Department of Physiology, School of Medicine, University of
Maryland, Baltimore, Maryland 21201
Computations on sodium channel gating were conducted
using a closed-open-inactivated coupled kinetic scheme. The time
constant of inactivation (
h) derives a voltage
dependency from coupling to voltage-dependent activation even when rate
constants between inactivated and other states are strictly voltage
independent. The derived voltage dependency does not require any
physical, molecular link between the structures responsible for
inactivation and the charges producing voltage-dependent activation.
The only requirement is that the closed to inactivated rate constant
(kCI) differs from the open to inactivated
(kOI), consistent with experimental results.
A number of mutations and other treatments uncouple sodium channel
activation and inactivation in that the voltage dependency of
h is substantially reduced while voltage-dependent
activation persists. However, a clear basis for uncoupling has not been
described. A variety of experimental results are accounted for just by
changes in the difference between kOI and
kCI. In wild type channels, kOI > kCI and
inactivation develops with a delay whose time constant is just that for
channel opening. Mutations that reduce the
kOI
kCI
difference reduce the amplitude of the delay process and the derived
voltage dependency of
h. If
kOI = kCI,
inactivation develops as a single exponential (no matter what the
number of closed states), activation and inactivation become
independent, parallel processes, and any voltage dependency of
h is then entirely intrinsic to inactivation. If
kOI < kCI,
inactivation develops as the sum of exponentials,
h at
negative potentials speeds and then slows with more positive
potentials. These predicted kOI < kCI effects have all been seen
experimentally (O'Leary, M.E., L.-Q. Chen, R.G. Kallen, and R. Horn.
1995. J. Gen. Physiol. 106: 641-658). An open to
closed rate constant of zero also removes the derived voltage
dependency of
h, but activation and inactivation are
still coupled and the inactivation delay remains.
 |
INTRODUCTION |
In native sodium channels, the sodium conductance
(gNa) activation and inactivation processes are
coupled together. One important observation, among a number, that
establishes this result is gating charge immobilization (Armstrong and
Bezanilla, 1977
), in which voltage clamp protocols that promote the
entry of channels into the inactivated state affect the gating current
(Ig). As Ig has substantially the kinetics of the activation process, such findings are
incompatible with independent, parallel activation and inactivation. Another important observation is that inactivation develops with a
delay, indicating a precursor process (Goldman and Schauf, 1972
; Gillespie and Meves, 1980
; Bean, 1981
; Goldman and Kenyon, 1982
; Goldman, 1989
; O'Leary et al., 1995
; Mitsuiye and Noma, 1995
). In
Myxicola axons, the time constant of the
inactivation-delaying process was found to be essentially identical to
that governing the rise in gNa (Goldman, 1989
).
This finding provides a particularly clear demonstration of coupling;
the process delaying inactivation development is channel opening.
The delay in inactivation development is actually diagnostic of
coupling independently of the identification of the delaying process as channel opening. Strictly independent, parallel activation and inactivation requires that the probability of a transition into the
inactivated state (the transition rate constant given that the state is
occupied) is identical for all states. In that case, the inactivation
time course is independent of the relative occupancies of all other
states. Should even one of these rate constants significantly differ
from the others, then activation and inactivation are coupled. Any
delay in inactivation development means that one or more early states
have an appreciably different (in fact smaller, see below) inactivation
rate constant from later states. A delay cannot be attributed solely to
an independent inactivation process. This is the case even if
inactivation is itself multistate, and can be easily seen by
considering the progress of inactivation during a depolarizing step in
potential when all channels are initially in the closed state furthest
away from the open. The first transition in a multistep inactivation
process will then be to a state from which a subsequent net transit to the open state (either directly or through intermediate transitions) either is or is not possible. If it is not possible, then that first transition has been to an inactivated state, and a delay occurs
only if the rate constants for transition into this state are not
identical for all states, i.e., activation and inactivation are
coupled. If it is possible, then there will be a delay in inactivation
(whose time constant need not be that of channel opening) and
activation and inactivation are coupled because there is at least one
conformational transition of the channel protein that is common to both
activation and inactivation development. The early time course of the
development of inactivation is particularly informative regarding the
channel state diagram.
