RT Journal Article SR Electronic T1 A-type FHFs mediate resurgent currents through TTX-resistant voltage-gated sodium channels JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.03.04.482974 DO 10.1101/2022.03.04.482974 A1 Yucheng Xiao A1 Jonathan W. Theile A1 Agnes Zybura A1 Yanling Pan A1 Zhixin Lin A1 Theodore R. Cummins YR 2022 UL http://biorxiv.org/content/early/2022/03/05/2022.03.04.482974.abstract AB Resurgent currents (INaR) produced by voltage-gated sodium channels are required for many neurons to maintain high-frequency firing, and contribute to neuronal hyperexcitability and disease pathophysiology. Here we show, for the first time, that INaR can be reconstituted in a heterologous system by co-expression of sodium channel α-subunits and A-type fibroblast growth factor homologous factors (FHFs). Specifically, A-type FHFs induces INaR from Nav1.8, Nav1.9 tetrodotoxin-resistant neuronal channels and, to a lesser extent, neuronal Nav1.7 and cardiac Nav1.5 channels. Moreover, we identified the N-terminus of FHF as the critical molecule responsible for A-type FHFs-mediated INaR. Among the FHFs, FHF4A is the most important isoform for mediating Nav1.8 and Nav1.9 INaR. In nociceptive sensory neurons, FHF4A knockdown significantly reduces INaR amplitude and the percentage of neurons that generate INaR, substantially suppressing excitability. Thus, our work reveals a novel molecular mechanism underlying TTX-resistant INaR generation and provides important potential targets for pain treatment.Competing Interest StatementThe authors have declared no competing interest.