The modifications in the properties of voltage-gated Na' channels caused by batrachotoxin were studied by using the patch clamp method for measuring single channel currents from excised membranes of Modified and normal open states of Na' channels coexist in batrachotoxin-exposed membrane patches. Unlike the normal condition, Na' channels exposed to batrachotoxin open spontaneously at large negative potentials. These spontaneous openings apparently cause the toxin-induced increase in Na' permeability which, in turn, causes membrane depolarization.Batrachotoxin (BTX) is an extremely toxic steroidal alkaloid isolated from the skin of the Colombian arrow poison frog (1). It modifies the voltage-gated Na+ channel in excitable membranes and has been widely utilized to probe the properties ofthis class of channel (2,3). Khodorov et aL have made extensive electrophysiological observations ofthe action ofBTX on Na+ channels in the node of Ranvier (4-6). In these studies, BTX shifted Na+ channel activation to more negative potentials, and the kinetics of activation of the toxin-modified channel were slowed and inactivation was eliminated. Similar observations recently have been made for the actions of BTX on Na+ currents in neuroblastoma cells (7) and in squid axons (unpublished observations). BTX-modified channels were also less selectively permeable to Na+ over K+, Rb+, or Cs+ than normal channels. Further, the maximal Na+ permeability, if all voltage-gated channels were open, was substantially decreased after exposure to BTX. BTX also causes nerve and muscle membranes to depolarize due to an increase in resting Na+ permeability (8, 9).These observations on the actions of BTX were primarily based on measurements of membrane currents recorded from the whole preparation by using conventional voltage clamp techniques. However, such currents represent the average behavior of a large population of channels of unknown number. Many questions remain regarding the action of BTX. Either reductions in the rate ofchannel closing or changes in the probability of channel opening could underlie the apparent lack of inactivation. The observed decrease in the maximal permeability for voltage-gated Na+ channels could be caused either by a block of Na+ channels or a reduction in the Na+ permeability for each modified channel. Modification ofNa+ channels might be either in a graded or in an all-or-none manner. Further, changes in gating of the channel could be coupled to the changes in the permeation properties ofthe channel, or the two effects could be independent. Recently it has become possible to measure the current through individual voltage-gated Na+ channels (10-12). Changes in the fundamental properties ofthe Na' channel that are modified by the toxin can be measured directly by using this approach.NIE-115 neuroblastoma cells were utilized in this study because this preparation has a number of advantages for single channel studies. (i) There is free access to the plasma membrane, permitting a good seal between the membra...