“…Although Mg 2+ channel block contributes to the overall mechanism of inward rectification ( Horie et al, 1987 ; Matsuda et al, 1987 ; Vandenberg, 1987 ), the discovery of polyamine block explained the steep voltage dependence of inward rectification as well as earlier observations noting that the degree of rectification dissipated in excised patches (because of blocker washout; Matsuda et al, 1987 ; Vandenberg, 1987 ). Since then, many cation-selective ion-channel families have been shown to be blocked in a voltage-dependent manner by cytoplasmic polyamines, including AMPA-type (AMPARs) and kainate-type (KARs) ionotropic glutamate receptors (iGluRs; Bowie and Mayer, 1995 ; Kamboj et al, 1995 ; Koh et al, 1995 ), voltage-activated calcium channels ( Gomez and Hellstrand, 1995 ), nicotinic acetylcholine receptors ( Haghighi and Cooper, 1998 ), cyclic nucleotide-gated (CNG) channels ( Lu and Ding, 1999 ; Guo and Lu, 2000 ), MIC/TRPM7 channels ( Kerschbaum et al, 2003 ), and voltage-gated sodium channels ( Fu et al, 2012 ). A property that has emerged from this work is that some ion channels, particularly nonselective cation channels, are also able to flux polyamines from both the inside and outside of cells as a mechanism to relieve channel block.…”