Model summarizing NAADP modulation of TPC2 channel gating. Without NAADP present, TPC2 Po is very low, but it still gates with occasional brief openings, and therefore, it is in a constitutively active state (1). Low [NAADP] increases Po to optimum levels when Ca2+ loading of the stores is high (2). Ca2+ release depletes the stores of Ca2+, leading to a reduced Po, but causes alkalinization within the stores, which could lead to irreversible binding of NAADP to TPC2 (3). Both state (2) and state (3) represent NAADP-activated states. As the acidic pH is restored, NAADP dissociates from TPC2, and luminal Ca2+ stores are replenished. High [NAADP] inactivates the channel (Po = 0) in a reversible manner (4); we term this state the inactive state.