The single-channel kinetics of extracellular Mg2+ block was used to probe K
+ binding sites in the permeation pathway of rat recombinant NR1/NR2B NMDA
receptor channels. K+ binds to three sites: two that are external and one t
hat is internal to the site of Mg2+ block. The internal site is similar to0
.84 through the electric field from the extracellular surface. The equilibr
ium dissociation constant for this site for K+ is 304 mM at 0 mV and with M
g2+ in the pore. The occupancy of any one of the three sites by K+ effectiv
ely prevents the association of extracellular Mg2+. Occupancy of the intern
al site also prevents Mg2+ permeation and increases (by approximately seven
fold) the rate constant for Mg2+ dissociation back to the extracellular sol
ution. Under physiological intracellular ionic conditions and at -60 mV, th
ere is similar to1,400-fold apparent decrease in the affinity of the channe
l for extracellular Mg2+ and similar to2-fold enhancement of the apparent v
oltage dependence of Mg2+ block caused by the voltage dependence of K+ occu
pancy of the external and internal sites.