Page 23 - Cardiac Electrophysiology | A Modeling and Imaging Approach
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        Figure 2.9. Conformational changes of K  channel during activation. A. Structural basis for two-
                                                     +
        state voltage-sensor transitions before channel opening. Source: Adapted with permission from
        Silverman W et. al. [81] Structural basis of two-stage voltage-dependent activation in K  channels.
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        Proc Natl Acad Sci USA. 2003 Mar 4;100(5):2935-40. Copyright (2003), National Academy of
        Sciences, U.S.A. B. Kinetic representation of the two-stage voltage-sensor transitions in panel A
        (each row represents one of the four α-subunits that form the channel) . First transition is from
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        resting state (R ) to an intermediate state (R ) and second transition from R  to an activated state
                                                                                          2
                                                        2
                         1
        (A). Once all four voltage sensors are in the activated state, the channel can open. C. There are 15
        possible combinations of the four voltage-sensor positions, corresponding to 15 closed states
        (C -C ) before channel opening. Blue, red, green indicate a voltage sensor in position R , R , or A,
           1
                                                                                                       1
                                                                                                          2
             15
        respectively. From Rudy [83]. Reproduced with permission from John Wiley & Sons.
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        from C  two transitions are possible, one of the three voltage sensors in R  can move to R  forming
                2                                                                       1               2
        the C  conformation, or R  can move to A (green) forming the C  conformation, and so on. In this
              3                     2                                        6
        diagram, horizontal transitions represent movement of the voltage sensors from R  to R , while
                                                                                                  1    2
        vertical transitions represent movements from R  to A. When all voltage sensors are in A (C ), a
                                                             2                                             15
        cooperative transition can occur to the open state O. Note that voltage sensors in states in the
        right column (C , C , C , C ) only have to go through second transitions from R  to A before
                         5   9  12  14                                                       2
        channel opening. These transitions are fast (γ=44.7s ) compared to the first transitions from R  to R
                                                                -1
                                                                                                              1    2
        (γ =4.45 S ).
                   -1
               The state-diagram of Figure 2.9C is the basis for the I  Markov model shown in Figure 2.10A.
                                                                         Ks
        This is an expanded model of the whole channel that includes 15 closed states (an alternative
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