Rem GTPase interacts with the proximal Ca_V1.2 C-terminus and modulates calcium-dependent channel inactivation

The Rem, Rem2, Rad and Gem/Kir (RGK) GTPases, comprise a subfamily of small Ras-related GTP-binding proteins, and have been shown to potently inhibit high voltage-activated Ca²⁺ channel current following overexpression. Although the molecular mechanisms underlying RGK-mediated Ca²⁺ channel regulation remain controversial, recent studies suggest that RGK proteins inhibit Ca²⁺ channel currents at the plasma membrane in part by interactions with accessory channel β subunits. In this paper, we extend our understanding of the molecular determinants required for RGK-mediated channel regulation by demonstrating a direct interaction between Rem and the proximal C-terminus of Ca_V1.2 (PCT), including the CB/IQ domain known to contribute to Ca²⁺/calmodulin (CaM)-mediated channel regulation. The Rem2 and Rad GTpases display similar patterns of PCT binding, suggesting that the Ca_V1.2 C-terminus represents a common binding partner for all RGK proteins. In vitro Rem:PCT binding is disrupted by Ca²⁺/CaM, and this effect is not due to Ca²⁺/CaM binding to the Rem C-terminus. In addition, co-overexpression of CaM partially relieves Rem-mediated L-type Ca²⁺ channel inhibition and slows the kinetics of Ca ²⁺-dependent channel inactivation. Taken together, these results suggest that the association of Rem with the PCT represents a crucial molecular determinant in RGK-mediated Ca²⁺ channel regulation and that the physiological function of the RGK GTpases must be re-evaluated. Rather than serving as endogenous inhibitors of Ca²⁺ channel activity, these studies indicate that RGK proteins may play a more nuanced role, regulating Ca²⁺ currents via modulation of Ca²⁺/CaM-mediated channel inactivation kinetics.