One consequence of activation-inactivation coupling is that the
observed voltage dependence of inactivation, e.g., of the time constant
of the decay of the current during a step in potential (
h), will then necessarily derive, at least in part,
from that of activation, i.e., from the voltage dependency of
closed-closed and closed-open transition rate constants. This derived
voltage dependency will be in addition to any that may be intrinsic to open-inactivated or closed-inactivated conformational changes. However,
there have been a number of recent reports, using several different
sodium channel isoforms, of site-directed mutations that uncouple
activation from inactivation in that the voltage dependence of
h was substantially reduced while voltage dependent activation persisted, with any changes in activation properties showing
no consistent pattern among the various mutations. Mutations that
produce uncoupling have all been localized to one of three regions: 1)
positively charged residues of putative transmembrane segment S4 of
repeat domain 4 (D4; Chahine et al, 1994
; Chen et al., 1996
); 2)
residues in the D3-D4 linker (O'Leary et al., 1995
; Kellenberger et
al., 1997a
,b
) which is a central component of the inactivation gate
(Vassilev, et al., 1988
; Stuhmer et al., 1989
; Patton et al., 1992
;
West et al., 1992
); or 3) residues in the S4-S5 cytoplasmic loop of D4
(Tang et al., 1996
, 1998
; Filatov et al., 1998
), which is believed to
contribute to the site that the inactivation gate associates with on
closure in both potassium and sodium channels (Isacoff et al., 1991
;
Holmgren et al., 1996
; Mitrovich et al., 1996
; Smith and Goldin, 1997
). A similar uncoupling was seen in cardiac channels modified by the sea
anemone toxin, Anthopleurin A (Hanck and Sheets, 1995
). A question of
interest, then, is how uncoupling might be produced.
To address this question, most of the mutagenesis studies attributed
the derived voltage dependency of
h seen in wild type (WT) channels to some physical, molecular link between the structures responsible for inactivation and the core of the channel protein. The
sodium channel protein core includes the positively charged residues of
the S4 segments, which function as activation voltage sensors
(Stuhmer et al., 1989
; Auld et al., 1990
; Fleig et al., 1994
; Yang
and Horn, 1995
; Yang et al., 1996
). This proposed physical linkage
between structures was expected to, in some way, allow a small
component of the charge displacement that accompanies activation
transitions and so provides activation voltage dependency (Yang and
Horn, 1995
; Yang et al., 1996
) to also accompany transitions into the
inactivated state, thus conferring a voltage dependency on
inactivation. As the detailed nature of the proposed physical linkage
is not known, the actual mechanism by which the various mutations
produced uncoupling could not be specified. In no case has a clear
basis for uncoupling been described.
I present here computations with a simple kinetic scheme that do
provide reasonable explanations for the experimental uncoupling results. The nature of the proposed physical linkage need not be
specified, nor is a physical linkage necessarily implied by the derived
voltage dependency of inactivation. The derived voltage dependency
arises just from the state diagram alone. An array of complex kinetic
effects seen experimentally (O'Leary et al., 1995
) are predicted by
the computations, and it is noted that comparisons of the early time
course of inactivation development in WT and mutant channels can be an
effective method for identifying the basis of uncoupling.
A preliminary communication of some of these results has been made
(Goldman, 1999
).
 |
RESULTS AND DISCUSSION |
Origin of the derived voltage dependency of
h
The proposed physical linkage between the structures responsible
for inactivation and the core of the channel protein is a mechanism by
which an intrinsic voltage dependency is conferred on inactivation
transitions. In this case, regardless of where they may be located,
there would still be a displacement of charges during the
conformational changes associated with inactivation, and the
inactivation rate constants would then be voltage dependent. While
there might actually be an intrinsic voltage dependency of inactivation
produced by such a physical, molecular link, inactivation will derive a
voltage dependency from coupling to activation even when all
inactivation rate constants are strictly voltage independent. This is
because activation-inactivation coupling arises entirely from the fact
that the rate constants for transitions into the inactivated state are
not the same for all states. Hence, the progress of inactivation
depends on the time course of the relative occupancies of
the various states, and therefore, on all the rate constants that
determine these relative occupancies. Constant
h is determined by the net draining of the conducting
state and, in general, depends on the rate constants connecting open
and inactivated, those connecting open and closed, and those connecting closed and inactivated states, because these latter determine an
open-closed-inactivated pathway for draining the open state. Any
voltage dependency of any of these rate constants contributes to the
observed voltage dependency of
h.
