SUMMARY1. The planar phospholipid bilayer technique was used to study the T-tubule skeletal muscle dihydropyridine (DHP)-sensitive calcium (Ca2") channel. To improve the signal-to-noise ratio, Ca2" channel activity was recorded using both 800-50 and 500-50 mm NaCl gradients.2. Ca21 channels were characterized by their cation selectivity and pharmacological profile. The mean open time for channels identified by these techniques was increased by the DHP agonist Bay K 8644 (2 /LM), while it was decreased by the DHP antagonist nifedipine (5 /yM). Nifedipine also reduced Ca21 channel amplitude levels.3. Immunoglobulins G (IgG) from three amyotrophic lateral sclerosis (ALS) patients (n = 14 experiments), one myasthenia gravis (MG) patient (n = 3 experiments) and one healthy individual (n = 4 experiments), were tested on Ca21 channel activity at a final concentration of 3 mg/ml. 4. Channel mrean open time, mean closed time and time integral for the current were not modified by normal IgG (n = 4 experiments). Similarly, MG IgG did not reduce channel activity (n = 3 experiments).5. ALS IgG reduced the mean open time of DHP-sensitive Ca21 channel activity in twelve out of fourteen experiments. In addition, in five out of twelve experiments, ALS IgG stabilized the channel to a smaller amplitude level.6. ALS IgG reduced Ca21 channel activity in a side-selective fashion, probably corresponding to the external side of the channel.7. These results suggest that ALS IgG action on DHP-sensitive Ca2+ channels is not mediated by second messengers, thus favouring a direct mechanism for interaction with the DHP receptor complex.