Positively charged residues are delineated with a shaded background (blue) for the R0 to R7 position. Mutations of these basic residues may produce a gating pore current activated by hyperpolarization (hyperpol), by depolarization (depol), or give rise to a proton transporter (xporter). The gating pore waist lies between R2 and R3, and voltage-dependent translocation of substituted R residues on S4 through this region regulates the flow of gating pore current. HypoPP mutations (red) are clustered at arginines in the R1 or R2 position of NaV1.4 and CaV1.1. Mutations of NaV1.4 at IV-R1 (green) are associated with PMC, not HypoPP, and do not produce gating pore current. A mixed variant of periodic paralysis is associated with mutations at NaV1.4 II-R3 (yellow) which causes a depolarization-activated gating pore.