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Advanced Ne
            Advanced Neurologyurology                                                   The AIS structure and function


            2. Structure of AIS                                that, the dynein regulator nuclear distribution element-like
                                                               1 (NDEL1) localizes to the AIS through interaction with
            The molecular structure of the AIS is relatively complex and   AnkG and controls cargo transport at the AIS .
                                                                                                   [16]
            is maintained by the accumulation of ankyrin G (AnkG)
            and βIV-spectrin [6,7] . AnkG, a product of the ANK3 gene, is   In addition, there is a layer of specialized extracellular
            an anchoring protein at the AIS . It forms a “scaffolding”   matrix anchored to the AIS that promotes and regulates
                                     [8]
            structure with  βIV-spectrin to anchor ion channels   the production of APs by various ion channels, such as
            to the actin cytoskeleton. AnkG has three isoforms in   Na , K, and calcium channels (Ca ) [17-20] , allowing neurons
                                                                    v
                                                                 v
                                                                                          v
                                                                                                   [21]
            mammals: 190-kDa AnkG, which is distributed in the   to generate a wide variety of AP waveforms . Although
            cytoplasm; and 270-kDa and 480-kDa AnkG, which are   the basic components of the AIS have been known for
            the major isoforms that are specifically located at the AIS   more than two decades, recent studies have indicated
            and nodes of Ranvier [8-10] . Following axon differentiation,   an increasing complexity of its types and the molecular
            AnkG begins to cluster at the proximal end of the axon   composition  and  distribution of  ion channels  enriched
            and then recruits the other components of AIS [11,12] . The   within it.
            aminoterminal end of AnkG inserts into the actin/spectrin   3. Ion channels in the AIS
            submembrane scaffold and anchors specific membrane
            proteins, including γ-aminobutyric acid type A (GABA )   The entire AIS is enriched with many sodium channels of
                                                         A
                                                                             [22]
            receptors, voltage-gated sodium (Na ), and potassium (K )   different subtypes . AnkG binds to the interaction motif
                                                         v
                                         v
            channels, as well as cellular adhesion molecules (CAMs),   within the II-III intracellular loop of Na  channels [23-26] .
                                                                                                 v
            specifically the 186  kDa isoform of neurofascin 186   Experiments have shown that the concentration of sodium
                                                                     +
            (NF-186) and neuronal (Nr)CAM, to the AIS  (Figure 1).   ion (Na ) channels in neuronal AIS is approximately 19-fold
                                                [13]
                                                                                 [27]
            Moreover, Wang  et al. reported that neurons with  αII   of that in the cell body , 50-fold of that in the proximal
                                                                                                       [29]
                                                                      [28]
            spectrin deletion also showed the absence of AnkG,   dendrite , and 30-fold of that in the distal axon . The
                                                                                 +
            suggesting that αII spectrin and βIV-spectrin can interact   main subtypes of Na  channels at the AIS are Na 1.1,
                                                                                                          v
                                                                              [30,31]
            to form spectrin tetramers that link adjacent actin rings   Na 1.2, and  Na 1.6  . During different developmental
                                                                 v
                                                                            v
            and are required for AnkG clustering in the AIS .  stages, the expression and subcellular distribution of
                                                  [14]
                                                                                 +
                                                               various subtypes of Na  channels vary. For example, during
              In addition to actin, AnkG also interacts with   early neuronal development, Na 1.2 channels are initially
                                                                                         v
            microtubules through microtubule-associated proteins. For   found in the AIS, while Na 1.6 is the dominant subtype in
                                                                                    v
            instance, a previous study has shown that the microtubule   mature neurons [20,29,30,32,33] . Moreover, in cortical neurons,
            plus-end-binding (EB) proteins EB1 and EB3 are highly   high-threshold Na 1.2 channels are preferentially located
                                                                              v
            concentrated in mature AIS and can directly bind to   at the proximal end of the AIS, while low-threshold Na 1.6
                                                                                                          v
            AnkG, thus suggesting that EB1 and EB3 can stabilize the   channels are found at the distal end of the AIS . Na
                                                                                                       [27]
                                                                                                             v
            structure and microtubule network together . Not only   channels  are  primarily  responsible  for  the  initiation  of
                                                [15]








            Figure 1. A simplified diagram of the molecular structure of the axon initial segment (AIS) in a neuron. AIS aggregates many anchoring and cytoskeletal
            proteins, such as ankyrin G (AnkG) and βIV spectrin. Skeleton proteins are anchored by a variety of ion channels, such as voltage-gated sodium channels
            (Na 1.x), voltage-gated potassium channels (K 1.x), voltage-gated calcium channels (Ca ), and γ-aminobutyric acid type A (GABA ) receptors. The AIS
                                         v
                                                                    v
                                                                                                A
              v
            comprises many other component molecules and ion channels, and its complexity is constantly growing with advancements in research.
            Volume 2 Issue 1 (2023)                         2                       https://doi.org/10.36922/an.v2i1.274
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