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[Glu]
PO2
Aa
[K +] [Na+] Step 1: generation of Na⫹ and K⫹ concentration gradients.
Let’s start from the “reset” or “unloaded” cell shown in Fig. 1,
where the membrane has no proteins and ICF ⫽ ECF (note,
ΣQ+ =ΣQ -
also, that ⌬Vm ⫽ 0 mV). We can say that the system is at the
Fig. 1. The didactic model: a simplified cell at the baseline energy state as the baseline energy state. In such a state, both fluids are at
starting point of bioelectrogenesis. The extracellular fluid (ECF) and intracel- thermodynamic equilibrium so for any net change in the fluids’
lular fluid (ICF) are at thermodynamic equilibrium, and the cell membrane composition, it is necessary to supply some work to the system.
consists of a simple phospholipid bilayer. The cell forms spontaneously, and Of course, the cell membrane is not exclusively composed of
the intracellular machinery is started. The ECF is supplied with glucose
([Glu]), O2 (PO2), and amino acids (Aa). The model assumes that we can insert lipid molecules; there is a vast array of different proteins
or remove proteins on the membrane. A/D, analog to digital; Q, electron embedded in the membrane accounting for a number of dif-
charge. The brackets denote concentration. ferent functions. Na⫹-K⫹-ATPase (or pump), first reported by
J. C. Skou (21), is a transmembrane protein present in almost
all animal cells. This protein is an active transport system that
size of the letters in the ion concentration indicates the
uses metabolic energy to move Na⫹ out and K⫹ in vectorially
magnitude of the concentration, and 2) the ECF is constantly
across the membrane against their concentration gradients. The
supplied with glucose, O2, and amino acids.
stoichiometry of the pump is 3Na⫹:2K⫹:1ATP, and its stron-
• According to kinetic theory, ions and molecules in the ECF,
gest activator is a high intracellular Na⫹ concentration
driven by thermal agitation [3/2 ⫻ k ⫻ T, where k is a
([Na⫹]in), so it will be quite active under the condition shown
constant and T is the temperature (in Kelvin)], randomly
in Fig. 1.
crash against the outer surface of the membrane. Hence, it is
Regarding our didactic model, certain membrane proteins
easy to figure out that at a given T, the higher the concen-
can be inserted to serve specific functional roles. In this way,
tration of a particular ionic species i ([i]), the greater the
the major factors that underlie the genesis of ⌬Vm can be
frequency of collisions of this species with the membrane.
clearly identified. Therefore, to start the process of bioelectrogen-
The relationship among T, [i], and the probability of such
collisions can be referred to as the chemical potential of i esis, we can now insert the Na⫹-K⫹ pump into the membrane (the
(i) and is expressed as i ⫽ R ⫻ T ⫻ ln[i], where R is the small circle in Fig. 2A, which represents the combined effect of
gas constant (8.31 J/K·mol). Note that if T is kept constant, thousands of pumps scattered over the membrane). The initially
i depends only on [i]; the higher [i], the higher the proba- high [Na⫹]in induces a high turnover rate of the pump. Pro-
bility of collisions. In this sense, we can therefore think that gressively, Na⫹ is extruded and K⫹ is taken up, resulting in a
i of the ECF is the tendency of i to cross the membrane decrease in [Na⫹]in and an increase in intracellular K⫹ con-
from the ECF to the ICF driven by thermal agitation. centration ([K⫹]in), as shown in Fig. 2A, where the size of the
• However, since the core of the cell membrane is hydropho- letters is correlated with concentration. As pointed out, the
bic, this structure is an insulating material. This means that activity of the pump is a function of [Na⫹]in, such that as
when an ion hits the membrane, it does not penetrate the [Na⫹]in decreases, the turnover rate of the pump slows down.
