ARTICLE https://doi.org/10.1038/s41467-020-20002-9 OPEN Structure of voltage-modulated sodium-selective NALCN-FAM155A channel complex ✉ Yunlu Kang 1, Jing-Xiang Wu1,2,3 & Lei Chen 1,2,3 Resting membrane potential determines the excitability of the cell and is essential for the cellular electrical activities. The NALCN channel mediates sodium leak currents, which positively adjust resting membrane potential towards depolarization. The NALCN channel is 1234567890():,; involved in several neurological processes and has been implicated in a spectrum of neu- rodevelopmental diseases. Here, we report the cryo-EM structure of rat NALCN and mouse FAM155A complex to 2.7 Å resolution. The structure reveals detailed interactions between NALCN and the extracellular cysteine-rich domain of FAM155A. We find that the non- canonical architecture of NALCN selectivity filter dictates its sodium selectivity and calcium block, and that the asymmetric arrangement of two functional voltage sensors confers the modulation by membrane potential. Moreover, mutations associated with human diseases map to the domain-domain interfaces or the pore domain of NALCN, intuitively suggesting their pathological mechanisms. 1 State Key Laboratory of Membrane Biology, College of Future Technology, Institute of Molecular Medicine, Beijing Key Laboratory of Cardiometabolic Molecular Medicine, Peking University, 100871 Beijing, China. 2 Peking-Tsinghua Center for Life Sciences, Peking University, 100871 Beijing, China. ✉ 3 Academy for Advanced Interdisciplinary Studies, Peking University, 100871 Beijing, China. email:
[email protected] NATURE COMMUNICATIONS | (2020) 11:6199 | https://doi.org/10.1038/s41467-020-20002-9 | www.nature.com/naturecommunications 1 ARTICLE NATURE COMMUNICATIONS | https://doi.org/10.1038/s41467-020-20002-9 ALCN channel is a voltage-modulated sodium-selective Therefore, we started with the cryo-EM studies of the NALCN– ion channel1.