steady-state activation and voltage-dependent steady-state inactivation show that the chimera channels (constructed as the cartoon illustrated) Na<sub>v</sub>1.9/1.8 DIII S3-S4, in the absence (black), presence of 250&#xa0;nM Gr4b (red) or 2.5&#xa0;&#x3bc;M Gr4b (blue). <bold>(C&#x2013;I)</bold> Representative traces, voltage-dependent steady-state activation and voltage-dependent steady-state inactivation show that the single point mutations of Na<sub>v</sub>1.9, in the absence (black) and presence of 250&#xa0;nM Gr4b (red). <bold>(J)</bold> Effects of Gr4b on WT and mutant Na<sub>v</sub>1.9 channels. Dot plots display the effect of 250&#xa0;nM Gr4b on the persistent current (n &#x3d; 17 for N1139A, n &#x3d; 11 for N1139K, n &#x3d; 18 for L1140A and L1143A, n &#x3d; 7 for M1141A, n &#x3d; 9 for L1143V, n &#x3d; 20 for S1145A and n &#x3d; 5 for Na<sub>v</sub>1.9/1.8 DIII S3-S4). One-way ANOVA with Dunnett&#x2019;s Multiple Comparison Test and compared with WT, <sup>&#x2a;</sup>
<italic>p</italic>&#x20;&#x3c; 0.05, <sup>&#x2a;&#x2a;&#x2a;&#x2a;</sup>
<italic>p</italic>&#x20;&#x3c; 0.0001.</p>
</caption>
<graphic xlink:href="fphar-12-778534-g006.tif"/>
</fig>
<table-wrap id="T4" position="float">
<label>TABLE 4</label>
<caption>
<p>The effects of 250&#xa0;nM Gr4b on activation of Na<sub>v</sub>1.9 mutants.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="3" align="center"/>
<th colspan="6" align="center">Control</th>
<th colspan="6" align="center">250&#xa0;nM Gr4b</th>
</tr>
<tr>
<th colspan="3" align="center">Voltage dependence of Activation (mV)</th>
<th colspan="3" align="center">Voltage dependence of Inactivation (mV)</th>
<th colspan="3" align="center">Voltage dependence of Activation (mV)</th>
<th colspan="3" align="center">Voltage dependence of Inactivation (mV)</th>
</tr>
<tr>
<th align="center">V<sub>1/2</sub>
</th>
<th align="center">k</th>
<th align="center">n</th>
<th align="center">V<sub>1/2</sub>
</th>
<th align="center">k</th>
<th align="center">n</th>
<th align="center">V<sub>1/2</sub>
</th>
<th align="center">k</th>
<th align="center">n</th>
<th align="center">V<sub>1/2</sub>
</th>
<th align="center">k</th>
<th align="center">n</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Na<sub>v</sub>1.9 N1139A</td>
<td align="char" char="plusmn">&#x2212;51.5 &#xb1; 3.8</td>
<td align="char" char="plusmn">7.2 &#xb1; 1.0</td>
<td align="char" char=".">5</td>
<td align="char" char="plusmn">&#x2212;63.9 &#xb1; 3.0</td>
<td align="char" char="plusmn">9.5 &#xb1; 0.5</td>
<td align="char" char=".">6</td>
<td align="char" char="plusmn">&#x2212;43.8 &#xb1; 4.5<sup>&#x2a;&#x2a;</sup>
</td>
<td align="char" char="plusmn">12.9 &#xb1; 2.1<sup>&#x2a;</sup>
</td>
<td align="char" char=".">5</td>
<td align="center">&#x2212;60.6 &#xb1; 2.8</td>
<td align="char" char="plusmn">11.9 &#xb1; 0.6<sup>&#x2a;</sup>
</td>
<td align="char" char=".">6</td>
</tr>
<tr>
<td align="left">Na<sub>v</sub>1.9 N1139K</td>
<td align="char" char="plusmn">&#x2212;51.1 &#xb1; 2.3</td>
<td align="char" char="plusmn">8.8 &#xb1; 0.9</td>
<td align="char" char=".">8</td>
<td align="char" char="plusmn">&#x2212;68.5 &#xb1; 3.9</td>
<td align="char" char="plusmn">9.6 &#xb1; 0.5</td>
<td align="char" char=".">4</td>
<td align="char" char="plusmn">&#x2212;52.1 &#xb1; 1.8</td>
<td align="char" char="plusmn">8.8 &#xb1; 0.7</td>
<td align="char" char=".">8</td>
<td align="center">&#x2212;49.7 &#xb1; 13.0</td>
<td align="char" char="plusmn">19.6 &#xb1; 2.7<sup>&#x2a;</sup>
</td>
<td align="char" char=".">4</td>
</tr>
<tr>
<td align="left">Na<sub>v</sub>1.9 L1140A</td>
<td align="char" char="plusmn">&#x2212;52.1 &#xb1; 0.9</td>
<td align="char" char="plusmn">6.3 &#xb1; 0.2</td>
<td align="char" char=".">5</td>
<td align="char" char="plusmn">&#x2212;71.3 &#xb1; 2.8</td>
<td align="char" char="plusmn">10.5 &#xb1; 0.9</td>
<td align="char" char=".">7</td>
