Nav1.4

NaV1.4 is highly expressed in skeletal muscle, where it carries almost all inward Na+ current that generates the muscle action potential[1]. Mechanistically, the human NaV1.4-β1 structure defines the pore domain, voltage-sensing domains, and β1 subunit, supporting research on Na+ permeation, fast inactivation, and drug discovery for NaV channelopathies[2]. In skeletal muscle disease models, SCN4A/NaV1.4 mutations alter excitability through gain or loss of function, producing myotonia, weakness, periodic paralysis, congenital myopathy, or fetal hypokinesia[3][4]. Compared with related sodium-channel isoforms, NaV1.4 is the specific skeletal muscle sodium channel isoform, while NaV1.5 can be transiently re-expressed after denervation[5]. For experimental applications, µ-conotoxins differentially block NaV1.1-1.8 channels, and ranolazine blocks human NaV1.4 channels and paramyotonia congenita mutants[6][7].