This is illustrated with a closed-open-inactivated
scheme:
This scheme is quantitatively analyzed in the Appendix.
Expressions are presented for the time courses of changes in the
probability of occupancy of the open state (Y(t);
Eq. A3) and the inactivated state (Z(t); Eq. A8),
during a step in potential, entirely in terms of the transition rate
constants defined in the scheme and the initial state occupancies at
the start of the step. This scheme is considerably simplified compared
to any that might be an accurate representation of a real sodium
channel. For example, a number of closed states have been lumped into
just one, and there must be more than one inactivated state because
recovery from inactivation develops with a delay (Chandler and Meves,
1970
; Schauf, 1974
; Kuo and Bean, 1994
). However, some insights
can still be gained.
Y(t) (Eq. A3) and Z(t) (Eq. A8) are each given by a steady state and two exponential terms. The
relaxation rate constants (a and b) for the two
exponential terms are identical for both Y(t) and
Z(t), and are described in terms of the
transition rate constants of the scheme by Eqs. A4 and A5. The term
1/b corresponds to the experimental
h. As is
shown in Eq. A5,
h depends on both
kCO and kOC. Numerical
computations readily establish that a more positive test potential
(simulated by increasing kCO and decreasing kOC) will speed
h (provided that
kOI > kCI) even when all
other rate constants remain fixed, i.e., are voltage independent. It is
not necessary, then, for inactivation to be intrinsically voltage dependent or for there to be some physical link between the structures mediating inactivation and the positively charged residues of the S4
segments for inactivation to derive a voltage dependency from activation.
A mechanism for uncoupling
Goldman (1995)
, in a single channel study, directly measured the
time course of sodium channel inactivation just from closed states in
neuroblastoma N1E 115 cells and concluded that all closed states
directly inactivate and do so with about the same closed to inactivated
rate constant. This provides some justification for the lumped closed
states of the above scheme, and also suggests a mechanism for
uncoupling. If other sodium channels behave like those in
neuroblastoma, then a sufficient condition for activation-inactivation coupling is that the rate constant from open to inactivated states (kOI) differs from those from closed to
inactivated (kCI). Any mutation or treatment
that eliminates this difference (e.g., by lowering the free energy
level of the open state and so raising the open-inactivated energy
barrier) will fully uncouple activation and inactivation leaving
independent, parallel processes. This is readily demonstrated with the
above scheme.
By setting kOI = kCI, Eq. A2 becomes
|
(1)
|
and Z(t) is independent of
Y(t) and X(t). A solution
to Eq. 1 for a step in potential is given by
|
(2)
|
with
The identical result is, of course, obtained from the second order
solution for Z(t) (Eq. A8). The condition
kOI = kCI requires that
the coefficient on exp(
at) will vanish, because
a and b are then given by
Under this kOI = kCI
condition, inactivation develops as a single exponential (Eq. 2). This
same simple exponential time course is also obtained if the above
scheme is expanded to include any number of closed states, given the
finding (Goldman, 1995
) that all closed states directly inactivate with
about the same rate constant, because the progress of inactivation is
then independent of the relative occupancies of the various states.
Similarly, under these conditions, inactivation displays a simple
exponential time course even if there is more than one inactivated
state, for example, one with activation gates open and one with
activation gates closed (Kuo and Bean, 1994
), when the various
inactivated states, in aggregate, are absorbing. The
kOI = kCI condition, then, is a plausible uncoupling mechanism even for considerably more complex schemes than the one illustrated.
The occupancy of the conducting state (Y(t)) is
evaluated for this same kOI = kCI condition in the Appendix (Eq. A12). Over
the potential range where inactivation goes to completion,
kIO = kIC = 0, Y(
) = 0, and b becomes just
kOI. Evaluating Eq. A12 over this range, we have
|
(3)
|
Equation 3 is just mh (Hodgkin and Huxley, 1952
) as
expected, with
There is a power of one on m because only a single
closed state has been assumed. It requires inactivation to go to
completion to demonstrate this identity because, otherwise, a
four-state scheme would be needed to reduce to mh (one
inactivated state with activation gates open and another with them
closed). The condition kOI = kCI, then, fully uncouples activation and inactivation.
The result expressed in Eq. 3 and following demonstrates the essential
continuity between the views developed here and the analysis of
Hodgkin and Huxley (1952)
. It is shown below that, with regard to
activation-inactivation coupling, Hodgkin-Huxley kinetics corresponds
to one point on a continuum of behaviors determined by the relative
values of kCI and kOI.