membrane. But, note also in Fig. 2A that a small ⌬Vm (equal to ⫺1 mV)
• Due to 1) the insulating properties and well-defined planar is forming. This happens because the number of ions trans-
geometry of the membrane, 2) the thinness of the membrane, ported by the pump is not equal in each direction (3Na⫹
and 3) the electrical conductivity of the biological fluids, the out:2K⫹ in); the uneven translocation of charges generates a
ECF-membrane-ICF triad is a capacitor. This means that if net outward Na⫹ current across the membrane. One net posi-
the electric potential energy of attraction overcomes the tive charge flows outwards per pump cycle, and, consequently,
kinetic energy, opposite unpaired electric charges in both a negative unpaired charge is left trapped inside the cell by
fluids will attract each other across the membrane, generat- the lipid membrane. Since the system operates as a capac-
ing a transmembrane electric field. itor, the opposite unpaired charges do not zigzag randomly
• Because the electric force is conservative, an electric poten- through the fluids; instead, they attract each other on either
tial energy (U) is stored in the electric field of the membrane, side of the membrane, forming a thin cloud of negative
which is given by U ⫽ z ⫻ F ⫻ ⌬V (where z is the valence charges scattered along the inner surface of the membrane
of the charge and F ⫽ 9.6 ⫻ 104 C/mol). and a positively charged cloud on the outer surface. The end
result of the pump’s work, in addition to the generation of
Considering the above, we can infer that for a nonzero ⌬Vm to Na⫹ and K⫹ gradients, is a slight separation of charges
exist the following requirements are necessary: 1) the presence across the membrane that gives rise to a small ⌬Vm. In a
of mobile and opposite charges, 2) a force to separate them, 3) typical mammalian neuron, the pump activity maintains an ⬃14-
a conducting pathway so that they flow separately from each fold gradient for Na⫹ and ⬃35-fold gradient for K⫹. For the
other, and 4) a device like a capacitor to keep them apart. In model cell, the working pump establishes [K⫹]in ⫽ 140 mM,
a system made up by a living cell and its surrounding fluid, [Na⫹]in ⫽ 10 mM, and ⌬Vm ⬇ ⫺2.5 mV (Fig. 2B). Note that,
A A/D ≈-1.0
separately. We assume that these channels, referred as resting
K⫹ channels, are always open, so K⫹ can diffuse freely
mV through them at all times from the ICF to the ECF and vice
versa. The K⫹ channels that we have inserted represent, of
course, the combination of a large number of them scattered
+ over the membrane. In this new configuration, the chemical
[Na+] -
[K +]
potential of intracellular K⫹ [(K⫹)in] drives K⫹ to the extra-
cellular space through K⫹ channels with a “force” equal to
3Na+
2K+
- + R ⫻ T ⫻ ln[K⫹]in. Similarly, the chemical potential of
[Na+] extracellular K⫹ [(K⫹)out] causes K⫹ influx (R ⫻ T ⫻
[K +] ln[K⫹]out). Because [K⫹]in ⬎ [K⫹]out, it follows that (K⫹)in ⬎
-
+
A ≈-2.5
B A/D
t A/D ≈-2.5 mV
mV
+
+ - +
[Na+] +
-
-
-
+
[Na+] [Na+] -
ATP
[K ]
+
- +
+ -
[K +] - +
[K +] - -
[K +] - [Na+] - + -
+
+ -
+
[K +] -
cell membrane (⌬Vm), as registered by the voltmeter. B: as the pump’s work
continues, the ICF becomes different to the ECF; at the pump’s maximal
transport capacity, the [ion] ratios are [K⫹]in/extracellular [K⫹] ([K⫹]out) ⫽ +
- +
[K +]
35, extracellular [Na⫹] ([Na⫹]out)/[Na⫹]in ⫽ 14, and ⌬Vm of ⫺2.5 mV. - -+
+ -
⫹
in this process, neither extracellular Na concentration
([Na⫹]out) nor extracellular K⫹ concentration ([K⫹]out) of the C
bulk solution are significantly altered; any tendency in this t A/D -95.4
mV
direction is canceled by the homeostatic systems of the body.
(In the model, we can assume the extracellular space to be
infinitely larger than the intracellular compartment; thus, Na⫹ + + +
- -[Na-+] - - +
and K⫹ concentrations of the surrounding fluid are not altered + +
by the pump.) Furthermore, we have to consider that only a
[Na+] +
-
- +
-
[K ]
+ - +
small imbalance in ion electroneutrality close to the membrane
surface is required to generate physiological values of ⌬Vm due + -
to the function of the membrane as an excellent capacitive [K +] + --
+ - - - - -+ +
device that allows charge separation.
Step 2: K⫹ conductance. Unlike a pure lipid bilayer, the + - - +
typical cell membrane has ionic conductance pathways, so that Fig. 3. Bioelectrogenesis step 2: the role of resting K⫹ conductance. A: upon
it acts as a leaky capacitor. Ion channels, a type of transmem- the insertion of a K⫹ channel (white ring), the K⫹ chemical potential differ-
ence (⌬K⫹ ⬵ 9,158.9 J/mol) drives K⫹ efflux (solid arrow) and the electrical
brane protein, consist of hydrophilic microdomains that allow potential energy (U ⫽ 240 J/mol) drives an inward flux (dotted arrow). As
ions to diffuse across the membrane. Furthermore, ion channels ⌬K⫹ ⬎ U, the resultant K⫹ movement is outward, as indicated by the length
are selective for different ionic species. of the arrows. B: the ongoing resultant outward K⫹ flux carries positive
Applying this to the didactic model and to mimic a real cell, charges to the ECF. This is a process of charge separation that increases ⌬Vm,
which has a membrane highly permeable to K⫹, let us insert which, in turn, increases K⫹ influx driven by U, as indicated by the increasing
length of the dotted arrow. C: as the net K⫹ efflux progresses, a steadily
selective K⫹ channels within the membrane of the model cell increasing number of electric charges is separated, increasing ⌬Vm up to U ⫽
(the white ring in Fig. 3A). At the same time, we will remove ⌬K⫹. At this point, the influx of positive electric charges is equal to their
the Na⫹-K⫹ pump so we can analyze the role of K⫹ channels efflux and ⌬Vm does not change; the cell has reached stationary equilibrium.
