A dynamic positive feedback mechanism, known as 'facilitation', augments L-
type calcium-ion currents (I-Ca) in response to increased intracellular Ca2
+ concentrations. The Ca2+-binding protein calmodulin (CaM) has been implic
ated in facilitation, but the single-channel signature and the signalling e
vents underlying Ca2+/CaM-dependent facilitation are unknown. Here we show
that the Ca2+/CaM-dependent protein kinase II (CaMK) is necessary and possi
bly sufficient for I-Ca facilitation. CaMK induces a channel-gating mode th
at is characterized by frequent, long openings of L-type Ca2+ channels. We
conclude that CaMK-mediated phosphorylation is an essential signalling even
t in triggering Ca2+/CaM-dependent I-Ca facilitation.