Agreement with experimental observations
Changes in the relative values of kOI and
kCI can account for a wide array of experimental
uncoupling observations. In WT channels, there is a clear delay in the
development of inactivation. In the above scheme, a delay in
inactivation is produced when kOI > kCI. This can be easily seen by inspection of
Eqs. A5 and A8 under the conditions at which the experimental
h(V) observations were made, i.e., with
inactivation going to completion (kIC = kIO = 0; Z(
) = 1) and negligible
occupancy of the inactivated state at the start of the step. From Eq. A5, when kOI = kCI, then b = kCI. When
kOI > kCI, then
b > kCI, and b < kCI when kCI > kOI. The effect of these relations on the early
time course of inactivation can be assessed using Eq. A8. For
simplicity, Eq. A8 can be evaluated for the condition that all channels
are in the closed state at the start of the step which, is a reasonable approximation to the experimental conditions. We have
|
(4)
|
As a will always be greater than
kCI, when b > kCI, Eq. 4 is the difference of exponentials.
When b = kCI then
Z(t) is described by a single exponential, and
when b < kCI, Eq. 4 is the sum
of exponentials.
In WT channels, then, kOI > kCI, and there is a delay in inactivation
development whose time constant in the above scheme is identical to
that governing the rise in gNa (Eq. A8). This is just the result seen experimentally in Myxicola axons
(Goldman, 1989
), suggesting that the close similarity between the
various kCI values found in neuroblastoma may
also be the case for other sodium channels. Inactivation just from
closed states develops as a simple exponential with no detectable delay
(Goldman, 1995
). Delays in inactivation development have only been seen
when that from open states is also included. During the delay interval, then, channels are still inactivating from closed states (Bean, 1981
;
Aldrich and Stevens, 1983
; Goldman, 1995
). The rate of inactivation is
just slower than it will be later in the step. It is only when channels
have transited to the open state that the rate of inactivation significantly increases yielding a delay process whose kinetics are the
same as channel opening. Additional delaying process arising from
transitions between closed states not included in the above scheme will
be too rapid relative to the other relaxations and so too small in
relative amplitude to be detected over the potential ranges used
experimentally for determination of the inactivation delay (positive to
about
35 mV; Goldman and Kenyon, 1982
). Mutations or other channel
modifications that reduce the difference between kOI and kCI will reduce
the relative amplitude of the delay process. The weight of the
voltage-dependent kCO and
kOC terms in the determination of b
will also be reduced. Hence, the voltage dependency of
h will be reduced. If the kOI
kCI difference is reduced as a result of a
decrease in kOI, then
h should
both slow and display a reduced voltage dependency. This result, a
slowed
h accompanying a reduced voltage dependency, has
been seen experimentally (e.g., Chahine et al., 1994
; Tang et al.,
1996
; Chen et al., 1996
). When kOI and
kCI no longer display any appreciable
difference, inactivation is described by a single exponential,
b no longer depends on kCO or
kOC, and any observed voltage dependency of
h will then be entirely intrinsic to the inactivation
process. If kCI > kOI, inactivation develops as the sum of two exponentials (with, again, any
additional relaxations arising from closed-closed transitions often
being too small to detect experimentally). Hence, the early time
course of inactivation can be particularly informative as regards the
nature of the effects produced by treatments that uncouple activation
from inactivation.
The condition that kCI > kOI has additional consequences. First,
increasing kCI so that it is greater than
kOI with no other changes can, itself, speed
h (Eq. A5). Second, under this condition, a positive
step in potential (simulated by increasing kCO
and decreasing kOC) will actually increase,
i.e., slow,
h. This is also evident from inspection of
Eq. A5 and readily demonstrated with numerical computations. These
effects have all been seen experimentally.
O'Leary et al. (1995)
studied a number of mutations in the D3-D4
linker of human H1 (SkM2) cardiac sodium channels. One of these, a
double mutation of two tyrosines at positions 1494 and 1495 to two
glutamines (YY/QQ), abolished the normal voltage dependence of
h. The time constant of inactivation over negative
potential ranges as determined with two pulses (
c) was
considerably speeded in the mutant. These
c values
primarily reflect inactivation from closed states (Goldman, 1995
),
suggesting that kCI was considerably increased.
