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ORGANISATION FOR THE PROHIBITION OF CHEMICAL WEAPONS Working Together for a World Free of Chemical Weapons channels of the Edoxie E. Allier-Gagneur and Jonathan E. Forman

Nerve agents and (such as and ) affect life processes by Type of ion Mechanism disrupting chemical signalling between cells (). Neurological signalling processes channel involve ion channels. Those are that enable the transport of ( specifically K+, Na+, Ca2+, Activated by the binding of a . In the nervous system, Cl-) across cellular membranes. The direction of ion flow is driven by concentration gradients, with Ligand gated such as or glutamate often the ions flowing from higher to lower concentration. serve as binding ligands. Activated when the exceeds or falls Extracellular fluid -gated + K+ channel K+ Na Na+ channel behind a triggering threshold (see chart). Extracellular fluid + + + K channel + Na Na+ channel Allows K ions to flow into the while at negative mem- K Inwardly-rectifying/ brane potential. This allows the cell to maintain the resting tandem pore domain + + potential state. Cytoplasm K Na +

+ Cytoplasm K+ Na - +30 mV Effect when Ion channels Ion Flow Blocked Overstimulated

+ No signaling. Constant excitation. Voltage-gated Inward Muscle: Muscle: Contractions (depolarisation) 0 mV Action potential Ligand-gated : Neurological Brain: Neurological Repolarisation The change in membrane Na shut-down shut-down potential occuring during No new sent. No signaling. Voltage-gated neuronal signaling, which is Outward Muscle: Paralysis Muscle: Paralysis Depolarisation associated with the action of

+ Brain: Neurological Brain: Neurological Ligand-gated (repolarisation) ion channels. shut-down shut-down Cell cannot achieve Membrane potential Processes that disrupt Inward .

Potassium K Inwardly-rectifying/ the action of these - 55 mV (resting potential/ Muscle: Convulsions tandem pore domain channels only result hyperpolarisation) Brain: Neurological in blocking. - 70 mV shut-down

Hyperpolarisation 2+ No signaling. Constant excitation. Voltage-gated Inward Muscle: Paralysis Muscle: Contractions (depolarisation) Brain: Neurological Brain: Neurological Time Ligand-gated Ca Calcium shut-down shut-down Resting potential Hyperpolarization Extracellular fluid - No signaling. Constant excitation. + + Energy powered Extracellular fluid K channel + + Na channel + Voltage-gated K Na K+ channel K+ Na Na+ channel Outward Muscle: Paralysis Muscle: Contractions (depolarisation) Brain: Neurological Brain: Neurological Ligand-gated

Chloride Cl shut-down shut-down

+ Na+ @opcw Cytoplasm K + + - Cytoplasm K K Na+ - @opcw_st /opcwonline /opcwonline /company/opcw /opcw