The effect of extracellular and intracellular Na+ on the single-channel kin
etics of Mg2+ block was studied in recombinant NR1-NR2B NMDA receptor chann
els. Na+ prevents Mg2+ access to its blocking site by occupying two sites i
n the external portion of the permeation pathway. The occupancy of these si
tes by intracellular, but not extracellular, Na+ is voltage-dependent. In t
he absence of competing ions, Mg2+ binds rapidly (>10(8) M(-1)s(-1), with n
o membrane potential) to a site that is located 0.60 through the electric f
ield from the extracellular surface. Occupancy of one of the external sites
by Na+ may be sufficient to prevent Mg2+ dissociation from the channel bac
k to the extracellular compartment. With no membrane potential; and in the
absence of competing ions, the Mg2+ dissociation rate constant is >10 times
greater than the Mg2+ permeation rate constant, and the Mg2+ equilibrium d
issociation constant is similar to 12 muM. Physiological concentrations of
extracellular Na+ reduce the Mg2+ association rate constant similar to 40-f
old but, because of the "lock-in" effect, reduce the Mg2+ equilibrium disso
ciation constant only similar to 18-fold.