<td align="char" char="plusmn">&#x2212;42.6 &#xb1; 1.6<sup>&#x2a;&#x2a;</sup>
</td>
<td align="char" char="plusmn">13.2 &#xb1; 1.2<sup>&#x2a;&#x2a;</sup>
</td>
<td align="char" char=".">5</td>
<td align="center">&#x2212;45.0 &#xb1; 7.1<sup>&#x2a;&#x2a;</sup>
</td>
<td align="char" char="plusmn">15.6 &#xb1; 0.8<sup>&#x2a;&#x2a;</sup>
</td>
<td align="char" char=".">7</td>
</tr>
<tr>
<td align="left">Na<sub>v</sub>1.9M1141A</td>
<td align="char" char="plusmn">&#x2212;54.7 &#xb1; 2.7</td>
<td align="char" char="plusmn">7.2 &#xb1; 0.5</td>
<td align="char" char=".">5</td>
<td align="char" char="plusmn">&#x2212;76.3 &#xb1; 2.7</td>
<td align="char" char="plusmn">9.9 &#xb1; 0.2</td>
<td align="char" char=".">5</td>
<td align="char" char="plusmn">&#x2212;55.5 &#xb1; 2.8</td>
<td align="char" char="plusmn">10.3 &#xb1; 2.0</td>
<td align="char" char=".">5</td>
<td align="center">&#x2212;37.6 &#xb1; 7.1<sup>&#x2a;&#x2a;</sup>
</td>
<td align="char" char="plusmn">21.9 &#xb1; 1.0<sup>&#x2a;&#x2a;&#x2a;</sup>
</td>
<td align="char" char=".">5</td>
</tr>
<tr>
<td align="left">Na<sub>v</sub>1.9 L1143A</td>
<td align="char" char="plusmn">&#x2212;53.1 &#xb1; 1.8</td>
<td align="char" char="plusmn">6.7 &#xb1; 0.4</td>
<td align="char" char=".">6</td>
<td align="char" char="plusmn">&#x2212;68.3 &#xb1; 3.4</td>
<td align="char" char="plusmn">10.9 &#xb1; 0.3</td>
<td align="char" char=".">5</td>
<td align="char" char="plusmn">&#x2212;58.7 &#xb1; 1.8<sup>&#x2a;</sup>
</td>
<td align="char" char="plusmn">8.1 &#xb1; 5.0<sup>&#x2a;&#x2a;</sup>
</td>
<td align="char" char=".">6</td>
<td align="center">&#x2212;63.5 &#xb1; 2.2<sup>&#x2a;</sup>
</td>
<td align="char" char="plusmn">10.3 &#xb1; 0.6</td>
<td align="char" char=".">5</td>
</tr>
<tr>
<td align="left">Na<sub>v</sub>1.9 L1143V</td>
<td align="char" char="plusmn">&#x2212;51.9 &#xb1; 2.2</td>
<td align="char" char="plusmn">7.2 &#xb1; 0.2</td>
<td align="char" char=".">6</td>
<td align="char" char="plusmn">&#x2212;79.9 &#xb1; 4.8</td>
<td align="char" char="plusmn">11.8 &#xb1; 0.4</td>
<td align="char" char=".">4</td>
<td align="char" char="plusmn">&#x2212;50.8 &#xb1; 3.9</td>
<td align="char" char="plusmn">11.4 &#xb1; 1.3<sup>&#x2a;</sup>
</td>
<td align="char" char=".">6</td>
<td align="center">&#x2212;44.3 &#xb1; 3.8<sup>&#x2a;&#x2a;</sup>
</td>
<td align="char" char="plusmn">14.9 &#xb1; 1.8</td>
<td align="char" char=".">4</td>
</tr>
<tr>
<td align="left">Na<sub>v</sub>1.9 S1145A</td>
<td align="char" char="plusmn">&#x2212;49.1 &#xb1; 2.6</td>
<td align="char" char="plusmn">7.4 &#xb1; 0.4</td>
<td align="char" char=".">7</td>
<td align="char" char="plusmn">&#x2212;63.9 &#xb1; 2.5</td>
<td align="char" char="plusmn">8.8 &#xb1; 0.4</td>
<td align="char" char=".">8</td>
<td align="char" char="plusmn">&#x2212;37.8 &#xb1; 4.1<sup>&#x2a;&#x2a;</sup>
</td>
<td align="char" char="plusmn">15.0 &#xb1; 1.6<sup>&#x2a;&#x2a;</sup>
</td>
<td align="char" char=".">7</td>
<td align="center">&#x2212;17.0 &#xb1; 5.0<sup>&#x2a;&#x2a;&#x2a;&#x2a;</sup>
</td>
<td align="char" char="plusmn">20.1 &#xb1; 2.1<sup>&#x2a;&#x2a;</sup>
</td>
<td align="char" char=".">8</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Data are presented as the mean &#xb1; SEM. <sup>&#x2a;</sup>
<italic>p</italic> &#x3c; 0.05, <sup>&#x2a;&#x2a;</sup>
<italic>p</italic> &#x3c; 0.01, <sup>&#x2a;&#x2a;&#x2a;</sup>
<italic>p</italic> &#x3c; 0.001, <sup>&#x2a;&#x2a;&#x2a;&#x2a;</sup>