Correspondingly, the clear delay in inactivation development seen in WT
channels was not seen in the mutant. Rather, inactivation in the YY/QQ
mutant developed as the sum of two exponentials (Fig. 1),
h at more negative
potentials was speeded over that in WT, and
h increased,
i.e., slowed, with more positive potentials (O'Leary et al., 1995
),
all in striking agreement with the predictions of the above scheme when
kCI > kOI. The ability
to predict this complex array of experimental kinetic effects is
encouraging for the uncoupling mechanism suggested here and the
underlying ideas on which it is based: that all closed states directly
inactivate with about the same closed to inactivated rate constant, and
that the origin of coupling in native sodium channels is that the
probability of inactivating from the open state is greater than that
from closed states. Some similar effects (a speeding of
h over that in WT at negative potentials and a slowing
of
h with more positive potentials) were seen following
substitution of glutamine for alanine at position 1649 of the S4-S5
cytoplasmic loop of D4, again in human H1 (Tang et al., 1998
).
h also slowed with more positive potentials following
substitution of methionine for threonine at 1491 in the in the D3-D4
linker of rat brain type IIA sodium channels (Kellenberger et al.,
1997a
). However, in neither of these latter two cases were effects on
the early time course of inactivation reported, and it is not clear if
a similar kCI > kOI
mechanism applies.

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FIGURE 1
Time course of two-pulse inactivation in wild type (WT;
filled circles) and mutant (YY/QQ; open
triangles) human H1 sodium channels expressed heterologously.
Data are from O'Leary et al. (1995) and represent the means of five WT
and six YY/QQ cells. The YY/QQ mutant has two glutamines replacing two
tyrosines at positions 1494 and 1495 of the D3-D4 linker. Holding
potential was 120 mV, conditioning potential was 30 mV, and test
potential was 0 mV. A 1-ms step back to 100 mV was included between
each conditioning and test pulse pair. Smooth curves are a best fit two
exponential description in each case. Fits were to a more
extended set of values than those illustrated (See O'Leary et al.,
1995 ; Fig. 3). WT data were fitted with the difference of exponentials
with a delay of 0.097 and a C of 0.937 ms. QQ/YY data are described by the sum of two exponentials with
C Fast of 0.359 and a C Slow of 1.035 ms. Hence, the mutation converts a delay in the development of
inactivation to inactivation that develops as the sum of exponentials.
The fitted values reported by O'Leary et al. (1995) were based on a
single exponential raised to a power. (Data kindly provided by Drs. R. Horn and M. E. O'Leary.)
|
|
Another mechanism for uncoupling
Uncoupling of the voltage dependency of
h from that
of activation can also be produced by setting the back, open to closed rate constant (kOC) to zero. If the steady state
of the above scheme is to be a true thermodynamic equilibrium, i.e.,
the scheme is not coupled to an energy source, the following relation
is required (detailed balance):
|
(5)
|
If kOC is zero, Eq. 5 requires that at
least one other rate constant also be zero. This can be satisfied with
the condition that inactivation proceeds to completion. In that case,
Activation and inactivation actually remain coupled.
Z(t), in the above scheme, is still described by
two exponentials. However, b no longer depends on the
closed-open transition rate constants, and so, the voltage dependency
of
h will be reduced. Activation rate constants will
affect only the early time course of inactivation, again producing a
delay if kOI > kCI and
the sum of two exponentials if kCI > kOI. The loss of the derived voltage dependency
of b is because the net draining of the conducting state is
now determined solely by kOI. Note that, just as
for the effects produced by reducing the kOI
kCI difference,
h becomes ever
less dependent on the voltage dependency of kCO
and kOC as kOC approaches
zero (Eq. A5).
At more positive potentials, kOC may approximate
zero in native sodium channels. If so, then any voltage dependency of
h observed over very positive potential ranges could be
intrinsic to inactivation.
Effects on h
(V)
The experimental voltage dependency of steady-state fast
inactivation (h
(V)) is just 1
Z(
) in the above scheme. State Z(
) (Eq. A9) can be written as
|
(6)
|
Numerical computations with Eq. 6 demonstrate that
Z(
) is voltage dependent even when only
kCO and kOC are voltage
dependent with no intrinsic inactivation voltage dependency.
