“…However, recordings in cardiac cells [20,23,24], skeletal muscle [25], neuroblastoma cells [19,26], squid giant axon [21], medullary raphe neurons [27], and dorsal root ganglion neurons [28,29] confirm that VGSCs can also inactivate from pre-open closed states without first opening, called closed-state inactivation (CSI). This path occurs at hyperpolarized and modestly depolarized potentials without generation of an AP [18,22,24,26]. Based on these findings, we hypothesized that moving VGSCs into CSI without first causing activation would eliminate the initiation of APs and thus prevent the onset response.…”