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Phosphatidylinositol-4,5-bisphosphate (PIP 2 ) is a signaling lipid which regulates voltage-gated K v 7/ KCNQ  potassium channels. Altered PIP 2  sensitivity of neuronal K v 7.2 channel is involved in  KCNQ2  epileptic encephalopathy. However, the molecular action of PIP 2  on K v 7.2 gating remains largely elusive. Here, we use molecular dynamics simulations and electrophysiology to characterize PIP 2  binding sites in a human K v 7.2 channel. In the closed state, PIP 2  localizes to the periphery of the voltage-sensing domain (VSD). In the open state, PIP 2  binds to 4 distinct interfaces formed by the cytoplasmic ends of the VSD, the gate, intracellular helices A and B and their linkers. PIP 2  binding induces bilayer-interacting conformation of helices A and B and the correlated motion of the VSD and the pore domain, whereas charge-neutralizing mutations block this coupling and reduce PIP 2  sensitivity of K v 7.2 channels by disrupting PIP 2  binding. These findings reveal the allosteric role of PIP 2  in K v 7.2 channel activation.

PIP2-dependent coupling of voltage sensor and pore domains in Kv7.2 channel