(K⫹)out, and, therefore, the net K⫹ movement is outwardly By applying the Nernst equation to our experimental condi-
directed. Quantitatively, the net K⫹ movement across the tions,
membrane is a function of the difference of K⫹ between the
ICF and ECF, which is (K⫹)in ⫺ (K⫹)out ⫽ ⌬K⫹ ⫽ R ⫻ 8.31 ⫻ 310 [140 ⫻ 10⫺3]
⌬Vm ⫽ ⫺ ⫻ ln ⬵ ⫺95.4 mV
T ⫻ ln[K⫹]in/[K⫹]out. Then, the resultant K⫹ efflux driven by 1 ⫻ 9.6 ⫻ 104 [4 ⫻ 10⫺3]
⌬K⫹ is represented here by a single solid arrow directed
outward, as shown in Fig. 3. At this value, ⌬Vm ⬵ ⫺95.4 mV (Fig. 3C), U (⬵9,158.9 J/mol)
Note that the resultant efflux of K⫹ is a spontaneous phenom- exactly equals ⌬K⫹, keeping the cell at a stationary state. That
enon that drives the system toward ⌬K⫹ ⫽ 0, i.e., [K⫹]in ⫽ is to say, if T and [K⫹]in/[K⫹]out are kept constant, ⌬Vm is no
[K⫹]out. However, this tendency is counteracted by U stored in longer time dependent.
the electric field of the membrane, which also drives K⫹ The ⌬Vm predicted by Nernst equation is referred to as the
through the selective channels (recall that U is directly propor- equilibrium potential of a given ionic species i (Ei). We can
tional to ⌬Vm ⬇ ⫺2.5 mV generated by the Na⫹-K⫹ pump). apply the Nernst equation to any ionic species that is chemi-
Because the inside of the cell is negative relative to the outside, cally unbalanced across the membrane. If the cell membrane is
K⫹ driven by U migrates unidirectionally, making an inward permeable to only one ionic species, the membrane potential
K⫹ current (dotted arrow in Fig. 3A), which tends to counteract will be equal to the equilibrium potential of that species. In our
the outwardly directed K⫹ current generated by ⌬K⫹. experiment, ⌬Vm ⫽ EK⫹ ⬵ ⫺95.4 mV. Note that Ei can be
Therefore, there are two types of potential energy able to considered the electrical representation of ⌬i.
move ions across the membrane: chemical and electrical. [The It is important to note that the amount of K⫹ that flows out
algebraic sum of these two parameters is called the electrochem- of the cell required to build ⌬Vm ⬵ ⫺95.4 mV is minimal
ical potential difference of an ionic species i (⌬ i).] Considering compared with the total K⫹ in the ICF. The low dielectric
[K⫹]in/[K⫹]out ⫽ 35, ⌬Vm ⬇ ⫺2.5 mV, and T ⫽ 37°C ⫽ 310 K, constant of the membrane allows the development of large
⌬K⫹ stored in the K⫹ gradient is ⬇9,158.9 J/mol, whereas U ⌬Vm for a given density of separated opposite charges. This
stored in the electric field of the membrane is ⫺240 J/mol. The means that [K⫹]in is not significantly altered during the ⌬Vm
opposite signs indicate the opposite direction of the gradients, and, generation (then, in the figures, the solid arrows that indicate
as expected, the magnitude of the gradients is directly proportional flow generated by ⌬ never change in length).
to the intensity of the K⫹ movements, as indicated by the direc- Step 3: Na⫹ conductance. Most cells have membranes not
tions and lengths of the arrows in Fig. 3A. Therefore, the ampli- exclusively permeable to K⫹; instead, they present multiple
tude of the outward K⫹ current is larger than that of the inward conductances, which can also contribute to the generation of
current. In these conditions, the inward current driven by U only ⌬Vm. Resting Na⫹ channels, the second most important con-
partially counteracts the outward current driven by ⌬K⫹, so the tributor to ⌬Vm, are highly selective for Na⫹ and are always
rate of transference of positive charges out of the cell exceeds the open, allowing Na⫹ to move across the membrane in both
inward translocation. This means that, since the membrane per- directions.
