Hypokalemic periodic paralysis is a rare genetic disorder caused by a mutation in the voltage-gated sodium channel protein Nav1.4 in skeletal muscles. The defect causes sodium ions to "leak out" even when the channels are closed. As a result, nervous system signaling through electric potentials are disrupted and paralysis develops. To date, there exists no reliable medicinal drug to cure all cases of the disease.

A promising mode of treatment comes from an unlikely source—the crab spider Heriaeus melloteei. New findings have shown that the spider toxin known as Hm-3 can be used to block the leaky channel. The work, published in PNAS, comes a collaboration between researchers from Lomonosov Moscow State University, the Russian Academy of Sciences, the UCL Institute of Neurology and Johns Hopkins University.

“These mutations lead to a severe disease, type 2 hypokalemic periodic paralysis. We are the first to prove that there are natural chemical compounds able to block the leakage currents through mutated channels," explained Mikhail Petrovich Kirpichnikov, a co-author of the study.

The team studied the toxin interaction with mutant ion channels using protein engineering and electrophysiology within a Xenopus laevis oocyte expression system. Then by NMR spectroscopy and computer modeling, they were able to obtain key structural information. They found that Hm-3 groups into clusters and complexes with the voltage-sensing domain (VSD) of the ion channel through electrostatic and hydrophobic interactions. By binding, the toxin had effectively fixed the voltage-sensing domain of the channel in a position that prevented leakage of ions.

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"The discovery of this toxin property gives us hope of developing efficient medicinal drugs for the treatment of patients with hypokalemic paralysis and other similar diseases,” reports Alexander Vasilevskiy, a senior co-author. “The model of interaction between the channel and the toxin gives us prospects for the development of new drugs."

Image: Heriaeus melloteei is a member of the Thomisidae crab spider family, known for ambushing unsuspecting insects. They are not generally not known to be harmful to humans. Image courtesy of Siga, Wikimedia Commons.