Structural determinants for GqPCR-mediated inhibition of TASK K2P K+ channels and their dysfunction in disease

Two-Pore Domain K+(K2P) channels are crucial determinants of cellular electrical excitability. TASK-1 and TASK-3 K2P channels regulate the resting membrane potential in many different cell types where their activity is also coupled to GqPCR signalling pathways via direct inhibition by diacylglycerol (DAG) generated as a result of phosphatidylinositol-4,5-bisphosphate (PIP2) hydrolysis. This regulation is defective in two different TASK channelopathies, but the molecular mechanisms underlying this inhibition remain unclear. Here, we demonstrate that DAG inhibition of TASK channel activity is state-dependent. Single channel recordings show that the sensitivity to GqPCR inhibition inversely correlates with channel open probability and that DAG destabilises the open state of TASK-1 to promote channel closure. Combining Molecular Dynamics simulations with mutagenesis studies, we also identify a binding site for DAG in a groove between the M2, M3 and M4 domains, and highlight the crucial role of a specific residue within on M4 (T230) in mediating this inhibitory effect as well as defining the difference in GPCR sensitivity between TASK-1 and TASK-3. Together, these results provide a better understanding of the molecular mechanisms underlying GqPCR regulation of TASK channels and the pathogenic effect of K2P channelopathies linked to TASK channel dysregulation.