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Four G protein gated inwardly-rectifying potassium (GIRK) channel subunits have been identified in
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mammals: GIRK1, GIRK2, GIRK3, and GIRK4. The GIRK subunits come together to form GIRK ion channels.
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These ion channels, once activated, allow for the flow of potassium ions (K+) from the
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extracellular space surrounding the cell across the plasma membrane and into the cytoplasm. Each
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channel consists of domains which span the plasma membrane, forming the K+-selective pore region
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through which the K+ ions will flow. Both the N-and C-terminal ends of the GIRK channels are
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located within the cytoplasm. These domains interact directly with the βγ-complex of the G protein,
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leading to activation of the K+ channel. . These domains on the N-and C-terminal ends which
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interact with the G proteins contain certain residues which are critical for the proper activation
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of the GIRK channel. In GIRK4, the N-terminal residue is His-64 and the C-terminal residue is
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Leu-268; in GIRK1 they are His-57 and Leu-262, respectively. Mutations in these domains lead to the
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channel's desensitivity to the βγ-complex and therefore reduce the activation of the GIRK channel.
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The four GIRK subunits are 80-90% similar in their pore-forming and transmembrane domains, a
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feature accountable by the similarities in their structures and sequences. GIRK2, GIRK3, and GIRK4
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share an overall identity of 62% with each other, while GIRK1 only shares 44% identity with the
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others. Because of their similarity, the GIRK channel subunits can come together easily to form
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heteromultimers (a protein with two or more different polypeptide chains). GIRK1, GIRK2, and GIRK3
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show abundant and overlapping distribution in the central nervous system (CNS) while GIRK1 and
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GIRK4 are found primarily in the heart. GIRK1 combines with GIRK2 in the CNS and GIRK4 in the
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atrium to form heterotetramers; each final heterotetramer contains two GIRK1 subunits and two GIRK2
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or GIRK4 subunits. GIRK2 subunits can also form homotetramers in the brain, while GIRK4 subunits
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can form homotetramers in the heart. GIRK1 subunits have not been shown to be able to form
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functional homotetramers. Though GIRK3 subunits are found in the CNS, their role in forming
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functional ion channels is still unknown.
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Subtypes and respective functions GIRKs found in the heart
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One G protein-gated potassium channel is the inward-rectifing potassium channel (IKACh) found in
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cardiac muscle (specifically, the sinoatrial node and atria), which contributes to the regulation
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of heart rate. These channels are almost entirely dependent on G protein activation, making them
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unique when compared to other G protein-gated channels. Activation of the IKACh channels begins
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with release of acetylcholine (ACh) from the vagus nerve onto pacemaker cells in the heart. ACh
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binds to the M2 muscarinic acetylcholine receptors, which interact with G proteins and promote the
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dissociation of the Gα subunit and Gβγ-complex. IKACh is composed of two homologous GIRK channel
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subunits: GIRK1 and GIRK4. The Gβγ-complex binds directly and specifically to the IKACh channel
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through interactions with both the GIRK1 and GIRK4 subunits. Once the ion channel is activated, K+
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ions flow out of the cell and cause it to hyperpolarize. In its hyperpolarized state, the neuron
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cannot fire action potentials as quickly, which slows the heartbeat.
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GIRKs found in the brain
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The G protein inward rectifying K+ channel found in the CNS is a heterotetramer composed of GIRK1
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and GIRK2 subunits and is responsible for maintaining the resting membrane potential and
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excitability of the neuron. Studies have shown the largest concentrations of the GIRK1 and GIRK2
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subunits to be in the dendritic areas of neurons in the CNS. These areas, which are both
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extrasynaptic (exterior to a synapse) and perisynaptic (near a synapse), correlate with the large
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concentration of GABAB receptors in the same areas. Once the GABAB receptors are activated by
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their ligands, they allow for the dissociation of the G protein into its individual α-subunit and
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βγ-complex so it can in turn activate the K+ channels. The G proteins couple the inward rectifying
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K+ channels to the GABAB receptors, mediating a significant part of the GABA postsynaptic
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inhibition.
