“…Ssp1a, a 33-residue inhibitor cystine knot (ICK) peptide ( Figure 1A ) belonging to the voltage-gated sodium channel modulator spider toxin family 1 (NaSpTx1), is a potent inhibitor of neuronal hNa V subtypes 1.7, 1.6, 1.3, 1.2 and 1.1 ( Dongol et al, 2021 ). The closest homologs with comprehensive structure-function data available are the distantly related GpTx-1 (44% identity) and HwTx-IV (40% identity), with HwTx-IV and recombinant Ssp1a (rSsp1a) showing similar pharmacology at hNa V 1.7 ( Xiao et al, 2008 ; Dongol et al, 2021 ). While the NaSpTx1 toxin studies have focused on the development of hNa V 1.7-selective inhibitors ( Minassian et al, 2013 ; Revell et al, 2013 ; Klint et al, 2015 ; Murray et al, 2015 ; Murray et al, 2016 ; Shcherbatko et al, 2016 ; Rahnama et al, 2017 ; Zhang et al, 2018 ; Neff et al, 2020 ), the determinants of NaSpTx1 pharmacology at the potential pain target hNa V 1.3 ( Black et al, 1999 ; Kim et al, 2001 ; Hains et al, 2004 ; Hong et al, 2004 ; Garry et al, 2005 ; Lindia et al, 2005 ; Black et al, 2008 ; Chen et al, 2014 ; Tan et al, 2015 ; Xu et al, 2016 ) and epilepsy target hNa V 1.2 ( Menezes et al, 2020 ) have been largely ignored.…”