Human autoantibodies specific for the α1A calcium channel subunit reduce both P-type and Q-type calcium currents in cerebellar neurons

The pharmacological properties of voltage-dependent calcium channel (VDCC) subtypes appear mainly to be determined by the alpha(1) pore-forming subunit but, whether P-and Q-type VDCCs are encoded by the same alpha(1) gene presently is unresolved. To investigate this, we used IgG antibodies to presynaptic VDCCs at motor nerve terminals that underlie muscle weakness in the autoimmune Lambert-Eaton myasthenic syndrome (LEMS), We first studied their action on changes in intracellular free Ca2+ concentration [Ca2+](i) in human embryonic kidney (HEK293) cell lines expressing different combinations of human recombinant VDCC subunits. Incubation for 18 h with LEMS IgG (2 mg/ml) caused a significant dose dependent reduction in the K+-stimulated [Ca2+](i) increase in the alpha(1A) cell line but not in the alpha(1B), alpha(1C), alpha(1D) and alpha(1E) cell lines, establishing the alpha(1A) subunit as the target for these autoantibodies, Exploiting this specificity, we incubated cultured rat cerebellar neurones with LEMS IgG and observed a reduction in P-type current in Purkinje cells and both P- and Q-type currents in granule cells. These data are consistent with the hypothesis that the alpha(1A) gene encodes for the pore-forming subunit of both P-type and Q-type VDCCs.