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Furthermore, GIRKs have been found to play a role in a group of serotonergic neurons in the dorsal
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raphe nucleus, specifically those associated with the neuropeptide hormone orexin. The 5-HT1A
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receptor, a serotonin receptor and type of GPCR, has been shown to be coupled directly with the
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α-subunit of a G protein, while the βγ-complex activates GIRK without use of a second messenger.
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The subsequent activation of the GIRK channel mediates hyperpolarization of orexin neurons, which
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regulate the release of many other neurotransmitters including noradrenaline and acetylcholine.
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Calcium channels Structure
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In addition to the subset of potassium channels that are directly gated by G proteins, G proteins
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can also directly gate certain calcium ion channels in neuronal cell membranes. Although membrane
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ion channels and protein phosphorylation are typically indirectly affected by G protein-coupled
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receptors via effector proteins (such as phospholipase C and adenylyl cyclase) and second
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messengers (such as inositol triphosphate, diacylglycerol and cyclic AMP), G proteins can short
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circuit the second-messenger pathway and gate the ion channels directly. Such bypassing of the
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second-messenger pathways is observed in mammalian cardiac myocytes and associated sarcolemmal
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vesicles in which Ca2+ channels are able to survive and function in the absence of cAMP, ATP or
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protein kinase C when in the presence of the activated α-subunit of the G protein. For example, Gα,
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which is stimulatory to adenylyl cyclase, acts on the Ca2+ channel directly as an effector. This
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short circuit is membrane-delimiting, allowing direct gating of calcium channels by G proteins to
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produce effects more quickly than the cAMP cascade could. This direct gating has also been found in
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specific Ca2+ channels in the heart and skeletal muscle T tubules.
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Function
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Several high-threshold, slowly inactivating calcium channels in neurons are regulated by G
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proteins. The activation of α-subunits of G proteins has been shown to cause rapid closing of
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voltage-dependent Ca2+ channels, which causes difficulties in the firing of action potentials. This
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inhibition of voltage-gated Calcium channels by G protein-coupled receptors has been demonstrated
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in the dorsal root ganglion of a chick among other cell lines. Further studies have indicated roles
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for both Gα and Gβγ subunits in the inhibition of Ca2+ channels. The research geared to defining
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the involvement of each subunit, however, has not uncovered the specificity or mechanisms by which
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Ca2+ channels are regulated.
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The acid-sensing ion channel ASIC1a is a specific G protein-gated Ca2+ channel. The upstream M1
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muscarinic acetylcholine receptor binds to Gq-class G proteins. Blocking this channel with the
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agonist oxotremorine methiodide was shown to inhibit ASIC1a currents. ASIC1a currents have also
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been shown to be inhibited in the presence of oxidizing agents and potentiated in the presence of
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reducing agents. A decrease and increase in acid-induced intracellular Ca2+ accumulation were
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found, respectively.
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Sodium channels
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Patch clamp measurements suggest a direct role for Gα in the inhibition of fast Na+ current within
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cardiac cells. Other studies have found evidence for a second-messenger pathway which may
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indirectly control these channels. Whether G proteins indirectly or directly activate Na+ ion
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channels not been defined with complete certainty.
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Chloride channels
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Chloride channel activity in epithelial and cardiac cells has been found to be G protein-dependent.
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However, the cardiac channel that has been shown to be directly gated by the Gα subunit has not
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yet been identified. As with Na+ channel inhibition, second-messenger pathways cannot be discounted
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in Cl− channel activation.
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Studies done on specific Cl− channels show differing roles of G protein activation. It has been
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shown that G proteins directly activate one type of Cl− channel in skeletal muscle. Other studies,
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in CHO cells, have demonstrated a large conductance Cl− channel to be activated differentially by
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CTX- and PTX-sensitive G proteins. The role of G proteins in the activation of Cl− channels is a
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complex area of research that is ongoing.
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Clinical significance and ongoing research
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Mutations in G proteins associated with G protein-gated ion channels have been shown to be involved
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in diseases such as epilepsy, muscular diseases, neurological diseases, and chronic pain, among