meability is selective to K⫹, the net outward K⫹ current leaves To understand the role of Na⫹ movements, we will switch
behind in the ICF an equal number of negative unpaired charges. on Na⫹ conductance (gNa⫹) by inserting a Na⫹ channel into the
Hence, because of the capacitive properties of the mem- membrane (the rectangle in Fig. 4). Using the same reasoning
brane, the unpaired negative and positive charges are pulled for K⫹ flux, we realize that both the difference in chemical
toward the membrane surfaces by electrostatic attraction. In potential for Na⫹ (⌬Na⫹) and U drive Na⫹ in the same
other words, the resultant outward K⫹ current progressively direction, from the ECF to the ICF, as shown by the arrows
increases the density of unpaired charges on the membrane inside the Na⫹ channel (Fig. 4A).
surfaces, leading to a proportional enhancement of ⌬Vm Here, a quantitative comparison is required between Na⫹
beyond of the ⫺2.5 mV generated by the Na⫹-K⫹ pump. and K⫹ movements. Since these ions are both monovalent, U
However, note that the net outward K⫹ flux is a self-limiting drives them across the membrane with equal energy. However,
process. The gradual increase in ⌬Vm (which reaches ⫺50 mV the dotted arrow in Fig. 4A, indicating K⫹ influx driven by U,
in Fig. 3B) comprises an increase in the electric driving force is longer than the dotted arrow corresponding to Na⫹ influx,
that pulls K⫹ back into the cell. The result is a gradual increase also driven by U. The reason is simple: K⫹ conductance (gK⫹)
in the inward K⫹ current as ⌬Vm increases, as shown by the is much higher than gNa⫹. In other words, the resistance of the
increased length of the dotted arrow in Fig. 3B. Then, it is clear membrane to Na⫹ flux is higher than that for K⫹, with the
that, as the hyperpolarization progresses, the increasing inward reason being that the K⫹ channels are more conductive and
K⫹ current will eventually cancel out the stable outward more numerous than Na⫹ channels. For ionic fluxes driven by
current (Fig. 3C); at that moment, U equals ⌬K⫹. At this ⌬ the same reasoning applies: although in our experimental
point, the cell is at stationary equilibrium, i.e., there is a K⫹ conditions ⌬Na⫹ (⬇6,835 J/mol) is close to ⌬K⫹ (⬇9,158.9
current in both directions across the membrane but, because J/mol), K⫹ flux is much larger than Na⫹ flux due to gK⫹ ⬎⬎
they are of identical amplitude, there is no net current and, gNa⫹.
therefore, ⌬Vm does not change. This dynamic equilibrium can Considering the above, it is easy to see that upon the insertion
be quantified by considering that the two gradients cancel each of the Na⫹ channel, the steady-state condition shown in Fig. 3C is
other out, so ⌬K⫹ ⫹ U ⫽ 0. In extended form, and solving for broken. Now, as shown in Fig. 4A, there is a net inward current
⌬Vm, we write ⌬Vm ⫽ ⫺(R ⫻ T/z ⫻ F) ⫻ ln[K⫹]in/[K⫹]out. driven by ⌬ Na⫹, which changes ⌬Vm accordingly. Recall that
This is the Nernst equation. It predicts the amplitude of the because Na⫹ channels are selective, the net influx of positive
electric potential that must exist across the membrane to charges leaves behind in the ECF the same amount of unpaired
exactly counteract the K⫹ chemical potential. negative charges. Then, the positive charges flowing into the cell
[Na+] +
-
- +
-
species. Then, taking into account that the ionic flux driven
by ⌬ (i.e., E) always generates a ⌬Vm driving an opposite
+ -
+ -
[K ]
+ - +
- +
flux, the total driving force across the membrane is given by
the algebraic difference of these two sources as ⌬Vm ⫺ E. In
[K +]
- - - - --+ other terms, if at the equilibrium potential there is no
+ + current, it means that ⌬Vm ⫽ E, and, consequently, the
driving force for an ion is measured by ⌬Vm ⫺ E. In
accordance with Ohm’s law, the coefficient that relates the
B t A/D -87.4 driving force to the ionic current is ionic conductance, so
mV that at stationary equilibrium gK⫹ ⫻ (⌬Vm ⫺ EK⫹) ⫹ gNa⫹ ⫻
(⌬Vm ⫺ ENa⫹) ⫽ 0. Solving for ⌬Vm, we write ⌬Vm ⫽ (gK⫹
⫻ EK⫹ ⫹ gNa⫹ ⫻ ENa⫹)/(gK⫹ ⫹ gNa⫹). This is a linearized
+ + version of the Goldman-Hodgkin-Katz (GHK) equation,
+ -+ -
- +
[Na+] + -
[Na ] -
-+
first derived in its standard form by Hodgkin and Katz (10).
