CAST/ELKS Proteins Control Voltage-Gated Ca Channel Density and Synaptic Release Probability at a Mammalian Central Synapse.

In the presynaptic terminal, the magnitude and location of Ca entry through voltage-gated Ca channels (VGCCs) regulate the efficacy of neurotransmitter release. However, how presynaptic active zone proteins control mammalian VGCC levels and organization is unclear. To address this, we deleted the CAST/ELKS protein family at the calyx of Held, a Ca2.1 channel-exclusive presynaptic terminal. We found that loss of CAST/ELKS reduces the Ca2.1 current density with concomitant reductions in Ca2.1 channel numbers and clusters. Surprisingly, deletion of CAST/ELKS increases release probability while decreasing the readily releasable pool, with no change in active zone ultrastructure. In addition, Ca channel coupling is unchanged, but spontaneous release rates are elevated. Thus, our data identify distinct roles for CAST/ELKS as positive regulators of Ca2.1 channel density and suggest that they regulate release probability through a post-priming step that controls synaptic vesicle fusogenicity.