<italic>p</italic> &#x3c; 0.0001, when compared with Control. Parametric paired two-tailed <italic>t</italic>-test was used. n is presented as the number of the separate experimental cells.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>Spider venoms comprise complex mixtures of various chemical substances, the majority of which are small, disulfide-rich peptides. These bioactive peptides are rich in Na<sub>v</sub> channel modulators useful for predation and defense. Given their specificity and high affinity for Na<sub>v</sub> channels, some of these peptides have become useful pharmacological tools for investigating the structure of the Na<sub>v</sub> channel and studying the activation and inactivation processes that are a fundamental gating characteristic of Na<sub>v</sub> channels. In this study, we screened the novel spider toxin Gr4b, which is a gating modifier that specifically delays fast inactivation of Na<sub>v</sub>1.9. Gr4b belongs to NaSpTx Family 2 and contains a conserved ICK motif. Analyses to identify the site of action revealed that Gr4b preferentially interacts with the DIII VSD of the Na<sub>v</sub>1.9 channel and, to a relatively lesser extent, with the DIV VSD. These results imply that, similar to the function of DIV VSD, DIII VSD may regulate fast inactivation.</p>
<p>Furthermore, structural and mutational studies revealed that the DIII S4&#x2013;S5 linker is a docking receptor for the fast inactivation gate IFM. The IFM motif is responsible for fast inactivation via penetration of a compact hydrophobic pocket formed by the S4&#x2013;S5 linker from DIV, the S4&#x2013;S5 linker from DIII, and the intracellular ends of S5 and S6 from DIV (<xref ref-type="bibr" rid="B52">Yan et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B22">Jiang et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B24">Kellenberger et&#x20;al., 1996</xref>; <xref ref-type="bibr" rid="B33">McPhee et&#x20;al., 1994</xref>, <xref ref-type="bibr" rid="B32">1995</xref>; <xref ref-type="bibr" rid="B41">Smith and Goldin 1997</xref>). Thus, the deactivation of voltage-gated sodium channels is closely related to DIII and DIV. However, based on the electromechanical coupling mechanism of the sodium channel, the motion of the S4 segment is coupled with the S4&#x2013;S5 linker to the intracellular activation gate to open the pore. Thus, DIII S4-induced shifts of the DIII S4-S5 linker may be helpful for exposing the docking site of the fast inactivation gate IFM. Furthermore, we found that Gr4b binds to the DIII VSD of Na<sub>v</sub>1.9 and impedes movement in depolarization, resulting in the suppression of fast inactivation. This conclusion is based on the following observations: (1) the effect of Gr4b on the Na<sub>v</sub>1.9 channel is voltage-dependent and the relationships of the current-voltage curve and voltage-dependent steady-state activation curve both shift in the direction of depolarization (<xref ref-type="fig" rid="F3">Figures 3B,C</xref>); and (2) toxin dissociation from the Na<sub>v</sub>1.9 channel was voltage-dependent and time-dependent, and the inhibition of fast inactivation was abolished during long-term depolarization (<xref ref-type="fig" rid="F4">Figure&#x20;4C</xref>). Moreover, voltage-clamp fluorescent recordings to observe the Na<sub>v</sub>1.4 VSDs revealed that DIII and DIV VSD immobilization is correlated with the onset of inactivation (<xref ref-type="bibr" rid="B10">Cha et&#x20;al., 1999</xref>); some mutants in DIII VSD were shown to impair fast inactivation and cause channelopathies, e.g., a mutation of R1135H in DIII S4 of Na<sub>v</sub>1.4 significantly enhanced entry into inactivation and prolonged recovery to cause hypokalemia periodic paralysis (<xref ref-type="bibr" rid="B19">Groome et&#x20;al., 2014</xref>). Together, these findings suggest that the DIII VSD of the Na<sub>v</sub> channel plays a prominent role in regulating inactivation.</p>