This equation predicts the amplitude of the electric potential
[K +]
+ - [K +] -+
-+
that must exist across the membrane to exactly counteract
the K⫹ and Na⫹ chemical potentials (here expressed in
electric terms as EK⫹ and ENa⫹, respectively) and that ⌬Vm
+
- - -+ is weighted by the relative conductance to each ion. In other
words, ⌬Vm is closer to the equilibrium potential of a given
Fig. 4. Bioelectrogenesis step 3: the role of resting Na⫹ conductance. A: upon
the insertion of the Na⫹ channel (rectangle), the Na⫹ chemical potential ionic species the greater its conductance is to this ionic
difference (⌬Na⫹) and U drive Na⫹ influx (both arrows inside the Na⫹ species compared with other membrane conductances.
channel point inward). B: the net positive electric charges carried by the inward Considering that in a typical neuronal cell, under steady-
Na⫹ movement discharge the membrane capacitor, which decreases ⌬Vm and, state conditions, gK⫹:gNa⫹ is 1:0.05 (or gK⫹ ⫽ 20 ⫻ gNa⫹), we can
consequently, the electrical driving force, i.e., U (note the decrease in the
length of the dotted arrows). The discharging of the membrane continues until
rewrite the GHK equation as follows: ⌬Vm ⫽ (20 ⫻ EK⫹ ⫹
the influx of positive charges equals once again their efflux (the total lengths ENa⫹)/21. By applying this to the model cell (Fig. 4B), ⌬Vm ⫽ [20
of all inward arrows would equal the length of the outward arrow). At this ⫻ (⫺95.4 ⫻ 10⫺3) ⫹ 71.2 ⫻ 10⫺3]/21 ⬵ ⫺87.4 mV.
point, ⌬Vm ⫽ ⫺87.4 mV, the cell is at a “pseudo”-stationary equilibrium: there Exactly at this voltage value, the net positive outward
is, in fact, a net Na⫹ influx and a net K⫹ efflux, which tend to decrease the current (driven by ⌬K⫹) equals the net positive inward cur-
chemical gradients.
rents (driven by ⌬Na⫹ and U) and, therefore, ⌬Vm does not
change. This would then be the resting membrane potential of
cancel out the same amount of negative charges on the membrane the model cell. However, the cell in Fig. 4B is at risk since it
capacitance. At the same time, the unpaired negative charges left is drifting away from dynamic equilibrium. Note that although
in the ECF cancel out the same amount of positive charges on the the outward current is equal to the inward current at ⌬Vm ⫽
external surface of the membrane. This process progressively ⫺87.4 mV, there is, in fact, a net efflux of K⫹ and a net influx
discharges the membrane capacitor, decreasing ⌬Vm with a of Na⫹. Eventually, these spontaneous leakages tend to vanish
tendency toward ENa⫹ ⬵ ⫹71.2 mV (as predicted by the as ⌬K⫹ and ⌬Na⫹ decrease and disappear, leading the cell to
Nernst equation in our experimental conditions). the baseline energy state, which means cell death.
However, this tendency toward ENa⫹ is quickly counteracted Step 4: active transport. To counteract Na⫹ and K⫹ spon-
by a steadily increasing K⫹ efflux, which arises when ⌬Vm taneous flows, the cell relies on active transport: the Na⫹-K⫹
deviates from EK⫹. Note that as the membrane depolarizes (due pump. Then, we need to reinsert the pump into the membrane
to Na⫹ influx), U decreases proportionally, so inward K⫹ and of the model cell (Fig. 5A). In this configuration, while ⌬ Na⫹
Na⫹ currents driven by U also decrease, as shown by the drives a net inward Na⫹ current and ⌬ K⫹ drives a net outward
smaller length of the dotted arrows in Fig. 4B. As a conse- K⫹ current, the pump generates opposing fluxes, i.e., outward
quence, the inward Na⫹ current progressively decreases, Na⫹ and inward K⫹ currents. We can consider that the spon-
whereas the outward K⫹ current increases. Then, we can infer taneous Na⫹ influx, which tends to increase [Na⫹]in, constantly
that these opposing fluxes are driving the system to a ⌬Vm activates the pump turnover rate. In addition, as the pump
where once again the inward current (⫺) will equal the activity is electrically unpaired (3Na⫹:2K⫹), there is a resul-
outward current (⫹), i.e., ⫺i N a ⫹ (⌬ N a ⫹ ) ⫺i N a ⫹ tant positive outward current carried by Na⫹ that redistributes
(U) ⫺iK⫹(U) ⫽ ⫹iK⫹(⌬K⫹) (within the parentheses is in- the charges on membrane capacitance toward hyperpolariza-
dicated the driving force of the respective ionic current iion). tion. This displaces the voltage to a new value (⌬Vm ⬵ ⫺90.0
In other words, the net inward Na⫹ current equals the net mV; Fig. 5B), where active and spontaneous Na⫹ and K⫹
outward K⫹ current: ⫺iNa⫹(⌬ Na⫹) ⫽ ⫹iK⫹(⌬ K⫹). Exactly currents cancel each other such that there is neither a net Na⫹
at this point the cell is at stationary equilibrium, i.e., there is current nor a K⫹ current. Note that before the pump starts
no net current, iK⫹(⌬ K⫹) ⫹iNa⫹(⌬ Na⫹) ⫽ 0, and, therefore, working (Fig. 4B), the spontaneous currents are balanced, i.e.,
A A/D -87.4
stant because the pump exactly counteracts the leakage of
these ions down their ⌬ , making the cell, at the stationary
mV state, effectively impermeable to those ions at the expense
of metabolic energy.
