Voltage-gated ion channels are commonly modulated by peptide toxins that alter channel gating through direct interactions with pore-forming or voltage-sensing domains. Most well-characterized gating modifiers belong to structurally constrained, disulfide-rich toxin families whose activity is largely explained by specific toxin-channel interactions. However, increasing evidence suggests that a diverse group of amphipathic α-helical peptides influences ion-channel function through mechanisms that extend beyond the classical ligand-receptor paradigm. Unlike canonical gating modifiers, these peptides frequently partition into the lipid bilayer, where membrane association, interfacial folding, and peptide-induced alterations in bilayer organization contribute to their biological activity. In this review, we examine the biophysical principles underlying peptide-mediated modulation of ion channels, with particular emphasis on voltage-dependent sodium channels. We discuss how changes in membrane surface charge, lipid packing, lateral pressure profiles, hydrophobic mismatch, and curvature stress may influence the energetic coupling between membrane proteins and their surrounding lipid environment, thereby affecting channel gating. Particular attention is given to poneratoxin and related aculeatoxins, which illustrate how relatively simple α-helical scaffolds can modulate voltage-gated sodium channels through mechanisms closely linked to membrane interactions. Collectively, these observations support a framework in which ion-channel modulation emerges from the coupled behavior of peptide, lipid bilayer, and membrane protein rather than from toxin binding alone. Understanding these interactions may provide new insights into membrane-mediated regulation of ion channels and inform future strategies for the development of modulators targeting the protein-lipid interface.
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