Rectification of HERG is due to a rapid inactivation process that has
been labeled C-type inactivation and is believed to be due to closure
of the external mouth of the pore. We examined the effects of mutation
of extracellular residues that remove C-type inactivation on binding
of the intracellularly acting methanesulfonanilide drug E-4031. Remova
l of inactivation through mutation reduced drug affinity by more than
an order of magnitude, Elevation of [K+](o) in the wild-type channel r
educes channel affinity for E-4031. Elevation of [K+](o) also interfer
es with the extracellular pore mouth closure associated with C-type in
activation through a 'foot in the door' mechanism. We examined the pos
sibility that [K+](o) elevation reduces drug binding through inhibitio
n of C-type inactivation by comparing drug block in the wild-type and
inactivation-removed mutant channels. Elevation of [K+](o) decreased a
ffinity in both channel constructs by a roughly equal amount. These re
sults suggest that [K+](o) alters drug binding affinity independently
of its effects on C-type inactivation. They further suggest that inhib
ition of pore mouth closure by elevated [K+](o) does not have same eff
ect on drug affinity as mutations removing C-type inactivation. (C) 19
97 Federation of European Biochemical Societies.