+ + Final Considerations
+ -+ -
- +
[Na+] + -
[Na ] -
-+
The four steps to bioelectrogenesis presented above describe
[K +]
2K+ the general modus operandi of the ECF-membrane-ICF sys-
3Na+
+ - -+ tem, i.e., the primary role of membrane capacitance, electro-
[K +] -+ chemical potentials, and relative conductances of the mem-
+
- - -+ brane. However, as already mentioned, ⌬Vm ranges from ⫺5 to
⫺100 mV depending on the type of cell, demonstrating a large
functional diversity of the cell membranes. To address this
B variability, we have to keep in mind the modus operandi of the
t A/D -90.0 system and look at the determinant factors of ⌬Vm, i.e., the
mV
variables of the GHK equation: ion equilbrium potential (Eion)
and ion conductance (gion). Let us consider the following:
+ + • First, according to the Nernst equation, Eion is a function of
+ - + - -+ +
- [Na
[Na+] +-
] -
-+
intracellular ion concentration ([ion]in)/extracellular ion con-
centration ([ion]out). Note, however, that while the homeo-
[K +] - -+
2K+ static systems of the body maintain the same [ion]out for
3Na+
+- -+ most cells, [ion]in depends on each cell’s individual work.
[K +] For Na⫹ and K⫹, the relatively low [Na⫹]in and high [K⫹]in
+
- - -+ + are a function of Na⫹-K⫹-ATPase activity, which does not
have the same molecular structure in every cell. Na⫹-K⫹-
Fig. 5. Bioelectrogenesis step 4: the role of Na⫹-K⫹ pump conductance. A: upon
its reinsertion, the pump establishes a net outward positive current (carried by Na⫹;
ATPase is an equimolar ␣- dimer assembly from distinct
recall that 3Na⫹ out:2K⫹ in). B: the membrane is hyperpolarized (⌬Vm ⫽ ⫺90.0 isoforms (four ␣ and three ) (5). The various combinations
mV) according to the resultant efflux of positive charges. In addition to this small of ␣- complexes are tissue specific and present different
contribution to ⌬Vm, the pump generates (Fig. 2) and maintains chemical gradi- sensitivity to regulating factors such as [Na⫹]in, [K⫹]out, pH,
ents: the Na⫹ efflux driven by the pump counteracts the Na⫹ influx driven by intracellular ATP concentration, ⌬Vm, and several circulat-
⌬ Na⫹; the K⫹ influx driven by the pump counteracts the K⫹ efflux driven by
⌬ K⫹, keeping the cell out of thermodynamic equilibrium but at stationary ing hormones (3, 5, 18), conferring wide functional variabil-
equilibrium. ity to the pump. The number of pumps, which is a determi-
nant factor for [Na⫹]in and [K⫹]in, also varies largely in
iK⫹ ⫽ ⫺iNa⫹. However, to equilibrate pump currents, the different tissues (3). Furthermore, [Na⫹]in and [K⫹]in also
spontaneous Na⫹ flux must be, at some point, 50% higher than depend on the number of Na⫹ and K⫹ leakage channels and
the spontaneous K⫹ flux. This readjustment is achieved by the on the several secondary carrier proteins that use Na⫹ and
hyperpolarization created by the pump that 1) increases iK⫹(U), K⫹ gradients, as the ion fluxes through them tend to cancel
which, in turn, decreases ⌬ K⫹, and 2) increases iNa⫹, which, in both gradients. Particularly, we can ask ourselves the fol-
turn, increases ⌬ Na⫹. The result, as shown by the longer lowing question: if the pump translocates more Na⫹ than
lengths of the dotted arrows in Fig. 5B, is a slight decrease in K⫹, why is the gradient of Na⫹ smaller than the K⫹
