The skeletal muscle Ca(2+) release channel (
RYR1) is a homotetramer with subunits of 565 kD. Although the channel part of this
protein is probably formed by the C-terminal one fifth of the
protein, most of the regulation of channel activity is likely to arise from intermolecular and intramolecular interactions of its large cytoplasmic domain. This cytoplasmic region of the
protein is thought to contain binding sites for a variety of modulators, including the t-tubule voltage sensor, and mutations in some cases of
malignant hyperthermia and
central core disease. Regulation of channel activity must, therefore, involve long-distance allosteric modulation arising from changes in both intersubunit and intrasubunit interactions within the cytoplasmic domain of the
RYR1 tetramer. Biochemical studies are beginning to elucidate some of the sites within the cytoplasmic domains important for modulting channel activity in the membrane-spanning domain. This review summarizes these findings and presents a working model for the regulation of the channel by the interactions of its cytoplasmic domains.