  Citation: Feher, A.; Pócsi, M.; Papp, F.; Szanto, T.G.; Csoti, A.; Fejes, Z.; Nagy, B., Jr.; Nemes, B.; Varga, Z. Functional Voltage-Gated Sodium Channels Are Present in the Human B Cell Membrane. Cells 2022, 11, 1225. https://doi.org/10.3390/ cells11071225 Academic Editor: Rajesh Khanna Received: 4 March 2022 Accepted: 3 April 2022 Published: 5 April 2022 Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affil- iations. Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). cells Article Functional Voltage-Gated Sodium Channels Are Present in the Human B Cell Membrane Adam Feher 1 , Marianna Pócsi 2 , Ferenc Papp 1 , Tibor G. Szanto 1 , Agota Csoti 1 , Zsolt Fejes 2 , Béla Nagy, Jr. 2 , Balázs Nemes 3 and Zoltan Varga 1, * 1 Department of Biophysics and Cell Biology, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary; feher.adam@med.unideb.hu (A.F.); papp.ferenc@med.unideb.hu (F.P.); szantogt80@gmail.com (T.G.S.); jelena45@gmail.com (A.C.) 2 Department of Laboratory Medicine, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary; pmarcsi89@gmail.com (M.P.); fejes.zsolt@med.unideb.hu (Z.F.); nagy.bela@med.unideb.hu (B.N.J.) 3 Department of Organ Transplantation, Faculty of Medicine, Institute of Surgery, University of Debrecen, H-4032 Debrecen, Hungary; nemes.balazs@med.unideb.hu * Correspondence: veze@med.unideb.hu Abstract: B cells express various ion channels, but the presence of voltage-gated sodium (Na V ) channels has not been confirmed in the plasma membrane yet. In this study, we have identified several Na V channels, which are expressed in the human B cell membrane, by electrophysiological and molecular biology methods. The sensitivity of the detected sodium current to tetrodotoxin was between the values published for TTX-sensitive and TTX-insensitive channels, which suggests the co-existence of multiple Na V 1 subtypes in the B cell membrane. This was confirmed by RT-qPCR results, which showed high expression of TTX-sensitive channels along with the lower expression of TTX-insensitive Na V 1 channels. The biophysical characteristics of the currents also supported the expression of multiple Na V channels. In addition, we investigated the potential functional role of Na V channels by membrane potential measurements. Removal of Na + from the extracellular solution caused a reversible hyperpolarization, supporting the role of Na V channels in shaping and maintaining the resting membrane potential. As this study was mainly limited to electrophysiological properties, we cannot exclude the possible non-canonical functions of these channels. This work concludes that the presence of voltage-gated sodium channels in the plasma membrane of human B cells should be recognized and accounted for in the future. Keywords: B cell; lymphocytes; voltage-gated sodium channel; patch-clamp electrophysiology; tetrodotoxin 1. Introduction Voltage-gated Na+ (Na V ) channels are best known for initiating action potentials by depolarizing the membrane of excitable cells. Na V 1.1–1.9 are the nine members of this family [1,2], of which Na V 1.1–1.3 and 1.6 are mostly expressed in the neurons of the central nervous system but can also be found in peripheral neurons, while Na V 1.7–1.9 channels are almost exclusively found in the peripheral neurons. Na V 1.4 is the main Na V channel of skeletal muscles, while Na V 1.5 is expressed in cardiomyocytes [3]. A well-known blocker of Na V channels is tetrodotoxin (TTX), isolated from pufferfish [4,5]. Na V channels are classified as TTX-sensitive (Na V 1.1–1.4 and 1.6–1.7), with an IC 50 in the low nM range, or TTX-resistant (Na V 1.5, 1.8 and 1.9), being blocked only in the μM concentration range [6]. Despite their main function in action potential generation, Na V channels have been found in numerous non-excitable cell types, including astrocytes [710], islet β- cells [11], keratinocytes [12], endothelial cells [13], dendritic cells [14], macrophages and microglia [1517], red blood cells [18], T cells [19,20] and neutrophils [21]. The functions Cells 2022, 11, 1225. https://doi.org/10.3390/cells11071225 https://www.mdpi.com/journal/cells