As for
h, treatments that reduce the difference between
kOI and kCI will reduce
the voltage dependency of Z(
), because Z(
) will then be weighted less by kCO and
kOC (Eq. 6). In sixteen experimental treatments
that both produced a clear reduction in the voltage dependency of
h (see references in the Introduction) and for which
steady-state inactivation data were available, the steepness of the
h
(V) curve was reduced in twelve
and unchanged in two. In two cases, the voltage dependency of steady
state inactivation increased somewhat even though that of
h decreased. Effects on the midpoint of the
h
(V) curve varied widely and
showed no consistent pattern among the various experimental treatments. In the case in which kOI = kCI, Eq. 6 reduces to the result obtained directly from Eq. 2 for this condition, and any voltage dependency of
the steady state occupancy of the inactivated state will then be
entirely intrinsic to inactivation.
While activation-inactivation coupling means that the voltage
dependency of kCO and kOC
will contribute to the voltage dependency of steady-state inactivation,
Eq. 6 cannot account for the experimental h
(V) curve if there is no
intrinsic inactivation voltage dependency, i.e., with
kOI, kIO,
kCI and kIC all voltage
independent. Over potential ranges for which inactivation goes to
completion (Z(
) = 1), Eq. 6 requires that the quantity
(kCO(V2)(kIO
+ kIC) + kOC(V2)
(kIO + kIC) + kICkOI + kIOkCI) be negligible. As
Z(
) will be unity over very positive potential ranges
where kCO can be very large, this condition can
only be satisfied when the quantity (kIO + kIC) is negligible. However, over very negative
potentials where there is no occupancy of the inactivated state
(Z(
) = 0), Eq. 6 requires that
which is incompatible with the requirements that
(kIO + kIC) is fixed and
negligible. If there is no intrinsic voltage dependency to
inactivation, Z(
), as computed from Eq. 6, will saturate
over negative potentials at Z(
) > 0 and over positive
potentials at Z(
) < 1, and inactivation will never go to
completion, suggesting that there is some intrinsic voltage dependency
to inactivation.
 |
CONCLUSIONS |
The voltage dependency that sodium channel inactivation derives
owing to its coupling to activation does not require a physical, molecular link between the structures responsible for inactivation and
the core of the channel protein. A derived voltage dependency is
produced even when all rate constants for transitions between inactivated and other states are strictly voltage independent. All that
is required is that the rate constants for transit into the inactivated
state are not the same for all states.
Experiments on neuroblastoma (Goldman, 1995
) suggest a simple basis for
activation-inactivation coupling: the rate constants for transitions
from each of the closed to the inactivated state are all very similar
in value, but are significantly smaller than that between open and
inactivated. An implication is that inactivation will develop with a
delay whose time constant is the same as that governing channel
opening, as is seen experimentally (Goldman, 1989
). A second
implication is that the voltage dependency of the rate constant of
inactivation from closed states (e-fold for 22 mV; Goldman,
1995
) will be entirely intrinsic to inactivation, because the progress
of closed state inactivation is then independent of the relative
occupancies of the various closed states. A third implication is that a
simple basis for uncoupling is provided. It is only necessary, in that
case, to eliminate any significant disparity in the values of the
closed to inactivated and the open to inactivated rate constants to uncouple.
Although changes in the relative values of closed to inactivated and
open to inactivated rate constants can reasonably account for some of
the experimental mutagenesis findings (O'Leary et al., 1995
), a number
of other mechanisms are also possible, and the actual mechanism must be
experimentally identified. The central conclusion of this work is that
comparisons of the early time course of inactivation development in WT
and mutant channels can be helpful in identifying a mechanism for uncoupling.
The scheme presented in Results and Discussion is described, in
the usual way, by three coupled first-order differential equations, giving the rate of change of the probabilities of occupancy of the
closed (dX/dt), open
(dY/dt), and inactivated
(dZ/dt) states. As the sum of the probabilities
of occupancy of the three states is unity at all times, X
can be eliminated yielding the pair of coupled first-order differential
equations
I thank Drs. R. Horn and M. E. O'Leary for kindly providing
the data presented in Fig. 1, and Drs. R. Horn, M. E. O'Leary, and M. F. Schneider for their comments on the manuscript.
Address reprint requests to Dr. Lawrence Goldman, Dept. of Physiology,
School of Medicine, University of Maryland, Baltimore, MD 21201. Tel.:
410-706-5713; Fax: 410-706-8341.