the outward K⫹ leakage currents and an increase in the inward gradient? This is because the distribution of Na⫹ and K⫹ is
Na⫹ leakage currents, reaching the ratio of 3/2 ⫻ iK⫹(⌬ K⫹) ⫽ not an exclusive task of the pump; instead, several secondary
⫺iNa⫹(⌬ Na⫹). This ratio exactly matches the stoichiometry of transport systems use Na⫹ and K⫹ gradients as a driving
the pump (3Na⫹:2K⫹), bringing the cell back to stationary force. Here, we can consider the Na⫹/H⫹ exchanger, a
equilibrium. This dynamic balance can be quantified by con- secondary cotransporter ubiquitously expressed, that cou-
sidering the ratio of 3/2 ⫻ iK⫹(⌬ K⫹) ⫽ ⫺iNa⫹(⌬ Na⫹). In ples the inward flux of Na⫹ driven by ⌬ Na⫹ to the
extended form, we have 3/2 ⫻ [gK⫹ ⫻ (⌬Vm ⫺ EK⫹)] ⫽ extrusion of H⫹. The stoichiometry is 1Na⫹:1H⫹; there-
⫺gNa⫹ ⫻ (⌬Vm ⫺ ENa⫹). By solving for ⌬Vm and assuming fore, it is electroneutral (15). Note that the Na⫹ influx
gK⫹ ⫽ 20 ⫻ gNa⫹, we have ⌬Vm ⫽ (30 ⫻ EK⫹ ⫹ ENa⫹)/31. decreases the Na⫹ gradient but does not interfere with the
This equation quantitatively predicts the ⌬Vm for mem- electrogenic capacity of the pump.
branes permeable only to Na⫹ and K⫹. By calculating for • Second, a given gion is not always due to a single
the model cell, ⌬Vm ⫽ [30 ⫻ (⫺95.4 ⫻ 10⫺3) ⫹ 71.2 ⫻ molecular entity; instead, it is established by multiple
10⫺3]/31 ⬵ ⫺90.0 mV (Fig. 5). The end result is that the channel types, each with distinct biophysical properties.
experiment has led the model cell to the resting membrane Each type of cell expresses a particular set of channels,
potential (⌬Vm ⬵ ⫺90.0 mV) and places it at stationary which work in concert to establish a specific value of
equilibrium. At this point, ⌬Vm does not change any further, ⌬Vm. Moreover, the ion channels are not rigid structures;
since the sum of all ionic current across the membrane is the open probability and number of the channels can be
zero. In other words, the outward currents equal the inward influenced by multiple factors like pH, temperature, volt-
currents: iK⫹(⌬ K⫹) ⫹ iNa⫹(pump) ⫽ ⫺[iNa⫹(⌬ Na⫹) ⫹ age, and chemical mediators, introducing a high degree of
iK⫹(pump)]. Na⫹ and K⫹ chemical potentials are also con- complexity in the regulation of ⌬Vm. Furthermore, in
I (pA)
other conductances, which should be included in the GHK
equation, may also contribute to ⌬Vm. Particularly, many
neurons extrude Cl⫺ through K⫹-Cl⫺ cotransporter-2.
This secondary active symporter establishes an electro-
chemical gradient for Cl⫺, i.e., ECl⫺ away from ⌬Vm (23),
which makes Cl⫺ conductance a potential contributor to
⌬Vm. However, the influence of Cl⫺ can also be quite
complex due to the wide variation in the expression of +
different Cl⫺ transporters and channels.
EK+
• Third, resting gK⫹, first postulated by Hodgkin and Huxley
(9), is represented by the most diverse group of ion channels.
However, it is thought that the primary contributors to ⌬Vm fall -90 ΔVm (mV)
into two main structural classes of channels: the one-pore
domain, which encodes inward rectifier K⫹ (Kir) channels (1, -
11, 20), and two pore domains, which encode two-pore K⫹
(K2P) channels (1, 20). Each class of K⫹ channel encompasses
⬃15 different members with distinct biophysical properties.
• Fourth, resting gNa⫹, which was also described by Hodgkin and
Huxley (8), is also underlined by multiples types of channels.