<p>The DIII VSD of the Na<sub>v</sub> channel might be a neurotoxin binding site. To date, at least six different neurotoxin receptor sites have been identified on Na<sub>v</sub> channels (<xref ref-type="bibr" rid="B26">Klint et&#x20;al., 2012</xref>); however, there are no prior reports of neurotoxins binding to DIII VSD. In the present study, our results indicated that Gr4b preferentially binds to the DIII S3-S4 linker of the Na<sub>v</sub>1.9 channel, and two residues (N1139 and L1143) in the DIII S3-S4 linker of Na<sub>v</sub>1.9 might be involved in the interaction with Gr4b (<xref ref-type="fig" rid="F6">Figure&#x20;6</xref>). Previously reported DIV VSD binding toxins, like the &#x3b1;-scorpion toxin LqqIV and spider toxins HpTx1 and Hm1a, have a common feature that shifts the steady-state inactivation curve to more positive potentials and produces a non-inactivated component in the steady-state inactivation curve (<xref ref-type="bibr" rid="B3">Bosmans and Tytgat 2007</xref>; <xref ref-type="bibr" rid="B36">Osteen et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B55">Zhou et&#x20;al., 2020</xref>). In contrast, DIV VSD binding toxins do not change the steady-state activation curve but enhance the peak current. We found that Gr4b significantly shifts the activation curve to the depolarization direction and weakly suppresses the current of Na<sub>v</sub>1.9 at voltages of &#x2212;60 to &#x2212;40&#xa0;mV (<xref ref-type="fig" rid="F3">Figures 3B,C</xref>). These effects distinguish this toxin from other DIV VSD binding toxins. Notably, these effects were limited to the channels where DIII VSD of Na<sub>v</sub>1.9 exists (<xref ref-type="fig" rid="F5">Figures 5B&#x2013;D</xref>). The chimeric channels (19/18DIII VSD and 19/18DIII VSD &#x26; DIV VSD) abolished the effects of Gr4b, suggesting that the effect of Gr4b on channel activation depends on the toxins binding to DIII VSD. Taken together, our results suggest that the interaction of the toxin with Na<sub>v</sub>1.9 DIII VSD affects fast inactivation of the channel as well as activation.</p>
<p>In summary, our study has revealed a novel spider peptide toxin that specifically interacts with the Na<sub>v</sub>1.9 channel, as well as a novel Na<sub>v</sub> channel neurotoxin binding to the site DIII VSD. The toxin binding to DIII VSD of Na<sub>v</sub>1.9 affects both activation and fast inactivation, thereby providing pharmacological insight into the role of the DIII VSD in Na<sub>v</sub> channel activation and fast inactivation.</p>
</sec>
</body>
<back>
<sec id="s5">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s9">Supplementary Material</xref>, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s6">
<title>Author Contributions</title>
<p>XZ, SP, and ZL designed the study and wrote the manuscript. XZ, SP, MC, ZX, XX, and SL performed the experiments and the data analysis. SL contributed to helpful discussion.</p>
</sec>
<sec id="s7">
<title>Funding</title>
<p>This work was supported by funding from the National Natural Science Foundation of China (Grant No. 31800655, 32071262, 31770832, 31570782, 31872718), the Science and Technology Innovation Program of Hunan Province (Grant No. 2020RC4023, 2021RC3092), the Hunan Provincial Natural Science Foundation of China (Grant No. 2020JJ5359), and the Scientific Research Foundation of Hunan Provincial Education Department (Grant No. 19C1159).</p>
</sec>
<sec sec-type="COI-statement" id="s8">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s12">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s9">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphar.2021.778534/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2021.778534/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Table1.docx" id="SM1" mimetype="application/docx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table2.docx" id="SM2" mimetype="application/docx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table3.docx" id="SM3" mimetype="application/docx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table4.docx" id="SM4" mimetype="application/docx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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