However, it seems that the Na⫹ leak channel nonselective Fig. 6. The interplay of three resting conductances on ⌬Vm. The current
(NALCN) channel is the main contributor that counterbalances (I)-⌬Vm relationships show that 1) the current carried by two-pore domain K⫹
(K2P) channels is the largest at 0 mV and drives the voltage toward K⫹
K⫹ leakage (19). Surprisingly and as its name suggests, the equilibrium potential (EK⫹); 2) as the membrane hyperpolarizes, inward
NALCN channel is not selective for Na⫹; instead, it is a rectifier K⫹ (Kir) channels lose Mg2⫹ blockage and outward currents through
cation-selective channel (19). Kir and K2P channels are added; 3) ⌬Vm does not reach EK⫹ because the current
• Finally, we also have to consider the direct contribution of the carried by Na⫹ leak channel nonselective (NALCN) channels counterbalances
the K⫹ current; and 4) at resting membrane potential, ⌬Vm ⫽ ⫺90.0 mV, the
Na⫹-K⫹ pump to ⌬Vm. Following Ohm’s law, this contribution inward Na⫹ current through NALCN channels (solid circle) is 50% larger than
depends on the amplitude of the current established by the the total outward K⫹ current through Kir and K2P channels (solid triangle).
pump activity and the resistance of the membrane. Accordingly,
the resulting ⌬Vm varies in different types of cells. The small
contribution of the Na⫹-K⫹ pump to resting membrane poten- rium (chemical potential of intracellular cations ⫽ chemical
tial, as ⫺2.5 mV in the model cell, is revealed with the potential of extracellular cations), if ⌬Vm ⫽ 0, there will be
inhibition of the pump by specific drugs, which typically results no U and, therefore, no current through NALCN channels].
in a small depolarization ranging from ⬃0.45 mV (13) up to Finally, the kinetics of the channels are quite varied. Par-
⬃10 mV (7). ticularly, at voltages that are depolarized compared with the
resting membrane potential, Kir channels are blocked by
In summary, the value of ⌬Vm is established by a particular intracellular Mg2⫹ (and by other polyvalent cations), giving
set of ion channels and transporters, of molecular compositions rise to the region of negative slope of the Kir current-voltage
and concentrations specific to the different types of cells, that relationship (20).
can also show large variability at different physiological and Taking these points into consideration, we can see on the
pathophysiological conditions. To help the students have a first graph that at ⌬Vm ⫽ 0 (at the beginning of our experiment),
look at the interactions between different conductances con- and more so at ⌬Vm ⫽ ⫺2.5 mV, when the pump has already
trolling ⌬Vm, we will only consider Na⫹-K⫹-ATPase and three built the gradients, the outward iK⫹ carried by K2P channels is
resting conductance (Kir, K2P, and NALCN). Figure 6 shows very large and drives the voltage toward EK⫹. At increasingly
the interplay between these channels, showing the amplitude of negative membrane potentials, iK⫹ through K2P channels de-
the current carried by each of them and the voltage across the creases as a function of (⌬Vm ⫺ EK⫹), Kir channels lose Mg2⫹
membrane. To analyze these curves, it is important to consider blockage, and inward current through NALCN channels in-
that the following. First, a positive current means efflux of creases progressively as a function of (⌬Vm ⫺ NALCN equi-
positive charges, i.e., Na⫹ or K⫹ leaving the cell, whereas a librium potential). Note that at resting membrane potential, i.e.,
negative current means influx of Na⫹ or K⫹. Second, at all ⌬Vm ⫽ ⫺90.0 mV, the K⫹ currents carried by K2P and Kir
voltages, ⌬K⫹ drives the efflux of K⫹, whereas ⌬Na⫹ drives channels are added and are counterbalanced by the current
the influx of Na⫹. Third, at positive voltages, U drives the through NALCN channels. In the context of this article, we
efflux of Na⫹ and K⫹, whereas at negative voltages, U will consider NALCN channels permeable to Na⫹ and K⫹, so
drives the influx of Na⫹ and K⫹. Fourth, at EK⫹ (⫺95.4 as iK⫹ and iNa⫹ are of opposite directions at ⌬Vm ⫽ ⫺90.0 mV,
mV), ⌬ K⫹ ⫽ 0, i.e., ⌬K⫹ ⫽ U, and, therefore, K⫹ the resultant inward current through NALCN channles ob-
transmembrane current is zero. Fifth, at depolarizing volt- served at the resting membrane potential is carried by Na⫹.
ages in relation to EK⫹, ⌬K⫹ is larger than U; therefore, Note then that the inward iNa⫹ through NALCN channels is
there is a resultant efflux of K⫹, i.e., a positive current. 50% larger than the outward iK⫹ (Kir ⫹ K2P channels); both
Sixth, as the NALCN channel is permeable to the main these currents are canceled by Na⫹-K⫹-ATPase, which gener-
cations, NALCN equilibrium potential ⫽ 0 (19) [we can ates outward iNa⫹ 50% larger than the inward iK⫹ keeping the
assume that since the ICF and ECF are at osmotic equilib- cell at stationary equilibrium.